Occupational and Environmental Health and Safety Logo

Main Menu

  • About

    • About OEHS

    • Contact

    • Staff List

  • Training & Testing

    • OEHS Training

    • RATS Training

  • Resource Center

    • Resources

    • Forms/Checklists

    • Media Library

  • Forms

Quick Links Menu

  • Incident Report

  • Spill Kit Order Form

  • Researcher’s Corner

  • Household Hazardous Waste Use and Disposal

  • Lab Management System

The University of Utah

Occupational and Environmental Health and Safety

E-1 — HR Worker’s Compensation (First Report of Injury Form 122)

Overview

Add overview copy.

Download

E-1 — HR Worker’s Compensation (First Report of Injury Form 122)

Need help with this form?

Contact your Research Safety Specialist at Occupational and Environmental Health and Safety at 801-581-6590.

OEHS Forms

  • Air Quality Permit Modification Request
  • Application for the use of Hazardous Chemicals in Animal Protocols
  • Asbestos Inspection
  • Biological Toxin Registration
  • Biosafety Level 2 Biosafety Manual
  • Biosafety Level 2 Enhanced (BSL-2+) Audit Form
  • Biosafety Level 2 Enhanced Biosafety Manual
  • Biosafety Level 2 Lab Audit Form
  • Biosafety Level 3 Lab Audit Form
  • Dangerous Goods Shipping Request
  • E-1 — HR Worker’s Compensation (First Report of Injury Form 122)
  • Hazard/Near Miss Report
  • Hazard Warning Signage Questionnaire
  • Hepatitis B Vaccination or Declination
  • Human Gene Transfer Closure Notification
  • Human Gene Transfer Registration
  • IBC Closure Notification Form
  • IBC Registration Amendment Form
  • Incident Accident Report Form – Risk Management (Students and Visitors)
  • Indoor Environmental Quality Concern
  • Lab Exposure Control Plan
  • Lab Management System – Account Request / Password Reminder
  • Lab Management System – Chemical Inventory Bulk Upload
  • Lab Relocation / Closure Guide
  • Laboratory Safety Self-Inspection Checklist
  • Recombinant DNA and Synthetic Nucleic Acid Incident Reporting Template
  • Requirements for Testing Lentiviral Stocks for Replication Competent Virus
  • Risks and Precautions for Common Viral Vectors
  • Spill Kit Order Form
  • Spills and Exposures Procedures
  • Training on Biohazards in Shared Spaces
  • Training Registration
QUICK LINKS

  • Quick Links

    • How can we help?

    • Forms/Checklists

    • Training & Testing

    • How Are We Doing?

  • Additional OEHS Resources

    • Webmaster

University of Utah Logo

  • CIS Login
  • U-Mail
  • Facebook
  • Twitter
  • YouTube
  • Instagram

125 SOUTH FORT DOUGLAS BLVD
SLC UT 84113
801.581.6590

© 2019 The University of Utah

Privacy Policy | Disclaimer | Nondiscrimination & Accessibility