Forms and Templates

All users of Faculty of Science & Health facilities must be granted access and adhere to relevant policies, procedures and guidelines.

Users must have appropriate levels of qualification and complete an approved WHS induction, and training (where required).

The following forms can be used to apply for authorisation to access and use FOSH facilities:

• Application to use facility (All FOSH spaces)
  • Application to use facility form should be used by CSU researchers and students requesting access to FOSH facilities. Completed forms should be sent to appropriate area manager and the area email addresses.
• Non-University Organisations Hire/Use of Charles Sturt University Faculty of Science & Health Facilities
  • Application form should be completed by Non-University Organisations for the Hire/Use of Charles Sturt University Faculty of Science & Health Facilities. Organisations should contact area managers for additional information and to submit application forms.
• Add personnel to existing project
  • To add additional applicants to an existing project the Add personnel to existing project should be completed by all applicants. Approval from Supervisor, Facility manager and Head of School is required
• After hours access or working alone form
  • Please consult the After hours or working alone procedure to prior to submitting this form to relevant Facility Manager. Approval for after hours or alone work is dependent on risks associated with the work.
• Equipment request form
  • Equipment request form can be used to request the use of FOSH equipment for teaching and research purposes. Requests should be directed to relevant technical area emails.
• Extension of time to existing project
• Charles Sturt Fieldwork Participation Form
  • The Charles Sturt Fieldwork Participation Form assists Charles Sturt University to ensure your safety and wellbeing while you are participating in fieldwork by establishing behaviour standards and essential medical and privacy information as well as personal protective equipment requirements.

Induction forms

• Faculty of Science and Health Induction Form
  • For the induction of staff or research students
• FOSH WHS Coversheet Undergraduate and Postgraduate Course Work
  • This form records that the academic in charge of a class held in a laboratory, specialist teaching space or off-campus location has completed all essential risk documentation and delivered, during the first class of session, the emergency procedures and undergraduate induction information.
• Contractor Induction Form
  • For induction of external contractors who require access to FOSH facilities (e.g for repair or maintenance work)
• Cleaner Induction Form
  • Induction form for maintenance and cleaning personnel

Authorised  Personnel List

• PC1 Authorised Personnel List
• PC2 Authorised Personnel List

Training forms

Training forms for staff and students using specialised equipment within the Faculty of Science & Health. Training records may be required as evidence of competency as part of risk assessments or for gaining access to facilities.

• Approved Training Register
• Training matrix template PC1
• Training matrix template PC2
• Training record – Group
• Training record – Individual

Safe Work Procedure Documentation

• Safe Work Procedure Template

Risk Assessment Forms

• Generic Risk Assessment form
• Hazardous Chemical Risk Assessment form
• Microbiological Risk Assessment form

Standard Risk Controls

• Research Laboratory Standard Risk Controls
• Research Fieldwork Standard Risk Controls
• Undergraduate & Postgraduate Course Work Standard Controls for Fieldwork
• Undergraduate & Post Graduate Course Work Standard Risk Controls for Laboratory & Specialist Teaching Space

Guides

• Guide how to write a Risk Assessment
• Guide how to write a Hazardous Chemical Risk Assessment
• Guide how to write a Microbiological Risk Assessment
• Safe Work Procedure Template Guide

Fieldwork Forms

• FOSH Undergraduate Teaching Field Trip Summary
• Research Fieldwork Summary
• Risk Screening tool for off-campus research community visit activities form
• Risk Screening tool for off-campus research community visit activities Procedure

• Approved Training Register
• Biological Materials Register
• Concessional Spirit Register
• Manifest Fridge Freezer
• Monthly Autoclave Spore Testing
• Quarterly Maintenance Checklist - Eye, Face Wash and Safety Shower

Radiation Safety Forms

• FoSH Mid year Workplace inspection checklist
• FoSH End year WHS Workplace inspection checklist

To ensure technical staff can effectively support learning and teaching activities it is imperative that technical support requirements are communicated to Technical Services in a consistent and timely manner. Please complete an appropriate technical requirement form and send to the appropriate technical team. Refer to the Undergraduate and postgraduate coursework procedure. Polices, procedures and guidelines - Faculty of Science and Health

• Basic technical requirements form
  • Please use this form to prepare technical requirements for teaching subjects that require ongoing technical support. These technical requirements should be provided in accordance with  the FOSH Undergraduate Postgraduate Course Work Documentation Policy and Procedure
• Equipment request form
  • Equipment request form can be used to request the use of FOSH equipment for teaching and research purposes. Requests should be directed to relevant technical area emails.
• Animal and Field requirements form
  • Please use the form to prepare technical requirements for animal and field
• Nursing technical requirements form
  • Please use this form for all nursing subjects for internal and distance/intensive classes.