Resource Index

Forms

Appendix B - Asbestos Sampling Requisition Form
Appendix C - Asbestos Work Requisition/Permit Form
Referral Form for Ergonomic Consultation **Pricing for Ergonomic Assessments is increasing. Access to the both the Referral Consultation and the Consultation follow up forms have been temporarily suspended. Please check back in a few days. Access will be restored once the pricing update has been completed.
Ergonomic Consultation Follow Up Form
Hoist and Crane Registration Form
Joint Health and Safety Committee - Recommendation Form (PDF 482.5 KB)
Respirator Screening Submission Form
Safety Officer Contact Information Update Form
Student/Employee Orientation Checklist (PDF 366 KB)
Safety Supplies Order Form (XLS 14 KB) - You will need to download and complete this form, save it and then submit it via email to safety@queensu.ca **Please Note: Safety Supplies will now only be delivered once a week on Fridays. In order to receive delivery on Friday you MUST submit your request by noon on the Thursday.

Radiation - Laser & X-Ray Safety

Contamination Control Records (PDF 33 KB)
Contamination Control Spreadsheet (XLS 34 KB)
Laser Registration Form
Radiation Inventory (PDF 41 KB) Word Version
X-Ray Registration Form
Aqueous Waste Spreadsheets
- 32P Spreadsheet (XLS 15.5 KB)
- 33P Spreadsheet (XLS 15.5 KB)
- 35S Spreadsheet (XLS 15.5 KB)
- 125I Spreadsheet (XLS 28 KB)
- 51Cr Spreadsheet (XLS 15.5 KB)

Waste Disposal

Please use the link below to be directed to the Waste Disposal Form. For Radioactive waste disposal email: jamie.coad@queensu.ca and tom.martinek@queensu.ca for specific instructions.

Waste Disposal Form
For a large amount of chemicals, or a mix of waste types (i.e. biological, chemical, empty etc.) fill out the excel sheet below and upload it in section 11 of the Waste Disposal form listed directly above.
- Chemical Waste Disposal Excel Sheet (XLSX 16.4 KB) - (for bulk disposal submissions, download this excel sheet, fill it out and upload it on the Chemical Waste form listed directly above)

For specific waste disposal information and assistance contact Tom Martinek at ext. 74976 or email tom.martinek@queensu.ca

WSIB

WSIB Form 6 - Workers Report of Injury/Disease (PDF 261.6 KB)
WSIB Form 2647 - Functional Abilities Form For Timely Return to Work (PDF 143.6 KB)
Incident Report Fillable Form (PDF, 779 KB)

View Insurance Claims & Forms page

Request Certificate of Insurance Form
Waiver Template (Doc, 176 KB)
Informed Consent Template (Doc, 173 KB)
Vehicle Incident Report Form
University Property Incident Report Form
Vehicle Acquisition Form
New Driver Profile Form

View RSS Resources & Policies page

Event Services Food Forms

Procedures

Should you be involved in any of the possible emergency situations detailed below, knowledge of the appropriate procedures to follow will greatly reduce the threat of harm to yourself and others. If you have any questions or concerns regarding the following procedures, do not hesitate to contact us via email at campus.security@queensu.ca or by phoning 613-533-6733.

Providing Assistance to People with Disabilities during an Emergency

Non-Ambulatory

The person in charge of each class, meeting or other activity must ensure that each person who is non-ambulatory receives assistance from two helpers:

The helpers assist this person to proceed to the nearest safe exit or stairwell on that floor.
One helper is to remain, while the other proceeds to the ground level exit to notify the fire department, police or campus security, which will complete the rescue.

Elevators are not used unless specifically operated by fire fighting personnel.

Visually impaired

The person in charge of each class, meeting or other activity must ensure that the nature of the emergency is explained to the individual quickly and clearly. The person must then be guided to the nearest safe exit and provided any further assistance necessary.

Hearing impaired

The person in charge of each class, meeting or other activity must ensure that the nature of the emergency is explained by speaking slowly, clearly or by writing a note to the individual quickly and clearly.

The person must then be guided to the nearest safe exit and provided any further assistance necessary.

University members are obligated to assist these community members, if they are on their own, during building evacuations and other emergencies.

Environmental Health and Safety Policies & Procedures

The University policies listed below are specific to the area of health and safety and have been created, and are maintained by, the Department of Environmental Health and Safety. Queen's is committed to an inclusive campus community with accessible goods, services, and facilities that respect the dignity and independence of persons with disabilities. The Adobe Acrobat (pdf), Word (doc) and Excel (xls) files found on this site are available in an accessible format or with appropriate communication supports upon request. Please contact safety@queensu.ca if you need any assistance.

Policies

Weapons and Replica Weapons Policy

Queen’s University is committed to providing a safe and secure environment for University Community Members. Accordingly, the presence of Weapons and Replica Weapons are prohibited on Queen’s University Property.

This Policy outlines the conditions under which an exception to the use of Weapons and Replica Weapons on University Property can be approved, the process for requesting approval, and identifies authority for addressing non-compliance issues.

The Queen's University Weapons and Replica Weapons Policy was updated in November 2023. The most current version of the policy can be found in the University Policy Library

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If you wish to apply for an exemption under this policy, please print out and complete the Weapons Policy Request Form.

The form should then be passed to your dean, director or department head for their concurrence and then forwarded to the director of Campus Security for approval.

Queen's University Policies and Terms of Reference

The University policies listed below have been approved by the Senate and/or the Board of Trustees and can be accessed from the website of the Queen's University Secretariat and Legal Counsel.