Chemical Safety Forms

Documents associated with Chemical Safety
Titlesort descending Description File Name
Chemical Hygiene Plan - Annual Review

Form to document annual review of the Chemical Hygiene Plan

Microsoft Office document icon Chemical Hygiene Plan - Annual Review.doc
EHS Assistant Chemical Inventory Template

Excel file to be filled out by labs when they need inventory uploaded to the EHS Assistant.

Office spreadsheet icon EHS Assist Chemical Inventory Template
Eyewash testing/flushing verification - monthly

Form used to document periodic testing/flushing of the eyewash stations. 

PDF icon Monthly eyewash verification.pdf
Eyewash testing/flushing verification - weekly

Form used to document periodic testing/flushing of the eyewash station. 

PDF icon WEEKLY Eyewash Verification
GHS Training Notice

This one-page flyer titled "Notice of Required Regulatory Training for GHS" may be distributed and posted in laboratories and workplaces that handle chemicals.  The flyer describes the training module employees are required to complete by November 2013, so they are aware of changes to chemical labels and (material) safety data sheets.

PDF icon GHS Training Notice.pdf
Nanomaterials (NMs) Hazard Assessment Data Capture Form PDF icon Nanomaterials form.pdf
PPE - Research Laboratory Hazard Assessment Tool

Personal Protective Equipment hazard assessment tool

PDF icon labppetool form final.pdf
PPE - Respirator Dust Mask Lab Evaluation Request

 Request for evaluation of appropriate respirator/dust mask use in labs.

PDF icon Respiratory Request Form
Site-Specific - Lab Chemical Safety

After completing the Lab Chemical Safety e-learning course, the date of completion will be added to your training records found under “My Training” on the Employee Self Service site.  Complete this site-specific form with your supervisor or designated work area trainer to verify that you have successfully completed EHS’s e-learning course.  Note: this form is to be maintained in the lab's safety/training records.

PDF icon Site-Specific - Lab Chem Training
Training Needs Assessment

This form should be used to document current laboratory staff and their activities within the lab for purposes of determining required training.

File Training Needs Assessment Template