Data Center Physical Access Request Form
Process Number : FBP-03-003
Effective Date : 8/7/2012
Approved By : A. Michael Berman
The Division
of Technology & Innovation maintains information assets on behalf of CSU Channel
Islands in access-controlled areas. Physical access to these secured areas is restricted to a defined set
of University employees who are responsible for the operation
of
computing, network, and
telecommunication resources, and have a business need for regular access to these facilities.
Guests who require access
to these areas to carry out legitimate business functions may be escorted
by sanctioned T&I staff into these areas. Escorts must be present at all times if security cages are
unlocked or guest requires access into the caged areas.
Prior to accessing a secured area, each requestor must complete, sign and date
the
following
statement:
I understand that my access to T&I information assets is approved solely
for
performance of
my assigned duties as an employee of the University or as contracted
by
the
University,
and
not for any other reason.
I will take appropriate measures to preserve the security of the designated area that I am
authorized to enter
and
the equipment
therein.
I agree that I am responsible for all activities that I carry out during my access period.
I certify that I have read, in its entirety, the Business Practice that pertains to Physical Access to
T&I Facilities, BP-03-003, and do hereby declare that I will abide by those guidelines to the
best of my ability.
I will not allow any unauthorized persons to enter the data center while performing my
functions there.
I certify that I have completed all the necessary training including the fire safety training
administered by Operations Planning and Construction and have received a general overview
on the safety features of the Ojai Hall Data Center.
I understand that lack of compliance with this policy can result in disciplinary action, in
accord with CI human resource policies and collective bargaining agreements.
Data Center Physical Access Request Form
Process Number : FBP-03-003
Effective Date : 8/7/2012
Approved By : A. Michael Berman
Business Justification
Please indicate what specific areas you require access to:
Data Center (OH1924)
Telecom Closets Only
DC Co-Location Only (OH1915)
All Area Access
Please list each building and room number (SOL 2161, BT 1521, etc.) you require access to:
Requestor:
Print Name:
Signed:
Dept./Div:
Dept./Div:
Date:
Approving Authority (VP, T&I or Infrastructure Manager)
Signed:
Date: