Environmental Health & Safety
Forms
Glastonbury Public Schools requires forms and permits for specified safety operations. Completed forms are to be submitted to Lori Pacifici, Safety Compliance Administrative Assistant at PacificiL@Glastonburyus.org.
Required for all contractors working on Glastonbury school district properties and must be approved prior to any work being initiated. Permit approval requests must be made a minimum of 3 days prior to site work. Form was revised on 4/11/2017. It is a template that can be completed using Microsoft Word.
Required by OSHA Bloodborne Pathogens Program for Category 1 employees declining the option of receiving Hepatitis B shots
Welding activities and other similar activities require prior approval via Hot permit
Any pesticides being applied to Glastonbury Public School property must be approved by pesticide permits
Submit completed form to Dr. Kenneth Roy