Forms

• EHS Waste Pickup Request Form
• EHS Supplies Request Form
• Refrigerant Management Input Form (PDF)

Risk Factors: Physical

• Contractor Confirmed Space Notification
• Confined Space Entry Permit and Evaluation

Risk Factors: Equipment

• Shop/Studio Door Sign Request Form
• Machine Shop Usage Agreement and Training Documentation Form (Word document)
• Self Inspection Checklist Survey
• Project Review Form (Word document)

Safety Equipment

• Prescription Eyeglass Request Form
• U-M Personal Protective Equipment Guideline Certification Of Hazard Assessment (PDF)

Medical Surveillance

• Medical Surveillance Request Form

Ergonomics

• Ergonomics Services Request Form

Air: Refrigerant Management Program Forms

• Change – Add – Delete Equipment Request Form (PDF)
• Refrigerant Containing Appliance Service Form 
• Vendor Refrigerant Containing Appliance Service Form

Spill Prevention

• Application for Installation of Aboveground Storage Tanks (PDF)
• Notice of Proposed Installation of Underground Storage Tank Registration (PDF)
• Registration of Underground Storage Tanks (PDF)

Lab Modifications

• Laboratory Space Modification Form

Environmental Impacts

• Project Notification Form – Soil Erosion & Sedimentation Control (PDF)
• Minor Project Form – Soil Erosion & Sedimentation Control (PDF)
• Design & Review Requirements (Checklist for SESC Plans) (PDF)
• Field Inspection Report – Soil Erosion & Sedimentation Control (PDF)

Contractor Safety

• Safety Plan Certification
• Project Safety Scope Checklist
• Contractor Incident Report Form (PDF)
• Monthly Safety Report (PDF)

Hot Work Permits

• Hot Work Permit (for Contractors) (PDF)

Food Safety

• Food Service License Application (PDF)
• U-M Off-Campus Housing Kitchen Inspection Form (PDF)
• Temporary Food Service License Application (PDF)