Forms
Environmental
Miscellaneous
- Job Site Safety Analysis (PDF)
- Sharps Injury Log (PDF)
- IIPP CSULB General Facility Inspection Checklist (PDF)
- Training Attendance Roster
- BBS - Hot Work Permit (PDF)
- BBS - Hot Work Permit for Contractors (PDF)
- CSULB IIPP Office Inspection Checklist - Physical Inspection (PDF)
- CSULB IIPP Facility Inspection Checklist - Admin & Training (PDF)
- CSULB IIPP Office Inspection Checklist - Admin & Training (PDF)
Medical Authorization
- Bloodborne Pathogens - Post Exposure Declination Form (PDF)
- Occupational Questionnaire for Personnel Assigned to Laboratory Animal Facilities (PDF)
- Medical Examination Appointment Letter (PDF)(SRMIS 001)
- Authorization to Release Medical Information (PDF) (SRMIS 002)
- Authorization to Release Previous Medical Information (PDF) (SRMIS 003)
- Health Status Medical Report (PDF) (SRMIS 004)
- Employee Medical Examination Findings (PDF) (SRMIS 005)
- Provider Examination Requests (PDF) (SRMIS 006)
- Exit Examination Employee Declination (PDF) (SRMIS 007)
- Employee Hep B Declination Form
