EH&S Training Request Form

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Division of Environmental Health & Safety
4202 E. Fowler Ave., CRS 104
Tampa, FL 33620
Ph.: (813) 974-4036
Fax:(813) 974-9346
www.usf.edu\eh&s
EH&S Training Request Form
Instructions: Please fill out this form in its entirety and e-mail eh&s@usf.edu, fax (813)9749346, or send via campus mail to CRS 104. Please allow up to 5 business days for your request
to be processed. You will receive an e-mail with instructions once you are registered.
Online Training
Classroom Training
☐ Lab & Research Safety Training (initial
training includes Hazardous and Biomedical Waste)
☐ Lab & Research Safety Training
(includes Hazardous and Biomedical Waste)
☐Hazardous Waste Annual Refresher
☐ Lab Safety Officer Training
(required each year after initial training)
(advanced course in Lab & Research Safety)
☐ HITS Tutorial
☐Biomedical Waste Annual Refresher
(for HITS users, recommended but not required)
(required each year after initial training ONLY if
biomedical waste is produced in your lab)
Date of training:Click here to enter text.
Please visit EH&S website for training dates
Name: Click here to enter text.
Principal Investigator: Click here to enter text.
College: Click here to enter text.
Department: Click here to enter text.
Phone # (Office): Click here to enter text.
Campus: Click here to enter text.
Phone # (Emergency): Click here to enter text.
Phone # (Lab): Click here to enter text.
Building/Room No. (s): Click here to enter text.
E-mail Address: Click here to enter text.
USF Net ID: Click here to enter text.
USF U Number: Click here to enter text.
Have you attended EH&S Lab Safety
Training before?
☐ YES
Date of Last Training: Click here to enter text.
☐ NO
Office Use Only
Recorded By:
Date:
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