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Institutional Animal Care and Use Committee

OHSP Forms

Everyone (employees/students) engaged in animal care and use programs at K-State must enroll in the Occupational Health and Safety Program. To initiate the enrollment process, first, fill out and sign OHSP Form 1 (Occupational Risk Assessment) and email to comply@ksu.edu. Second, fill out and sign OHSP Form 2 (Health Risk Assessment) and email to Via Christi Occupational Health at Francis.Koopman@via-christi.org. If you should have any questions please contact the URCO by phone (785) 532-3224 or email at comply@ksu.edu. Email is the preferred method to deliver the forms; fax numbers and physical addresses are on the forms if needed.

INITIAL ENROLLMENT:

OHSP Form 1 - Occupational Risk Assessment  Word Document - Students and/or workers must complete this form and attached fact sheet confirmation, and mail or scan and email to URCO at comply@ksu.edu to ENROLL in the OHSP.  Despite enrollment, you are not cleared until the Occupational Health Professional at Via Christi sends your clearance form to URCO.  

OHSP Form 2 - Health Risk Assessment Word Document - Students and/or workers must complete this form, then scan and email to Via Christi Occupational Health at Francis.Koopman@via-christi.org as the second step in the OHSP enrollment process.

ANNUAL REASSESSMENT:

OHSP Form 4 - Annual Reassessment  Word Document - Every year, or if animal work or personal health status changes, personnel enrolled in the OHSP need to fill out form 4 and return to comply@ksu.edu.  If you have changes in your health status or animal activities, also complete Form 5 (below).

OHSP Form 5- Health Risk Reassessment Follow-up  Word Document - If you indicated a change in health or animal activity status on an annual reassessment (Form 4), complete and email this form to Via Christi Occupational health at Francis.Koopman@via-christi.org.

OHSP Annual Reassessment Process Scheamatic Word Document

OHSP Enrollment Schematic Word Document