Training Request

Please complete the following form and we will enroll you in the WFU online safety course system.

Date

Name(Required)

First Last

Email(Required)

Phone

Department(Required)

Supervisor

First Last

Will you be working in a laboratory?

If "No", skip to "Known or Potential Workplace Hazards".

Yes

Laboratory Hazards

Choose all that will be used within the lab:

Hazardous chemicals

Biologicals - DNA, RNA, bacteria, yeast, fungi

Human blood, tissue, serum, organs

Radiological

X-Ray

Lasers

Lab animals

Known or Potential Workplace Hazards

List any known or potential hazards of your work that were not already noted.

Comments

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Environmental Health & Safety