University Safety and Assurances

Research Environmental Questionnaire

Research Environmental Questionnaire Word Document
(School or College)

  mm/dd/yy
   
   
Does this research involve the use of any of the following? (CHECK either "Yes" or "No"): (Provide as much detail as possible if YES)
   
   
CHECK either "Yes" or "No": (Provide as much detail as possible if YES):
   
   
CHECK either "Yes" or "No": (Provide as much detail as possible if YES):
   
   
   
   
If using radioactive material, how is it stored?