A JSA describes job tasks in step-by-step fashion, identifies associated hazards at each step, and outlines proper hazard controls that minimize the risk of injury or illness to the individual(s) performing that task.
This form authorizes EH&S to recharge the account specified below whenever a department representative signs a Materials Packing List (MPL), or whenever a Hazardous Materials Management Team member completes and signs an MPL for routine bulk material pick-ups (i.e., oil, photographic waste,etc.). To establish your Chemical Waste Disposal Account, complete this form, obtain an authorized signature, and send the form to:
EH&S, Hazardous Materials Management Team, 317 University Hall, MC 1150 ; or fax it to (510) 643-7595; or email to...
Complete all of the information on the form. For additional instructions, double click on the question marks on the PDF. Print one copy to sign and send to EH&S and print one copy to keep for your records. Fax or mail the completed Recharge Authorization Form to the Office of Environment, Health & Safety.
FAX number: 643-7595 Campus Address: EH&S, University Hall, Room 317, MC 1150
Questions about this form or your recharge account?