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  Environmental  Health & Safety Office
113, King Building
(704) 687-4291

Frequently Used Forms

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Accident Reporting
Non-Work Related
 

Non-Occupational Report
Workers' Compensation Accident Reporting
Work Related
 
Employee Accident Form.

Supervisor Accident Form

Treatment Authorization Form

Employee Report of Minor Injury Form
ELECTRICAL SAFETY

 

High Voltage - Medium Voltage Job Briefing Form

High Voltage - Medium Voltage Safety-Related Work Practices Annual Inspection Form

Hazardous Energy Control Procedure Form

UNC Charlotte - Hazardous Energy Control Lockout / Tagout Program - Annual Inspection Form
 

Hazardous Waste Request for Disposal of Hazardous Waste

 

Occupational Health Vivarium - Basic Health Form

Vivarium - Animal Bite / Scratch Reporting Form

 

Personal Protection Equipment

 

UNCCharlotte PPE Hazard Assessment Form
Radiation Safety Nuclide Safety Data Sheets

RAS Forms

 

VAN AUTHORIZATION Van Authorization Form