Environmental Health
Facilities Management
Laboratory Safety
Food Safety
Emergency Evacuation Assistance Forms
Risk Management Reports/Claim Forms
Employee Accident, Injury or Near Miss
Ergonomics
This page contains the links to a variety of Environmental Health and Safety, as well as Risk Management forms. A brief explanation of when each form is needed appears to the right of each link.
Environmental Health
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Indoor Air Quality Reporting (docx) | Use this form to report issues related to the indoor environment in the building. Air quality issues may include concerns with temperature, humidity, ventilation, odors, or air pollutants that may be causing health or discomfort symptoms. |
Facilities Management
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Hot Works Permit - (Updated 04 2012) (docx) | Required in advance of any work requiring heat or open flame to complete within a facility owned, leased or managed by the University of Houston–Downtown (UHD). Includes welding, torch cutting, grinding, brazing, flame soldering, thawing pipes with torches, and other work where there is potential for fire. If you are requesting this permit, you should be either working from a work order, university purchase order, departmental order or a signed contract. |
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Laboratory Safety
Guide to the Globally Harmonized System of Classification and Labeling of Chemicals (GHS)
| The laboratory PI is responsible for the instruction of all laboratory personnel in the safe use of chemicals. Information regarding the classification and safe use of chemicals can be found on this web site.
(From the U. S. Department of Labor) |
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Project Hazard Assessment Form (docx) | Special precautions are needed when handling select carcinogens, reproductive toxins, and substances that have a high degree of acute toxicity. The PI must ensure precautions are taken in order to minimize the risk of exposure to these substances. This form must be filled out and approved before any project with hazardous materials may be considered. |
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Memorandum of Understanding and Agreement Registration of Biohazardous Materials and Recombinant DNA (doc) | All experiments involving recombinant DNA, biological toxins, and other biohazards must be approved by the UH-System Biological Safety Committee. Approval can be obtained by filling out this form.
UHD will have a standing membership on the UH-System Biological Safety Committee until such time as there is a need to establish an independent Biological Safety Committee at UHD. In summary, faculty working with biological hazards must complete both and MUA (and get it approved by UH) and a PHA which must be approved by all levels at UHD. |
| Student Permission to Work Independently After Hours Form (docx) | This form should be filled out by research students or students in some high-impact courses requesting permission to work independently after hours (between 7:00 p.m. and 7:00 a.m.). This form must be turned in to the Chief Safety Officer (NS Chair) in the NS Office
at least 10 days before work is performed. Laboratory activities which could place the student in a potentially hazardous situation will be denied. Experiments that can be easily performed during normal working hours will likely also be denied. In denied cases, the CSO and the PI should work together until the project is modified or until the project can be completed during normal business hours. |
| Student Visitor Accident Report Form (docx) | For any student or visitor accidents or injuries that could result in a potential claim against UHD
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| Emergency Evacuation Assistance Form (docx) | If an employee or student has a temporary or permanent disability that impairs his or her mobility, or if assistance is needed to evacuate the building during an emergency |
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Food Safety
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Emergency Evacuation Assistance Request Forms
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Emergency Evacuation Assistance Form (docx) | If an employee or student has a temporary or permanent disability that impairs his or her mobility, or if assistance is needed to evacuate the building during an emergency |
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Risk Management Reports/Claim Forms
The following reports are to be turned in to UHD Risk Management (room 621-S of the One Main Building (713-222-5340) for forwarding to UH Risk Management within 24 hours of the incident.
(Visit the Reporting Accidents and Property Loss site for additional information)
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Employee Accident, Injury or Near Miss
(Visit the Employee Accident, Incident and Near Miss site for additional information.)
When you become aware of any potential hazard, near miss or spill,
report it to the EHS Office immediately
(713-221-8404 or One Main Building room 621 S)
Report of Safety / Health Hazard and Near Miss
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Ergonomics
(Visit the Ergonomics site for additional information.)
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