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EHS Forms

On-the-Job Injury Report

Listed are the procedures to follow when reporting an injury on the job.

Authorization for Operation of Powered Industrial Trucks

This form is to be completed by any employee that is seeking approval to operate a powered industrial truck (forklift and/or electric jack). This form must be approved by the employee's supervisor.

Ergonomic Evaluation Request Form

Complete this form and submit to Health and Safety Specialist, Amy Bruno, to request an ergonomic Evaluation.

Hepatitis B Declination Form

This form must be filled out and signed by employees at MCTC when declining Hepatitis B shots.

Requirements for Hazardous Waste Satellite Storage Areas

This is the list of requirements that satellite storage areas must follow to ensure the safe upkeep of the area.

Respiratory Fact Sheet

Weekly Inspection Log

Hazardous waste satellite storage areas must be inspected every 7 days for leaks, proper labeling, and container deterioration. This log documents that the inspection has been completed.

New Chemical Request Checklist

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