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Training Assessment Form for Laboratory Personnel
Supervisor
Employee
Purpose:
The purpose of this form is to help personnel in research and conservation laboratories determine general health and safety
training requirements. Depending upon the specific activities performed additional site specific training may be required.
Instructions:
1. Complete this form by checking any job functions that apply for the laboratory personnel named above. If you have any questions
regarding which job functions apply, contact your principal investigator or other designated laboratory representative. Column 2
provides information regarding required training or follow up for any areas checked in column 1. Column 3 provides dates of initial and
refresher training completion.
2. Use the links to determine how to complete required training.
To register for GSU-prescribed trainings, sign up
online
here: https://app.gsu.edu/training_reg/admin/login.cfm?system=12.
You can also submit this
Training Request Form
via email to eprograms@gsu.edu.
Keep a copy for your records.
Job Function
Required Training
Completed Training
Initial training completed
BOR: Right to Know Training
Right to Know
Year: 20_
State law requires all employees to complete.
Please attach online course certificate.
Years Refresher Completed:
20
20
20
20
20
20
Initial training completed
BOR: Biosafety/Bloodborne Pathogens
Potentially Infectious
Year: 20_
Training
Material/Recombinant DNA
Years Refresher Completed:
20
20
20
Work with or may come in contact with rDNA,
infectious agents and/or established human cell.
20
20
20
BOR: Hazardous Waste Awareness Training
Initial training completed
Hazardous Waste Awareness
Year: 20_
.
Entering in a research or teaching laboratory
Years Refresher Completed:
20
20
20
20
20
20
Initial training completed
BOR: ABC’s of Portable Fire
Fire Extinguishers
Year: 20_
Extinguishers, Selection, Use, and
R
egularly work with flammable liquids or
Maintenance
solids.
Years Refresher Completed:
20
20
20
20
20
20
Office of Research Integrity, Rev. 12/4/2014