{"id":3003,"date":"2024-04-25T16:42:13","date_gmt":"2024-04-25T20:42:13","guid":{"rendered":"https:\/\/www.eng.ufl.edu\/safety\/?page_id=3003"},"modified":"2025-01-02T12:41:15","modified_gmt":"2025-01-02T16:41:15","slug":"hwcoe-safety-and-facilities-assessment","status":"publish","type":"page","link":"https:\/\/www.eng.ufl.edu\/safety\/forms\/hwcoe-safety-and-facilities-assessment\/","title":{"rendered":"HWCOE Safety and Facilities Assessment"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Please complete the required sections in the form for HWCOE Safety Office to assess if your project requires additional safety requirements.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/safety\/wp-json\/wp\/v2\/pages\/3003' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_55\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_55'>Email<\/label><div class='ginput_container'><input name='input_55' id='input_3_55' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_55'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_3_49\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_49' id='input_3_49' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_3_50\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_50' id='input_3_50' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><fieldset id=\"field_3_4\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of PI\/Supervisor requesting the project\/work (current or proposed)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_4'>\n                            \n                            <span id='input_3_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.3' id='input_3_4_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_4_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_3_4_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_4_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-email gfield--width-two-thirds gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Email of PI\/Supervisor<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_3_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_9'>Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_3_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='BME' >BME<\/option><option value='CHE' >CHE<\/option><option value='CISE' >CISE<\/option><option value='ECE' >ECE<\/option><option value='EED' >EED<\/option><option value='ESSIE' >ESSIE<\/option><option value='ISE' >ISE<\/option><option value='MSE' >MSE<\/option><option value='MAE' >MAE<\/option><option value='HWCOE\/College Unit' >HWCOE\/College Unit<\/option><\/select><\/div><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>Building of location scope (proposed\/current)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_3_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Room(s) of location scope (proposed\/current)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is the existing use of the space in the project?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Research Lab - (chemical, biological, physical, mechanical, radiological, shop equipment hazards, etc.)'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0' class='gform-field-label gform-field-label--type-inline'>Research Lab &#8211; (chemical, biological, physical, mechanical, radiological, shop equipment hazards, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Experiential Teaching Lab (chemical, biological, physical, mechanical, radiological hazards, shop equipment etc.)'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>Experiential Teaching Lab (chemical, biological, physical, mechanical, radiological hazards, shop equipment etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Computational Lab (desks, chairs, computers, soldering , etc.)'  id='choice_3_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_2' id='label_3_13_2' class='gform-field-label gform-field-label--type-inline'>Computational Lab (desks, chairs, computers, soldering , etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Office space\/conference room\/library etc.'  id='choice_3_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_3' id='label_3_13_3' class='gform-field-label gform-field-label--type-inline'>Office space\/conference room\/library etc.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_15\" class=\"gfield gfield--type-textarea gfield--width-eleven-twelfths gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_15'>Brief description of the scope of work. If adding equipment, include the make\/model and how it will be used in the project location.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_3_15' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_3_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which of the following best describes the scope described above?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_48'>\n\t\t\t<div class='gchoice gchoice_3_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Full Lab Renovation for New Faculty and\/or lab move'  id='choice_3_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_0' id='label_3_48_0' class='gform-field-label gform-field-label--type-inline'>Full Lab Renovation for New Faculty and\/or lab move<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Equipment addition **Does not require additional power, exhaust, cooling water or HVAC, emit hazardous gas**'  id='choice_3_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_1' id='label_3_48_1' class='gform-field-label gform-field-label--type-inline'>Equipment addition **Does not require additional power, exhaust, cooling water or HVAC, emit hazardous gas**<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_48_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Equipment addition which requires additional power, exhaust for hazardous gas\/chemicals, exhaust for heat, process\/cooling water or air, etc.)'  id='choice_3_48_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_2' id='label_3_48_2' class='gform-field-label gform-field-label--type-inline'>Equipment addition which requires additional power, exhaust for hazardous gas\/chemicals, exhaust for heat, process\/cooling water or air, etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_48_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Office\/Conference room renovation (flooring\/paint\/tv install\/power etc.)'  id='choice_3_48_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_3' id='label_3_48_3' class='gform-field-label gform-field-label--type-inline'>Office\/Conference room renovation (flooring\/paint\/tv install\/power etc.)