Forms and Documents

Building Hazard and Safety Inspection Form

Periodic building inspections and correction of identified hazards are a proactive part of NCCU's approach to employee, student and visitor safety.  Building supervisors and Employee Safety Committee members use this form to document monthly building inspections for hazards and safety compliance.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Environmental Health and Safety

NCCU Incident/Accident Reporting Form

Use the Incident/Accident Report Form to report incidents of personal injury or property damage involving NCCU employees, students or visitors to campus.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Environmental Health and Safety

NCCU Hazard Reporting Form

Use the Report a Hazard Form to alert EHS to safety concerns or items you feel may be a hazard on campus.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Environmental Health and Safety

Approved Fall 2023 Refund Schedule

This document contains details of the approved fall 2023 refund schedule. Checks will be mailed to the address on record for students who do not use the direct deposit option. Undergraduate students with loans must be enrolled in at least six credit hours to receive a refund from their loan proceeds.

Area:
Administration and Finance
Department:
Student Accounting
Audiences:
Employees,
Students,
Public
Contact Person:
Ruby Farrior

International Travel Checklist

Prior to planning any University-sponsored international travel, NCCU faculty, staff and students must thoroughly read and comply with the following policies.

Area:
Office of International Affairs
Department:
International Affairs
Audiences:
Employees,
Students,
Public
Contact Person:
James Ham

Job Hazard Assessment (JHA) Template

A job hazard assessment (JHA) is a method for identifying and evaluating hazards associated with tasks (steps) with a specific job or activity and eliminating or mitigating them prior to conducting work. A quality JHA can prevent work-related injuries or illnesses by eliminating or controlling identified hazards.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Kristin Long-Witter

Hazardous Material Waste Flow Chart

NCCU is committed to the safe disposal of waste from laboratories, including hazardous chemical and biological waste.  Waste types are regulated by local, state and federal regulations. Please refer to this chart for information on handling and disposal of specific types of waste.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Kristin Long-Witter

Slip, Trip and Fall Hazard Inspection form

This document contains the Slip, Trip and Fall Hazard inspection form. Everyone is responsible for identifying and reporting slip, trip, and fall hazards. Walk-through inspections of buildings and their surroundings are recommended at least annually using this form.

Area:
Environmental Health and Safety
Department:
Environmental Health and Safety
Audiences:
Employees,
Students,
Public
Contact Person:
Environmental Health and Safety