Forms

Animal Care / IACUC

• Animal Adoption Form
• Aquatic Surgery Record
• Certification of Staff Training – Surgery
• IACUC Adverse Event or Unexpected Outcome Report for UWM
• IACUC Initial Occupational Health and Safety Health Questionnaire
• IACUC Occupational Health and Safety Health Questionnaire Follow-Up
• 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
• Rodent Surgery Record
• Shipping Form for Mammals
• Training Log for Laboratory Animal Procedures
• Transportation Check-Off Sheet

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

General Safety Forms

• General Incident Report

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 Design or Renovation Plans Interview/ Review
8. Laboratory Hibernation Shutdown Checklist
9. Laboratory Specific Chemical Hygiene Plan Template
10. Laser Registration Form Blank
11. Laser Standard Operating Procedure Template
12. Minors in Laboratories
    • Checklist for Volunteer Minor Students
    • Letter to Student Volunteer’s Parent Template
13. Standard Operating Procedure (SOP) Blank for Highly Hazardous Chemicals Use
14. Volunteers in Lab – Confirmation of Assumption of Risk, Indemnification and Release

Occupational Health

• Hepatitis B Consent/Declination Form
• OSHA Respirator Medical Evaluation Questionnaire
• 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
• Food Service Inspection Report
• Forklift Inspection Form
• Machine Shop Inspection Form
• Personal Fall Arrest System Inspection Form
• Pre-event Inspection Form
• 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