Laboratory registration form

Periodic Table of Elements; Bio Hazard Symbols

EH&S Resources

Lab Registration Form

All laboratories, as defined within the USF Chemical Hygiene Plan, must be registered with the Division of Environmental Health & Safety. The registration information required will include the names and contact information of the Principal Investigator and alternate contacts, laboratory location(s), and the laboratory hazard information. The laboratory registration should be filled out by all new Principal Investigators, Principal Investigators moving into a new lab, when new contacts come into the lab, and before you vacate a laboratory.

Lab Location Designation:

A PI with a single laboratory or multiple laboratories must register all lab locations on the Lab Registration Form.
Rooms that are under the supervision of more than one PI should be registered by each PI with the information applicable to their designated areas.

If changes are made to the laboratory contact, location and/or hazard information, the registration information must be updated by the PI within 30 days. This information must be resubmitted to EH&S on the Laboratory Registration Form.

Prior to vacating a registered laboratory, the PI or responsible person will notify EH&S of the intent to move or close the laboratory. This information must be resubmitted to EH&S on the Laboratory Registration Form at least 30 days prior to moving to ensure that hazardous materials not being removed can be properly identified for disposal or transfer to another laboratory. In the event that the decision to vacate or move a lab is made less than 30 days in advance or if the responsible person should leave the university without notification, it will be the responsibility of the College/Department to notify EH&S of the lab closing and for identification of all hazardous wastes.

Please fill out all applicable fields. Please resubmit an update form to EH&S if any changes are made.

* If you're unable to submit the online form, you may also print out this form (PDF format) and mail it to CRS 104 or fax it to 974-9346.

* Indicates required fields

Type of Form:

Initial Form

Update Form

Lab Closeout - Projected closeout date:

Principal Investigator

College

Department/Division

Campus

Phone Numbers:

* You must enter at least one Phone Number below.

Office Phone

Emergency Phone

Lab Phone

Email Address

Building/Room Number

Laboratory Hazard Information

Please indicate all applicable laboratory hazards present in all laboratories listed.

* You must choose at least 1 option below.

Biological

Gas Cylinders

Chemical

X-Ray Equipment

Radioactive Material

Laser Class 1

Laser Class 2

Laser Class 3

Laser Class 4

If Other, please indicate

Personnel Contact Information

Please list all laboratory personnel.

* All fields must be filled out for each person (name, email, phone, whether to add or remove them from our contact list).

* You must list at least 2 people below to submit this request.

	Contact Name	Email	Emergency Phone #	Add/Remove
1
2

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