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_48_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Converting a lab into office(s)\/conference room(s)'  id='choice_3_48_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_48_4' id='label_3_48_4' class='gform-field-label gform-field-label--type-inline'>Converting a lab into office(s)\/conference room(s)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select current hazards that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_18'><div class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Biological Materials (BSL-1, BSL-2, etc.)'  id='choice_3_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>Biological Materials (BSL-1, BSL-2, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Chemicals (Flammables, Acids, Bases, Toxic, etc.)'  id='choice_3_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2' class='gform-field-label gform-field-label--type-inline'>Chemicals (Flammables, Acids, Bases, Toxic, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Compressed Gas (Flammable, Toxic, Pyrophoric, Inert)'  id='choice_3_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_3' id='label_3_18_3' class='gform-field-label gform-field-label--type-inline'>Compressed Gas (Flammable, Toxic, Pyrophoric, Inert)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Radionuclides\/Lasers (3b, 4)'  id='choice_3_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_4' id='label_3_18_4' class='gform-field-label gform-field-label--type-inline'>Radionuclides\/Lasers (3b, 4)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Shop Equipment\/Tools (Mill, Lathe, Drill Press, Table Saws, Power Tools, etc.)'  id='choice_3_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_5' id='label_3_18_5' class='gform-field-label gform-field-label--type-inline'>Shop Equipment\/Tools (Mill, Lathe, Drill Press, Table Saws, Power Tools, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.6' type='checkbox'  value='Animal Use\/IACUC Approved Projects'  id='choice_3_18_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_6' id='label_3_18_6' class='gform-field-label gform-field-label--type-inline'>Animal Use\/IACUC Approved Projects<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.7' type='checkbox'  value='Human Subject Research'  id='choice_3_18_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_7' id='label_3_18_7' class='gform-field-label gform-field-label--type-inline'>Human Subject Research<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.8' type='checkbox'  value='UAS\/Drones (Land, Air, Water)'  id='choice_3_18_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_8' id='label_3_18_8' class='gform-field-label gform-field-label--type-inline'>UAS\/Drones (Land, Air, Water)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.9' type='checkbox'  value='Other\/Not Listed (3D printers, soldering, etc.)'  id='choice_3_18_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_9' id='label_3_18_9' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed (3D printers, soldering, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all biological hazards that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_19'><div class='gchoice gchoice_3_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Human Blood or OPIM'  id='choice_3_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1' class='gform-field-label gform-field-label--type-inline'>Human Blood or OPIM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Recombinant\/synthetic nucleic acids (rDNA)'  id='choice_3_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_2' id='label_3_19_2' class='gform-field-label gform-field-label--type-inline'>Recombinant\/synthetic nucleic acids (rDNA)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='Human Pathogens\/Acute Toxins'  id='choice_3_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_3' id='label_3_19_3' class='gform-field-label gform-field-label--type-inline'>Human Pathogens\/Acute Toxins<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Animal Pathogen'  id='choice_3_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_4' id='label_3_19_4' class='gform-field-label gform-field-label--type-inline'>Animal Pathogen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Plant Pathogen'  id='choice_3_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_5' id='label_3_19_5' class='gform-field-label gform-field-label--type-inline'>Plant Pathogen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Non-Infectious Materials'  id='choice_3_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_6' id='label_3_19_6' class='gform-field-label gform-field-label--type-inline'>Non-Infectious Materials<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.7' type='checkbox'  value='Benchtop or Floor Standing Autoclave'  id='choice_3_19_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_7' id='label_3_19_7' class='gform-field-label gform-field-label--type-inline'>Benchtop or Floor Standing Autoclave<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_19_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.8' type='checkbox'  value='Other'  id='choice_3_19_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_19_8' id='label_3_19_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_28\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_28'>Biological hazards not previously listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_3_28' class='textarea large'  aria-describedby=\"gfield_description_3_28\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_28'>Please list the hazards or equipment not listed in the biological hazard section.