Appendix 4 - Laser Registration Form for Class 3B and Class 4 Lasers

All users of Class 3B and Class 4 must complete a Laser Registration Form.  The purpose of the form is to provide the EHS with an overview of each investigators laser use operation by listing the following information:

  • Types and class of lasers used.
  • A brief description of the procedure(s) for which each laser is used.
  • List of staff members who use the laser equipment.
  • List of protective equipment utilized.

The information on the form will be updated periodically during EHS audits of each investigators laser operation.  This will enable us to ensure that training for all staff utilizing lasers has been completed, and that we are assessing the operation appropriately, in order to help provide as safe a work environment as possible.

If you have any questions regarding this form, please contact the Laser Safety Officer at 335-8503.