PI's Name*
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PI's Email* Student's Name*
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Student's Email*
Chemical Hazards* Will your student work with or around chemical hazards?
Chemical Hygiene Plan Confirmation (Online) AND Lab Safety & Chemical Waste Management Training* Please select all job activities below that would require your student researcher to complete this training.
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Works with or around Laboratory Chemicals/Compressed Gases Hazardous Chemicals Used on Non-Production Basis Acutely Toxic Chemicals Carcinogens Reproductive Toxins Works with Acutely Toxic/Corrosive/Reactive Compressed Gasses Works with Explosive Shock or Temperature Sensitive Chemicals Works with Peroxide Forming Chemicals Works with Pyrophoric Chemicals None of the Above: This training will not be required.
Hazard Communication: Right to Understand (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Applies or Handles Agricultural Pesticides (Applicator/Handler) Works Around Agricultural Pesticides in Greenhouse/Field (Worker) Works with or around Non-Laboratory Chemicals None of the Above OR Also laboratory chemicals.: This training not required.
Controlled Substances (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works with Controlled Substances None of the Above: This training will not be required.
Biological* Will your student work with or around biological hazards?
Biosafety General (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Exposed to Animal Source Materials Works with Biological Materials Works with Biological Toxins Works with Biosafety Level 2 Materials Works with Recombinant and/or Synthetic Nucleic Acids None of the Above: This training will not be required.
Biological Waste (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works with Biological Materials Works with Biological Toxins Works with Biosafety Level 2 Materials Works with Potentially Infectious Samples of Animal Origin Works with Recombinant and/or Synthetic Nucleic Acids None of the Above: This training will not be required.
Clean Air Device Use (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works in a Biosafety Cabinet or Other Clean Air Device None of the Above: This training will not be required.
Bloodborne Pathogens Initial (Classroom) and Annual Retraining (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works with Blood, Body Fluids, Tissues of Human Origin Exposed to Bloodborne Pathogens or Human Source Materials None of the Above: This training will not be required.
Biological Safety Considerations: Human Subjects Research (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Exposed to Human Saliva Works with Human Subjects Physically Monitored by Device None of the Above: This training will not be required.
Animal* Will your student work with or around animal hazards?
Animal Training Requirements* Select which types of animals your student will work with? Select only what most applies.
Works with Animals in Multiple Areas (Labs Farm and/or Field) Works with Farm Animals ONLY Works with Birds in Field Research ONLY Works with Fish and/or Amphibians ONLY Works with Rodents or Rabbits in Psychology Behavioral Studies
Radiation* Will your student work with or around radiological, x-ray, and/or laser hazards?
Radiation Safety Ancillary Training (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Conducts Ancillary Work in a Rad/Laser/X-Ray Lab Enter Radiation/X-Ray/Laser Labs Unescorted May Have Unescorted Access to Rad/X-Ray/Laser Labs None of the Above: This training will not be required.
Radiation Safety Initial for Users (Classroom) AND Radiation Safety Lab-based Training Checklist (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works Directly With or Handles Radioactive Materials (LI User) Works Directly With or Handles Radioactive Materials (User) Works with Other Radiation Sources None of the Above: This training will not be required.
Radiation Safety Initial for Non-Users (Online) AND Radiation Safety Lab-based Training Checklist (PI-Led)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works Near Radioactive Materials (Non-User) Works with Seal Source Materials (Sealed Source User( None of the Above: This training will not be required.
X-Ray Safety Initial (Online) X-Ray Safety Lab-based Training Checklist (PI-Led)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works with Analytical X-Ray Producing Equipment (User) None of the Above: This training will not be required.
Laser Safety Initial for Users and Annual Refresher (Online) AND Laser Safety Lab-based Training Checklist (PI-Led)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Operates Class 3B or 4 Lasers (LI User) Operates Class 3B or 4 Lasers (User) None of the Above: This training will not be required.
Physical or General* Will your student work with or around other physical or general hazards?
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COVID-19 Returning to Campus Training 2021 This student will: Work on Campus During the COVID-19 Pandemic
Yes No: This training will not be required.
Electrical Safety Awareness (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options
Performs Building/Utilities/Hardscape Maint. Repair Renovation Performs Custodial/Housekeeping Work Works with Common Power Tools None of the Above: This training will not be required.
Electrical Safety Training for Qualified Persons (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works on or Tests Electrical Parts/Circuits (>50V) Live Work None of the Above: This training will not be required.
Fall Protection 1 (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works from Ladders or Scaffolding or Near Loading Docks None of the Above: This training will not be required.
Fall Protection 2 (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works from Elevated Surfaces, Ariel Life, or Scissors Lift None of the Above: This training will not be required.
Excavation Awareness (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works in or Around Excavations and Trenches None of the Above: This training will not be required.
Lockout/Tagout (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Maintains, Repairs, or Services Non-Portable Equipment None of the Above: This training will not be required.
Personal Protective Equipment (Online)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Must Wear Personal Protective Equipment (Beyond a Traditional Lab Setting) None of the Above: This training will not be required.
EPA Worker Protection Standard (Worker) (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works Around Agricultural Pesticides in Greenhouse/Field (Worker) None of the Above: This training will not be required.
EPA Worker Protection Standard (Handler) (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Applies or Handles Agricultural Pesticides (Applicator/Handler) None of the Above: This training will not be required.
Regulated Building Materials Awareness (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Paint or Demolish/Disturb Painted Surfaces/Calks/Sealants Performs Building/Utilities/Hardscape Main. Repair Renovation None of the Above: This training will not be required.
Bridge Crane and Rigging Class (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Works with Overhead Cranes None of the Above: This training will not be required.
Respiratory Protection (Medical Required) (Classroom) and Respiratory Fit Testing (Medical Required)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Must Wear a Respirator or Dust Mask (Required) None of the Above: This training will not be required.
Respiratory Protection- Voluntary Use of Dust Masks (Classroom)* Please select all job activities below that would require your student researcher to complete this training. Hold Ctrl to select multiple options.
Can Wear a Respirator or Dust Mask (voluntary) None of the Above: This training will not be required.
Funding Source* Is the student funded by one of the OUR programs? (e.g. IDEA, SURF)
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