Eastern Michigan University
Environmental Health & Safety
Forms Library
In order to comply with the requirements of various programs a record of activities performed is required. Below is a list of forms to be used for the various program documentation.
Aerial Lift
- Aerial Lift Daily Inspection Checklist
- Aerial Lift Monthly Inspection Checklist
- Aerial Lift Quarterly Inspection Checklist
- Aerial Lift Semi-Annual Inspection Checklist
- Aerial Lift Weekly Inspection Checklist
Automated External Defibrillator (AED) Program
Bake Sales
Bloodborne Pathogen
- Bloodborne Pathogen Program Category A Job Classification Exposure Determination Form
- Bloodborne Pathogen Program Category A Job Classifications
- Bloodborne Pathogen Program Category B Job Classification Exposure Determination Form
- Equipment Decontamination Form
- Hepatitis B Vaccination Declination Form
- Personal Protective Equipment Hazard Assessment
- Personal Protective Equipment Worksheet
- SOP's for Exposure Prone Tasks
Chemical Hygiene Plan
- Chemical Inventory List
- Equipment Decontamination Form
- Laboratory Policies for a Level 1 Biohazardous Laboratory
- Laboratory Policies for a Level 2 Biohazardous Laboratory
- Laboratory Safety Inspection Form
- Laboratory Specific Training Checklist
- Laboratory Specific Standard Operating Procedure Form
- Personal Protective Equipment Hazard Assessment
- Potential Peroxide Forming Chemicals
- Weekly Eye Wash Inspection Form
Confined Space
- Air Monitoring Documentation
- Change of Classification from Permit Required to Non-Permit Required Confined Space
- Confined Space Entry Permit
- Contractor Vendor Health & Safety Sign-off Sheet
- Hot Work Permit
Hazard Communication
Hot Work
Lockout/Tagout
- Off-Road Vehicle Guidelines
Personal Protective Equipment Program
- Personal Protective Equipment Hazard Assessment
- Personal Protective Equipment Worksheet
- Alternating and Direct Current Proof Test Requirements
- Eye and Face Protection Selection
- Eye and Face Protective Devices
- Filter Lenses for Protection Against Radiant Energy
- General Glove Information Chart
- Glove Tests and Rubber Insulating Equipment - Voltage Requirements
- Rubber Insulating Equipment - Test Intervals & ASTM Standards
Powered Industrial Trucks
- Forklift Inspection
Safety Policy & Procedures Program
Working on Fume Hoods
Working on Roofs of Buildings with Fume Hood Exhaust
Working on Building Roofs with Outdoor Warning Systems
- Civil Defense Siren Shutdown Log
- Outdoor Warning System Roof Entry
- Outdoor Warning System Shutdown Log
Miscellaneous
- Application for the Use of Pyrotechnics
- Applicaton for the Use of Theatrical Fog, Haze and/or Smoke
- Fire Watch Log
- Health and Safety Questionnaire for Working with Animals
- Respirator Medical Evaluation Form
- Respirator Fit Testing Procedures
- Information for Employees Using Respirators When Not Required Under the Standard