<\/div><\/div><fieldset id=\"field_3_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Biological related equipment that is currently present or proposed in the scope location(s)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_33'><div class='gchoice gchoice_3_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Autoclave - Floor standing (requires drain, water supply, and power)'  id='choice_3_33_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_1' id='label_3_33_1' class='gform-field-label gform-field-label--type-inline'>Autoclave &#8211; Floor standing (requires drain, water supply, and power)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='Tissue\/cell culture room (separate or built within the scope location)'  id='choice_3_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_2' id='label_3_33_2' class='gform-field-label gform-field-label--type-inline'>Tissue\/cell culture room (separate or built within the scope location)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='Biosafety Cabinet(s) (requires an EH&amp;S approved layout)'  id='choice_3_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_3' id='label_3_33_3' class='gform-field-label gform-field-label--type-inline'>Biosafety Cabinet(s) (requires an EH&amp;S approved layout)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_33_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.4' type='checkbox'  value='Refrigeration (-80, -20, etc.) **excludes flammable chemicals**'  id='choice_3_33_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_4' id='label_3_33_4' class='gform-field-label gform-field-label--type-inline'>Refrigeration (-80, -20, etc.) **excludes flammable chemicals**<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_33_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.5' type='checkbox'  value='Flammables Rated Fridge (can store flammable chemicals)'  id='choice_3_33_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_5' id='label_3_33_5' class='gform-field-label gform-field-label--type-inline'>Flammables Rated Fridge (can store flammable chemicals)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_33_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.6' type='checkbox'  value='Other\/Not Listed'  id='choice_3_33_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_33_6' id='label_3_33_6' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_35\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_35'>Biological equipment not previously listed that is currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_3_35' class='textarea large'  aria-describedby=\"gfield_description_3_35\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_35'>Please list the equipment not listed in the biological related equipment section.<\/div><\/div><fieldset id=\"field_3_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all chemical hazards that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_20'><div class='gchoice gchoice_3_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Flammable liquids (Methanol, Ethanol, Toluene, IPA, etc.)'  id='choice_3_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_1' id='label_3_20_1' class='gform-field-label gform-field-label--type-inline'>Flammable liquids (Methanol, Ethanol, Toluene, IPA, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='Toxics'  id='choice_3_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_2' id='label_3_20_2' class='gform-field-label gform-field-label--type-inline'>Toxics<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='Oxidizers (Nitrates, Nitrites, Perchlorates, Permanganates etc.)'  id='choice_3_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_3' id='label_3_20_3' class='gform-field-label gform-field-label--type-inline'>Oxidizers (Nitrates, Nitrites, Perchlorates, Permanganates etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.4' type='checkbox'  value='Peroxide Forming Chemicals (THF, Diethyl Ether, etc.)'  id='choice_3_20_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_4' id='label_3_20_4' class='gform-field-label gform-field-label--type-inline'>Peroxide Forming Chemicals (THF, Diethyl Ether, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.5' type='checkbox'  value='Organic Peroxides (MEKP, Benzoyl Peroxide, Hydroperoxides, etc.)'  id='choice_3_20_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_5' id='label_3_20_5' class='gform-field-label gform-field-label--type-inline'>Organic Peroxides (MEKP, Benzoyl Peroxide, Hydroperoxides, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.6' type='checkbox'  value='Water Reactive (Sodium\/Potassium\/Lithium Metals, Borohydrides, Metal Hydrides, etc.)'  id='choice_3_20_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_6' id='label_3_20_6' class='gform-field-label gform-field-label--type-inline'>Water Reactive (Sodium\/Potassium\/Lithium Metals, Borohydrides, Metal Hydrides, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.7' type='checkbox'  value='Pyrophoric\/Air Reactive (organometallics, butyllithium, Silanes, etc.)'  id='choice_3_20_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_7' id='label_3_20_7' class='gform-field-label gform-field-label--type-inline'>Pyrophoric\/Air Reactive (organometallics, butyllithium, Silanes, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.8' type='checkbox'  value='Acids\/Bases'  id='choice_3_20_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_8' id='label_3_20_8' class='gform-field-label gform-field-label--type-inline'>Acids\/Bases<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.9' type='checkbox'  value='Boiling or Heating Perchloric Acid or Perchlorates'  id='choice_3_20_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_9' id='label_3_20_9' class='gform-field-label gform-field-label--type-inline'>Boiling or Heating Perchloric Acid or Perchlorates<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.11' type='checkbox'  value='Hydrofluoric Acid'  id='choice_3_20_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_11' id='label_3_20_11' class='gform-field-label gform-field-label--type-inline'>Hydrofluoric Acid<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.12' type='checkbox'  value='Acutely Toxic (Cyanides, Osmium Tetroxide, Cyanogens, etc.)'  id='choice_3_20_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_12' id='label_3_20_12' class='gform-field-label gform-field-label--type-inline'>Acutely Toxic (Cyanides, Osmium Tetroxide, Cyanogens, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_20_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.13' type='checkbox'  value='Other\/Not listed'  id='choice_3_20_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_13' id='label_3_20_13' class='gform-field-label gform-field-label--type-inline'>Other\/Not listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_27\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_27'>Chemical hazards not previously listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_3_27' class='textarea large'  aria-describedby=\"gfield_description_3_27\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_27'>Please list the hazards or equipment not listed in the chemical hazard section.