Forms

Animal Care / IACUC

• Animal Adoption Form (PDF)
• Aquatic Surgery Record
• Certification of Staff Training – Surgery (PDF)
• IACUC Adverse Event or Unexpected Outcome Report for UWM
• IACUC Initial Occupational Health and Safety Health Questionnaire (PDF)
• IACUC Occupational Health and Safety Health Questionnaire Follow-Up (PDF)
• Occupational Health Program for Visitors Requesting Access to Aquatic Animal Facilities at UWM
• Occupational Health Program for Visitors Requesting Access to the Animal Resource Center
• PI “New to Animal Work” Attestation
• Receiving Form for Mammals (PDF)
• Rodent Surgery Record
• Shipping Form for Mammals (PDF)
• Training Log for Laboratory Animal Procedures
• Transportation Check-Off Sheet (PDF)

Biosafety

• To access Institutional Biosafety Committee forms: Log in to IManager
• Initial Report of Biological Exposure or Release Event & Near Misses

Chemical Safety

• Standard Operating Procedure for Highly Hazardous Chemicals Use [BLANK]
  • Instructions to complete SOP for Highly Hazardous Chemicals Use
• Chemical Inventory Template

Environmental Protection

Environmental Protection Forms page

General Safety Forms

• General Incident Report (PDF)
• Grilling/Outdoor Fire Approval

Human Subjects / IRB

• To access Institutional Review Board (IRB) forms: Log in to IManager
• Reliance (Deferral) Request Forms

Laboratory Safety

1. Chemical Abbreviation form – Key posting
2. Chemical Identification Key
3. Chemical Inventory Template
4. Department of Homeland Security (DHS) Chemical List for UWM Labs – Blank
5. Emergency Action Plan Posting
6. Eyewash Weekly Inspection Form
7. Laboratory Closeout Checklist
8. Laboratory Design or Renovation Plans Interview/ Review
9. Laboratory Hibernation Shutdown Checklist
10. Laboratory Specific Chemical Hygiene Plan Template
11. Laser Registration Form Blank
12. Laser Standard Operating Procedure Template
13. Minors in Laboratories
    • Checklist for Volunteer Minor Students
    • Letter to Student Volunteer’s Parent Template
    • Volunteer letter (sample)
    • Letter to Parent of Volunteer Minors
    • Confirmation of Assumption of Risk, Indemnification and Release
    • Consent and Release form – Minor
    • Cover Letter for Faculty with Minor Students
    • Photo Release
14. New Laboratory Safety Setup Checklist – (helpful for New Lab setup or New PI information
15. Service Animal Inquiry Form
16. Standard Operating Procedure (SOP) Blank for Highly Hazardous Chemicals Use
17. Volunteers in Lab – Confirmation of Assumption of Risk, Indemnification and Release
18. Working in Isolation
    • Working in Isolation Form
    • Working in Isolation User Dashboard
19. Working in Isolation Guidance Resources
    • Working in Isolation Workflow
    • Working in Isolation Guidance to Update or Copy a Submission Form

Occupational Health

• Hepatitis B Consent/Declination Form
• OSHA Respirator Medical Evaluation Questionnaire (PDF)
• Respiratory Protection Voluntary Use –Appendix D sign off

Occupational Safety

• Building Fire and Life Safety Inspection Form
• Confine Space Entry Form
• Energy Control Procedure Form
• Fire Protection Impairment/Fire Watch Forms
  • Fire Protection Impairment Tag
  • Fire Protection Impairment Notification Form (AIG notification- 8 hours or more impairment)
  • Fire Watch Checklist
  • Fire Watch Log
• Food Service Inspection Report
• Forklift Inspection Form
• Fume Hood – Do Not Use Sign
• Hot Work Permit (Fillable)
• Injury and Incident Reporting
• Injury Investigation Checklist Form (PDF)
• Machine Shop Inspection Form
• Personal Fall Arrest System Inspection Form
• Pre-event Inspection Form (PDF)
• Rigging Inspection Form – Chain Slings
• Rigging Inspection Form – Hoists
• Rigging Inspection Form – Nylon Slings
• Rigging Inspection Form – Wire Slings
• Scaffold Inspection Form

Radiation Safety

• Dosimetry Application Form

Risk Management

Link to Risk Management Forms