Safety Forms and Checklists

Overview

The forms and checklists have been assembled from many different parts of the RMEHS Campus Programs. Where forms come from procedures, the procedure title and appendix are given. The Procedures are found in the RMEHS Procedures Manual. Most Emergency Preparedness checklists and forms are found in Emergency Preparedness.

Safety Topics

One of the goals of the Environmental Health and Safety (EHS) office is the protection and preservation of human health and the environment. Strict compliance with the myriad of federal laws, state regulations and county ordinances is a major component of our Environmental Control program. A variety of regulatory programs are administered and maintained to minimize potential environmental hazards.

Additional responsibilities include the identification, inspection and evaluation of potential environmental hazards, such as asbestos, lead, and indoor air quality. By tracking, labeling and communicating these issues, we are better able to protect the human health and environment for our University community.

Besides the population immediately on campus, the Environmental Control program has an even greater responsibility. That is to be a leader in environmental regulatory compliance, to be a good neighbor, and to control all phases of our operations in order to minimize any adverse effects to the environment we live in. To achieve this lofty goal it is essential to provide employees with information to understand their responsibilities for the lawful handling of environmental problems relating to hazardous substances, air pollution, and water pollution. Join us in making this world an even better place for everyone.

If you have questions about Environmental Control, email Mike Morales or call (323)343-3534.

The following information addresses health and safety related issues and emergency procedures about which faculty are expected to advise or assist students.

Classroom Safety Checklists

These forms will assist faculty in understanding their role in providing a safe learning environment for the students, according to the CSU policy on Health and Safety for Employees and Students. Students will be provided with the appropriate safety information related to hazards encountered in each instructional environment. Faculty, Graduate Assistants and Teaching Assistants will be responsible for providing this information during the first class meeting and throughout the semester. Reference Executive Order 1039 from the Chancellor's Office.

Checklists

Safety and relevant hazard information for the instructional environment is provided below for both faculty and students. Note that the "instructor" version is developed to assist faculty in presenting this information. The "student" version should be completed by each student and retained in the department records. Records should be retained for at least 3 years per CSU retention schedule.

Generally Applicable
Specific Classes

Contact

If you have any questions related to these checklists please contact the RM/EHS office at extension 3-3549 or 3-3531.

Forms and Checklists

Supervisors Checklists

Instructors/ Students Checklists

Risk Management Forms

Incident Report

Additional Resources