Kutztown University
 

Forms

   

Kutztown University - Facilities

 
 
Employee Hazard Report Form-employees are advised that use of this form or other reports of unsafe conditions or practices are protected by law. It would be illegal for the employer to take any action against an employee in reprisal for exercising rights to participate in communications involving safety.
 
Fire Safety
bullet Admin Fire Alarm Report
 
 
Occupational Safety/Industrial Hygiene
bullet Hepatitis B Immunization Form
bullet Bloodborne Pathogen Exposure Incident Report
bullet Attending Physician's Written Employee Exposure Evaluation
bullet Consent for HIV Blood Test
bullet Informed Refusal of Post Exposure Medical Evaluation
bullet Chemical Inventory Form
 
Environmental Management
bullet Waste Disposal Request Pickup Form
bullet Hazardous Waste Log Form