Amendment to Use Additional Radionuclides
Contact Radiation Safety for information on completing this form.
Radiation Worker and Dosimetry Application
Contact Radiation Safety for information on completing this form.
Application for Certification of Laboratory or Use of Radioactive Materials
Contact Radiation Safety for information on completing this form.
Radiation Detection Instrument Registration
Contact Radiation Safety for information on completing this form.
Radioactive Material Use on Research Vessels Close-Out Form
To be completed at the conclusion of the research cruise
Application for Authorization to Use Radioactive Materials
Contact Radiation Safety for information on completing this form.
Crane Operator Assessment Form
University units use the Crane Operator Assessment Form to document an individual employee's ability to operate/inspect overhead cranes and hoists and/or inspect rigging and rig…
Crane/Hoist and Rigging Critical Lift Plan
When a critical lift is identified, the crane operator must complete the Crane/Hoist and Rigging Critical Lift Plan before the lift is conducted.
Visit the Cranes, Hoists and Rigging…
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…
PRCS Rescue Service Evaluation Form
Rescue services for confined spaces must be specially qualified, trained, and equipped personnel to enter and remove Entrants from confined spaces. This could be a special unit within a local…
Evaluation for Diving Safety
Evaluation Form for Diving Safety
Instructions: Complete this form to request a diving safety evaluation. Contact the Diving Safety Program at divesafe@uw.edu with questions.
The University of…
Shop Safety Orientation Training Record
Shops can use this template to document shop-specific safety training.
Refer to the Shop and Maker Space Safety page for more information.
Lockout/Tagout Equipment-Specific Procedure Periodic Review
The Lockout/Tagout Equipment-Specific Procedure Periodic Review (Word) includes directions and content for the review of an equipment-specific lockout/tagout procedure.
Refer to the UW…
Usage and Disposal Record
Created and used by EH&S’s Radiation Safety Program
Radiation Producing Devices Registration Form
Radiation producing devices are any equipment that when energized capable of emitting ionizing radiation. Types of radiation producing devices include X-ray diffraction or fluorescence units,…
Hearing Loss Prevention Self-Audit Form
The purpose of the Hearing Loss Prevention Self-Audit Form (Word) is for University units to audit their compliance with the Hearing Loss Prevention Program.
This form applies if the unit…
Notice of Cleaning and Decontamination Form
The Notice of Cleaning and/or Decontamination Form (Word) must be completed by a UW employee knowledgeable of the hazardous materials used in, on and/or around a space, equipment, appliance or…