www.safety.duke.edu  
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Information For:
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Forms
Biological Safety | Environmental Programs | Ergonomics | Fire Safety| Occupational Hygiene & Safety | Radiation Safety

Biological Safety

  1. CDC: Application Form for Import of Etiologic Agents
  2. Clinical Laboratory Safety Audit Checklist
  3. Laboratory Equipment Hazard Assessment Form
  4. JCAHO: EOC Clinic Survey Tool
  5. JCAHO: EOC Hospital Survey Tool
  6. Health Review for Animal Handlers Form
  7. Recombinant DNA Registration Form
  8. Research Laboratory Safety Audit Checklist
  9. USDA/ APHIS: VS Form 16-3 (permit application)
  10. Viral Vector Registration Form
  11. EOHW TB Questionnaire
  12. Respiratory Questionnaire/Medical Clearance Form: TB, SARS & Other Particulates
  13. Respiratory Questionnaire/Medical Clearance Form: TB, SARS & Other Particulates for Durham Regional Hospital

Environmental Programs

  1. Chemical Waste Pick-up Request Form
  2. Radioactive Waste Disposal Inventory Form - Dry Solids
  3. Radioactive Waste Disposal Inventory Form - Liquids
  4. Radioactive Waste Disposal Inventory Form - Vials

Ergonomics

  1. Corporate Express Order Form

Fire Safety

  1. Hot Work Permit Form
  2. Fire Drill Evaluation Form

Occupational Hygiene & Safety

  1. Lift Truck Safety Inspection Form
  2. LOTO Annual Inspection Form
  3. LOTO Procedure Template
  4. Pre-Entry Hazard Assessment Form
  5. Site-Specific Medical Clearance Form
  6. MSDS Order Form
  7. Indoor Air Quality Investigation Request Form

Radiation Safety

  1. Dosimeter online request form
  2. Laser Registration Form-Online Version
  3. Laser Registration Form-Paper Version
  4. Radiation Exposure History Release Form
  5. Radioactive Material Order Form -PDF
  6. Shipment Request Form-MS Word
  7. State of North Carolina X-ray Machine Registration Forms

 

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