Environmental Health & Safety

Forms

Biosafety Forms

Bloodborne Pathogen Forms

• Bloodborne Pathogen Control Plan Department Template
  • Department Template [DOC]
  • Department Template [PDF]
  
  
• Consent to Administration of Recombivax-HB Hepatitis-B [DOC]
• Consent to Administration of Recombivax-HB Hepatitis-B [PDF]
• Hepatitis B Vaccine Declination [DOC]
• Hepatitis B Vaccine Declination [PDF]
• Preventing Hepatitis B — Notice of Video [DOC]
• Preventing Hepatitis B — Notice of Video [PDF]

Consumer Protection

• Henna Tattoo on SDSU Campus Application

DEA Controlled Substances Forms

• Biennial Controlled Substances Inventory Form
• Controlled Substance Custody Control Sheet
• Controlled Substance Disposition Record (CSDR)
• Controlled Substance Fact Sheet
• Controlled Substance Purchase Request
• Controlled Substance Use Authorization Application
• Controlled Substance Use Authorization Update
• Inventory of Controlled Substances Surrendered
• Use of Controlled Substances Inspection Form

Emergency Procedures

• Exposure Incident Report
• Sharps Injury Log

Food Safety Forms

• Temporary Food Facility (TFF) Application Form [DOC]
• Temporary Food Facility (TFF) Application Form [PDF]
• SACL Event Approval Form
• Aztec Shops Catering Proposal Form
• SACL Open Space Reservation Form

Hearing Conservation / Noise Control

• Noise Assessment Request

Laboratory Safety

• Laboratory Specific Standard Operating Procedure Instructions
  • Laboratory Specific Standard Operating Procedures (Template) [DOC]
• SDSU Medical Surveillance Notification Form [DOC]
• SDSU Medical Surveillance Notification Form [PDF]
• Exposure Injury Report
• Laboratory Self-audit

Medical Surveillance

• SDSU Medical Surveillance Notification Form [DOC]
• SDSU Medical Surveillance Notification Form [PDF]

Personal Protective Equipment

• None available

Potable (Drinking) Water

• Attachment 1: Chlorination Notification [DOC]
• Attachment 2: Chlorination Report [DOC]
• Attachment 3: Bacteriological Sampling Notification [DOC]
• Attachment 4: Chlorination and Bacteriological Testing, Verification and Approval [DOC]

Radiation Safety Forms

• Request for Radiation Use Authorization (RUA) [PDF]
• Radiation Use Authorization Amendment Request [PDF]
• California Statement of Training and Experience [PDF]
• Radioactive Material Transfer Request Form [PDF]
• Certification of Training for X-Ray Machine Use [DOC]
• SDSU Radioactive Material Inventory Form [PDF]
• Radiation Worker Laboratory Orientation [PDF]

Respiratory Protection

• SDSU Medical Surveillance Notification Form [DOC]
• SDSU Medical Surveillance Notification Form [PDF]

Vision Protection / Lighting

• None available

Other

• EHS Questionnaire [DOC]

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