Forms and Permit Applications
Displaying 1 - 48 of 48
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Every food item must have all of the food allergens labelled.
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All foods shall have allegens labeled on orginal packaging or table tent cards for each food... read more about Allergen Table Tent Card
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Sample table tent card to list food item allergen ingredients.
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The University of Massachusetts, Amherst has a strong commitment to food safety and requires... read more about Annual Caterer/Vendor Application
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Please complete and submit this form to become an authorized owner and user of Class 3b and 4... read more about Application to become an authorized user of Class 3b or 4 lasers
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X-ray machines must be registered with the Radiation Safety Office. All Principle Investigators... read more about Application/Registration to use X-ray generating devices
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Please obtain your checklist and fill it out when you sign in for tabling at Campus Center Room... read more about Bake Sale Tabling Checklist
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Specialized biosafety equipment such as biosafety cabinets and animal laboratory safety... read more about Biosafety Cabinets and Animal Laboratory Safety Equipment Service
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Camp Application in fillable PDF
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Application for Recreational Camps for Children
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This may be a useful form for organizing your responsibilities when holding a Recreational Camp... read more about Camp Operator's Checklist at UMA
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How to make initial contact:
Place the information (below) in an email to:... read more about CECS Process
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Please use the chemical inventory disposal log form for recording bar code numbers of emptied... read more about Chemical Inventory Disposal Log Form
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When entering into an area that qualifies as a confined space, it must be done with the proper... read more about Confined Space Guidelines
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Laboratories which house and use lasers must be labeled with signage alerting those who might... read more about Door Sign For Labs With Lasers
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Drop Shipment (delivery) Food refers to food delivered by a licensed food establishment which is... read more about Drop Shipment and Pick-up Food Waiver Student Certification Checklist
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The purpose of these guidelines is to identify the processes and requirements that must be... read more about Emergency Engine and Turbine Requirements
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Please print and use the attached checklist that includes the reminders below. Flush eyewash... read more about Emergency Eyewash Station Weekly Inspection Checklist
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The Excavation and Trench Permit document includes:
Excavation and Trench Permit Form... read more about Excavation and Trench Permit -
Effective February 17, 2009, all excavators must obtain a permit prior to the creation of a... read more about Excavation and Trench Safety Permit Policy
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Prior to transfer of select toxins the Exempt Quantity Transfer Form shall be completed and sent... read more about Exempt Quantity Select Toxin Transfer Form
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Download and complete this Food Handler Volunteer Reporting Agreement form. Every person who is... read more about Food Handler/Volunteer Reporting Agreement (FERA)
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Ingedients form - additional page, if necessary
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Health Care Consultant Agreement
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The State DPH requires the most current recommendation from the Center for Disease Control for... read more about Immunization form
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Application for vendors invited by the Town of Amherst July 4th event. Each vendor is... read more about July 4th Vendor Application
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Application for the Town of Amherst Fireworks event for invited vendors.
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All laboratory incidents (exposures, injuries, spills, leaks, near misses) should be reported... read more about Lab Incidents and Lab Incident Report Form
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This document is a template that faculty PI's or lab directors can use as a guide in the... read more about Lab Specific Chemical Hygiene Plan Template
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United States Environmental Protection Agency - Region 1 TSCA-01-2012-0036 Consent Agreement and... read more about LGRC Consent Agreement and Final Order, 2012-06-20
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Liability Release Form for Children and Unauthorized Persons in Labs and Other Potentially... read more about Liability Release Form for Laboratories
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Complete the Pedestrian Impact Permit when your work will obstruct outdoor pedestrian walkways... read more about Pedestrian Impact Permit
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Experiments that can be classified as high risk must receive prior written approval by the P.I... read more about Prior Approval for Work with Particularly Hazardous Materials or Processes
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Please use this form to update your permit to use radioisotopes or to add additional isotopes to... read more about Radiation Permit Renewal/Add Radioisotope to Permit
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This document includes a letter to Prospective Radiation Users from Environmental Health and... read more about Radiation Permit Request (New Principal Investigator)
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New radiation workers must complete the radiation safety training record form linked above. ... read more about Radiation Safety Training Record
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Every time you dispose of radioactive materials you must fill out the Radioisotope Inventory... read more about Radioisotope Inventory Form
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Download the Residential Decorations Policy and Permit Form to read the full policy and to... read more about Residential Decorations Policy and Permit Form
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If you wish to wear a respirator, fill out and submit the Respirator Use Request Form to... read more about Respirator Use Request Form
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Application Notes: Disregard Appendix 1 and 2 on the application.
Permit Process
Anyone... read more about Tent (Temporary Structure) Permit Process and Application
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Please use this guide to ensure that your lab remains safe and compliant. While this list is... read more about UMass Lab Self-Inspection Guide
Emergencies
- UMass Police
- UMass Health Services
- UMass Alerts
- Emergency Closings
- Closing Hotline: (413) 545-3630
Contact
Environmental Health & Safety
117 Draper Hall
40 Campus Center Way
Amherst, MA 01003
413.545.2682
413.545.2600 (Fax)
