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Non-ESH Forms

ESH General Forms

Project ESH Review Process

  • PDF ESH Project Review Procedure
  • PDF | Word ESH Threshold Review Form

Work Planning and Control

WPC Procedures

  • PDF | Word Activity Training and Authorization Form
  • PDF | Word Job Safety Analysis Form
  • PDF | Word SOP Authorization and Release Form
  • PDF | Word Work Integration Plan Form
  • PDF | Word Construction Tailgate/Pre-job Release Form
  • PDF | Word Non-construction Tailgate/Pre-job Release Form

Stop Work Procedure

Area Hazard Analysis Procedure

  • online SLAC-Internal page Area Hazard Analysis eTool

See the SLAC-Internal page Work Planning and Control Website for more forms and references

Information Management


  • PDF | Word Air Quality: Emissions Source Inspection Form
  • PDF | Word Air Quality: Monthly Hazardous Material Use, Fuel Consumption, and Equipment Operation Forms
  • Excel Chain of Custody Form (general)
  • PDF Container and Collection Area Weekly Inspection Checklist (Hazardous Waste)
  • Hazardous Waste Determination Form - See Radiation Forms
  • PDF Hazardous Waste Pick-Up and Empty Container Request Form
  • PDF Hazardous Waste Pick-Up and Empty Container Request Instructions
  • Word NEPA: Environmental Compliance Checklist
  • PDF | Word Spills Report Form
    Radioactive Material Management Area (RMMA) Hazardous Material Pickup Request: Call  Ext. 2479


  • PDF | Word Stormwater: General Inspection Checklist
  • PDF | Word Stormwater: Storm Drain Inspection Form
  • PDF | Word Stormwater: Contained Water Release Form

Occupational Health Center (Medical)


  • PDF Industrial Ergonomics Screening Checklist

Safe Office Moves

  • PDFSteps for Safe Office Moves
  • PDFNew Office Safety and Ergonomics Checklist
  • PDFSafe Office Moves Checklist for Supervisors
  • PDF | Word Job Safety Analysis for Employee Office Moves
  • see the Safe Office Moves webpage for more information and tools, including a slideshow


  • PDF Authorization to Release Occupational Exposure Information
  • PDF Declaration of Pregnancy Form
  • PDF - Withdrawal of Declaration of Pregnancy Form
  • online Dosimeter/ID Request Form A (standard form, w/ESH training)
    - Alternate Hardcopy [pdf]
  • online Dosimeter/ID Request Form B (escort required in restricted access areas, visitors, personnel w/o training)
    - Alternate Hardcopy [pdf]
  • PDF Dosimeter/ID Request Form C (for groups)
  • PDF Dosimeter-Lost/Damaged Form
  • PDF Hazardous Waste Determination Form
  • PDF Mixed Waste Generation Checklist
  • PDF Mixed Waste Generation Request Form
  • online Mixed Waste Potential Items List
  • PDF | Word Radioactive Material Declaration Form
  • WordRadiological Work Permit Application (RWP)  SLAC-Internal page
  • PDF Salvage Form  SLAC-Internal page (non-ESH Form, for use with ESH Radiological Surveys)
    More information at Facilities Salvage and Storage - call ESH x4299 for a radiological survey


For Trainees

  • online SLAC Training Registration & Payment System
  • PDF SLAC Training Transfer/Sign-Off

For Trainers

  • Word Blank Class Roster
  • PDF Course Evaluation Form  SLAC-Internal page
  • Word Course Needs Analysis Form

Traffic and Vehicular Safety

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

Safety Forms

  • online Emergency Evacuation Sign
  • ppt Emergency Slide (safety information)
  • Word Facility Emergency Plan Template
  • PDF Facility Inspection Checklist


  • PDF Beryllium Inventory Form

Bloodborne Pathogens

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

Building Inspection Office

  • PDF | WordBIO: Adhesive Anchor Checklist Also listed in Penetrations  SLAC-Internal page
  • PDF | WordBIO: Mechanical Anchor Checklist Also listed in Penetrations  SLAC-Internal page
  • PDFConstruction Authorization and Inspection Record SLAC-Internal page
    (AKA "Inspection Card")
  • online Building Inspection Office (BIO) Plan Review System

Compressed Gas Cylinders

  • PDF | Word Point of Delivery Inspection Form

Confined Space

  • PDF | Word Confined Space: Entry Permit
  • PDF | Word Confined Space: Alternate Entry Form
  • PDF | Word Confined Space: Non-permit Required Confined Space Entry Form
  • PDF | Word Confined Space: Temporary Declassification Form

Control of Hazardous Energy

  • Excel Group Lockout Energy Isolation Plan Template
  • Excel Complex Lockout Permit
  • Word Equipment-specific Lockout Procedure (ELP) Template
  • PDF Authorized Worker Certification Form
  • Word Tag Templates
  • PDF Alternative Authorization for Removing Locks and Tags Form

Cryogenic and ODH

  • PDF ODH Safety Review Form

Electrical Safety

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

Excavation Safety

  • PDF | Word Excavation Permit Form
  • PDFUtility Location Results Form
  • PDFDaily Inspection Checklist
  • PDFMobile / Portable Drilling Rig Initial Inspection Form

Fall Protection

  • 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

Hoisting & Rigging Safety

  • PDF | Word Crane and Hoist Monthly Inspection Form
  • PDF | Word Lift Planning 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 Mobile Crane Pre-use Inspection Form
  • 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

  • Word SLAC SU-17A - Employee First Report of Injury
  • online First Report of Incident
  • Word SLAC SU-17B - Incident Investigation
  • PDF (related) Incident Reporting and Investigation Process


Laser Safety

  • PDF Qualified Laser Operator Approval Form
  • PDF System Laser Safety Officer Approval Form
  • PDF Approval to Operate Form
  • online Laser Safety SharePoint Site

Lead Safety

  • PDF Lead Transfer Form
  • PDF Standard Lead Shielding Purchase Justification Form

Mobile Elevating Work Platforms (Manlifts, etc)

  • PDF Inspection Checklist


  • PDF | Word Permit Form
  • PDF | WordBIO: Adhesive Anchor Checklist*  SLAC-Internal page
  • PDF | WordBIO: Mechanical Anchor Checklist*  SLAC-Internal page
  • * Also listed in BIO

Personal Protective Equipment (PPE)

Powered Industrial Vehicles (Forklifts, etc)

  • PDF Inspection Checklist
  • PDF Taylor-Dunn C-425 Electric Tow Tractor Inspection Checklist
  • PDF EnerSys Enforcer Battery Charging Trailer Inspection Checklist
  • PDF Powered Pallet Jack Inspection Checklist

Pressure Systems

  • PDF New Pressure System Registration Form
  • PDF Legacy Pressure System Registration Form
  • PDF Inspection Report Form
  • PDF Maintenance and Repair Report Form
  • PDF Pressure Test Plan Form
  • PDF Pressure Test Record Form
  • online Pressure Systems Database

Respiratory Protection

  • PDF Respirator User Form

Subcontractor Safety

  • onlineBIO Project Review Database
  • PDFWorker Safety and Health Program Acknowledgement Form
  • PDFSubcontractor Safety Qualification Form
  • PDFSubcontractor Safety Qualification Evaluation Form
  • PDFSite-specific Safety Plan Content and Approval Form
  • onlineSubcontractor Safety SharePoint Site  SLAC-Internal page
  • onlineWork Classification Form (Green or Assessment
  • )  SLAC-Internal page




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