Forms

Animal Care / IACUC

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

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] (DOCX)
  • Instructions to complete SOP for Highly Hazardous Chemicals Use (DOCX)

Environmental Protection

• Waste Pickup Request
• Carboy Inventory Sheets (DOC)
• Fuel Transfer checklist (DOC)
• Lab Cleanout Inventory (XLS)
• Spill Incident Report (DOC)
• SPCC Monthly Inspection Forms
  • Monthly Inspection for Drum/Transformer Storage Areas
  • Restaurant Operations Tank and Cart Inspection Form

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 (PDF)
2. Chemical Identification Key (XLS)
3. Emergency Action Plan Posting (DOC)
4. Eyewash Weekly Inspection Form (DOC)
5. Laboratory Closeout Checklist (PDF)
6. Laboratory Design or Renovation Plans Interview/ Review (DOC)
7. Laboratory Hibernation Shutdown Checklist (DOCX)
8. Laboratory Specific Chemical Hygiene Plan Template (DOC)
9. Laser Registration Form Blank (XLSX)
10. Laser Standard Operating Procedure Template (DOCX)
11. Minors in Laboratories
    • Checklist for Volunteer Minor Students (DOCX)
    • Letter to Student Volunteer’s Parent Template (PDF)
12. Standard Operating Procedure (SOP) Blank for Highly Hazardous Chemicals Use (DOCX)
13. Volunteers in Lab – Confirmation of Assumption of Risk, Indemnification and Release (DOCX)
14. Working in Isolation User Dashboard
15. Working in Isolation Form (DOCX)

Occupational Health

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

Occupational Safety

• Building Fire and Life Safety Inspection Form (DOCX)
• Confine Space Entry Form (DOC)
• Energy Control Procedure Form (DOC)
• Food Service Inspection Report (DOC)
• Forklift Inspection Form (DOC)
• Hot Work Permit – FIllable (PDF)
• Incident Reporting Forms
• Injury Investigation Checklist Form (PDF)
• Machine Shop Inspection Form (DOC)
• Personal Fall Arrest System Inspection Form (DOC)
• Pre-event Inspection Form (PDF)
• Rigging Inspection Form – Chain Slings (DOC)
• Rigging Inspection Form – Hoists (DOC)
• Rigging Inspection Form – Nylon Slings (DOC)
• Rigging Inspection Form – Wire Slings (DOC)
• Scaffold Inspection Form (DOC)

Radiation Safety

• Dosimetry Application Form

Risk Management

• Risk Management Forms