OEH&S Forms

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To view forms on the list, select the form name (note: new website addresses for several forms)

• All Programs
• Biological Program
• Chemical Program
• Controlled Substances Program
• Hazardous Materials Management Program
• Radiation Program

All Programs

• Employee Safety Suggestion / Hazard Report
• Universal Principal Investigator Form
• Universal Hazardous Material Use Form (Training Experience Verification)
• Universal Use Authorization Modification Request Form
• Project Request / Approval Form
• Asbestos Project Request / Approval Form

Biological Program

• Biological Use Authorization (BUA) Application
• 2008 Biosafety Committee Meeting Schedule for the Review of BUA applications, renewals & modifications
• Animal Involvement in the Laboratory Animal Resource Center
• Bloodborne Pathogen Compliance Decision Log
• Occupational Exposure to Hepatitis Virus (HBV)
• Vaccinia Information/Declination
• Note: Click here to link to the Department of Health and Human Services (DHHS) / Centers for Disease Control and Prevention (CDC) from which you can download the most current version of the Application to Import Etiologic Agents
• Note: Click here to link to the United States Department of Agriculture (USDA) / Animal and Plant Health Inspection Service (APHIS) from which you can download the most current version of the Application to Import Organisms, Vectors, Cell Cultures or Live Animals

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Chemical Program

• Chemical Waste Removal Form .pdf format | .doc format

Controlled Substances Program

• Controlled Substances Schedule II Disposal Form
• Controlled Substances Schedule III-V Disposal Form
• Controlled Substance Release Signature Card
• Controlled Substance Security Form
• Controlled Substance Usage Log
• Controlled Substances Use Application Form
• Instructions to Principal Investigators for completing Controlled Substance Use Application Form
• Information of Authorized User of Controlled Substances
• Controlled Substances Inventory Form

Hazardous Materials Management Program

These forms are not linked, please call (415) 476-1300 for more information

• HMM/R) Radioactive Material Transfer
• HMM/R) Radioactive Waste Disposal Form
• HMM/R) Transfer of Radioactive Material (transfer from one PI to another)
• HMM/R) Transfer of Radioactive Material (transfer from one institution to another)

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Radiation Program

Some forms are not linked. please call (415) 476-1300 for more information

• Animal Involvement in the Animal Care Facility
• Application for Use of Machines Containing Sealed Sources
• Application for Use of Radiation Producing Machines
• Application for Use of Radiation Producing Machines -- X-Ray Diffraction and Spectroscopy Applications
• Application for Use of Radiation Producing Machines -- Electron Microscope Applications
• Application for Use of Radiation Producing Machines -- Cabinet X-Ray Application
• Dosimetry Request Card
• Form Letter for Declaring Pregnancy
• Radiation Use Authorization - Human
• Radiation Use Authorization - Non-Human / Instructions
• Thyroid Bioassay Record Form
• UCSF OEH&S Radiation Contamination Survey Service Recharge Agreement
• UCSF Radioisotope Usage Form
• Radioactive Material Transfer
• Radioactive Waste Disposal Form
• Transfer of Radioactive Material (transfer from one PI to another)
• Transfer of Radioactive Material (transfer from one institution to another)