California State University, Chico

A Department of Business & Finance

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Forms

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Online Forms available from the Department of EH&S

Application for Food Vending Permit

On-campus food vending permit application

Chemical Hygiene Plan

Chemical Hygiene Plan

Consolidated General Safety Checklist

Checklist for inspection of office work area for health and safety.

Consolidated Laboratories and Shop Checklist

Safety inspection checklist for laboratories and shops.

Electrical Checklist

Safety inspection for proper use of electrical cords, electrical outlets, etc.

Electrical Surfaces Checklist

Checklist for electrical surfaces.

Electrical- National Code Checklist

Electrical Checklist for National Electrical Code.

Employee Fire Response Guide

A guide for employee fire response.

Employee Record Keeping Procedures

Record keeping procedures for employees.

Ergonomic Checklist

Checklist for proper ergonomics.

Floor & Wall Openings Checklist

Floor & Wall Openings Checklist

Fluorescent Light Tube Disposal Procedures

Procedures for fluorescent light tube disposal.

General Lab Self-Inspection Checklist

Inspection checklist for safe labs.

Hazardous Waste Handling & Disposal Procedures

Proceudres for hazardous waste handling and disposal.

Heat Illness Prevention Plan

The purpose of Heat Illness Prevention Plan is to meet the requirements set forth inCalifornia Code of Regulations, Title 8, and also to serve as a supplement to CaliforniaState University, Chico’s Injury and Illness Prevention Program (IIPP). This

Investigation of Employee Safety Concerns

Inspection form for safe and healthy work conditions.

Light Ballast Disposal Procedures

Procedures for light ballast disposal.

Materials Safety Procedures

Procedures for materials safety.

Medical Waste Manual

Medical Waste Manual

Procedure for Investigation of Employee Safety Concerns

Procedure for investigation of employee safety concerns

Procedure for Notification of Workplace Hazards

Procedure for notification of workplace hazards

Procedures for Designation of Departmental Safety Representative

Procedure for designation of departmental safety representative.

Proposed Use of Radioactive Materials (Unsealed)

Form for proposed use of radioactive materials (unsealed).

Radiation Survey/Wipe Sample Record

Survey for locations of radioactive materials.

Request for Removal of Hazardous Waste

Request made by employees for removal of hazardous waste

Restricted Entry Log/Source Sign-out Sheet

Restricted Entry Log/Source Sign-out Sheet

Safety Postings/Notices Procedure

Procedure for safety postings or notices.

Safety Training Procedures

Safety Training Procedures

Staff Safety Award Nomination Form

Nomination form for the staff safety award (yearly).