Forms

Accidents and Injuries

• Employee's Choice or Change of Doctor Form
• First Report of Alleged Occupational Injury or Illness
• Prescription Program for Work-Related Injuries
• Release To Return To Work
• Supervisors Incident Analysis Report
• Workers' Compensation Incident Report

Audits and Surveys

See Safety Audit Guidelines SOPs

Biosafety

• Autoclave Log Sheet
• Biosafety Manual Table of Contents Form

Bloodborne Pathogens

• Declination Statement (EHS-BBP-02) (5/20)
• Enrollment Checklist and Site-Specific Training Roster (EHS-BBP-04) (5/20)
• Exposure Care Kit (EHS-BBP-03) (5/20)

Radiation Safety

• Declaration of Pregnancy 
• Radiation Training & Experience History and Personal Dosimetry
• Specific Training Form (Practical) for Portable Gauge Users
• Specific Training Form (Practical) for Non-Healing Arts Radiation-Generating Devices

Respiratory Protection

• Hazard Assessment (EHS-RPP-01) (3/11)
• Medical Evaluation Questionnaire (EHS-RPP-04) (10/16)
• Medical Surveillance Assessment (EHS-RPP-05) (3/11)
• Respirator Fit Test Record (EHS-RPP-03) (3/22)