{"id":15043,"date":"2018-11-26T20:11:57","date_gmt":"2018-11-26T20:11:57","guid":{"rendered":"https:\/\/www.highpoint.edu\/safety\/?page_id=15043"},"modified":"2021-04-28T16:07:26","modified_gmt":"2021-04-28T16:07:26","slug":"laboratory-hazard-assessment","status":"publish","type":"page","link":"https:\/\/www.highpoint.edu\/safety\/laboratory-hazard-assessment\/","title":{"rendered":"Lab Safety &#8211; Laboratory Hazard Assessment Tool"},"content":{"rendered":"<p>This form should be completed by the Principal Investigator, Lab Manager\/Supervisor, or their designee in order to conduct a laboratory hazard assessment specific to the activities performed in their laboratories. The laboratory hazard assessment identifies hazards to individuals and assists in the selection of personal protective equipment (PPE) to protect individuals during work activities. This assessment serves as a step in satisfying the requirements listed in the Occupational Safety and Health Administration (OSHA) standards <a href=\"https:\/\/www.osha.gov\/pls\/oshaweb\/owadisp.show_document?p_id=10099&amp;p_table=STANDARDS\">29 CFR 1910.1200 (Hazard Communication)<\/a> and <a href=\"https:\/\/www.osha.gov\/laws-regs\/regulations\/standardnumber\/1910\/1910.132\">29 CFR 1910.132 (General Requirements for PPE)<\/a>.<\/p>\n<p>The Laboratory Hazard Assessment should be completed at least annually or upon any new hazard or process introduced to the lab. Completed forms should be submitted to EHS by emailing safety@highpoint.edu.\u00a0 In laboratory spaces with multiple Principal Investigators, each PI should submit a Laboratory Hazard Assessment form indicative of the work he\/she performs.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p style=\"text-align: center;\"><em>Upon completion of the Laboratory Hazard Assessment, EHS will provide each PI with a copy of the Hazard Assessment and Recommendations for PPE. <\/em><\/p>\n<p style=\"text-align: center;\"><em>EHS will also install a laboratory safety door placard.<\/em><\/p>\n<hr \/>\n<p><a href=\"https:\/\/www.highpoint.edu\/safety\/files\/2018\/12\/LHAT-Definitions.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Click here<\/a> for a list of definitions.<\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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Tool<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/safety\/wp-json\/wp\/v2\/pages\/15043' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_128\" 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_6_128'>Facebook<\/label><div class='ginput_container'><input name='input_128' id='input_6_128' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_128'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_6_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Section 1: Laboratory Information<\/h2><\/li><li id=\"field_6_5\" class=\"gfield gfield--type-text 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_6_5'>Lab Location:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_6_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_6_5'>Including Building and Room Number<\/div><\/li><li id=\"field_6_85\" class=\"gfield gfield--type-text 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_6_85'>Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_6_85' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_86\" class=\"gfield gfield--type-radio gfield--type-choice 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' >Is this a shared lab space?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_86'>\n\t\t\t<li class='gchoice gchoice_6_86_0'>\n\t\t\t\t<input name='input_86' type='radio' value='Yes'  id='choice_6_86_0'    \/>\n\t\t\t\t<label for='choice_6_86_0' id='label_6_86_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_86_1'>\n\t\t\t\t<input name='input_86' type='radio' value='No'  id='choice_6_86_1'    \/>\n\t\t\t\t<label for='choice_6_86_1' id='label_6_86_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_6_86'>Are multiple PIs utilizing the laboratory?<\/div><\/li><li id=\"field_6_88\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_88'>Names of Other PIs Using the Lab:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_88' id='input_6_88' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_6\" class=\"gfield gfield--type-text 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_6_6'>Principal Investigator Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-text 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_6_7'>PI Phone Number (Cell Phone\/24 Hour Number):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Laboratory Manager\/Supervisor (if different from PI):<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_87\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_87'>Laboratory Manager\/Supervisor Phone (Cell or 24 Hour Number):<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_6_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_9\" class=\"gfield gfield--type-text 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_6_9'>Name of Individual Completing this Assessment:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_34\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Section 2 - Laboratory Hazard Assessment<\/h2><\/li><li id=\"field_6_33\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">CHEMICAL HAZARDS<\/h2><\/li><li id=\"field_6_106\" class=\"gfield gfield--type-multiselect 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_6_106'>Do you work with small volumes (&lt;4 Liters) of any of the following (press control to select multiple):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_106[]' id='input_6_106' class='medium gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Flammable\/Ignitables' selected='selected'>Flammable\/Ignitables<\/option><option value='Corrosives' >Corrosives<\/option><option value='Carcinogens' >Carcinogens<\/option><option value='Poisons' >Poisons<\/option><option value='Oxidizers' >Oxidizers<\/option><option value='Explosives' >Explosives<\/option><option value='Air\/Water Reactives' >Air\/Water Reactives<\/option><option value='None of the above' >None of the above<\/option><\/select><\/div><\/li><li id=\"field_6_107\" class=\"gfield gfield--type-multiselect 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_6_107'>Do you work with large volumes (&gt;4 Liters) of any of the following (press control to select multiple):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_107[]' id='input_6_107' class='medium gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Flammable\/Ignitables' selected='selected'>Flammable\/Ignitables<\/option><option value='Corrosives' >Corrosives<\/option><option value='Carcinogens' >Carcinogens<\/option><option value='Poisons' >Poisons<\/option><option value='Oxidizers' >Oxidizers<\/option><option value='Explosives' >Explosives<\/option><option value='Air\/Water Reactives' >Air\/Water Reactives<\/option><option value='None of the above' >None of the above<\/option><\/select><\/div><\/li><li id=\"field_6_108\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_108'>What are the most hazardous chemicals present in your lab?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_108' id='input_6_108' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_27\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with any apparatus with contents under pressure or vacuum?