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EHS forms
Forms and Required Permits
EH&S Forms | MacroTechnology Forms | Radiation Safety Forms
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Form Name
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Description
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Format
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Environmental Health & Safety
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| Accident/Near Miss/Quality Improvement Reports | This form is to be filled out anytime there is an accident (vehicle, injury or property loss) or near miss (potential for accident) involving ASU facilities or property whether or not a claim is filed. | |
| Anesthesia SOP |
To use anesthesia at ASU you must have a Standard Operating Procedure (SOP) for isoflurane. Two forms are provided the pdf form is an example and the doc form is a SOP Template for you to adapt for your individual anesthesia apparatus. |
SOP FORM - PDF SOP FORM - WORD |
| Bloodborne Pathogens | This form is to be filled out for any person working with blood, human fluids or tissues who does NOT want Hepatitis B vaccine. After signing it should be filed with the PI or supervisor along with the training record. | |
| Confined Space Entry - Except MacroTechnology Works | A permit is required to enter a confined space that may have a hazardous atmosphere or contains recognized serious safety or health hazard. See ASU’s Confined Space Entry Plan for more information. | |
| Fire Safety Events Permit Application |
An Events Permit Application must be filled out and submitted to ASU EH&S/Fire Marshal two weeks prior to the event. For more information see Special events Compliance Guidelines. | |
| Fire Safety Self Inspection | This form is to help with developing emergency plans. | |
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Hazardous Waste |
Use this form when requesting a pick-up of hazardous material from campus locations. | |
| Indoor Air Quality (IAQ) | This form is to be used if you have concers about indoor air quality at ASU. | |
| Indoor Air Quality - Asbestos | This form is to be used to request removal , repair, encapsulation, testing or evaluation for known or suspected asbestos contamination. | |
| Laboratory Safety |
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Chemical Inventory Template |
This templates are provided to keep track of chemicals in the laboratory and submit with lab registration. |
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Prior Approval Form |
Before obtaining a New Hazardous Chemical a prior approval form must be filed with EH&S. |
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Responsible Party Information Sheet |
The Responsible Party Information Form is for lab registration. |
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Training Record |
Template for managers to keep track of employees safety training. |
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NFPA Chemical Labels |
NFPA Labels template, for use with Avery 5160 type label, use to label chemicals in Laboratories. |
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Parental Permission Form |
Permission for minors in the laboratory use the Parental Permission Form and modify it for the current situation. |
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Laboratory Safety SOP |
SOP Template for hazardous materials and OSHA regulated carcinogens used in laboratories. |
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ASU PPE Certification |
Template and Instructions to survey and identify areas and activities where Personal Protective equipment is required. |
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Multi Lab Registration Form |
This is a combined form for lab registrations. |
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| Personal Protective Equipment (PPE) | ||
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Certificate of Hazard Assessment |
All managers and supervisors must survey the work areas and activities under their control to determine where PPE may be required. | |
Chemical Resistant Gloves |
These guides can be used to help determine the manufacturer and model of glove that will provide adequate skin contact protection during chemical use. | |
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Respiratory Protection Evaluation Non-Facilities Development and Management Employee |
Instructions for Facilities Development and Management Employees and Non-Facilities Development and Management Employees for Respiratory Protection Medical Evaluation Respirator Evaluation |
PDF - Facilities Development and Management Employee
PDF - Non-Facilities Development and Management Employee
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MacroTechnology Works
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| Chemical Approval | This procedure defines the process for requesting an approval for use of new chemical materials at ASU’s MacroTechnology Works |
PDF - Process
PDF - Form
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| Chemical Handling and Personal Protective Equipment - Safety Glasses | This is the procedure for obtaining perscription safety glasses at ASU as described in FDC Chemical Handling and Personal Protective Equipment. | |
| Chemical Inventory Limits |
ASU MTW maintains on-site chemical inventories below the Screening Threshold Quantities (STQ) for all chemicals including chemicals listed in DHS - COI Appendix A |
PDF - Inventory Limits and Procedure
Excel - Template
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| Chemical Inventory | ASU MTW is required to compile chemical inventories for all chemicals stored or used on the site. | |
| Equipment Decontamination Protocol | Procedure for decontaminating equipment at MTV |
PDF - Procedure |
| Security Access | This is to request access to ASU MacroTechnology Works | |
| Confined Space Entry Permit - MTW | MacroTechnology Works has a separate Confined Space Entry Procedure. | |
| Hazard Communication | The MTW Hazard Communication Checklist is to be used to make sure the Hazard Communication Standard is followed. | |
| Laser Registration | Lasers must be registered within 30 days of arrival on campus whether or not they are used. | |
| Laser Control Area | This permit is necessary for anyone working at or visiting ASU who procures or uses Class IIIb or IV lasers. | |
| Laser Safety Training | This class is for anyone working at or visiting ASU who uses Class IIIb or IV lasers. Prior to taking this class the user must have a base line eye exam. | |
| Radio Active Material Sub- License Application | The use of radioactive materials at ASU requires an appropriate sub-license or permit issued by the Radiation Safety Office. | |
| Radioactive Material (RAM) Training | This class is required for people working at or visiting ASU who procure, use or dispose of radioactive materials. | |
| Radiation Producing Equipment (RPE) License | An RPE license must be obtained before registering any RPE material or equipment. | |
| Analytical X-Ray | This form may be used for registering any type of regulated radiation producing equipment. | |
| Radiation Producing Equipment (RPE) Training return to top |
This class is required for people who want to procure, or need access to ionizing radiation producing equipment | |
