Florida State University Seal

Environmental Health & Safety

 

Insurance and Workers' Compensation Forms

  • EHS 2-1 General Liability Loss Report: PDF
  • EHS 2-2 Building Insurance Request Form: WEB
  • EHS 2-4 Insurance Request Form: WEB
  • EHS 2-6 Incident Report: DOC | PDF
  • EHS 2-7 Camp Insurance Request Form: WEB | DOC | PDF
  • EHS 2-9 Automobile Accident Report: PDF
  • EHS 2-11 General Liability Claimant Checklist: DOC | PDF
  • EHS 2-12 Automobile Claimant Checklist: DOC | PDF
  • EHS 2-13 Building Deletion Form: WEB
  • EHS 2-14 Golf Cart, Utility Vehicle and All-Terrain Acknowledgement Form: DOC | PDF
  • EHS 2-15 Golf Cart, Utility Vehicle and All-Terrain Vehicle Annual Safety Inspection Checklist: DOC | PDF
  • EHS 2-16 Lien Disclosure Statement: DOC
  • EHS 11-1 First Report of Injury or Illness (AKA Notice of Injury): DOC | PDF
  • EHS 11-2 Accident Investigation Report: DOC | PDF
  • EHS 11-3 Request for Taxpayer Identification Number and Certification (IRS W-9): PDF

Fire Safety Forms

  • EHS 3-1 Fire Alarm Report: WEB
  • EHS 3-2 Fire/Emergency Evacuation Drill: WEB

Industrial Hygiene Forms

  • EHS 4-1 Confined Space Entry Permit: DOC | PDF
  • EHS 4-2 Entering Permit-Required Confined Spaces Using Alternate Procedures: DOC | PDF
  • EHS 4-3 Reclassifying a Confined Space Form: DOC | PDF

Building Code Administration Forms

  • EHS 5-1 Building Permit Application: DOC | PDF
  • EHS 5-2 Project Authorization: DOC | PDF
  • EHS 5-3 Inspection Request/Report Form: WEB
  • EHS 5-4 Contractor Authorization Letter: DOC | PDF
  • EHS 5-5 Permit Checklist: DOC | PDF
  • EHS 5-6 Occupancy/Completion Checklist Form: DOC | PDF
  • EHS 5-7 Product Approval Specification Sheet: DOC

Research Support Forms

  • EHS 6-1 Principal Investigator Registration Form: DOC | PDF

Biological Safety Forms

  • EHS 7-1 Select Agents Registration Form: WEB
  • EHS 7-2 Medical Monitoring for Vertebrate Animal Users Form: DOC | PDF
  • EHS 7-3 Hepatitis B Vaccine Record: DOC | PDF
  • EHS 7-4 Exposure Determination Worksheet: DOC | PDF
  • EHS 7-5 Biomedical Waste Disposal Form: WEB
  • EHS 7-6 Etio/Select Agents Registration Update Form: DOC | PDF
  • EHS 7-7 Recombinant DNA Registration Update Form: WEB
  • Appendix B: DOC
  • Appendix B Instructions: DOC
  • Biological Safety Level 2 Checklist: DOC
  • Biological Safety Level 2 De-posting Checklist: DOC

Chemical Safety Forms

  • EHS 8-2 Hazardous Waste Pickup Request Form: WEB
  • EHS 8-3 Hazardous Materials Registration Update Form: DOC | PDF

Laboratory Safety Forms

  • EHS 8-1 Chemical Inventory: XLS
  • EHS 9-1 Controlled Substance Request for Registration Information: WEB
  • EHS 9-2 Security Screening Form: DOC | PDF
  • EHS 9-3 Employee Questionnaire for Controlled Substance Access: DOC | PDF
  • EHS 9-4 Controlled Substance Order/Receipt Record: DOC | PDF
  • EHS 9-5 Controlled Substance Use Log: DOC | PDF
  • EHS 9-6 Controlled Substance Spill Record: DOC | PDF
  • EHS 9-7 Laboratory Inspection Guide: PDF
  • EHS 9-8 Drug Order Worksheet: PDF
  • EHS 9-9 Prescription Drug Registration: WEB
  • EHS 9-10 Prescription Drug Receipt: WEB
  • SOP Template for Hazardous Experiments: DOC | PDF

Radiation Safety Forms

  • EHS 10-1 Proposal to Use Radioactive Materials: DOC | PDF
  • EHS 10-2 Authorized Users for Radioactive Materials: DOC | PDF
  • EHS 10-3 Personnel Dosimetry Application: WEB | DOC | PDF
  • EHS 10-4 Radioactive Waste Disposal Form: WEB
  • EHS 10-5 Laser Registration Form: WEB