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_27'><li class='gchoice gchoice_6_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Yes'  id='choice_6_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_27_1' id='label_6_27_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='No'  id='choice_6_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_27_2' id='label_6_27_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_90\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with low temperatures (&lt;0\u00b0C)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_90'><li class='gchoice gchoice_6_90_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.1' type='checkbox'  value='Yes'  id='choice_6_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_1' id='label_6_90_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_90_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.2' type='checkbox'  value='No'  id='choice_6_90_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_2' id='label_6_90_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_91\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with high temperatures (&gt;100\u00b0C)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_91'><li class='gchoice gchoice_6_91_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.1' type='checkbox'  value='Yes'  id='choice_6_91_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_91_1' id='label_6_91_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_91_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.2' type='checkbox'  value='No'  id='choice_6_91_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_91_2' id='label_6_91_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_111\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you store hazardous waste in the laboratory?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_111'><li class='gchoice gchoice_6_111_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.1' type='checkbox'  value='Yes'  id='choice_6_111_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_111_1' id='label_6_111_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_111_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.2' type='checkbox'  value='No'  id='choice_6_111_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_111_2' id='label_6_111_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_37\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">BIOLOGICAL HAZARDS<\/h2><\/li><li id=\"field_6_112\" class=\"gfield gfield--type-multiselect 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_6_112'>Do you work with the following in the lab? (press control to select multiple):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_112[]' id='input_6_112' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Human blood, body fluids, tissue or other bloodborne pathogens' >Human blood, body fluids, tissue or other bloodborne pathogens<\/option><option value='Preserved animal and\/or human specimens' >Preserved animal and\/or human specimens<\/option><option value='Radioactive human blood, body fluids or bloodborne pathogens' >Radioactive human blood, body fluids or bloodborne pathogens<\/option><option value='Bacteria' >Bacteria<\/option><option value='Fungi' >Fungi<\/option><option value='Parasites\/Protozoan' >Parasites\/Protozoan<\/option><option value='Viruses' >Viruses<\/option><option value='None of the above' >None of the above<\/option><\/select><\/div><\/li><li id=\"field_6_40\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with agents or recombinant DNA classified as Biosafety Level 1 (BSL-1)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_40'><li class='gchoice gchoice_6_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Yes'  id='choice_6_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_1' id='label_6_40_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='No'  id='choice_6_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_40_2' id='label_6_40_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_39\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you conduct research that involves manipulation of cell lines, viruses, bacteria, or other organisms classified as Biosafety Level 2 (BSL-2)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_39'><li class='gchoice gchoice_6_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='Yes'  id='choice_6_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_39_1' id='label_6_39_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='No'  id='choice_6_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_39_2' id='label_6_39_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_43\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you conduct research that involves manipulation of infectious materials classified as BSL-2 facility with BSL-3 practices? (BSL-2+)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_43'><li class='gchoice gchoice_6_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='Yes'  id='choice_6_43_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_43_1' id='label_6_43_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_43_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.2' type='checkbox'  value='No'  id='choice_6_43_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_43_2' id='label_6_43_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_44\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with live animals at Animal Biosafety Level 1 (ABSL-1)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_44'><li class='gchoice gchoice_6_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Yes'  id='choice_6_44_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_44_1' id='label_6_44_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='No'  id='choice_6_44_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_44_2' id='label_6_44_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_45\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with live animals at Animal Biosafety Level 2 (ABSL-2)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_45'><li class='gchoice gchoice_6_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='Yes'  id='choice_6_45_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_45_1' id='label_6_45_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='No'  id='choice_6_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_45_2' id='label_6_45_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_115\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you store regulated medical waste in the laboratory?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_115'><li class='gchoice gchoice_6_115_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.1' type='checkbox'  value='Yes'  id='choice_6_115_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_115_1' id='label_6_115_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_115_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_115.2' type='checkbox'  value='No'  id='choice_6_115_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_115_2' id='label_6_115_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_46\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">RADIOLOGICAL HAZARDS<\/h2><\/li><li id=\"field_6_48\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with solid radioactive materials or waste?