SAFETY BOOKLET - School of Life Sciences - Heriot-Watt University

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28Do you intend working with human tissues?YES / NO (delete as appropriate)2. PREVIOUS EMPLOYMENTPlease give details of previous employment (including studentships, fellowships, etc.), giving names ofemployers, place of work, approximate dates and nature of work.Name of EmployerAddress(place of work)Period ofemploymentNature of workHas work involving genetic manipulation been carried out in the past in any laboratory other than thepresent place of work? YES / NO (delete as appropriate)If YES, please give details:3. IMMUNISATION HISTORYPlease list immunisations and dates given:Hepatitis BIt is essential if you work with primary human tissue samples or blood to have an up to date history ofhepatitis B immunisation.Do you require immunisation? YES / NO (delete as appropriate)If you have been immunised please give date:Do you know your current antibody status? YES / NO (delete as appropriate)19/08/02
29Would you require a booster immunisation? YES / NO (delete as appropriate)4. RADIATION EXPOSURE – Please state specific isotopes.(a)(b)MedicalOccupational5. PAST MEDICAL HISTORYPlease specify:(a) Are you aware of any previous medical condition which may place you at increased risk whenundertaking this employment? YES / NO (delete as appropriate)If YES, please give a brief explanation:……………………………………………………………………………………………………………………………………………………………………………………………………………….(b) Do you use medication, either prescribed or unprescribed regularly for a chronic condition?YES / NO (delete as appropriate)If YES, please specify:AntibioticsYES / NOIf YES, please specify …………………………………………………………...AntacidsYES / NOIf YES, please specify …………………………………………………………...SteroidsYES / NOIf YES, please specify …………………………………………………………...19/08/02
Page 1 and 2: 1School of Life SciencesSAFETYBOOKL
Page 3 and 4: 3SCHOOL SAFETY POLICY STATEMENTINTR
Page 5 and 6: All employees and students will ens
Page 7 and 8: 7School Safety CommitteeHead of Sch
Page 9 and 10: 9Academic staff supervising researc
Page 11 and 12: compiled before work starts. For ea
Page 13 and 14: 13staff or a postgraduate research
Page 15 and 16: 15Fire is the most serious danger w
Page 17 and 18: 178. Petri dishes containing cultur
Page 19 and 20: 19Practical work with human subject
Page 21 and 22: 21disinfectant. Disinfectants shoul
Page 23 and 24: 23radioactive tracers may require a
Page 25 and 26: 25All information will be treated a
Page 27: 27APPENDIX 1HERIOT-WATT UNIVERSITYG
Page 31: 31Date ………………………

SAFETY BOOKLET - School of Life Sciences - Heriot-Watt University

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