HSE forms - Kunnskapsbasen
HSE forms
This is the main page for all HSE forms in use at NTNU. Links to guidelines for filling out the forms are provided (when available in English) in the far right column.
Norsk versjon - HMS skjema - samleside
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 (docx) | Used to describe hazards, precautions and use of instruments/apparatus. | ||||
| Computer glasses | Computer glasses measurement form (pdf) | Use this form when you need to get your vision checked for computer glasses. You must use the optician that NTNU has a purchase agreement with (use the search word "optikertjenester"). | Computer glasses | |||
| 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 (pdf) HSE statement (doc) |
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. | |||||
| 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 | |||||
| Measurement form for prescription safety glasses (pdf) | Fill out this form if you are to be issued prescription safety glasses, and send it in or take it with you to the optician that NTNU has a purchase agreemen wth (use the search word "optikertjenester"). | Prescription safety glasses | ||||
| Radiation protection |
Optical radiation sources and eye examinations Radiation protection - responsibility and task delegation |
|||||
| 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 |