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. Clinical Engineering Information on reporting problems with patient lifts and devices
2. Laundry Procedure Fabric Slings
3. Laundry Procedure Fabric Slings PTOT
4. Lift Decision Guide
5. Monthly Audit Form Adult In-Patient units DUH
6. Monthly Audit Form Eye Center OR
7. Monthly Audit Form Out-PT Dialysis Moreene Rd
8. Monthly Audit Form Ped Units DUH
9. Monthly Audit Form Williams Ward
10. Ordering Information For Materials Related To Lifts
11. Bariatric Algorithm_DUH       
12. Bariatric Algorithm_DRalH     
13. Bariatric Algorithm_DRH
14. Falls Prevention Champions Training
15. Managers_roles and responsibilities
16. Falls Prevention champions_roles and responsibilities
17. All Tips sheets on Transfers
18. Expected learner Outcome validation
19. Quiz Falls Prevention
20. Answer sheet for falls prevention quiz
21. Sample falls prevention training sign-in sheet
22. Ambulatory Falls Prevention Teaching Tips
23. Environmental safety rounds checklist

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. Engineering & Operations LOTO Annual Inspection Form
4. LOTO Procedure Template
5. Confined Space Pre-Entry Hazard Assessment Form
6. Site-Specific Respirator Medical Clearance Form
7. MSDS Order Form
8. Weekly Eyewash Maintenance Log Sheet
9. Chemical Standard Operating Procedure (SOP) Templates for Labs
10. PPE Hazard Assessment 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