Get Laser Safety Hazard Evaluation Form Evaluation Date Name

The Laser Safety Hazard Evaluation Form is an essential document for assessing the safety measures associated with laser equipment. This guide will help you navigate through the process of filling out the form efficiently and accurately.

Follow the steps to complete the evaluation form online.

1. Press the ‘Get Form’ button to access the evaluation form and open it in your preferred editing tool.
2. Fill in the 'Evaluation Date' by entering the date on which the evaluation is being conducted.
3. In the section labeled 'Name of person conducting review,' provide your full name or that of the individual responsible for the evaluation.
4. Complete 'Requesting Department' by specifying the department that requires the laser evaluation.
5. Input the 'Location of Equipment Building & Room #' to indicate where the laser equipment is situated.
6. Describe the application of the laser in 'Application Description,' outlining how the laser will be used.
7. Provide the 'PI Name' and 'PI Phone' to ensure contact information for the Principal Investigator is documented.
8. Enter the name and phone number of any other relevant contact under 'Other Contact Name' and 'Other Contact Phone.'
9. Indicate 'Number of personnel authorized to use or maintain the equipment' to reflect the number of individuals trained on the equipment.
10. Fill in the 'Laser Information' section, including 'Manufacturer Name,' 'Laser Model #,' and 'Laser Serial Number.'
11. Answer whether the laser is imbedded by selecting 'Yes' or 'No'. Provide information regarding its classification and specifications as required.
12. Document details related to personal protective equipment, including optical density and engineering controls questions.
13. Complete the 'Administrative Controls' section by answering all questions accurately to reflect the safety measures in place.
14. In the 'Other Considerations' section, answer questions regarding industrial hygiene monitoring requirements.
15. Make sure to add comments or recommendations if any questions in 'Other Considerations' are answered 'No.'
16. Once all sections are filled, save your changes, and choose to download, print, or share the completed form as needed.

Complete your laser safety evaluations online today for a safer workplace.