Special Resources » Forms: Environmental Health & Safety
Download forms for workplace safety and health. Examples: job hazard analysis forms, confined entry permit form, TRI forms, building evacuation plan form, JCAHO medical errors reporting form, ergonomics cost / benefit form, etc.
The following is the collection of special resources throughout the library. Click on main category / sub-category for that section of the library OR Click on resource title for immediate access to the resource.
Accident Investigation Tool ![[pdf]](graphics/file_pdf.gif)
[34995] 
The major data components of a Supervisor Accident Report - what is included in an accident investigation
[34995] The major data components of a Supervisor Accident Report - what is included in an accident investigation
Accident/Illness Reporting and Recording Procedures & Forms [18903]
Sample procedures and forms in use by a US government agency
[18903] Sample procedures and forms in use by a US government agency
Root Cause Accident Analysis [34996]
A form to be used as a tool for root cause analysis of accident / injury
[34996] A form to be used as a tool for root cause analysis of accident / injury
Truck Driver Accident Interview Form [27829]
Includes sections on crash data information, rollover data, fire data, jackknife data, cargo shift data and more
[27829] Includes sections on crash data information, rollover data, fire data, jackknife data, cargo shift data and more
Agriculture Safety » Farm Machinery Safety
Farm equipment safety, tractor safety, ROPS, baler safety, etc.
Farm equipment safety, tractor safety, ROPS, baler safety, etc.
Biological Safety » Bloodborne Pathogens
Sample bloodborne pathogen plans, BBP program controls and policies, reference m
Sample bloodborne pathogen plans, BBP program controls and policies, reference m
Bloodborne Pathogens Reference and Training Manual [5457]
Workers tutorial with test and training forms on bloodborne pathogens
Workers tutorial with test and training forms on bloodborne pathogens
Chemical Safety » Asbestos Safety
Asbestos control programs, health effects, abatement, technical resources, etc.
Asbestos control programs, health effects, abatement, technical resources, etc.
Asbestos Safety Checklist [18885]
Sample asbestos safety checklist and standard operating procedures
[18885] Sample asbestos safety checklist and standard operating procedures
Chemical Safety » Chemical Hazards
Chemical safety guidelines, NIOSH Pocket Guide, harmful chemical health hazards
Chemical safety guidelines, NIOSH Pocket Guide, harmful chemical health hazards
Chronic Beryllium Disease Prevention Program (CBDPP) [8641]
The text of the Final Rule including the 2006 revision
The text of the Final Rule including the 2006 revision
Compressed Gas Safety Checklist [18894]
Checklists for compressed gas safety, hydrogen safety, cylinder inspections
[18894] Checklists for compressed gas safety, hydrogen safety, cylinder inspections
Chemical Safety » Hazardous Waste
Guides for hazardous waste management, site remediation, waste minimization
Guides for hazardous waste management, site remediation, waste minimization
Hazardous Waste & Environmental Protection [14022]
Full text of a written hazardous waste program in use by a government agency
Full text of a written hazardous waste program in use by a government agency
Complying with OSHA's Hazard Communication Standard [23113]
Includes a sample written hazcom program and forms
Includes a sample written hazcom program and forms
National Institutes of Health Hazard Communication Program [5121]
Full text of the NIH's Hazcomm Program including checklist & form
[5121] Full text of the NIH's Hazcomm Program including checklist & form
Construction Industry Guide for Managing Lead [35244]
Relevant forms, checklists and information sheets that can be adapted to different work sites
Relevant forms, checklists and information sheets that can be adapted to different work sites
Chemical Safety » Poison Prevention
Poison control advice regarding preventing chemical poisoning, plant poisoning
Poison control advice regarding preventing chemical poisoning, plant poisoning
Model Underground Storage Tank Environmental Results Program Workbook [23708]
164-page workbook contains general information about ERP, regulatory requirements, best practices, draft forms
164-page workbook contains general information about ERP, regulatory requirements, best practices, draft forms
Construction Safety » Contractor Safety Manual
Sample construction safety programs, rules, policies, checklists, SOPs
Sample construction safety programs, rules, policies, checklists, SOPs
Construction Industry Guide for Managing Lead & Silica [35245]
Relevant forms, checklists and information sheets that can be adapted to different work sites
Relevant forms, checklists and information sheets that can be adapted to different work sites
Trenching And Excavation Operations Checklist [18886]
Sample trenching safety checklist and standard operating procedures
[18886] Sample trenching safety checklist and standard operating procedures
Construction Jobsite Loss Control Survey [26060]
Checklist of safety items that should be observed at construction job sites
Checklist of safety items that should be observed at construction job sites
Contractor Work Rules Sign Off Form [35017]
An example of a form for certification of contractor's responsibilities for safety and environmental compliance
[35017] An example of a form for certification of contractor's responsibilities for safety and environmental compliance
School Emergency Preparedness Plan & Forms [8864]
This two volume model program can be adapted to the needs of your site
This two volume model program can be adapted to the needs of your site
Environmental Safety » Pollution
Resources to identify technologies & management practices to reduce pollution
Resources to identify technologies & management practices to reduce pollution
TRI - Toxics Release Inventory: Community Right-to-Know [3653]
Very large number of resources, including TRI forms and reporting requirements
Very large number of resources, including TRI forms and reporting requirements
Cranes, Hoists And Slings Checklist [18907]
Sample checklist and safety rules for the use of cranes, hoist and lsings
[18907] Sample checklist and safety rules for the use of cranes, hoist and lsings
Equipment Safety » Equipment Safety
Safety materials on industrial robots, woodworking machinery, machine shops, etc
Safety materials on industrial robots, woodworking machinery, machine shops, etc
Forklift Safety Program [23322]
Text of a safety program for forklifts includes forklift safety forms
Text of a safety program for forklifts includes forklift safety forms
Equipment Safety » Lockout/Tagout
Equipment electrical safety, lockout/tagout programs, preventing electrical shoc
Equipment electrical safety, lockout/tagout programs, preventing electrical shoc
Control of Hazardous Energy Sources Checklist [18889]
Sample lockout/tagout checklist and safety rules
[18889] Sample lockout/tagout checklist and safety rules
Hand and Power Tool Safety Checklist [18904]
Sample checklist and safety rules for the use of hand and power tools
[18904] Sample checklist and safety rules for the use of hand and power tools
Hot Work Permit Program [3334]
Example of a hot work permit program for welding, flame cutting and soldering
[3334] Example of a hot work permit program for welding, flame cutting and soldering
Hot Work Permit Template and Checklist [18879]
Sample hot work permit template, safety checklist and procedures
[18879] Sample hot work permit template, safety checklist and procedures
Ergonomics » Chairs/Sitting Hazards
Chair selection criteria, seated postures, tips on chair adjustment, etc.
