Breadcrumb
Environmental Health & Safety
Commonly Used Forms
Report unsafe conditions, hazards, or work practices to help keep our campus community safe.
Request a hazardous waste pickup from EH&S for proper handling, transportation, and disposal of hazardous materials.
All reportable spills are required to be submitted within 24 hours of the event.
Lab Specific Info:
- As a general rule, a small (non-emergency) spill of a chemical that can be wiped up with a paper towel is not considered a reportable lab accident, but is considered general housekeeping. Any large spills, extremely hazardous spills, spills requiring neutralization or spills involving other damage should be reported and must be addressed by faculty or staff (see Cal Poly Humboldt's Spill Response guidance document).
- Getting chemical on oneself that requires either copious flushing for 15 mins or more (not simple handwashing), changing of clothes, neutralization, treatment or is toxic by absorption, corrosive or otherwise hazardous to health(carcinogenic, teratogenic, sensitizing, etc.) MUST be reported on this form. Determining whether an "injury" has occurred due to chemical exposure is done on a case-by-case basis depending on chemical type, location of exposure etc... please use your judgement when reporting a lab accident as an "injury".
- All spills of any chemical on a student or to determine if it is a housekeeping spill or a "reportable accident" must be reported to the faculty for assessment in all cases. If unsure whether it should be reported on this form, choosing to over-report so that tracking and trending can occur and to ensure EH&S can follow-up as needed is best.
Student-related Property Damage Reports are required to be submitted within 24 hours of the event.
Additional Info:
If the incident involves a motor vehicle, complete the Motor Vehicle Accident Report.
lick here for formAll Student Injuries are required to be submitted within 24 hours of the event.
***If Student Is Sent for Formal Medical Attention (i.e. Hospital/Clinic/Primary Click here for form.Care Physician/etc.) Related to the Incident - Immediately Notify UPD Non-Emergency Line @ 707-826-5555***
EH&S Home
EHS, as part of Risk Management & Safety Services, works with the staff and faculty of Cal Poly Humboldt to provide a safe and healthful workplace. EHS develops and implements various programs in order to minimize the risk of occupationally related injury or illness. This is accomplished through integrated steps of hazard identification, evaluation, and control, employee training and incident/accident investigation. In addition, EHS is a resource for information and technical guidance on occupational safety and environmental health information, work practices, regulations, etc. Please feel free to contact us regarding any safety questions.

Staff
| Name | Title | Phone Extension |
|---|---|---|
| Cris Koczera | Assoc Vice President of Campus Resilience & Response | 4635 |
| Xena Pastor-Nuila | Interim Director of EH&S/Emergency Mgmt. | 5711 |
| Tianna Nourot | EH&S Analyst | 3305 |
| Krista Botkin | EH&S Analyst | 3612 |
Environmental Health
The environmental health function of EHS oversees a wide spectrum of programs focused on the protection of the local environment. Programs include hazardous waste management, medical waste management, Hazmat business plan chemical inventory, emergency response to hazardous materials releases and compliance oversight of storm and waste water programs.
Training classes are provided for employees and, at a minimum, include hazardous and medical waste management, bloodborne pathogens control, hazard communication, best chemical inventory management practices, emergency response to chemical releases and general lab safety.
The division also acts as the liaison with various regulatory agencies to insure campus wide compliance with federal, state and local environmental health regulations. To promote compliance, EHS conducts routine inspections and notifies departments of required corrections.
Occupational Safety
The Safety program focuses on the identification, evaluation, and control of hazards in the workplace. It is inherently broad in its scope covering items such as work area safety surveys, accident/incident investigations, electrical safety, indoor air quality, ergonomics, hand and power tool safety, personal protective equipment, injury prevention plans, construction safety, chemical and noise exposure assessments, radiation safety, respiratory protection, back/lifting safety, safety training and numerous other related topics. EHS identifies the applicable regulatory requirements, develops compliance programs to meet the requirements, and then provides consultative direction and technical support to departments to implement the safety programs pertinent to their department.
Office Location
Risk Management and Safety Services is located in the Student & Business Services Building, at the corner of Harpst and Rossow Streets, Suite 311 on the third floor.
Contact Information
Email: risk-management@humboldt.edu
Cal Poly Humboldt
1 Harpst Street
Arcata, CA 95521-8299
Phone: (707) 826-4635
Fax: (707) 826-3312
Hours
Monday through Friday, 8:00 am to 12:00 noon and 1:00 pm to 5:00 pm.



