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Forms

Tradesman measuring window sill

Aerial Lift

Emergency Procedures

Administered by UVA Emergency Management

Fall Protection

Inspections

Correct inspection procedures can prevent incidents, injury/illness, and/or property/equipment damage.

Job Hazard Analysis

Permits

Permits are an essential tool for assuring safety during potentially hazardous work activities. The process guides the supervisor and employees through a systematic evaluation of the task to be completed.

Respirator Forms

If you have questions about your respirator or would like to request sampling or training, email FM-OHS@virginia.edu.

Safety Shoe Request

Sampling

Sampling and analysis is conducted on jobsites and at regular work tasks by an occupational health and safety professional to look for physical stressors, biological hazards and chemicals to ensure workplace safety. Email FM-OHS@virginia.edu if you have questions about this process.

Training

See OHS Training Courses

Workers Comp, Incident, and Near Miss

  • Near Miss Report FormOnly use this form for incidents that did not result in injury. A near miss event is defined as an unintentional in nature, unsafe occurrence that could have resulted in an injury or fatality. Only a fortunate break in the chain of events prevented an injury, fatality, or damage.
  • Workers’ Compensation/Accident-Injury Reporting Portal – includes online reporting form, checklists for employees/supervisors and quick facts.