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St. Cloud State University

St. Cloud State University

Forms

This is a growing list of commonly used forms. Forms presented in either Word (.doc) or Adobe Reader (.pdf) format.

AED Post Incident Report Form (.pdf)

Annual Safety, Security, Fire and Sanitation Inspection Report (.pdf)

Asbestos Removal Daily Work Log Form (.pdf)

Asbestos Outside Contractor Notification Form (.pdf)

Authorized Employees List for Lockout/Tagout

Confined Space Entry Permit

Confined Space List

Department of Occupational Health Baseline and Periodic Respiratory Questionnaire-Employee

Fire Alarms - Academic Buildings

Fire Alarms - Dorms

Fire Drill Observation Report Form (.pdf)

Fire Protection System Impairment

Fire Protection Testing and Inspection Schedule

Hazard Assessment Form (.pdf)

Hazard Waste Form A: Pure Chemical Manifest

Hazard Waste Form B: Chemical Mixture Manifest

Hazardous Waste Form C: Commercial Product Manifest

Hazardous Waste Form D: Unknown Laboratory Sample Manifest

Hazardous Waste Weekly Inspection Form

Life-Pak Defibrillator User Check List (.pdf)

Maintenance Work Authorization Form (.pdf)

Night Alert System for Tornados

Periodic Inspection Certification

Plant Emergency Organization Chart

Respirator Change Schedules - OSHA

Respirator Voluntary Use Regulations - OSHA Standard - 1910.134 App D

Respiratory Protection Decision Tree

Respiratory Protection Decision Tree "Voluntary Use"

Safety Counseling Notice (.pdf)

Safety Inspection Checklist (.pdf)

SCSU Employees Assigned Respirators

SCSU Fire/Evacuation Drill Observer's Report

Semi-annual Asbestos Inspection Form (.pdf)

Weekly Eyewash Station Inspection Form

Welding and Burning Permit (.pdf)

 

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