Hazardous Area Equipment Form
Document and review equipment intended for hazardous area use, including equipment details, zone classification, suitability, and submitter information.
Equipment Request Details
Equipment Name / Model
*
Equipment Category
*
Lighting
Motor
Sensor
Control Panel
Communication Device
Other
Quantity Needed
*
Intended Use / Application Description
*
Hazardous Area Suitability
Hazardous Area Classification / Zone
*
Please Select
Zone 0
Zone 1
Zone 2
Division 1
Division 2
Unknown/Other
Gas or Dust Environment
*
Gas/Vapor
Dust
Both
Unknown/Other
Equipment Protection Rating / Certification Type
*
Operating Temperature / Environmental Conditions
Submitter Information
Full Name
*
First Name
Last Name
Company / Department
*
Submit
Should be Empty: