| # |
UAA EHS/RMS
APPENDIX TITLE |
DATE |
CHANGES |
TYPE |
| Use
Ctrl-F and a keyword to search the titles |
| 1 |
HAZARD
WARNING LABELS: NFPA DIAMOND |
8/4/00 |
cosmetic changes and new title |
.pdf
.doc |
| 2 |
HAZARDOUS WASTE REPORT FORM |
|
deleted, rarely used |
|
| 3A |
Auto
Accident Report and Claim Form, UA's Report |
8/30/00 |
now using SWORM form |
.pdf |
| 3B |
Auto
Accident Report and Claim Form, Claimant's Report |
8/30/00 |
now using SWORM form |
.pdf |
| 3C |
General
Accident Claim Form |
8/1/00 |
now using SWORM form |
.pdf |
| 3D |
Property
Loss Claim Form |
8/1/00 |
now using SWORM form |
.pdf |
| 4 |
SICK BUILDING SYNDROME FORM |
|
deleted, no longer used |
|
| 5A |
STUDENT ACCIDENT/TRAVEL POLICY |
8/1/00 |
now using SWORM form |
.pdf |
| 5B |
Additional
Enrollment Form |
8/1/00 |
now using SWORM form |
.pdf |
| 5C |
BROCHURE |
8/1/00 |
now using SWORM form |
.pdf
|
| 6 |
DRIVING RECORD VERIFICATION FORM |
8/4/97 |
no changes |
.pdf
.doc |
| 7 |
PROPERTY LOSS CLAIM FORM |
|
now using SWORM form in Appendix
3D |
|
| 8 |
MSDS INTERPRETATION |
8/30/00 |
cosmetic changes |
.pdf
.doc |
| 9 |
CONFINED SPACE ENTRY CHECKLIST |
3/10/91 |
no changes |
.pdf
.doc |
| 10 |
RESPIRATORY PROTECTION CHECKLIST |
3/10/91 |
no changes |
.pdf
.doc |
| 11 |
BIOHAZARD LABEL |
8/29/00 |
cosmetic changes |
.pdf
.doc |
| 12 |
HBV VACCINATION WAIVER FORM |
11/7/92 |
no changes |
.pdf
.doc |
| 13 |
VEHICLE USE LIABILITY RELEASE |
|
deleted, no longer used, use
Appendix 15 |
|
| 14 |
VEHICLE USE INDEMNIFICATION
CLAUSE |
7/1/95 |
no changes |
.pdf
.doc |
| 15 |
RELEASE OF ALL CLAIMS |
2/1/98 |
new, SWORM/GC required form |
.pdf
|
| 16 |
VOLUNTEER SERVICE AGREEMENT |
|
deleted, no longer used |
|
| 17 |
OSHA REQUIRED MEDICAL
EXAMINATIONS/PROCEDURES |
8/16/00 |
cosmetic changes |
.pdf
.doc |
| 18A |
RIGHT-TO-KNOW POSTER |
8/16/00 |
new |
.pdf
.doc |
| 18B |
FEDERAL RIGHT-TO-KNOW POSTER |
8/31/00 |
new, may be posted instead of
Appendix 18A |
.pdf |
| 19 |
PHYSICAL AGENT DATA SHEETS (PADS) |
10/18/00 |
PADS are required employee
information as applicable |
.htm |
| 20 |
MATERIAL SAFETY
DATA SHEETS (MSDS) |
10/18/00 |
MSDS are
required employee information as applicable. |
.htm |
| 21 |
EPA's LIST
(P-LIST) OF ACCUTELY HAZARDOUS SUBSTANCES |
10/31/00 |
These
substances cannot be purchased by UAA employees or departments without
consulting with EHS/RMS |
.htm
.xls |
| 22 |
SPECIAL EVENT
INSURANCE |
9/13/01 |
For non-UA
organizations using UA facilities that have no or inadequate event
insurance coverage |
.pdf |
| 23 |
Assembly Permit
Application Form |
11/19/01 |
Required for
events requiring Fire Marshall approval - this is a fill-in the blank form
and then print out for submission |
.pdf |
|
24 |
Emergency
Procedure Poster |
01/06/06 |
Excel version
can be modified for specific department and campus needs |
pdf
xls |
| 25 |
Needlestick
Report Form |
05/03/07 |
Mandatory use
form for all needlesticks and sharps injuries covered under OSHA's
Bloodborne Pathogen Code |
pdf
doc |
| 26 |
Hazard
Assessment Certification Form |
3/14/08 |
New form for
supervisors to conduct a hazard assessment |
.pdf
.doc |
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