Department of Environmental Health and Safety

Forms

 
 ON-SITE System

 Chemical Management Plan

  * List of Chemicals of interest from Homeland Security

  * List of Hazardous Materials Managers

 Characteristics of Hazardous Chemicals

Chemical Management Plan Forms
Many forms on this page are in Word format to enable researchers to download and complete the forms electronically. Other forms are available in PDF. Click here for more information regarding PDF documents.

 

    
     EHS Audit Checklist

     Characteristics of Hazardous Wastes: Corrosives, Ignitability, Reactivity, and Toxicity and the Hazardous Chemical Lists

     Chemical Management and Treatment Protocols

     Exempted Product Categories List

     Hazardous Chemical Waste Tag

     Hazardous Materials Inventory Summary Form

     Hazardous Chemical Incompatibility List

     Standard Recommendations for Correcting Common Discrepancies

     Chemical Pickup Form and Instructions

      Surplus or Disposal of Equipment Form

 

To apply for authorization of a Certificate of Environmental Compliance please complete the following Safety Questionnaire form.  Fax or mail a signed copy to the Director of the Department of Environmental Health and Safety. 

     Mail to: 4747 Troost, Room 3, Kansas City, Missouri 64110

     Fax to: (816)-235-6559

Upon receipt and review authorization will be extended through the Office of Research Services.

 

Radiological Operations Forms
 Many forms on this page are in Word format to enable researchers to download and complete the forms electronically. Other forms are available in PDF. Click here for more information regarding PDF documents.

    Credit Card Approval For Radioactive Materials (RS1d)

     Amendment To Authorization For Possession And Use Of Radiation Sources (RS2)

     Statement Of Training And Experience For Use Of Radiation Sources: Radiation Worker (RS3)

     Exposure History Release Form (RS3a)

     Radioactive Materials Request For Internal Transfer (RS5)

     Radioactive Waste Pick Up Form (RS6)

     Radioactive Waste Pick Up Form Instructions (RS6a)

     Declaration Of Pregnancy (RS7)

     Pregnancy Declaration Policy (RS7a)

     Quarterly Inventory Form (RS11)

     Instructions for Completing Quarterly Inventory (RS11a)

     Radiation Worker Observation Checklist (RS22)

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