Lead Work Plan Template
… Lead Work Plan A Lead Work Plan is required when lead exposure is assumed or known to be at or above 10 µg/m3TWA8e … (do not use compressed air) |_| Rotate workers to reduce exposure time |_| Wet mist debris before collection |_| … exposures are below the AL for this work |_| Personal Exposure |_| Clearance Sampling |_| Area Monitoring |_| …
Laser Safety Training Request
… 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. Wildtype … EXAMPLE: SLU 3.1 ABSL-2 Vivarium EXAMPLE: Aerosol exposure of mice to bacteria. Injection of recDNA vaccine … 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 Fainting …
Radiation Worker and Dosimetry Application
… 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 of … I have never been monitored for occupational radiation exposure Institution Institution City/State City/State Dates …
Clinical Trial Biological Use Authorization (BUA) Application
Complete the Clinical Trial Biological Use Authorization (BUA) Application for new and renewal projects to obtain approval for research involving recombinant DNA in human subjects. Submit Clinical…
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 …
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…
Dosimetry Application for Non-Radiation Workers
… previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely … previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely …
Request for Fetal Radiation Monitoring (Form 9)
… previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely … previous and/or concurrent occupational radiation exposure data. I agree to return all dosimeters in a timely …
BUA Change Application
… 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
… 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 radiopharmaceuticals …
Temporary Food Establishment Permit Application Form
UW students and personnel hosting or sponsoring an event at a UW location where food will be served, sold, or given away may need to apply for a Temporary Food Establishment Permit from UW…