and fill-in SCMB KEY/CARD AUTHORISATION FORM

SCMB KEY / CARD AUTHORISATION:
(Submit form: Room 68-308, Mon-Fri, 12:00pm - 1:00pm)
Family Name:
Given Name:
Student / Staff Number:
Supervisor:
If you are NOT a staff member appointed by SCMB or a student enrolled in SCMB:
• Which UQ or other Org Unit are you primarily associated with: __________________________________________________
• Which SCMB staff member or Scientific Facility are you working with: _______________________________________
Your application will be reviewed by the SCMB School Manager.
For first key or card issue only:
Office you are assigned:
Course / Position:
Mobile Phone Number:
Expected Finish Date:
Email Address:
Evidence of completion of each of the relevant inductions listed below must be shown to the Key Officer.
Email completion certificates from Blackboard can be forwarded to: [email protected]

Annual Fire Safety

Laboratory Safety
These 7 Online Inductions are accessed
through the UQ Blackboard Training
Site. Inductions relevant to access
needs should be completed before
application for access is made.
Everyone:
Staff (Fixed term & Continuing):
Lab Users:
Lab Users:
OGTR/PC2 Lab Users:





General Workplace Safety
Code of Conduct
Sustainability (Laboratory)
Chemical Safety
Biosafety
Staff & RHD:

EO Online
- within 1 month of starting
Everyone:

SCMB General OH&S INDUCTION
- within 1 month of starting - see notice in lift foyers for
course dates and times
STAFF ONLY: (includes Visitors, Occupational Trainees, Volunteers etc) You must have the following HR approval signed and dated
before any keys or cards can be issued. Take this form to Building 68 Level 3 Admin for an authorised HR Officer to complete:
Contract:
Commencement Date:
Expiry Date:
HR Officer:
Date:
Access for undergraduate students (including Honours) is 8.00am to 6.00pm, Monday to Friday unless the supervisor
explicitly specifies otherwise and a “Working After Hours” form is completed and submitted.
ACCESS REQUESTS:
Bldg
Room / Facility and
Time Restriction
Authorised by
(Please Print)
Authorised by
(Signature)
Date
Expiry Date
Key / Card Issue
ISSUED:
RETURNED:
ISSUED:
RETURNED:
ISSUED:
RETURNED:
ISSUED:
RETURNED:
By signing an Authorisation for key or card issue, the Authorising Person (usually the Supervisor) acknowledges that any necessary training for the area
requested has been successfully undertaken by the person identified above: Expiry Date for keys is usually at end of course of study or contract.
Creation Date: 07/02/07
Revision Date: 27/6/16
Created by: Greg Rees
KCA.20170315.docx
For School building access, see Greg Rees or Jasmyn Cridland in 68-308 between 12:00pm and 1:00pm every normal working day.