UL Lafayette: EH&S : Downloadable Forms

Downloadable Forms

Portable Document Format (PDF)
Free PDF Reader from Adobe Systems

Hazardous Material (HAZMAT) Forms

Tier II Reporting Documentation

EHI-12-03 Form, Emergency HAZMAT Inventory Form - Excel or PDF
Instructions for completing the EHI-12-03 form - Word or PDF
Completed example of the EHI-12-03 form - PDF only
Specific Gravity of various chemicals - PDF only
Tier II Appendix A - List of Extremely Hazardous Chemicals - PDF only
Appendix B - 49CFR Part 172.101 - List of Hazardous Materials - Text File only

HAZMAT Waste Disposal Documentation

HWD-11-00, Hazardous Waste Disposal Request Form - Word or PDF

Motor Vehicle and Water Vessel Forms

Authorization and Driving History Form (DA 2054) NEW JULY 2008
Motor Vehicle Accident Reporting Form (DA 2041)
Defensive Driver Sign-In Sheet (for driver instructors only, Excel format only)

Water Vessel Authorization/Operator History Form (VOHR-12-00)

DSC Quarterly Safety Meeting and Building Inspection Forms
Safety Meeting Report Form for High-Risk Employees (SMR-9-00)
Building Safety Inspection Form (BSI-8-00)
Hazard Control Log Form (HCL-8-00)

DSC Employee Representation Forms (ERF-8-01)

Other Forms (Employee Information)
UL Lafayette Campus Safety Rules (CSR-12-00)
Quick Reference Guide for UL Lafayette Employees (revised 8/2008)
Violence in the Workplace Complainant Form (VWC-12-01)
Incident/Accident Investigation Form (DA 2000-8-02)
Job Safety Analysis Form (JSA-9-00)
University Key Request Form (KRF-3-01)
University Policy for Issuing Keys
Fire Drill Response Form (FDR-9-01)
Ergonomic Workstation Analysis (EWA-8-02)

Security Alarm Information Sheet - Excel format only (SAIS-8-01.xls)
Instructions for completing the SAIS-8-01 form

Document last revised Monday, August 18, 2008 9:44 AM