Forms

Key Forms:

A-Z of Forms:

AEDs/Defibrillators:

• AED Routine Checklist 

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Biosafety/GM: 

• All Biosafety and GM forms are here

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Carcinogens:

• Carcinogens Guidance Appendix 6 – Information required for procedure involving use of carcinogen/mutagen/STRs

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COSHH:

• Standard Operating Procedure Template:
  • Word Format 

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Display Screen Equipment:

• DSE Checklist

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DSEAR: (under revision 2023)

• DSEAR Guidance Appendix 1 (Word Format | PDF Format ) – Template assessment to ascertain whether DSEAR applies to an area.
• DSEAR Guidance Appendix 2 (Word Format | PDF Format ) – Detailed template assessment and zone classification where DSEAR applies.

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Electrical Safety:

• Electrical Safety Guidance Appendix A3  – Portable electrical appliance inspection and testing record sheet

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Events:

• Risk Assessment for Team Away Days or Similar  

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Fire Safety:

• Report a Fire
• PEEP Form 

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First Aid:

• First Aid Risk Assessment Form 
• First Aid Notice (Word Format 

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Forklift Trucks:

• Forklift Truck Risk Assessment (Word Format | PDF Format )
• Forklift Truck Checklist (Word Format | PDF Format )

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Fieldwork:

• RA and related forms available via SharePoint

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Hazardous Areas: Being updated 2023

• Hazardous Areas Entry Permits - link to be updated

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Hot Work: Permit system being updated 2023

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Incidents/Accidents:

• Incident Reporting Form
• Blank Reporting Form  - for printing

Lab Equipment

• Certificate of Decontamination

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Laser:

• All Laser-related forms (see Related Links on wepage)

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Lone Working:

• Lone Working Risk Assessment 

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Manual Handling:

• Manual Handling Assessment Form (Word Format
  

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Management Supervision:

• Training and Competency form  supercedes Project Supervisory Requirements 
• Induction Questionnaire  (suggested format)

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Minibuses:

• Approval of Drivers to Drive Minibuses in Accordance with Minibus Code of Practice 

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Nanomaterials:

• Project Summary Assessment for Working with Engineered Nanomaterials  – Appendix 2
• Authorised User Record Form – Appendix 3

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Placements:

• Risk Assessment for Student Placement – Appendix 2
• Student Placement Health and Safety Agreement – Appendix 3
• Checklist for Students on Health and Safety Information as Part of their Induction – Appendix 4

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Pregnancy:

• Risk Assessment for New and Expectant Mothers (Word Format  

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Radiation: All Forms

• IR001 RPS Appointment Letter 
• IR002 SRPS Appointment Letter
• IR007 Radiation Worker Registration form
• Open Radioactive Sources – Proposal for New Work or to Extend Existing Work(Rad 1)
• Acquisition Request - Closed Radioactive Sources(Rad 2)
• Acquisition Proposal - X-Ray Generating Equipment(Rad 3)
• Request to Decommission Equipment Containing a Closed Source (Rad 4)
• Risk Assessment for Work Involving Open Radioactive Sources(Rad 5)
• Risk Assessment for Work with Machine Sources of Radiation(Rad 6)
• Radiation Laboratory Decommissioning Record(Rad 7)
• Proposal for the Relocation of X-Ray Generating Equipment(Rad 8)
• Dosimeters – Declaration of Contamination Check Prior to Return (Rad 10)
• Radioactive Waste Transfer Note – Medical Use Only (accessible via Workspace only)
• Annual Inspection Checklist (Word Format| PDF Format)

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Risk Assessment:

• Risk Assessment Forms - Templates 

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Roof Work: Permits under review 2023, refer to Estates

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Safety - Annual Health & Safety Review & Plan Template:

• 2021-2 Form (SharePoint) - for HSCs to complete annually , for access, contact h&s@nottingham.ac.uk 

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Stress: Under review 2023

• Stress - Return to Work Risk Assessment (HR Website) 

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Work Experience:

• Work Experience Pre-Placement Agreement