Blank Forms

     

Below are links to blank copies of forms that you may find useful. They get changed from time to time, so do not print off hundreds of them! There is also a resource consisting of notices and pictograms (warning symbols etc) which you may find useful (see the link in the left hand side bar).

Note: These documents are in PDF format, except where indicated.

Accident/incident General report form
Word, pdf, & rtf
Take the form to the Department Safety Officer or put in her pigeon hole outside Stores
Risk Assessment General form
(pdf format)(Word format)
Use this form for general risk assessments, or follow the headings and write it in your laboratory book
  Science Festival (pdf) Public event, general (Word) A form that may be more useful for events such as Science Festival
  Manual Handling (Word format) A form for supervisors to use for manual handling tasks that carry a risk of injury.
Chemicals Risk assessment form
(pdf format)(Word format)
A form for use where the major risks in an experiment or process are chemical
  Health record form (Word format) A form for those who work with any substance on the carcinogen list, or with nanoparticles of any kind
  latex glove form A health questionnaire form for those who work with latex gloves
  Waste disposal Chemical waste disposal form. Fill out two copies; leave one with the waste in the Store (key is obtained from Stores) and one in the Department Safety Officer's pigeon hole
Lasers Risk assessment form
(Word format) (pdf format)
Risk assessment forms for laser users to use
  Registration of lasers Registration of new lasers, classes 3 and 4. Give the completed form to the Department Laser Safety Officer.
  Authorisation form for laser users All laser users (classes 3 and 4) must be registered as authorised users. Give the completed form to the Department Laser Safety Officer
  University laser eye test form Contact Occupational Health (36594) to arrange an appointment. Laser users need to talk to their supervisor about the lasers they will use before they go.
Ionising Radiation Risk assessment Forms for use where an experiment is using radioactive substances, or for radiation generators.
  Worker registration Registration form for workers. When completed, give it to the Department Safety Officer.
  Equipment registration Registration form for equipment. When completed, give it to the Department Safety Officer.
Electricity Checklist for construction A form for use by the named competent person to check construction standards of new build or altered equipment
  Checklist for integrating equipment A form to help to ensure that a conglomeration of equipment is safely integrated into a whole.
Computers Computer user questionnaire Suitable for all users. Send the completed form to the Department Safety Officer.
Work equipmentLifting equipment (Word)A form to register lifting equipment so that it is inspected and insured.

How long do I need to keep records? Click here for advice.

This document was last updated on 30th June 2010

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