HSE forms

Målgruppe: Medarbeidere Tema: HMS
Tagger: hse forms form

This is the main page for all HSE forms in use at NTNU. Links to guidelines for fillling out the forms are provided (when available in English) in the far right column. Norsk versjon: HMS skjema.

See also: HSE guidelines - summary page.

Go to subject on this page:

Apparatus card
Computer glasses
Coordination agreement
Department organization
Fieldwork
Hot work
HSE statement
HSE process
Medical examination
Plan of action
Protective equipment
Radiation protection
Risk assessments
Room card
Safety card
Wastes
 

 

Subject

   

Form

When to use the form

Guideline

  Apparatus card     Apparatus card Used to describe hazards, precautions and use of instruments/apparatus.  
  Computer glasses     Computer glasses measurement form (doc) Use this form when you get your vision checked for computer glasses. You must use an optician with whom NTNU has a purchase agreement. Computer glasses
        Computer glasses measurement form (pdf)    
  Coordination agreement     Coordination agreement This agreement outlines which group will take responsibility for HSE when several groups or units work together. Coordination agreement
  Department organization     HSE organization (Norwegian) (pdf) Managers must use this form to describe how HSE is handled and organized in their group.  
  Fieldwork     Fieldwork card for participants (docx) Employees and students who are involved in fieldwork must fill out a fieldwork card, to be submitted to the person in charge of the fieldwork. These cards are kept on file at the appropriate department. Fieldwork for participants
        Fieldwork card for participant (pdf)    
        Fieldcard for leader (docx) The person in charge of fieldwork must fill out this card with information on the area where the fieldwork is being done, how workers and students will get there, what kind of safety equipment will be employed, and other relevant information. Fieldwork for leaders
        Fieldcard for leader (pdf)    
        Check list risk assessments (Norwegian) (doc) The manager or person in charge of fieldwork can use this checklist to evaluate risks in the field.  
        Check list assessments (Norwegian) (pdf)    
  Hot work     Work permit for hot work (Norwegian)  Permit required for hot work. Hot work
  HSE statement     HSE statement (Norwegian)  A statement affirming that the group or unit is working systematically with HSE procedures and processes. Must be signed by the safety representative and line manager.  
  HSE process     Minutes A protocol that should be part of the HSE process that can be used to record HSE conditions and recommendations for actions. HSE process
  Medical examination     Medical examination (description of potential exposure) For individuals who are beginning to work in, or who work in a risky environment. This form for recording potential exposures to risk should be filled out and taken with you to your appointment with the HSE division. Medical examination
        First time medical examination if you work in animal units For individuals who work in laboratory animal divisions, first medical examination.  
       

Follow-up medical examination if you work in animal units

For individuals who work in laboratory animal divisions, for follow-up medical examinations.  
        Vaccination status Fill out this form with information on previous vaccinations and take to the HSE coordinator for your unit. Vaccinations
  Plan of action     Plan of action A form for managers to describe HSE action plans.  
  Protective equipment         Personal protective equipment
        Prescription protective glasses (docx) Fill out this form if you are to be issued prescription safety glasses, and take with you to an optician with whom NTNU has a purchase agreement. Prescription protective glasses
        Prescription protective glasses (pdf)    
  Radiation protection        

Working with radiation sources

Optical radiation sources and eye examinations

Radiation protection - responsibility and task delegation

Radiation protection - X-ray equipment

        Laser class 4, approvals (Norwegian) Provides an overview of whom has been approved and has the skills to use lasers/the laser systems.  
        Laser class 4, user list (Norwegian) Provides an overview of whom has been approved and has the skills to use lasers/the laser systems.  
        Laser checklist before use  (Norwegian) A checklist to evaluate risks posed by lasers before their use.  
        List of users of X-ray equipment/electron microscopes  (Norwegian) An overview of whom has been approved and has the skills to use X-ray equipment and electron microscopes.  
        X-ray machines, approvals (Norwegian) An overview of whom has been approved and has the skills to use X-ray equipment.  
        X-ray machines, checklist for UVC equipment (Norwegian) A safety checklist for use with UVC equipment.  
        Open radioactive sources, checklist  (Norwegian) A safety checklist for use when a new experiment is undertaken that involves radioactive sources, or if an experimental set-up is altered.  
             
  Risk assessments     Mapping out risks (doc) A form where managers outline potential hazardous or risky situations or activities. Risk assessments
        Mapping out risks (pdf)    
        Risk assessments (doc) A form for managers to ensure implementation of risk assessments, preparation of plans and measures to minimize and mitigate risks as well as implementation and monitoring.  
        Risk assessments (pdf)    
        Risk matrix (doc)  A form to provide an overview of all potentially hazardous or risky situations or activities.  
        Risk matrix (pdf)    
        Safe work analysis, general (doc) A form for individuals responsible for risk assessments which allows an overview of work responsibilities that change regularly and when there has been a risk assessment.  
        Safe work analysis, general (pdf)    
        Safe work analysis, chemical and hazardous material (doc) A form for individuals responsible for risk assessments that provides an overview of work with chemicals /gases that changes frequently and when there has been a risk assessment.  
        Safe work analysis, chemical and hazardous material (pdf)    
  Room card     Room card A card that describes dangerous or hazardous conditions in rooms or laboratories, to be filled out by the line manager. Room cards
  Safety card     Safety card The safety card provides information about the safety area, line manager and safety representative. Safety card
  Wastes     Handling hazardous and chemical wastes, table (Norwegian) The table contains the most common waste product numbers, EAL codes, danger classifications, UN numbers and packaging categories used for the most common types of chemical waste. Handling hazardous and chemical wastes

 

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