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Michigan Department of Transportation 1433(06/20)Clear FormREQUEST FOR CLOSE CLEARANCE INSPECTION INSTRUCTIONS: Requestor to complete the first three sections. DATE1) LOCATION OF CLOSE CLEARANCE CONCERNORGANIZATION
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How to fill out request for close clearance

01
Obtain the necessary forms or documents for requesting close clearance.
02
Fill out the forms completely and accurately with all required information.
03
Submit the completed request for close clearance to the appropriate department or authority.
04
Wait for confirmation or approval of the request before proceeding with any planned activities.

Who needs request for close clearance?

01
Any individual or organization planning to undertake activities that require close clearance, such as construction work near power lines or transportation of oversized loads.
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Request for close clearance is a formal application submitted to obtain permission to perform work in close proximity to energized electrical conductors.
Any individual or entity planning to work in close proximity to energized electrical conductors is required to file a request for close clearance.
Request for close clearance must be filled out completely with detailed information about the planned work, the location, and the precautions to be taken to ensure safety around energized electrical conductors.
The purpose of request for close clearance is to mitigate the risks associated with working near energized electrical conductors and to ensure the safety of individuals performing the work.
Information such as the date and time of the planned work, the location of the work site, the type of work to be conducted, the precautions to be taken, and the contact information of the individual responsible for the work must be reported on the request for close clearance.
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