Wed, May 22, 2013 Biological SafetyChemical / Lab SafetyDriver Safety / InsuranceEnvironmental ProgramsFire and Life SafetyIndustrial HygieneRadiation SafetyRespirator SafetyS.A.F.E. Program	Online Request & Submit Forms Code Red (Fire) BrochureThis brochure covers fire safety, minimizing fire hazards, what we must do in the event of a fire and understanding the importance of learning the RACE acronym. Driver/Vehicle Safety Program ApplicationPersonnel who drive UAMS vehicles or who drive personal vehicles on UAMS business must complete this form Hazard Reporting FormUsed to report hazardous situations found on the UAMS campus Injury and Incident Reporting FormInjury and Incident form to log accidents and injuries with employees, or students. Request for your Safety Training recordsYou can select and view any Safety Training Course Certificates you have completed. Biosafety Protocol: Infectious Agents FormApplication for use of Infectious Agents in Research Laboratories Biosafety Protocol: Recombinant DNA FormApplication for use of Recombinant DNA in Research Laboratories Biosafety Protocol: Toxic and Carcinogenic Agents FormApplication for use of Toxic and/or Carcinogenic Agents in Research Laboratories Blood Borne Pathogen Notice for equipment to be serviced, shipped or disposed.Complete this notice and attach to equipment being sent off for service or disposal Chemotherapy Drug Spill FormForm to complete and submitted in an event of a chemotherapy drug spill. Chemical Waste Pick-up Request FormRequest pick-up of surplus and/or waste chemicals for recycling or disposal Biohazard Waste Pick-up Request FormRequest pick-up of biohazard waste, red bags, sharps containers and/or medical waste. Laboratory Safety Self-Audit FormSelf-Audit form for use by laboratory personnel to determine their compliance with applicable safety regulations Risk / Exposure Assessment FormA self-assessment tool used to identify potential workplace hazards for departments at UAMS Radiation Dosimeter Application (Radiation Badge and/or Ring)Application for a radiation monitoring badge / ring Radiation Dosimeter Information for New RecipientsGeneral information on the use and monthly replacement of the dosimeter. Nursing Procedures for Radiation Therapy PatientsRadiation safety instruction document for Nursing Personnel caring for patients being treated with radionuclides. Radioactive I-131 Patient Release Dose CalculatorUseful calculatir used to determine when a patient treated with Iodine-131 can be released to go home. Radioactive Material Usage ApplicationApplication to use Radioactive Materials in research Radioactive Material Usage Application with AnimalsApplication to use Radioactive Materials in Animal research Radioactive Waste Pick-up Request FormRequest an appointment to drop-off radioactive wastes at one of our two waste processing laboratories. N95 Respirator Approval Process be completed by UAMS personnel before fit testing for the N95 respirator Respirator Medical Evaluation Questionnaire for all other respiratorsMedical history required for people wearing respirators other than the N95 type Leased Buildings-Property Change Form (for recording contents of leased buildings)To be completed by any UAMS department that is using a leased building so that the contents will be covered by insurance in the event of loss due to fire or theft

University of Arkansas for Medical Sciences
Occupational Health & Safety, Slot 617
Central Building, Ground Floor, Room # G154
4301 W. Markham St., Little Rock, AR 72205

Office, Call 501-686-5536
Fax 501-296-1339
Business Hours 8:00 am - 4:30 pm, Monday - Friday

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