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_48'><li class='gchoice gchoice_6_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='Yes'  id='choice_6_48_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_48_1' id='label_6_48_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='No'  id='choice_6_48_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_48_2' id='label_6_48_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_51\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with radioactive materials in hazardous chemicals (corrosives, liquids, flammables, powders, etc.)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_51'><li class='gchoice gchoice_6_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='Yes'  id='choice_6_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_51_1' id='label_6_51_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='No'  id='choice_6_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_51_2' id='label_6_51_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_50\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with ultraviolet (UV) radiation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_50'><li class='gchoice gchoice_6_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Yes'  id='choice_6_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_50_1' id='label_6_50_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='No'  id='choice_6_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_50_2' id='label_6_50_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_49\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with infrared emitting equipment (e.g. glass blowing)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_49'><li class='gchoice gchoice_6_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Yes'  id='choice_6_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_49_1' id='label_6_49_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='No'  id='choice_6_49_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_49_2' id='label_6_49_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">LASER HAZARDS<\/h2><\/li><li id=\"field_6_114\" class=\"gfield gfield--type-multiselect 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_6_114'>Do you work with any of the following laser classes? (press control to select multiple):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_114[]' id='input_6_114' class='medium gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Class 1' >Class 1<\/option><option value='Class 1M' >Class 1M<\/option><option value='Class 2' >Class 2<\/option><option value='Class 2M' >Class 2M<\/option><option value='Class 3R' >Class 3R<\/option><option value='Class 3B' >Class 3B<\/option><option value='Class 4' >Class 4<\/option><option value='None of the above' >None of the above<\/option><\/select><\/div><\/li><li id=\"field_6_52\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you perform alignment, troubleshooting, or maintenance that requires any work with open beam and\/or defeating the interlock(s) on Class 3B or 4 lasers?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_52'><li class='gchoice gchoice_6_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Yes'  id='choice_6_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_52_1' id='label_6_52_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='No'  id='choice_6_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_52_2' id='label_6_52_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_53\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you handle dye laser materials, such as powdered dyes, chemicals and solvents?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_53'><li class='gchoice gchoice_6_53_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.1' type='checkbox'  value='Yes'  id='choice_6_53_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_53_1' id='label_6_53_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_53_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.2' type='checkbox'  value='No'  id='choice_6_53_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_53_2' id='label_6_53_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_58\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PHYSICAL HAZARDS<\/h2><\/li><li id=\"field_6_59\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with cryogenic liquids?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_59'><li class='gchoice gchoice_6_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='Yes'  id='choice_6_59_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_1' id='label_6_59_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='No'  id='choice_6_59_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_2' id='label_6_59_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_65\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you remove freezer vials from liquid nitrogen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_65'><li class='gchoice gchoice_6_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='Yes'  id='choice_6_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_65_1' id='label_6_65_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_65_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.2' type='checkbox'  value='No'  id='choice_6_65_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_65_2' id='label_6_65_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_64\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with very cold equipment or dry ice?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_64'><li class='gchoice gchoice_6_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='Yes'  id='choice_6_64_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_64_1' id='label_6_64_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_64_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.2' type='checkbox'  value='No'  id='choice_6_64_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_64_2' id='label_6_64_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_63\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with hot liquids, equipment, or open flames (autoclave, Bunsen burner, water bath, oil bath, etc.)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_63'><li class='gchoice gchoice_6_63_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.1' type='checkbox'  value='Yes'  id='choice_6_63_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_63_1' id='label_6_63_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_63_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.2' type='checkbox'  value='No'  id='choice_6_63_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_63_2' id='label_6_63_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_62\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you wash glassware by hand?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_62'><li class='gchoice gchoice_6_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Yes'  id='choice_6_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_1' id='label_6_62_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='No'  id='choice_6_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_2' id='label_6_62_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_61\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with loud equipment, noises, sounds, alarms, etc.?