Forms & Procedures

If you have any questions regarding a form or procedure, please contact the Office of Environmental Health & Safety.

NameTitlePhone
Michelle AdkinsDirector, Environmental Health & Safety336.758.3427
Bridget MarrsOccupational Health, Safety, and Training Coordinator336.758.3427

Forms

FormDescription 
Accident and Incident Investigation FormTo be completed and returned to the EHS office
Chemical ApprovalMust be completed and reviewed prior to purchasing any new chemicals  
*Does not apply to laboratory chemicals
Confined Space PermitCall Utility Operations office for permit. 336.758.4747
Ergonomic AssessmentTo request an ergonomic assessment of your work area, contact Bridget Marrs at 336.758.3427 or marrsbs@nullwfu.edu. In addition, please download and submit an ErgoProfile Employee Survey to the EHS office via campus mail or email to wfuehs@nullwfu.edu
First Report of InjuryMust be completed, signed by supervisor, and forwarded to EHS office.
Hepatitis B Vaccination Program For employees participating in the University Exposure Control Plan. Please complete and return to EHS office.  
Hot Work PermitRequired for welding
Needle Stick/Bodily Fluid Exposure If you come in contact with blood or other bodily fluids, IMMEDIATELY wash with soap and warm water. Contact your supervisor and the EHS office at 336.758.3427
Spill/Incident ReportFor any oil/chemical spill or release on campus.
Space Hazard AssessmentPlease complete the appropriate Space Hazard Assessment for your area; Athletics, Biology, Chemistry, Downtown, Facilities & Campus Services, Health & Exercise Science, or Physics
Vehicle AccidentTo be completed and returned to the EHS office in the event of a vehicle accident involving Wake Forest University owned property.

Procedures

ProcedureDescription 
Asbestos ManagementWake Forest University is responsible for ensuring that any work that might disturb asbestos, and work with ACMs, is safely managed. The Office of Environmental Health & Safety is responsible for administering the University’s asbestos management and educational awareness program, and for monitoring compliance with State and Federal asbestos regulations.
Blood Borne Pathogen Exposure Control PlanThe Bloodborne Pathogen Exposure Control Plan is designed to provide regulatory compliance and a means by which university employees will be informed about and protected from exposures to blood and other potentially infectious materials.
Confined Space EntryA comprehensive Confined Space Entry Procedure has been developed to protect Wake Forest University employees and provide guidance to contractors who may be required to enter confined spaces during the course of their work.
Control of Hazardous Energy - Lockout TagoutThe Wake Forest University Control of Hazardous Energy Procedure establishes the minimum requirements for the lockout and tagout of energy-isolating devices to prevent an unwanted release of hazardous energy during any servicing, maintenance, or modification activity.Please contact the Office of Environmental Health & Safety at wfuehs@nullwfu.edu for questions related to Lockout/Tagout.
Electrical SafetyElectrical Safety and Arc Flash
Fall Protection  Fall Protection requirements when working at heights over 4 feet.
Hazard CommunicationThis comprehensive Hazard Communication Procedure has been developed to protect employees from the dangers associated with chemical substances used during the course of their work.
Hearing Conservation Wake Forest University has implemented a Hearing Conservation Program to ensure that all employees who are exposed to hazardous noise levels are adequately  protected to prevent hearing loss.
Ladder SafetyThe Ladder Procedure is applicable to all persons who are employed by Wake Forest University and may use any ladder during the course of work (including portable ladders, extension ladders and fixed or permanent ladders) and had been developed to assist all university personnel with identification and mitigation of hazards and to promote a safe, efficient work place environment.
Machine GuardingWake Forest University machine operators are responsible for operating the machines with all safeguards in place. Supervisors must ensure that safeguards cannot be defeated and that all machines are operated per the manufacturer’s specification.
Mold Management PlanThe Mold Management Plan is to inform employees and students of their respective roles and responsibilities in recognition, prevention, remediation, and documentation of mold and moisture incidents.
Personal Protective EquipmentPersonal protective equipment, or PPE, is designed to protect us from serious workplace injuries or illnesses resulting from contact with chemical, radiological, physical, electrical, mechanical, or other workplace hazards.
Public Access Defribrillation (PAD) ProgramPublic access to defribillation (PAD) is the access to automatic external defribillators (AEDs) in public and/or private places of high occupancy and where people are at high risk for heart attacks.
Power Industrialized Equipment/VehiclesIndustrial trucks include fork trucks, tractors, platform lift trucks, motorized hand trucks, and other specialized industrial trucks powered by electric motors or internal combustion engines.
Refrigerant Compliance PlanWake Forest University's refrigerant compliance program encompasses a strategic approach and general guidance for managing building air conditioning and refrigeration equipment and refrigerant service tools.
Respiratory ProtectionBased on potentials for respiratory hazards, this comprehensive standard was developed to protect Wake Forest University employees who may be required to wear respirators during the course of their work.
Scissor Lift SafetyProcedures for working safely in, on and around scissor lifts.
Steam SafetyWorking safely with steam lines on campus.
Trenching and Excavating Policies for trenching and excavating safety precautions.