Additional Form Areas

General Forms

• online CEF Service Request
• online Corrective Action Tracking System (CATS)
• onlineSafety Comes First Checklist
• PDF Salvage Form
  Call ESH x4299 for a radiological survey. If Salvage is Radioactive, use with Radioactive Material Declaration Form
  More information at Property Control Use and Disposal
• PDF | Word Senior Manager Safety Walkthrough Form
  - Procedure [pdf]
• PDF Walkthrough Checklist
• PDF Workspace Compliance Assessment Checklist

Knowledge Management

• email IT Help-ESH Computing Notification System
• email ESH Publications Project Information
• online ESH Website and Business Applications Work Request Form
• PDF | Word Publications: ESH Manual Revision Proposal Form
• PDF | Word Publications: ESH Manual Revision Publishing Review Checklist

Environmental

• PDF | Word Air Quality: Emissions Source Inspection Form
• PDF | Word Air Quality: Monthly Hazardous Material Use, Fuel Consumption, and Equipment Operation Forms
• PDF | Excel Chain of Custody
• PDFExcavation Safety Daily Inspection Checklist
• PDF | Word Excavation Permit Form
• PDF Hazardous Waste Pick-Up and Empty Container Request Form
• PDF Hazardous Waste Pick-Up and Empty Container Request Instructions
• PDF | WordHazardous Waste Collection Area Weekly Inspection Checklist
• PDF | Excel Spills Report Form
• PDF | Word Stormwater: General Inspection Checklist
• PDF | Word Stormwater: Storm Drain Inspection Form
• PDF | Word Stormwater: Contained Water Release Form
  Radioactive Material Management Area (RMMA) Hazardous Material Pickup Request: Call  Ext. 2479

Medical

• hard-copySLAC SU-17 Form (available from the SLAC Medical Department)
• PDF | Word Physical Requirements and Exposures Checklist (PREC)
• PDF SLAC Ergonomic Workstation Checklist

Radiation

• PDF Authorization to Release Occupational Exposure Information
• PDF Declaration of Pregnancy Form
• PDF - Withdrawal of Pregnancy Declaration Form
• PDF Dosimeter/ID Request Form
• PDF Dosimeter-Lost/Damaged Form
• PDF Hazardous Waste Determination Form
• PDFLead Transfer Form
• PDFMixed Waste Generation Checklist
• PDFMixed Waste Generation Request Form
• online Mixed Waste Potential Items List
• PDFRadioactive Material Declaration Form
• PDF Salvage Form
  Property Control info - Use and Disposal - call ESH x4299 for a radiological survey

Training

For Trainees

• online SLAC Training Registration & Payment System
• PDF SLAC Training Sign-Off Worksheet
• online Training Evaluation Survey

For Trainers

• Word Blank Class Roster
• Word New Course Proposal Form
• Word Existing Course Modification Form
• Word Training Lesson Plan Template
• Word Class Evaluation Form
• PDF | Word Instructor Selection, Qualification, and Authorization Form

Safety

• online Pre-Work Hazard Analysis Form
• online Job Hazard Analysis & Mitigation Program (JHAM) Form
• online Area Hazards Analysis (AHA) Form
• online Emergency Evacuation Sign
• ppt Emergency Slide (safety information)
• Word Facility Emergency Plan Template
• Word Control of Hazardous Energy (CoHE) Equipment Lockout Procedure (ELP)
• PDF Facility Inspection Checklist
• PDF | Word Lock-out & Tag-out (LOTO) Tag Template

Biohazards

• PDF SSRL Experiment Approval Procedure
• RTF SSRL Proposal Form
• online SSRL User Forms

Bloodborne Pathogens

• PDF Sharps Disposal Procedure
• PDF Post-exposure Procedure
• PDF Hepatitis B Vaccine Offer and Declination Form
• PDFBlood-borne Pathogens PPE

Compressed Gas Cylinders

• PDF | Word Point of Delivery Inspection Form

Confined Space

• PDF Permit-required Entry Procedure
• PDF Entry Supervisor Pre-entry Checklist
• PDF Entry Permit
• PDF Alternate Entry Permit
• PDF Pre-entry Checklist for Non-permit Required Spaces
• PDF PRCS Competent Entry Supervisor Designation Form
• PDF Profile Form
• PDF Reclassification Form
• PDF Inventory (slac only)

Electrical Safety

• PDF | Word Electrical Work Plan
• PDF | Word Energized Electrical Work Request & Approval Permit