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_61'><li class='gchoice gchoice_6_61_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.1' type='checkbox'  value='Yes'  id='choice_6_61_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_61_1' id='label_6_61_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_61_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.2' type='checkbox'  value='No'  id='choice_6_61_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_61_2' id='label_6_61_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_60\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with a centrifuge?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_60'><li class='gchoice gchoice_6_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='Yes'  id='choice_6_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_1' id='label_6_60_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_60_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='No'  id='choice_6_60_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_2' id='label_6_60_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_66\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with a sonicator?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_66'><li class='gchoice gchoice_6_66_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.1' type='checkbox'  value='Yes'  id='choice_6_66_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_66_1' id='label_6_66_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_66_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.2' type='checkbox'  value='No'  id='choice_6_66_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_66_2' id='label_6_66_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_67\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with sharps?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_67'><li class='gchoice gchoice_6_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='Yes'  id='choice_6_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_67_1' id='label_6_67_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_67_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.2' type='checkbox'  value='No'  id='choice_6_67_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_67_2' id='label_6_67_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_127\" class=\"gfield gfield--type-number 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_6_127'>How many people are typically in the laboratory at one time?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_127' id='input_6_127' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_6_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">NANOMATERIAL HAZARDS<\/h2><\/li><li id=\"field_6_69\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you work with engineered nanomaterials?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_69'><li class='gchoice gchoice_6_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Yes'  id='choice_6_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_69_1' id='label_6_69_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='No'  id='choice_6_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_69_2' id='label_6_69_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_116\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Laboratory Safety Equipment<\/h2><\/li><li id=\"field_6_117\" class=\"gfield gfield--type-multiselect 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_6_117'>Please indicate which safety items are required when in the lab? (press control to select multiple):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_117[]' id='input_6_117' class='medium gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Goggles' >Goggles<\/option><option value='Gloves' >Gloves<\/option><option value='Face Shield' >Face Shield<\/option><option value='Boots' >Boots<\/option><option value='Apron\/Lab Coat' >Apron\/Lab Coat<\/option><option value='Respirator' >Respirator<\/option><option value='None of the above' >None of the above<\/option><\/select><\/div><\/li><li id=\"field_6_119\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there a stand-alone safety eyewash station located inside the lab?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_119'><li class='gchoice gchoice_6_119_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_119.1' type='checkbox'  value='Yes'  id='choice_6_119_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_119_1' id='label_6_119_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_119_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_119.2' type='checkbox'  value='No'  id='choice_6_119_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_119_2' id='label_6_119_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_121\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_6_121'>How many eyewash stations are inside the lab?<\/label><div class='ginput_container ginput_container_number'><input name='input_121' id='input_6_121' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_6_123\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there an Emergency Shower\/Eyewash Station located inside the lab?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_123'><li class='gchoice gchoice_6_123_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_123.1' type='checkbox'  value='Yes'  id='choice_6_123_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_123_1' id='label_6_123_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_123_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_123.2' type='checkbox'  value='No'  id='choice_6_123_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_123_2' id='label_6_123_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_122\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there a fire extinguisher located inside the lab?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_122'><li class='gchoice gchoice_6_122_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_122.1' type='checkbox'  value='Yes'  id='choice_6_122_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_122_1' id='label_6_122_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_122_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_122.2' type='checkbox'  value='No'  id='choice_6_122_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_122_2' id='label_6_122_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_124\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there a first aid kit located inside the lab?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_124'><li class='gchoice gchoice_6_124_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_124.1' type='checkbox'  value='Yes'  id='choice_6_124_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_124_1' id='label_6_124_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_124_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_124.2' type='checkbox'  value='No'  id='choice_6_124_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_124_2' id='label_6_124_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_125\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there a Chemical Spill Kit located inside the lab?