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				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) (revised 7/2008)
				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 (DA2066)
				Water Vessel Operator Accident Reporting Form (DWF-DIR-005)
				Monthly Fleet Vehicle Preventative Maintenance Checklist
				Monthly Fleet Water Vessel Preventative Maintenance Checklist
				DSC Quarterly Safety Meeting and Building Inspection Forms
				Safety Meeting Report Form for High-Risk Employees (SMR-9-00)
				Building Safety Inspection Form (BSI-10-08)
				Hazard Control Log Form (HCL-8-00)
				DSC Employee Representation Forms (ERF-8-01)
				Other Forms (Employee Information)
				UL Lafayette Campus Safety Rules (revised 10/2008)
				Quick Reference Guide for UL Lafayette Employees (revised 6/2009)
				Violence in the Workplace Complainant Form (VWC-12-01) Employee Incident/Accident Investigation Form, DA 2000, (revised 10/2008) PDF or WORD
				NON-Employee Incident Reporting Form, DA 3000 (NEW 10/2008) PDF or WORD
				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 Thursday, August 6, 2009 7:12 AM

© Copyright 2003 by the University of Louisiana at Lafayette
Env. Health & Safety, P.O. Box 43210, Lafayette LA 70504
Telephone: 337/482-5357 · E-Mail: safetyman@louisiana.edu