Lead Work Plan Template

Lead Work Plan Template
62.22KB (.docx)
  A Lead Work Plan is required when lead exposure is assumed or known to be at or above 10 micrograms of airborne lead per cubed meter during an eight-hour TWAe.  

Metallic Lead Use Area-Storage Area Inspection Template

Metallic Lead Use Area-Storage Area Inspection Template
57.34KB (.docx)
  Use this form when conducting inspections of metallic lead use areas and metallic lead storage areas.  

Supervisor and Employee Lockout/Tagout Annual Evaluation Form

Supervisor and Employee Lockout/Tagout Annual Evaluation Form
417.63KB (.pdf)

Lock Removal Form

Lock Removal Form
58.81KB (.pdf)

Lockout/Tagout Hazardous Energy Control Procedure Form

Lockout/Tagout Hazardous Energy Control Procedure Form
615.61KB (.PDF)

Confined Space Evaluation Form

Confined Space Evaluation Form
268.54KB (.PDF)
  If you suspect a space meets the definition of a permit-required confined space, but you do not have a permit to enter, do not enter the space. Complete the Confined Space Evaluation form (below)...

Lockout/Tagout Hazardous Energy Control Field Procedure Form

Lockout/Tagout Hazardous Energy Control Field Procedure Form
137.69KB (.pdf)

HSIP TB Skin Test Form

HSIP TB Skin Test Form
136.49KB (.pdf)
  This form may be completed by health care providers (MD, DO, ARNP, PA, RN or other appropriate designees) to document initial 2-step PPD skin testing or a single annual PPD.   

Accident/Incident Report Form

Accident/Incident Report Form
2.19MB (.pdf)

Fall Protection Work Plan

Fall Protection Work Plan
224.50KB (.docx)
  The UW requires a Fall Protection Work Plan when working at heights greater than 10 feet. It must be posted at the worksite for the duration of work activities.   

Capital Safety Project Request Form

Capital Safety Project Request Form
173.31KB (.pdf)
Once a project has qualified for funding, Environmental Health & Safety will either grant funding or place the project on a prioritized list for future consideration. EH&S prioritizes...

Shop Training Record

Shop Training Record
37.75KB (.docx)

Research MRI Medical Safety Screening Form

Research MRI Medical Safety Screening Form
105.50KB (.doc)

Confined Space Entry Permit

Confined Space Entry Permit
231.52KB (.pdf)

Certificate of Confined Space Hazard Elimination

Certificate of Confined Space Hazard Elimination
34.29KB (.docx)

Food Establishment Plan Review Application

Food Establishment Plan Review Application
29.29KB (.docx)

Fire Drill Report Form

Fire Drill Report Form
284.39KB (.pdf)

Respirator Request Form

Respirator Request Form
296.74KB (.pdf)

Food Illness Report/Complaint

If you believe you have become sick from eating at a food service establishment on the University of Washington campus, please answer the questions below. Answering all questions helps us investigate...

Pest Sighting Report

For pest problem service, please complete the Pest Sighting Report below. Report as many significant details about the observation as possible, especially the pest's exact location and behavior. ...