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_125'><li class='gchoice gchoice_6_125_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_125.1' type='checkbox'  value='Yes'  id='choice_6_125_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_125_1' id='label_6_125_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_125_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_125.2' type='checkbox'  value='No'  id='choice_6_125_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_125_2' id='label_6_125_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_126\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Is there a Telephone inside the lab?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_126'><li class='gchoice gchoice_6_126_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.1' type='checkbox'  value='Yes'  id='choice_6_126_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_126_1' id='label_6_126_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_126_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.2' type='checkbox'  value='No'  id='choice_6_126_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_126_2' id='label_6_126_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">UNIQUE OR LAB-SPECIFIC ACTIVITIES<\/h2><div class='gsection_description' id='gfield_description_6_76'>If your lab conducts any additional or unique activities that were not listed on the previous page, please list the activity and list the potential hazards and PPE required. <\/div><\/li><li id=\"field_6_94\" 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\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have any unique or lab-specific activities not listed above?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_94'><li class='gchoice gchoice_6_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='Yes'  id='choice_6_94_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_94_1' id='label_6_94_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_94_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.2' type='checkbox'  value='No'  id='choice_6_94_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_94_2' id='label_6_94_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_95\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_95'>Activity Description<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_95' id='input_6_95' class='textarea medium'  aria-describedby=\"gfield_description_6_95\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_95'>Please provide a description of the laboratory activity.<\/div><\/li><li id=\"field_6_96\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_96'>Potential Hazards<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_96' id='input_6_96' class='textarea medium'  aria-describedby=\"gfield_description_6_96\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_96'>Please identify the potential hazards associated with this activity.<\/div><\/li><li id=\"field_6_97\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_97'>Recommended PPE<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_97' id='input_6_97' class='textarea medium'  aria-describedby=\"gfield_description_6_97\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_97'>Please list or identify the personal protective equipment (PPE) that will be implemented when conducting this activity.<\/div><\/li><li id=\"field_6_98\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have additional unique or lab-specific activities not listed above?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_98'><li class='gchoice gchoice_6_98_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.1' type='checkbox'  value='Yes'  id='choice_6_98_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_1' id='label_6_98_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_98_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.2' type='checkbox'  value='No'  id='choice_6_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_2' id='label_6_98_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_99\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_99'>Activity Description<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_99' id='input_6_99' class='textarea medium'  aria-describedby=\"gfield_description_6_99\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_99'>Please provide a description of the laboratory activity.<\/div><\/li><li id=\"field_6_100\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_100'>Potential Hazards<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_100' id='input_6_100' class='textarea medium'  aria-describedby=\"gfield_description_6_100\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_100'>Please identify the potential hazards associated with this activity.<\/div><\/li><li id=\"field_6_101\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_101'>Recommended PPE<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_101' id='input_6_101' class='textarea medium'  aria-describedby=\"gfield_description_6_101\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_101'>Please list or identify the personal protective equipment (PPE) that will be implemented when conducting this activity.<\/div><\/li><li id=\"field_6_102\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Do you have any additional lab-specific activities not listed above?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_102'><li class='gchoice gchoice_6_102_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.1' type='checkbox'  value='Yes'  id='choice_6_102_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_1' id='label_6_102_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_102_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.2' type='checkbox'  value='No'  id='choice_6_102_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_2' id='label_6_102_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_103\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_103'>Activity Description<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_103' id='input_6_103' class='textarea medium'  aria-describedby=\"gfield_description_6_103\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_103'>Please provide a description of the lab-specific activity.<\/div><\/li><li id=\"field_6_104\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_104'>Potential Hazards<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_104' id='input_6_104' class='textarea medium'  aria-describedby=\"gfield_description_6_104\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_104'>Please identify the potential hazards associated with the activity.<\/div><\/li><li id=\"field_6_105\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_105'>Recommended PPE<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_105' id='input_6_105' class='textarea medium'  aria-describedby=\"gfield_description_6_105\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_105'>Please list or identify the personal protective equipment (PPE) that will be implemented when conducting this activity.<\/div><\/li><li id=\"field_6_\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' 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