UCR

Environmental Health & Safety



Forms


UC Risk & Safety Software Applications

Forms & Plans

We offer forms, plans, manuals and/or templates that you can use for reporting and managing your processes safely. 

General Safety

Accident Investigation Report 
Confined Space Permit

Fall Protection Safety Program
Hazard Report   
Injury & Illness Prevention Plan (IIPP) request
Incident Reporting Guidelines
Near Miss Report 
Prescription Eyewear
PPE Hazard Assessment  
Office Inspection Checklist 
Respirator Request
Inspection Checklist
Manual Material Handling Inspection Checklist
UCR Ladder Program
UCR Ladder Inspection Checklist
Utility Tunnel Safety Program
Job Hazard Analysis (JHA)

Emergency Management

Emergency Action Plan (EAP)
Emergency Operations Plan (EOP) 

EMPG Forms
Public Health Action Plan  
Pandemic Influenza Business Continuity Plan

Laboratory/Research

Chemical Hygiene Plan (CHP) 
        Chemistry
        Biochemistry
Laboratory Audits
Laboratory Safety Manual 
        Chemistry
        Biochemistry
PPE Hazard Assessment
Standard Operating Procedures (SOPs) 

Refrigerator/Equipment Survey Request

Designing a new lab? check out the
UC Laboratory Safety Design Guide 

Biosafety

Autoclave Log 
Exposure Control Plan 
HepB Vaccine Request/Declination 
Medical Waste Management Plan 

Fire & Life Safety

Fire Prevention Plan (FPP)
Special Collections Declaration
  

Hot Work Permit Request Form

Radiation

Dosimeter / Badge Request 
Laser Registration 
 

Environmental

Sewer System Management Plan
Integrated Pest Management Plan

Hazardous Materials

Controlled Substances Use Authorization (CSUA)
Hazardous Materials Business Plan (HMBP)
Summary Document

Training

Needs Assessment 
Roster
 (Class)
Roster (Individual Training Plan)

 


More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

Career OpportunitiesUCR Libraries
Campus StatusDirections to UCR

Environmental Health & Safety

Environmental Health & Safety
Environmental Health & Safety

Tel: (951) 827-5528
Fax: (951) 827-5122
E-mail: ehs@ucr.edu

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