Safety Forms

Safety Foms are an aid to standardise the entry of Safety data. Safety Forms issued from Safety Rules are considered as being part of these Safety Rules and therefore are MANDATORY. The other Safety Forms are not part of the Safety Rules, but their use is strongly recommended.

Chemical Safety (C)

SF C-1-0-3 – Test of safety showers / eyes washes

SF C-1-0-4 – Respirator Use

SF C-2-0-1 – Explosion risk assessment

SF C-2-0-2 – Classification of hazardous areas

SF C-2-0-3 – Declaration/ Cancellation of the use of flammable gas in an experimental area

SF C-3-0-1 – Exposure Form for hazardous chemicals and CMR

Mechanical Safety (M)

SF-M-4-0-1 – Workshop hazard identification and conformity assessment

SF-M-4-0-3 – Workstation task sheet

Radiation Protection (RP)

Internal transfer document for Basic Nuclear Material

Safety Incident Management (SIM)

Incident Decleration Form

Incident Declaration form on EDH

Occupational Health and Safety (SH)

Disabling of level 3 alarm

Refer to IMPACT

OHS-0-0-3 – Identification of occupational risks

Refer to EDH

SF-OHS-0-0-1 & 0-0-2 – Risk assessment

The purpose of these Safety Forms is to aid in the implementation of the risk assessment process laid down in the framework of the Safety Regulation SR-OHS – Occupational Health and Safety.

SF-SH-0-0-8 – Event

This Safety Form is to be completed by the organiser of an event to inform the HSE Unit and provide the data needed for defining security requirements.

When necessary safety inspections (general, electrical, structural, etc.) will take place before the start of the event.

To help you in organising your event, the Safety Guide “15 key issues to address the safety aspect of your event” is available on the official website of safety rules (https://edms.cern.ch/document/1274277/4).

SF-SH-1-0-1 – Request of official guided visit

This Security Form SF-SH-1-0-1 “Official Guided Tour Request” is a tool to assist in the implementation of General Safety Instruction GSI-SH-1 “Visits to the field of CERN “for any official guided tour for which there is no Safety Visit file. This Safety Form is for the relevant partners; it will be adapted according to the possible evolution of the tour circuit.

SF-SH-4-0-1 – Estimate the Daily Exposure Level to noise

This Safety Form applies a methodology to estimate the Daily Exposure Level of a person to Noise.

Safety Organisation (SO)

SF-SO-12-0-1 – Agreement concerning the use of work equipment in CERN workshops by members of personnel

In accordance with General Safety Instruction GSI-SO-12, this agreement must be signed whenever an operator, who is a member of the personnel and not part of the group that owns or manages the workshop uses such workshop for the first time. The terms of reference of the Workshop Supervisor and the definitions of the terms used in this agreement are set out in the General Safety Instruction GSI-SO-12.

SF-SO-12-0-2 – Agreement concerning the use of work equipment in CERN workshops by a contractor

In accordance with General Safety Instruction GSI-SO-12, this agreement must be signed whenever an operator, who works for a CERN contractor uses such workshop for the first time. The terms of reference of the Workshop Supervisor and the definitions of the terms used in this agreement are set out in the General Safety Instruction GSI-SO-12.

Worksite Safety (WS)

Entry permit for work in a confined space

SF-WS-1-0-3 – Prevention plan

Safety Form for the writing of prevention plans

SF-WS-1-0-4 – Simplified Prevention Plan

Safety Form for the writting of simplified prevention plans