Environmental Health & Safety


Forms & Plans

We offer forms, plans, manuals and/or templates that you can use for reporting and managing your processes safely. 

General Safety

Accident Investigation Report 
Aerial Lift Equipment Inventory
Aerial Lift License Operator List
Aerial Lift Site Operation Hazard Assessment
Articulating Boom Lift Pre-Operation Inspection
Confined Space Permit

Electrical Cord Inspection Checklist
Elevating Work Platform Pre-Operation Inspection
Extensible Boom Platform Pre-Operation Inspection
Fall Protection Safety Program
Hazard Report   
Injury & Illness Prevention Plan (IIPP) request
Incident Reporting Guidelines
Lift Pod Pre-Operation Inspection

Near Miss Report 

PPE Hazard Assessment  
Office Inspection Checklist 
Respirator Request
Scissors Platform Lift Pre-Operation Inspection
Trailer Mounted Aerial Lift Pre-Operation Inspection
Inspection Checklist
Manual Material Handling Inspection Checklist
UCR Ladder Program
UCR Ladder Inspection Checklist
Utility Tunnel Safety Program
Job Hazard Analysis (JHA)   
Vehicle Mounted Lift Pre-Operation Inspection        


Emergency Management

Emergency Action Plan (EAP)
Emergency Operations Plan (EOP) 

EMPG Forms
Public Health Action Plan  
Pandemic Influenza Business Continuity Plan


Chemical Hygiene Plan (CHP) 
Laboratory Audits
Laboratory Safety Manual 
PPE Hazard Assessment
Standard Operating Procedures (SOPs) 

Refrigerator/Equipment Survey Request

Designing a new lab? check out the
UC Laboratory Safety Design Guide 


Autoclave Log 
Exposure Control Plan 
HepB Vaccine Request/Declination 
Medical Waste Management Plan 

Fire & Life Safety

Special Collections Declaration  
Hot Work Permit Request Form


Dosimeter / Badge Request 
Laser Registration 


Phase II Small MS4 General Stormwater Permit
Sewer System Management Plan
Integrated Pest Management Plan

Hazardous Materials

Controlled Substances Use Authorization (CSUA)
Hazardous Materials Business Plan (HMBP)
Summary Document


Needs Assessment 
Roster (Individual Training Plan)


More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

Career OpportunitiesUCR Libraries
Campus StatusDirections to UCR

Environmental Health & Safety

Environmental Health & Safety
Environmental Health & Safety

Tel: (951) 827-5528
Fax: (951) 827-5122
E-mail: ehs@ucr.edu