Programs and Forms

PROGRAMSFORMS
Accident and Incident Prevention ProgramEmployee Incident Report

Supervisor Incident Investigation Instructions

Incident Witness Statement

Injury Prevention Fact Sheet

Hand and Power Tool

Heat Stress

Holiday Safety Fact Sheet

Lead Safety Fact Sheet

Materials Handling

Slips, Trips, and Falls

Office Ergonomics
AED ProgramPublic Access Automated External Defibrillator (AED) Inventory
Aerial Lift (MEWP) ProgramAerial Lift Pre-use Checklist

Aerial Lift Safe Use Plan
Asbestos Maintenance and Operations 
Bloodborne Pathogen ProgramBloodborne Pathogen Program Appendix II

Bloodborne Pathogen Program Appendix IV
Building Emergency Evacuation PlansSafety Monitors

Building Emergency Evacuation Floor Maps

Fire Hydrant Map

Disability Services Emergency and Evacuation Planning

Student Resident Fire Evacuation Handbook

Emergency Manual
Chemical Hygiene PlanLaboratory Safety Program

Lab Registration Form

Chemical Spill Procedures

Chemical Storage Table

Compressed Gas Cylinders Fact Sheet

Cryogenic Materials

Emergency Eyewash Fact Sheet

High Performance Liquid Chromatography Fact Sheet

Hydrofluoric Acid Fact Sheet

Laboratory Chemical Fume Hood Fact Sheet

Laboratory Glassware Fact Sheet

Safety Data Sheets (SDS)

Transporting Chemicals on Campus
Confined Space ProgramConfined Space Entry Permits

UNC Charlotte Confined Space Summary Sheet
Contractor Safety ProgramContractor Safety Program Handout

UNC Charlotte Confined Space Summary Sheet
COVID – 19N-95 Respirator Voluntary Use Request Form

UNC Charlotte COVID-19 Personal Protective Equipment (PPE) Assessment
Electrical Safety in the WorkplaceElectrical Safety – Electrical Energized Work Permit
Medium Voltage Electrical Safety ProgramMedium Voltage Job Briefing Form

Medium Voltage Safe Operating Procedures Annual Inspection Form
Fall Protection ProgramLadder Safety Fact Sheet
Fire Safety ProgramBuilding Self-Inspection Checklist “Self Assessment Tool

Decoration Fire Safety Tips

Space Heater Fact Sheet

Tent Permit
Hazard Communication ProgramChemical Inventory Form

Safety Data Sheets (SDS)
Hazardous Waste Contingency PlanHazardous Waste Fact Sheet

Request for Disposal of Hazardous Waste

Universal Waste Fact Sheet
Hazardous Waste Minimization Plan 
Hearing Conservation Program 
Hot Work (Welding Cutting and Brazing) ProgramFacilities Management Archibus Login

Submitting a Hot Work Permit Request in Archibus

When to Complete a Hot Work Permit
Indoor Air Quality
Laser Safety ManualLaser Registration Form

Laser Eyewear Fact Sheet

Laser Safety Fact Sheet
Lockout/Tagout ProgramHazardous Energy Control Procedure Form

Hazardous Energy Control Procedure Lockout/Tagout Annual Inspection Form
Personal Protective Equipment ProgramPPE Hazard Assessment Form​

PPE Hazard Assessment Summary
Powered Industrial Trucks (Forklift) ProgramPre-Use Inspection Form
Radiation Safety HandbookNuclide Safety Data Sheets

Radiation Safety Forms

Radioactive Incident Response Guide

Laboratory Contamination Decision Tree
Respiratory Protection ProgramFiltering Facepiece Voluntary Use Form (Appendix D)