Loss Prevention, Safety, and Facilities Management

DOCUMENTATION

Confined Space Entry Permit (PDF)

Declination Statement for Hepatitis B Vaccination (PDF)

Discrimination/Harassment Complaint Form (PDF)

Employee Substance Abuse and Drug Receipt Form (PDF)

Exposure Determination Log - Microsoft Word

Fire Drill Report - Microsoft Word

Fire Extinguisher Report - Microsoft Word

General Liability Loss Notice Other Than

Automobile (DA 2065) - PDF

Hazard Control Log (HC-1-90) - Microsoft Word

Hazard Control Log (HC-1-90) - PDF

Hot Work Permit (PDF)

Incident/Accident Investigation Form (DA 2000) - Microsoft Word

Incident/Accident Investigation Form (DA 2000) - PDF

Incident/Accident Investigation Form (DA 3000) - Microsoft Word

Incident/Accident Investigation Form (DA 3000) - PDF

Job Safety Analysis Example Worksheet - JSA 1-00 (PDF)

Job Safety Analysis Worksheet - JSA 1-00 - Microsoft Word

Safety Inspection Checklist - PDF

Safety Meeting Report Form - PDF

Student Substance Abuse and Drug Receipt Form (PDF)

Vehicle Glass Repair/Replacement Loss Notice (DA 2073) - PDF

Vehicle Safety Checklist (MS Word)

Violence in the Workplace Checklist (MS Word)

FACILITY MANAGEMENT

Annual Review of Region 4 Plans & Procedures - PDF

Evaluation of Campus Cleanliness - PDF

Maintenance Accountability - PDF

Maintenance/Service Work Order - PDF

Maintenance Staff Inspection Check Off - PDF

Preventative Maintenance Tasks Sheet - PDF