<\/div><\/div><fieldset id=\"field_3_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Chemical hazard related equipment that is currently present or proposed in the scope location(s)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_34'><div class='gchoice gchoice_3_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Chemical Fume Hood'  id='choice_3_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_1' id='label_3_34_1' class='gform-field-label gform-field-label--type-inline'>Chemical Fume Hood<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='Chemical Glove Box\/Inert Environment Chamber (inert gas filled chamber for oxygen\/moisture sensitive chemicals\/reactions)'  id='choice_3_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_2' id='label_3_34_2' class='gform-field-label gform-field-label--type-inline'>Chemical Glove Box\/Inert Environment Chamber (inert gas filled chamber for oxygen\/moisture sensitive chemicals\/reactions)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_34_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.3' type='checkbox'  value='Flammables Rated Fridge (can store flammable chemicals)'  id='choice_3_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_3' id='label_3_34_3' class='gform-field-label gform-field-label--type-inline'>Flammables Rated Fridge (can store flammable chemicals)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_34_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.4' type='checkbox'  value='High Temperature Ovens (May require dedicated exhaust for organic materials)'  id='choice_3_34_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_4' id='label_3_34_4' class='gform-field-label gform-field-label--type-inline'>High Temperature Ovens (May require dedicated exhaust for organic materials)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_34_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.5' type='checkbox'  value='Other\/Not Listed'  id='choice_3_34_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_34_5' id='label_3_34_5' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_36\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_36'>Chemical hazard related equipment not previously listed that is currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_36' id='input_3_36' class='textarea large'  aria-describedby=\"gfield_description_3_36\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_36'>Please list the equipment not listed in the chemical hazard related equipment section.<\/div><\/div><fieldset id=\"field_3_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all compressed gases that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_22'><div class='gchoice gchoice_3_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Pyrophoric\/Air Reactive Gas (Silanes, Organometallics, Phosphine, Arsine, etc.)'  id='choice_3_22_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_1' id='label_3_22_1' class='gform-field-label gform-field-label--type-inline'>Pyrophoric\/Air Reactive Gas (Silanes, Organometallics, Phosphine, Arsine, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Flammable Gas (Hydrogen, Methane, Ethane, CO, Propane, etc.)'  id='choice_3_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_2' id='label_3_22_2' class='gform-field-label gform-field-label--type-inline'>Flammable Gas (Hydrogen, Methane, Ethane, CO, Propane, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Toxic Gas (Phosgene, Hydrogen Sulfide, Ammonia, HF, Nitric Oxide, Fluorine, Chlorine, etc.)'  id='choice_3_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_3' id='label_3_22_3' class='gform-field-label gform-field-label--type-inline'>Toxic Gas (Phosgene, Hydrogen Sulfide, Ammonia, HF, Nitric Oxide, Fluorine, Chlorine, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Oxidizing Gas (Oxygen, Nitrous Oxide, etc.)'  id='choice_3_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_4' id='label_3_22_4' class='gform-field-label gform-field-label--type-inline'>Oxidizing Gas (Oxygen, Nitrous Oxide, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Corrosive Gas (HF, Hydrogen Chloride, Sulfur Dioxide, etc.)'  id='choice_3_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_5' id='label_3_22_5' class='gform-field-label gform-field-label--type-inline'>Corrosive Gas (HF, Hydrogen Chloride, Sulfur Dioxide, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Cryogenic Liquids (Liquid Nitrogen\/CO2\/Oxygen, etc.)'  id='choice_3_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_6' id='label_3_22_6' class='gform-field-label gform-field-label--type-inline'>Cryogenic Liquids (Liquid Nitrogen\/CO2\/Oxygen, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='Non-Flammable gas (nitrogen, argon, helium, etc.)'  id='choice_3_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_7' id='label_3_22_7' class='gform-field-label gform-field-label--type-inline'>Non-Flammable gas (nitrogen, argon, helium, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='Gas Mixture\/Other Compressed Gas Not Listed'  id='choice_3_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_22_8' id='label_3_22_8' class='gform-field-label gform-field-label--type-inline'>Gas Mixture\/Other Compressed Gas Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_29\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_29'>Compressed gas and\/or mixtures not previously listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_3_29' class='textarea large'  aria-describedby=\"gfield_description_3_29\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_29'>Please list the gas or mixtures not listed in the compressed gas section.