Office
of Environmental Health & Safety
Georgetown University Medical Center
LM-12 Preclinical Science Bldg, 3900 Reservoir
Road NW, Washington, DC 20057-1431
Tel:(202)687-4712
Fax:(202)687-5046
Annually Required Forms/Documents
Annual Laboratory Hazard Registration Form
Chemical Hygiene Plan Update Form
Biological Safety Forms
Institutional Biological Safety Committee (IBC) Protocol Submission Form
* Hepatitis B Vaccination Acceptance or Declination Form
* NOTE: Prior to submitting this completed form, make two copies. Submit the original to Occupational Health. Place one copy in the laboratory file and retain one copy for yourself.
Bloodborne Pathogens Refresher Training Declination
Lab-Specific Training: Biological Safety
Chemical Safety Forms
Chemical Safety Review (CSR) Form
Lab-Specific Training: Chemical Safety
Standard Operating Procedures Forms
Standard Operating Procedure - Record of Training Form
General Safety Forms
Certificate of Decontamination [Used for equipment involved in relocation, move, maintenance or repair]
Laboratory Relocation/Move Guidelines & Forms
Relocation/Decommissioning Policy and Guidelines (with Appendices)
Appendix B: Lab Relocation Form
Appendix C: Training Certification
Appendix D: Pick up Requests for Chemicals
Appendix E: Equipment Inventory
Appendix F: Decontamination Form
Laser Safety
Minors and Visiting Students
Minors and Visiting Students Registration Form
Minor Student Parental Consent Form
Chemical Lab-Specific Training Form
Biological Lab-Specific Training Form
Minors and Visiting Students Package
Radiation Safety
Authorized User Training Record
Radioactive
Waste - Disposal to the RSOs
Radioactive Waste - Laboratory Storage
Radioactive Waste Transfer Form
Radioactive Waste Transfer Form - Example
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