Customized Hazard Assessment & Corrections Tool Creator (MS Word)
 

 

How to complete the assessment:

  1. Complete the form below. Select topic areas applicable to your work unit.
  2. Click submit to generate a customized Hazard Assessment & Correction tool in MSWord Format that you can save on your desktop and complete.

Frequency: Complete Hazard Assessment & Corrections tool at a minimum of every 3 years, or whenever your work environment changes significantly.
Training:  Provide work unit specific training identified in the Hazard Assessment & Correction tools at a minimum of every 3 years for employees, and at time of hire for new employees or whenever your work environment changes significantly.
Record Keeping: Maintain Hazard Assessment & Corrections tool (including training documentation) for 10 years, if possible.

Hazard Assessment & Corrections

SOS Representative:

Work Unit (describe):

Date Started:

REQUIRED TOPICS:

•  Emergency Preparedness
•  Security (Workplace & Personal Security)
•  Ergonomics
•  Fire Safety
•  Electrical Hazards
•  Equipment/Instrument Use
•  Slips, Trips & Falls

TOPICS AS APPLICABLE:

Animal Handling
Anesthetics
Biohazards
Biohazardous and Medical Waste
Biosafety Cabinets
Chemical Fume Hoods
Clean Areas
Compressed Gases
Controlled Substances
Cryogenic Liquids
Field Safety
Hazardous Chemicals (Corrosives,Flammables,and Poisons)
High Noise
Highly Hazard Operations/Equipment
Human Blood, Tissues, 1° Cell Lines, Body Fluids
Lasers
Non-Ionizing Radiation
Particularly Hazardous Substances (Carcinogens, Acutely & Highly Toxic, Reproductive Toxins, Pyrophorics, Reactives, Explosives)
Radioactive Materials, Accelerators & X-Ray Machines
Select Agents
Shipping of Dangerous Goods
Work at Heights > 6 feet
Work Generating Flying Particles and Objects