<\/div><\/div><fieldset id=\"field_3_38\" class=\"gfield gfield--type-consent gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Flammable, Highly Toxic, and Pyrophoric gases have strict limitations on quantities allowed and quantities decrease in relation to the lab&#039;s floor above grade (i.e., 1st floor vs. 4th floor). Exhausted gas cabinets and\/or enclosures may be used to increase limits but will result in delays and increased costs if not conveyed in this form.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_38.1' id='input_3_38_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_38\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_38_1' >I agree to convey the lab&#8217;s location as soon as it is known via email to safety@eng.ufl.edu<\/label><input type='hidden' name='input_38.2' value='I agree to convey the lab&#039;s location as soon as it is known via email to safety@eng.ufl.edu' class='gform_hidden' \/><input type='hidden' name='input_38.3' value='1' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_38' tabindex='0'>Scope location(s) is vital to calculate the amount of flammable, highly toxic, and pyrophoric gas allowed per National Fire Protection Association code.<\/div><\/fieldset><fieldset id=\"field_3_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all radiological hazards that are are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_23'><div class='gchoice gchoice_3_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Irradiator'  id='choice_3_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_1' id='label_3_23_1' class='gform-field-label gform-field-label--type-inline'>Irradiator<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Sealed Sources'  id='choice_3_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_2' id='label_3_23_2' class='gform-field-label gform-field-label--type-inline'>Sealed Sources<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Radioactive Materials\/Waste (P-32, I-125, S-35, H-3\/C-14, etc.)'  id='choice_3_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_3' id='label_3_23_3' class='gform-field-label gform-field-label--type-inline'>Radioactive Materials\/Waste (P-32, I-125, S-35, H-3\/C-14, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='X-Ray Generator Shielded (XRD)'  id='choice_3_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_4' id='label_3_23_4' class='gform-field-label gform-field-label--type-inline'>X-Ray Generator Shielded (XRD)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='X-Ray Generator Unshielded'  id='choice_3_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_5' id='label_3_23_5' class='gform-field-label gform-field-label--type-inline'>X-Ray Generator Unshielded<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='Laser Systems (Class 3b, Class 4, Laser Microscopes, etc.)'  id='choice_3_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_6' id='label_3_23_6' class='gform-field-label gform-field-label--type-inline'>Laser Systems (Class 3b, Class 4, Laser Microscopes, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.7' type='checkbox'  value='Other\/Not Listed'  id='choice_3_23_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_7' id='label_3_23_7' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.8' type='checkbox'  value='GC\/Mass Spec with ECD'  id='choice_3_23_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_8' id='label_3_23_8' class='gform-field-label gform-field-label--type-inline'>GC\/Mass Spec with ECD<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_23_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.9' type='checkbox'  value='Other\/Not Listed'  id='choice_3_23_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_23_9' id='label_3_23_9' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_30\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_30'>Radiological hazards not previously listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_3_30' class='textarea large'  aria-describedby=\"gfield_description_3_30\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_30'>Please list the radiological hazards or equipment not listed in the radiological hazard section.<\/div><\/div><fieldset id=\"field_3_24\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all shop related hazards\/equipment are currently present or proposed in the scope location(s)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_24'><div class='gchoice gchoice_3_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='Hot Work (Welding, Grinding Metal, Brazing, Flame or Spark Producing work)'  id='choice_3_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_24_1' id='label_3_24_1' class='gform-field-label gform-field-label--type-inline'>Hot Work (Welding, Grinding Metal, Brazing, Flame or Spark Producing work)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='Floor Standing Drill Press, Lathe, Mill, Waterjet, Table Saw'  id='choice_3_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_24_2' id='label_3_24_2' class='gform-field-label gform-field-label--type-inline'>Floor Standing Drill Press, Lathe, Mill, Waterjet, Table Saw<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='Forklift\/ Aerial Lift'  id='choice_3_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_24_3' id='label_3_24_3' class='gform-field-label gform-field-label--type-inline'>Forklift\/ Aerial Lift<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_24_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.4' type='checkbox'  value='Dust\/particle Generating Activities (grinding, fine powder use, etc.)'  id='choice_3_24_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_24_4' id='label_3_24_4' class='gform-field-label gform-field-label--type-inline'>Dust\/particle Generating Activities (grinding, fine powder use, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_24_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.5' type='checkbox'  value='Other\/Not Listed'  id='choice_3_24_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_24_5' id='label_3_24_5' class='gform-field-label gform-field-label--type-inline'>Other\/Not Listed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_31\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_31'>Shop hazards not previously listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_3_31' class='textarea large'  aria-describedby=\"gfield_description_3_31\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_31'>Please list the shop hazards or equipment not listed in the shop hazard section.