| Forms |
| Biological Safety | Environmental Programs | Ergonomics | Fire Safety| Occupational Hygiene & Safety | Radiation Safety |
Biological Safety
- CDC: Application Form for Import of Etiologic Agents
- Clinical Laboratory Safety Audit Checklist
- Laboratory Equipment Hazard Assessment Form
- JCAHO: EOC Clinic Survey Tool
- JCAHO: EOC Hospital Survey Tool
- Health Review for Animal Handlers Form
- Recombinant DNA Registration Form
- Research Laboratory Safety Audit Checklist
- USDA/ APHIS: VS Form 16-3 (permit application)
- Viral Vector Registration Form
- EOHW TB Questionnaire
- Respiratory Questionnaire/Medical Clearance Form: TB, SARS & Other Particulates
- Respiratory Questionnaire/Medical Clearance Form: TB, SARS & Other Particulates for Durham Regional Hospital
Environmental Programs
- Chemical Waste Pick-up Request Form
- Radioactive Waste Disposal Inventory Form - Dry Solids
- Radioactive Waste Disposal Inventory Form - Liquids
- Radioactive Waste Disposal Inventory Form - Vials
Ergonomics
- Clinical Engineering Information on reporting problems with patient lifts and devices
- Laundry Procedure Fabric Slings
- Laundry Procedure Fabric Slings PTOT
- Lift Decision Guide
- Monthly Audit Form Adult In-Patient units DUH
- Monthly Audit Form Eye Center OR
- Monthly Audit Form Out-PT Dialysis Moreene Rd
- Monthly Audit Form Ped Units DUH
- Monthly Audit Form Williams Ward
- Ordering Information For Materials Related To Lifts
- Bariatric Algorithm_DUH
- Bariatric Algorithm_DRalH
- Bariatric Algorithm_DRH
- Falls Prevention Champions Training
- Managers_roles and responsibilities
- Falls Prevention champions_roles and responsibilities
- All Tips sheets on Transfers
- Expected learner Outcome validation
- Quiz Falls Prevention
- Answer sheet for falls prevention quiz
- Sample falls prevention training sign-in sheet
- Ambulatory Falls Prevention Teaching Tips
- Environmental safety rounds checklist
Fire Safety
Occupational Hygiene & Safety
- Lift Truck Safety Inspection Form
- LOTO Annual Inspection Form
- Engineering & Operations LOTO Annual Inspection Form
- LOTO Procedure Template
- Confined Space Pre-Entry Hazard Assessment Form
- Site-Specific Respirator Medical Clearance Form
- MSDS Order Form
- Weekly Eyewash Maintenance Log Sheet
- Chemical Standard Operating Procedure (SOP) Templates for Labs
- PPE Hazard Assessment Form
Radiation Safety
- Dosimeter online request form
- Laser Registration Form-Online Version
- Laser Registration Form-Paper Version
- Radiation Exposure History Release Form
- Radioactive Material Order Form -PDF
- Shipment Request Form-MS Word
- State of North Carolina X-ray Machine Registration Forms
