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New system/features coming soon! 


Please report your impairment by clicking the button below.

Instructions:  Enter information, click on the 'Next' button, then on the 'Submit' button at the bottom of the form to complete the initial submission process and the restoration process.

Upon submitting the impairment a confirmation will be emailed to you. 
Please save this email!  It will be needed to report the restoration.  The email will include a PDF of your notification along with a link back to your impairment record so that it can be updated or closed out. 

For best performance1) Please use a current web browser (ie, Internet Explorer 9 or higher); 2) Complete the form within 20 minutes, otherwise your internet browser may corrupt your report upon submitting it; 3) Do not switch from a mobile device to a computer (or vice-versa) when reporting on the same impairment/restoration; 4) Have IT 'white list' the Survey Gizmo domain so that your firewalls and spam filters do not block our emails and be sure to check your Junk Folder for missing confirmation emails.  

Risk Engineering global website 
Impairment Management Guide
Impairment Riser Stickers
Impairment Permit Tag
Impairment Form
Impairment System QR Code

Special Assistance
Europe-Mid East-Africa        +44 121 697 9131
Latin America - Brazil          +55 11 96845-9097
Latin America - Mexico        +52 1 55 45 88 96 28
North America                     +1-800-695-6036

Privacy Policy  |  Legal

Attention: The Zurich Group Companies and SurveyGizmo's software used to operate our fire protection impairment system are located in the US. Zurich has appropriate measures and controls in place to ensure that this data transfer is carried out securely and in compliance with our legal obligations. If you do not care to complete this form, please exit now.