<\/div><\/div><div id=\"field_3_25\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_25'>Other Hazards Not Listed that are currently present or proposed in the scope location(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_3_25' class='textarea large'  aria-describedby=\"gfield_description_3_25\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_25'>Please list the hazards or equipment not listed in question &#8220;Select current hazards that are present or proposed in the scope location(s)&#8221;<\/div><\/div><fieldset id=\"field_3_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does the scope include equipment with special voltage requirements higher than 110v?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_51'>\n\t\t\t<div class='gchoice gchoice_3_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Yes'  id='choice_3_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_51_0' id='label_3_51_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='No'  id='choice_3_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_51_1' id='label_3_51_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does the scope include equipment that relies on other equipment to run? (i.e., chilling unit, large UPS, or operating workstation)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_52'>\n\t\t\t<div class='gchoice gchoice_3_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Yes'  id='choice_3_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_52_0' id='label_3_52_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='No'  id='choice_3_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_52_1' id='label_3_52_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does the scope include equipment with special space requirements?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_53'>\n\t\t\t<div class='gchoice gchoice_3_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Yes'  id='choice_3_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_53_0' id='label_3_53_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='No'  id='choice_3_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_53_1' id='label_3_53_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does the scope include equipment that requires special utility attachments? (i.e., compressed gas, vacuum, compressed air)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_54'>\n\t\t\t<div class='gchoice gchoice_3_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Yes'  id='choice_3_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_54_0' id='label_3_54_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='No'  id='choice_3_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_54_1' id='label_3_54_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_44\" class=\"gfield gfield--type-consent gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Scope of Project\/Work Mandatory Updating Requirement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_44.1' id='input_3_44_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_44_1' >I agree to update HWCOE Safety and Facilities to changes that occur in the scope of this project by emailing safety@eng.ufl.edu to prevent any delays and\/or additional costs related to the project.<\/label><input type='hidden' name='input_44.2' value='I agree to update HWCOE Safety and Facilities to changes that occur in the scope of this project by emailing safety@eng.ufl.edu to prevent any delays and\/or additional costs related to the project.' class='gform_hidden' \/><input type='hidden' name='input_44.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_3_45\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_3_45'>Upload equipment list, proposed layout, and\/or any other relevant information.<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_45' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_45&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_45&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_45&quot;,&quot;filelist&quot;:&quot;gform_preview_3_45&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.eng.ufl.edu\\\/safety\\\/?gf_page=d5a7b4dac94d8ef&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.eng.ufl.edu\\\/safety\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.eng.ufl.edu\\\/safety\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf,ppt&quot;}],&quot;max_file_size&quot;:&quot;5120000b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:3,&quot;field_id&quot;:45,&quot;_gform_file_upload_nonce_3_45&quot;:&quot;c544a0e71c&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_3_45&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_3_45' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_45' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_45 gfield_description_3_45\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_45'>Accepted file types: jpg, gif, png, pdf, ppt, Max. file size: 5 MB, Max. files: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_45'><\/ul> <div id='gform_preview_3_45' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_3_45'>Please email additional files or files over the 5MB limit to safety@eng.ufl.edu.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <button type='button'  id='gform_save_3_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='{&quot;theme&quot;:&quot;gravity-theme&quot;,&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            <input type='hidden' class='gform_hidden' name='gform_save' id='gform_save_3' value='' \/>\n                             <input type='hidden' class='gform_hidden' name='gform_resume_token' id='gform_resume_token_3' value='' \/>\n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' 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