Radiological and Environmental Management

REM Forms

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A

B

agent inventory -pdf

agent inventory -word

image of document

Biological Agent Inventory (PDF)

Biological Agent Inventory (Word)

Biological Safety Awareness

image of form

image of form

image of form

Biological Waste Treatment and Certification

Bloodborne Pathogens Exposure Control Plan: Hepatitis B Vaccination Declination

Bloodborne Pathogens Exposure Control Plan: Hepatitis B Vaccination Eligibility List

image of form

Bloodborne Pathogens Exposure Control Plan: Training and Certification

C

Clickable link for CFATS Appendix A Inventory Form

clickable link to the CFATS data collection form

Clickable link for CHP Awareness Certification

CFATS: Appendix A Inventory

CFATS: Data Collection Form

CHP: Awareness Certification

clickable link to the compliance & risk reduction funding request form

clickable link to the confined space entry permit

clickable link to the confined space meter calibration form

Compliance & Risk Reduction Funding

Request

Confined Space Entry Permit

Confined Space Meter Calibration

clickable link to the confined space training certificate

clickable link to the controlled substance administered/dispensed

clickable link to controlled substance authorized users list

Confined Space Training Certification

Controlled Substance Administered/Dispensed

Controlled Substance Authorized Users

clickable link to controlled substance DEA form 222 use

clickable link to controlled substance physical inventory form

clickable link to controlled substance purchases form

Controlled Substance DEA Form 222 Use

Controlled Substance Physical Inventory

Controlled Substance Purchases

clickable link to the controlled substance security release form

Controlled Substance Security Release

D

E

Energetic Materials Management Plan Awareness Certification

Energetic Materials Management Plan Annual Inventory Log

Energetic Materials Management Plan Magazine Inventory Log

Energetic Materials Management Plan Awareness Certification (DocuSign)

Stand-Alone Version

Energetic Materials Management Plan: Annual Inventory Log

Energetic Materials Management Plan: Magazine Inventory Log

office worker ergonomic questionnaire

excavation competent person evaluation

checklist

Ergonomic Questionnaire

Excavation Competent Person

Excavation Site Checklist

F

fire department confined space entry

First Report of Injury (FROI) and Supervisor's Incident Investigation (SII)

food service application

Fire Department Confined Space Entry Notification

First Report of Injury (FROI) & Supervisor's Incident Investigation (SII)

Food Service Registration

link to foodborne illness report

Foodborne Illness

G

request to access gamma irradiator

Gamma Irradiator Access Request

H

hazard assessment for electrical work

certification of hazard assessment -location

certification of hazard assessment position/title

Hazard Assessment for Electrical Work & Energized Electrical Work Permit

Hazard Assessment (Location)

Hazard Assessment (Position/Title)

certification of hazard assessment single task

certification of hazard assessment template

hazard clearance & declaration form

Hazard Assessment (Single Task)

Hazard Assessment (Template)

Hazard Clearance & Declaration

image of chemical inventory form

image of DTI certification form

image of hazcom program implementation

HazCom (Chemical Inventory)

HazCom (DTI Certification)

HazCom (Program Implementation)

hazard communication attendance record

image of hazard risk assessment form

image of hazardous material pickup request -word

HazCom (Attendance Record)

Hazard Risk Assessment

Hazardous Material Pickup Request (Word)

Hazardous Materials Pickup request web submission

Hazardous Material Pickup Request (Web)

I

indoor air quality concern

integrated safety plan certification audit

integrated safety plan self audit

Indoor Air Quality Concern

Integrated Safety Plan Certification

Integrated Safety Plan Self-Audit

isotope use record sheet

Isotope Use Record Sheet

J

K

L

laboratory information

laser project application

laser

Laboratory Information

Laser: Project Application

Laser: Registration

laser

loto

loto

Laser: User Application

LOTO: Exchange of LOTO Program

LOTO: Periodic Inspection

loto

loto

LOTO: Training Certification

LOTO: Work Plan

M

materials which must be reported to rem

materials which must be reported to rem -word

Mobile Elevation Work Platform Evaluation and Certification form image

Materials Which Must Be Reported (PDF)

Materials Which Must Be Reported (Word)

Mobile Elevation Work Platform (MEWP) Evaluation and Certification

Mobile Elevation Work Platform Pre-Start Inspection form image

Mobile Elevation Work Platform (MEWP) Pre-Start Inspection

N

Near Miss Investigation Form

non-permit confined space certification

Near Miss Investigation

Non-Permit Confined Space Certification

O

osha compliance funding request

Compliance & Risk Reduction Funding Request

P

permit confined space entry contractor debriefing

personal protective equipment certification of training

Declaration of Pregnancy

Permit Confined Space Contractor Debrief

PPE Certification of Training

Declaration of Pregnancy (DocuSign)

prescription safety glasses

presidential safety award nomination

Prescription Safety Glasses

Presidential Safety Award Nomination

Q

R

radiation facility approval request

radiation project approval request

radioactive materials and radiation producing devices use application

Radiation Facility Approval Request

Radiation Project Approval Request

Radioactive Materials and Radiation Producing Use Application

radioactive material requisition

radioactive material survey record

hazard clearance & declaration form

Radioactive Material Requisition

Radioactive Material Survey Record

Radioactive Waste Log Sheet

clickable link to radioactive waste pickup request

appendix d

hepatitis b vaccination eligibility list

Radioactive Waste Pickup Request

Respirator Appendix D

Respirator Inspection Record

respirator participation application

Respirator Participation Application

S

agent inventory -pdf

link to pdf of SDS compliance checklist

link to pdf of female self assessment

Safety Training Sign In Sheet

SDS Compliance Checklist

Self-Assessment Survey (Female)

link to pdf of left hand self assessment

link to pdf of male self assessment

link to pdf of right hand self assessment

Self-Assessment Survey (Left Hand)

Self-Assessment Survey (Male)

Self-Assessment Survey (Right Hand)

Link to PDF document of Survey Meter Inventory

Survey Meter Inventory

T

image of first page of training record -rpp

image of first page of training attendance record -hcp

Training Record (Respiratory Protection Program)

Training Attendance Record (HazCom)

U

universal waste battery

universal waste lamp

Universal Waste: Battery Compliance

Universal Waste: Lamp Compliance

V

W

worker's compensation witness report form

Worker's Compensation Witness Report

X

Y

Z

forms

Campus Safety Contacts

If you see something, say something.

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Phone: (765) 494-8221

Purdue Fire
Phone: (765) 494-6919

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