Lead Work Plan Template
… Template Use the Lead Work Plan Template (Word) when lead exposure is assumed or known to be at or above 10 micrograms … Lead Work Plan A Lead Work Plan is required when lead exposure is assumed or known to be at or above 10 µg/m3TWA8e … (include controls and work practices to minimize employee exposures) |_| Interior locations: Erect a sealed …
Report a Concern
… or visitor. To report a workplace injury, illness, exposure, fire, property damage, or near-miss event, please … not address the issue directly and we cannot guarantee a response to every reported incident. The University of …
Laser Safety Training Request
… WAC 296-62-09005(3), Laser Radiation Permissible Exposure Limits; ANSI Z136.1 – 2007, American National … WAC 296-62-09005(3), Laser Radiation Permissible Exposure Limits; ANSI Z136.1 – 2007, American National …
Biological Use Authorization (BUA) application (new and renewal)
… Pathogens for Researchers Training b. Site-specific BBP Exposure Control Plan: Submit with this application. … Equipment EXAMPLE: SLU 3.1 ABSL-2 Vivarium EXAMPLE: Aerosol exposure of mice to bacteria. Injection of recDNA vaccine … I will adhere to the IBC-approved emergency plans for spill response and personnel exposures. · In case of incidents or …
Fire Drill Report Form
… |_| No Observations (includes notes that will help improve response, performance, and management of future evacuation …
Accident/Incident Report Form
… but it could have) Property damage only Injury or Exposure, no first aid required Injury requiring first aid … Air Embolism Drowning, Suffocation Electric Shock Exposure to Potential Biohazardous (Infectious) Material … Illness: Off Drowning Suffocation: Off Electric Shock: Off Exposure to Potential: Off Eye or Vision Issues: Off …
Radiation Worker and Dosimetry Application
… pertinent previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely … schools. Previous and/or Concurrent Occupational Radiation Exposure Please provide the dates and the name and address … I have never been monitored for occupational radiation exposure Institution Institution City/State City/State Dates …
Clinical Trial Biological Use Authorization (BUA) Application
… · (3) Research-related accidents or illnesses; · (4) Exposures or potential exposures to biohazards, including recombinant or synthetic … plans for handling accidental spills and personnel exposures. · In case of incidents or near misses, I will …
Missing/Damaged Dosimeter Report
… This information may be used to estimate your radiation exposure for the wear period(s) involved. Please fill out … exceed 10% of the Annual Limits for Occupational Radiation Exposure. ☐ Due to the reasons stated above, the dose for …
PRCS Rescue Service Evaluation Form
… 2 If on-call, what is the rescue service approximate response time to the UW PRCSs? 3 If the rescue service …
Influenza Virus Supplemental for Biological Use Authorization (BUA)
… for vaccination and a medical surveillance and response plan may be warranted for certain strains. Strains …
Dosimetry Application for Non-Radiation Workers
… pertinent previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely … pertinent previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely …
Request for Fetal Radiation Monitoring (Form 9)
… pertinent previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely … pertinent previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely …
Permit-Required Confined Space (PRCS) Entry Form
The Permit-Required Confined Space (PRCS) Entry Form is required for entry into any permit-required confined space. The PRCS Entry Form may be used for either an alternative methods entry or a…
BUA Change Application
… Equipment EXAMPLE: SLU 3.1 ABSL-2 Vivarium EXAMPLE: Aerosol exposure of mice to bacteria. Injection of recDNA vaccine … Pathogens for Researchers Training b. Site-specific BBP Exposure Control Plan: Submit with this application. PART …
Facilities Supplemental for Biological Use Authorization (BUA) Application
… Equipment EXAMPLE: SLU 3.1 ABSL-2 Vivarium EXAMPLE: Aerosol exposure of mice to bacteria. Injection of recDNA vaccine …
Human Subjects Radiation Approval Committee (HSRAC) Application
… policies of the UW and SCCA Radiation Safety Committees. Exposure to radiation will be from: *For …
Temporary Food Establishment Permit Application Form
… changes, please return to the previous page. Application responses are summarized for applicant review prior to final …