Office of Undergraduate Research Safety Confirmation

OUR Safety Confirmation

This form is to be completed by PIs together with their undergraduate researchers who are working in environments with potential hazards and who are applying for an OUR funding program.

PI's Name*
First Last
PI's Email*
Enter Email Confirm Email
Student's Name*
First Last
Student's Email*
Chemical Hazards*
Will your student work with or around chemical hazards?
- Yes
- No
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. Hold Ctrl to select multiple options.
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.
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.
Biological*
Will your student work with or around biological hazards?
- Yes
- No
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.
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.
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.
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.
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.
Animal*
Will your student work with or around animal hazards?
- Yes
- No
Animal Training Requirements*
Select which types of animals your student will work with? Select only what most applies.
Radiation*
Will your student work with or around radiological, x-ray, and/or laser hazards?
- Yes
- No
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.
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.
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.
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.
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.
Physical or General*
Will your student work with or around other physical or general hazards? *This currently includes researching on campus during the COVID-19 pandemic.
- Yes
- No
COVID-19 Returning to Campus Training 2021*
This student will: Work on Campus During the COVID-19 Pandemic
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Contact the Office of Undergraduate Research with student research award questions.