EH&S Forms
Many of our forms are designed to be submitted digitally. Please download the form you need, and save it to your desktop. You can then open the form from your desktop, fill it out, and save the completed form.* You are then able to attach the completed form to an email to the correct person. If you are unsure who to submit your form to, please send it to ehs@memphis.edu, and we will direct it to the proper person.
Some of our forms have submit options. After completing the form using the downloading, completing, and saving steps above, you are able to click the submit button - clicking the submit button will generate and prompt email actions. If you are using Internet Explorer, there is no need to download forms with submit buttons - these forms open in IE, and can be completed and submitted from your IE browser; however, you may still download, complete, save, and submit via the same steps above, if you choose. Forms without submit buttons will need to be downloaded and saved to your desktop.
*Please remember it is a good idea to use the Save As function each new time you complete the form, giving each instance a unique identifier that you and your department will recognize. EH&S suggests that you Save As or print a copy of each instance for your department's records.
If you prefer to print a hard copy of your form, please deliver a copy to EH&S in 414 J. M. Smith Hall.
Biological Safety Forms
- Biohazard Spill/Release Procedure
- Biological Agent Inventory Form
- Biosafety Audit Form
- Biological Safety Training Record
- Bloodborne Pathogen Incident Report
- Blood Cleanup Procedure
- Decontamination Methods for Prions
- Disinfectants - Types and Selection
- Model Bloodborne Pathogens Exposure Control Plan
- Model Bloodborne Pathogens Exposure Control Plan - MS Word Version
- HBV Vaccination Refusal Form
- Recombinant DNA Registration Form
Chemical Safety and Waste Forms
- Carcinogen List
- Chemical Hygiene Permit
- Chemical Spill Procedure
- Disposition of Electronic Devices
- Handling and Disposal of Mercury-containing Lamps
- Hazardous Material Shipping Form
- Hazardous Waste Satellite Accumulation Area Guide
- Hazardous Waste Inspection Checklist-SAA
- Hazardous Waste Inspection Checklist-Storage Facility
- Laboratory Safety Checklist-Chemical
- Laboratory Checklist
- Purchase Request for Special Hazardous Chemicals
- Recognizing Hazardous Chemicals
- Recognizing Hazardous Waste
- Training Record for Laboratory Employees
- Training Record for Non-Laboratory Employees
- Unwanted Chemical Declaration Form
- Waste Determination Process for Spent Chemicals
- Waste Determination Process for Unused Chemicals
- Weekly Hazardous Waste Inspection Log
Life SAFETY FORMS
- AED Request Form
- AED Post-Incident Form
- AED Departmental Roster Form
- AED Daily Check Log - Powerheart
- AED Daily Check Log - Defibtech
- AED Monthly Check Log - Powerheart
- AED Monthly Check Log - Defibtech
- AED Annual Check Log - Powerheart
- AED After-use Check Log - Defibtech
- Department AED Program Template
Fire SAFETY FORMS
General Safety Forms
- Confined Space Permit
- Earthquake Tips for the Lab
- Emergency Procedures for Students and Employees
- Equipment Release Form
- First Report of Injury or Illness
- Laboratory Decommissioning Form
- Laboratory Specific Standard Operation Procedure Form
- Laser Safety Checklist
- Mechanical and Boiler Room Checklist
- Mold Remediation SOP
- Near Miss Report Form
- Occupational Health Questionnaire
- Occupational Health Services Notification Form
- Office Safety Checklist
- Personal Protective Equipment Guidelines
- Risk Assessment Tool
- Shop Checklist
- Student/Visitor Incident/Injury
- Water Intrusion SOP
- Workplace Hazard Assessment Guide for PPE