Science Security Access Request Template To be completed by supervisor Do not scan this form, please submit in word format Supervisor Name: Faculty / School / Institute: Provide a description for the type of access required. Please Building (s) Staff / Student Floor (s) Access List Staff / provide as much detail as possible to assist Access Key Cabinet Last / Honorary Use new floor Access First Name Student / (specify what Name number Honorary e.g. after hours, standard hours, general floor, foyer, Bldg. 4 keys) lifts (ID Number) scheme, workspace access Bldg. 7 Example: Example: Example: Example: Example: Requires general floor access and lab access to Example: Example: Example: Example: level & Doe John Student 000000 Environment Research labs or general office space only etc. 4 and 7 5 Thomas st: lab key, glass lvl 2,3,4,6 house key etc.. Harris st: Lvl 2,3,4,6 By completing and submitting this form you are declaring the person(s) listed in the above table have completed all essential training, induction processes and risk assessments.
Science Security Access Request Template To be completed by supervisor Do not scan this form, please submit in word format Supervisor Name: Faculty / School / Institute: Last Name First Name Staff / Student / Honorary Staff / Student / Honorary (ID Number) Provide a description for the type of access required. Please provide as much detail as possible to assist e.g. after hours, standard hours, general floor, foyer, workspace access Building (s) Access Bldg. 4 Bldg. 7 Floor (s) Access Use new floor number scheme, List Access lifts Key Cabinet (specify what keys) Example: Doe Example: John Example: Student Example: 000000 Example: Requires general floor access and lab access to Environment Research labs or general office space only etc. Example: 4 and 7 Example: 5 Example: Thomas st: lvl 2,3,4,6 Harris st: Lvl 2,3,4,6 Example: level & lab key, glass house key etc.. By completing and submitting this form you are declaring the person(s) listed in the above table have completed all essential training, induction processes and risk assessments.
sci-security-access-request-form.docx