Department Supplemental Hazardous Energy Control LOTO Program Template
The Supplemental Hazardous Energy Control LOTO Program Template and addresses department-specific hazards and safety guidance for controlling hazardous energy when repairing…
UW LOTO Procedure
For equipment that is routinely maintained and serviced, requires a full shutdown for servicing, and has good change management practices in place, the UW LOTO Procedure form can be used. …
LOTO Lock Removal Form
The LOTO Lock Removal Form (Word) includes directions and specific information a department or unit must document when an Authorized Person (lock owner) is unable or unavailable to remove…
Lockout/Tagout Authorized Person(s) Periodic Review
The Lockout/Tagout Authorized Person(s) Periodic Review is used to inspect the Authorized Person’s role and responsibility established in the hazardous energy control program and…
UW Select Toxin Transfer Due Diligence Form
Complete this form for any transfer of select toxins in any amount to any intra- or extramural entity or individual requires documentation of due diligence. Submit the completed form to uwsa@uw.…
Sample COVID-19 Close Contact Notification
The Sample COVID-19 Close Contact Notification (Word) represents a sample of the types of notifications that are sent to UW community members who are close contacts of individuals…
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 loads…
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 Safety…
Supplemental Crane, Hoist and Rigging Program Template
The Supplemental Crane, Hoist and Rigging Program Template is modified by University units to addresses unit-specific hazards and safety guidance to ensure the safety of personnel and…
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.
Site-Specific Bloodborne Pathogen (BBP) Exposure Control Plan template
PIs/supervisors must develop a site-specific BBP Exposure Control Plan as a supplement to the UW’s core BBP Exposure Control Plan in Appendix A of the UW Biosafety Manual. The site-…
Supplemental Accident Prevention Plan Template
University units can use the Supplemental Accident Prevention Plan (SAPP) Template to organize their worksite-specific health and safety information, and address employee…
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.