Policies and Forms
University Safety Information
Departmental Working Alone Policy
- Complete Working-Alone Policy
- Principle Investigator Working Alone Task Flow Chart
- Principle Investigator Consent Form for Working Alone and Working Alone on High-Risk Activities
- Researcher Consent Form for Working Alone on High-Risk Activities
Personal Protection Forms
Coworker Forms
- Coworker Compliance Form 112KB PDF
- Scientific Research Waiver, Release, and Indemnification Agreement 70KB PDF
Coworker Forms—Minors (17 years old or younger)
- Proposed Project Checklist for Minors Performing Research in Laboratories 83KB PDF
- Safety Compliance Form—Minors 117KB PDF
- Consent for Medical Treatment—Employed Minors 66KB PDF
- Consent for Medical Treatment—Visiting or Volunteering Minors 63KB PDF
- Scientific Research Waiver, Release, and Indemnification Agreement—Minors 69KB PDF
Accident, Illness, or Injury Forms
- Supervisor’s Report of an Injury to the Health Center 49KB PDF
- Supervisor’s Report of an Injury to the Wellness Center (also to be used for MedPoint 24) 85KB PDF
- Departmental Injury/Illness/Incident/Near Miss Report Form 602 KB PDF
- Indiana Worker’s Compensation—First Report of Injury, Illness 166KB PDF