Excavation Safety

• PDF | Word Excavation Permit Form
• PDFUtility Line Location Results Form
• PDFDaily Inspection Checklist

Fall Protection

• PDF | Word Competent & Qualified Person Designation Form
• PDF | Word Elevated Surface Work Plan

Fire and Life Safety

• PDF Underground Fire Valve Impairment Authorization Form
• PDF Sprinkler / Standpipe Impairment Authorization Form
• online Hot Work Permit-Fire System
• online Fire Extinguisher Service Request Form

Hazardous Materials

• PDF | Word Eyewash/Shower Inspection Form
• PDF | Word Storage Inspection Procedure and Form
• PDF | Word Fume Hood Velocity Survey Form
• PDF | Word Fume Hood Survey Sticker
• HazMat Guides and Procedures

Hoisting & Rigging Safety

• PDF | Word Lift Panning and Control for Ordinary Lifts (sample)
• PDF | Word Review of Conformance Form
• PDF | Word Visual Structural Weld Inspection Criteria and Form
• PDF | Word Pre-use Inspection Checklist for Hand-operated Hoists
• PDF | Word Pre-use Inspection Checklist for Floor-operated Cranes
• PDF | Word Pre-use Inspection Checklist for Electrical or Air Powered Hoists
• PDF Pre-use Inspection Criteria for Below-the Hook Lifting Devices, Slings, and Rigging Hardware and Accessories
• H&R Guides and Procedures

Incident Investigation

• hard-copySLAC SU-17 Form (available from the SLAC Medical Department)
• PDF OSHA Forms for Recording Work-related Injuries and Illnesses
• PDF | Word Incident Investigation: Chain of Custody Form
• PDF | Word Incident Investigation: Investigation Form

Ladders

• PDF Fixed Ladder Inspection Checklist
• See also: ladder procedures 1, 2, 3, 4, and 5.

Laser Safety

• PDF Laser Safety: System Laser Safety Officer Appointment Form
• PDF Laser Safety: LSO Laser Operator Interview Checklist
• PDF Laser Safety: Safety Comes First Checklist for Non-employee Laser Operators
• PDF Laser Safety: Student Requirements
• PDF | Word Laser Safety: Standard Operating Procedure Template
• PDF | Word Laser Safety: Approval to Operate Form
• PDF | Word Laser Safety: LSO Laser Lab Visit Checklist

Lead Safety

• PDF Required Controls
• PDF Personal Protective Equipment
• PDF Housekeeping
• PDF Sign Posting

Mobile Elevating Work Platforms (Manlifts, etc)

• PDF Pre-use Inspection Checklist

Penetrations

• PDF | Word Permit Form

Personal Protective Equipment (PPE)

• PDF | Word Prescription Safety Glasses Approval Form
  PDF- Purchase and Reimbursement Procedure
• PDFDispensers Optical Service Authorization/Order Form
• PDF | Word Protective Footwear Approval Form
  PDF- Reimbursement Procedure
• PDF | Word Respirator User's Form (RUF)
• See other categories for PPE forms for specific hazards.

Powered Industrial Vehicles (Forklifts, etc)

• PDF Pre-use Inspection Checklist

Pressure, Vacuum, and Cryogenic Systems

• PDF Pressure Vessel Registration Form (MESI)

Service Subcontractor Safety

• PDF | Word ES&H Compliance Checklist
• PDF | Word Pre-Work Hazard Analysis
• PDF | Word Site-specific Safety Plan Form (42)
     (note: Chapter 49 under revision, links are to the Chapter 42 form)
     (note: save the word document to your computer - changes will not save online)
• PDF | Word Job Safety Analysis (JSA) Form (49)
     (note: Chapter 49 under revision, links are to the Chapter 42 form)
• Word BIS Statement of Work Form

Subcontractor Construction Safety

• PDF | Word Subcontractor Safety Qualification Form
• PDF | Word Site-specific Safety Plan Form (42)
     (note: save this document to your computer - changes will not save online)
   PDF - SSSP Guidelines (42)
  (note - replaces the Pre-Work Hazard Analysis Form for Construction Subcontractors)
• PDF | Word Job Safety Analysis (JSA) Form (42)
  PDF - JSA Guidelines (42)
• Word BIS Statement of Work Form

Traffic and Vehicular Safety

• PDFSLAC Motorized Driving Privilege Form
• PDFSLAC Vehicle Registration Form
• webpageother Chapter tools