Equipment Loan Request

Request loans of first aid kits, satellite communication devices and more.

Complete and submit the form below.

Field Safety Equipment Request

Section A: Researcher Information

Name

Department

Email address

PI, Supervisor, or Program

Section B: Equipment Loans

Are you interested in checking out a satellite communication device?

Yes

Trip start date

Trip end date

Field Research Location

Be specific. For example: “Parque Ecologico Las Orquideas, Honduras, and surrounding national parks within a 4-hour drive” or “Plumas National Forest, California, between Greenville and Antelope Lake.”

How long would it take to travel from your research sites to the nearest hospital?

Brief summary of field research activities and unique hazards

For example: “Forest vegetation census with a crew of 4 people” or “Sampling benthic invertebrates in streams, often working alone.”

Are you interested in checking out a first aid kit?

Yes

Are you interested in checking out a portable AED?

Yes

Section C: Field Safety Plan

We ask researchers to send a written Field Safety Plan before checking out equipment or taking a course.

Please attach your Field Safety Plan

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Do not fill out this field