1. Are you a University employee, faculty, or staff member?
Yes
No
2. Will you enter the steam tunnels or perform maintenance or housekeeping in mechanical rooms or storage areas in buildings constructed before 1990?
Yes
No
3. Do your job duties require excessive (more than 50% of the time on a daily basis) or heavy (greater than 30 pounds) lifting/lowering?
Yes
No
4. Will you change out fluorescent lamps or ballasts or do you manage the storage or disposal of fluorescent lamps, ballasts, or batteries?
Yes
No
5. Does your work require the handling of, the potential exposure to, or supervision of work with human blood, blood products, body fluids, or other potentially infectious materials (e.g., school nurse, athletic trainer, police officer, building engineer maintaining sump pits)? Note: If you work in laboratory do not take this course. Contact the Office of Research Safety.
Yes
No
6. Do you manage, enter, or work in a confined space (e.g., manhole, tunnel, enclosure)?
Yes
No
7. Have you been identified as essential personnel in a role related to the security of hazardous materials (e.g. Laboratory Facility Manager or dock personnel in laboratory buildings, Police Officers)? Note, this class is not required for laboratory personnel.
Yes
No
8. Do you conduct minimal work near or with electrical installations?
Yes
No
9. Do you work on or near exposed energized parts?
Yes
No
10. Would you like an overview of basic office ergonomics?
Yes
No
11. Does your work require use or supervision of equipment or conditions that create a potential fall hazard (edge is more than four feet off the ground/floor)? Accessing roofs, climbing mechanical equipment, or using stage rigging are typical tasks which require fall protection.
Yes
No
12. Will you operate a forklift or power industrial truck (e.g., motorized pallet jack)?
Yes
No
13. Do you operate any electric or gas powered grounds equipment?
Yes
No
14. Will you work with or near chemicals (e.g., perform maintenance or custodial tasks; receive chemicals on a dock or in facility; enter mechanical spaces, large institutional laundry operations, or shops such as art, theater, or maker/fabrication spaces)?
Yes
No
15. Do you conduct work on a ladder?
Yes
No
16. Will you be working with equipment that could potentially release hazardous energy (e.g. electrical, mechanical, pneumatic, hydraulic)?
Yes
No
17. Will you generate, package, handle, or ship potentially infectious waste (red bag or sharps waste)?
Yes
No
18. Will you generate, package, handle, or ship potentially infectious waste using the oversized Stericycle 360 carts in the Knapp Center for Biomedical Discovery or the Carlson Animal Resource Center?
Yes
No
19. Will you work in a machine shop or maker space or do you work with wood or metal working machines?
Yes
No
20. Do you wear personal protective equipment (body, face, eye, hearing, foot, or hand protection)?
Yes
No
21. Do your job duties require the use of a respirator?
Yes
No
22. Will you oversee construction or renovation projects in buildings which are owned or operated by the University of Chicago?
Yes
No
23. Are you engaged in the storage/handling of oils OR the operation and maintenance of oil-related equipment, such as hydraulic elevators and emergency generator fuel tanks?
Yes
No