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Oregon State University

Forms

Accident Forms (links to OHR)
OSU Accident Illness Report
SAIF 801 form and instructions

Automated External Defibrillator (AED) Forms
AED Request Form (doc)
AED Incident Report (doc)
AED Inspection log (excel)

Animal Hander
Animal handler forms (link to Occupational Health Services forms)
Rabies Vaccination Declination (pdf)
Research Agents Use in Animals (doc)
Animal Rooms Posting Form (doc)

Biological
Project Registration forms for Biohazard / Recombinant DNA Research
Sharps Injury Log (doc)

Chemical
Chemical Carcinogens Application/Registration: DOC - DOCX
Fumehood Cleanup and Inspection/Clearance (pdf)
Hazardous Waste Label - single label (pdf)
Hazardous Waste Label - full sheet (pdf)
Hazardous Waste Pickup Request (online)
Laboratory Cleanup and Inspection/Clearance (pdf)
Overnight/Unattended reaction form (pdf)
Container labels:
     HMIS labels (use avery 5163) - docx - pdf

Contruction, Project, and Maintenance
Construction Project Packet

Confined Space Permit
Equipment Clearance Labels
Lab Cleanup and Inspection
Self-Inspection Form - General

Personal Protective Equipment
Audiometry Questionnaire and Directions
Dust Mask Approval
Respirator Questionnaire
Safety Shoe Request
Prescription Safety Glasses Request (both pages are required):
     Authorization for Prescription Safety Glasses
     3M Safety Order Form - request hard copy from EH&S (737-2273)

Radiological
Application for Radiation Use Authorization-pdf (new or amendment) DOC

Cabinet & Analytical X-ray machine acknowledgement (pdf)

Declaration of Pregnancy (pdf)

OR Radiation Protection Services – Notice to Employees (pdf)
OSU self-audit program for lasers (pdf)
OSU laser system data sheet (pdf)

Provisional Use Agreement - unsealed radioisotopes(pdf)

Radioactive Material Receipt Form sample (pdf)
Self-Audit Form – Radiation Lab (pdf)

Training of Non-Radiation workers (pdf)

VetMedicine X-ray machine - training acknowledgement (pdf)

Waste Pickup Request (online form)

Training

Acknowledgment of Safety Rules review (pdf)

Acknowledgment of Safety Rules review (doc)

Safety Training record for an individual     (example)

Safety Training record for a course

General

Golf Cart & Utility Vehicle Safety Acknowledgment
Volunteer Injury Coverage (VIC) Insurance

Last update 10/06/14