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Health and Safety Forms

Welcome to the forms and publications resource page.  The links below provide access to complete the electronic or paper-based forms.

Biological Safety

FormatName of FormLast Reviewed
PDF|OnlineHuman Tissues and Body Fluids Registration7/1/2016
PDF|OnlineInfectious Agents/Pathogens and Biological Toxins Registration7/1/2016
PDF|OnlineRecombinant or Synthetic Nucleic Acid Molecules Registration4/25/2019
PDF|OnlineInventory of Biohazards7/1/2016

Chemical Safety

FormatName of FormLast
PDF|OnlineRegistration Form for Highly Hazardous Chemicals9/23/2021
PDF|OnlineChemical Waste Disposal Form12/18/2017

General Safety

FormatName of FormLast Reviewed
PDF|OnlineVacating a Lab Checklist8/8/2016

Occupational Health

FormatName of FormLast Reviewed
PDF|OnlinePost-Offer Health History Questionnaire2/27/2023
PDF|OnlineAnimal Exposure Surveillance Program---New Applicant2/27/2023
PDF|OnlineAnimal Exposure Surveillance Program—Renewal Form2/28/2011
PDF|OnlineMedical Questionnaire for Respiratory Protection 2/27/2023
PDF||OnlineWork Clearance Form2/27/2023
PDF|OnlineTuberculosis (TB) Assessments FAQ2/27/2023

Occupational Health - EHWC

FormatName of FormLast Reviewed
PDF|OnlineAuthorization Slip1/11/2011
PDF|Word|OnlineAuthorization for Exchange of Health Information between Johns Hopkins Occupations Health and Health Care Provider           9/30/2013
PDF|Word|OnlineEmployee Health and Wellness Center (EHWC) Satisfaction Survey2/28/2011

Occupational Injury Clinic

FormatName of FormLast Reviewed
PDF|OnlineEmployee Incident Report9/6/2017
PDF|OnlineSTIX Report Form5/26/2010

Occupational Safety

FormatName of FormLast Reviewed
PDF|OnlineAxion Eyepod Faucet Mounted Eyewash Weekly Log8/15/2012
PDF|Word|OnlineBleach Labels for use on opaque bottles
(print on Avery 5163)
PDF|OnlineCadaver Request Approval Form3/14/2018
PDF|OnlineEyewash Log2/20/2015
PDF|OnlineEyewash Training Log2/20/2015
PDF|OnlineFire Incident Response Evaluation (FIRE) Form 
PDF||OnlineLaboratory Safety Survey2/28/2011
PDF|OnlineSelf-Contained Eyewash Weekly Log2/3/2015

Radiation Safety

FormatName of FormLast Reviewed
PDF|OnlineMD Standards for Protection Against Radiation2/28/2011
PDF|OnlineRadiation Badge Request Form2/28/2011
PDF|OnlineRadiation Materials Authorizations2/28/2011
PDF|OnlineYearly Renewal of Radioactive Material Authorization2/28/2011
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