Registration of Laser Worker Form
Registration for work with Class 3B Lasers in the Cardiff University School of Biosciences Confocal Unit.
Full Name *
(first name, surname)
Your answer
Email Address *
Your answer
Contact Telephone Number
Your answer
Contact Address *
Your answer
University Status *
(staff/student etc)
Your answer
Staff Number
(if applicable)
Your answer
Supervisor *
Your answer
Supervisor Staff Number
Your answer
Start Date
(date of starting work with lasers)
MM
/
DD
/
YYYY
Expected End Date
(if applicable)
MM
/
DD
/
YYYY
Laser Training
I confirm that I have received laser safety training from a member of Confocal Unit staff.
Tick to confirm *
Required
Previous Work With Lasers
(include dates, location and laser classes used)
Your answer
Any Additional Laser Training
(include dates, location, laser classes used and type of training - eg, lectures, etc)
Your answer
Declarations
I confirm that I have read and understood the latest Confocal microscopy risk assessment. *
Required
I confirm that I will abide by the Rules & Regulations of the Bioimaging Unit. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service