Chair selection criteria, seated postures, tips on chair adjustment, etc.
Ergonomic Seating Evaluation Form ![[doc]](graphics/file_doc.gif)
[19240]
A worksheet to help you gather information on the quality of chairs being assessed
[19240] A worksheet to help you gather information on the quality of chairs being assessed
Ergonomic Keyboard & Mouse Platform Systems Evaluation Form [19241]
Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed
Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed
Ergonomic Tape Evaluation [18826]
Checklist of information to be obtained that will accompany the video
Checklist of information to be obtained that will accompany the video
Ergonomic Cost-Justification Worksheets [19239]
Helps you to calculate a return-on-investment (ROI) for an ergonomics intervention
Helps you to calculate a return-on-investment (ROI) for an ergonomics intervention
Prevention and Control of Work Related Upper Limb Disorders [19231]
Example of a management process description
[19231] Example of a management process description
Sample Boiler Checklists, Logs, Informational Articles [35120]
Created by State government agencies responsible for boilers and pressure vessels
Created by State government agencies responsible for boilers and pressure vessels
Fire Safety » Electrical Safety
Lock Out/Tag Out Programs and technical reference materials on electrical safety
Lock Out/Tag Out Programs and technical reference materials on electrical safety
Safe Electrical Work Practices Checklist [18888]
Sample checklists and safety rules for electrical safety
[18888] Sample checklists and safety rules for electrical safety
Means of Egress/Escape Self-Inspection Checklist [32558]
Applies to private employers and their employees
Applies to private employers and their employees
Battery Charging and Storage Operations Checklist [18900]
These systems may include lead acid batteries, lithium chloride batteries, and other similar devices
[18900] These systems may include lead acid batteries, lithium chloride batteries, and other similar devices
Flammable & Combustible Liquid Storage Checklist [18901]
Sample checklist and safety rules for safe storage of flammable and combustible liquids
[18901] Sample checklist and safety rules for safe storage of flammable and combustible liquids
Driver's Medical Examination: Fitness to Drive Form [12123]
US DOT medical examination report for commercial fitness determination
[12123] US DOT medical examination report for commercial fitness determination
FMCSA Drive Medical Examination Form [20710]
Download the medical exam form used to determine qualification of CMV drivers
Download the medical exam form used to determine qualification of CMV drivers
AR-Arkansas State Vehicle Safety Program [17550]
Point system used for the state's fleet drivers - including sample forms
[17550] Point system used for the state's fleet drivers - including sample forms
NC-North Carolina Forms for Driver License [15893]
The Driver Privacy Protection Act - Form 1 required
The Driver Privacy Protection Act - Form 1 required
Fleet Safety » Fleet Policies
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.
MVR Statement [16147]
Sample form that can be signed by a driver acknowledging MVR point system policies
[16147] Sample form that can be signed by a driver acknowledging MVR point system policies
VA-Virginia Office of Fleet Management Services [19671]
Fleet rules and regulations for state agencies in Virginia
Fleet rules and regulations for state agencies in Virginia
Fleet Safety » Vehicle Inspections
Procedures for inspecting trucks, buses, cargo tanks, etc. Pre-trip inspections.
Procedures for inspecting trucks, buses, cargo tanks, etc. Pre-trip inspections.
Motor Vehicle Safety, Vehicle Inspection & Snomobile Pre-Trip Checklists [18883]
Sample checklists and safety rules for motor vehicle safety, snomobiles and snowcats
[18883] Sample checklists and safety rules for motor vehicle safety, snomobiles and snowcats
Fleet Safety » Vehicle Maintenance
Guidance & checklists for vehicle preventive maintenance procedures
Guidance & checklists for vehicle preventive maintenance procedures
Light Vehicle Preventive Maintenance Checklists [21059]
Series of service checklists based on mileage
Series of service checklists based on mileage
Motor Carrier and Highway Safety Forms and Publications [5733]
Various forms & other guidance documents to help motor carriers achieve compliance
Various forms & other guidance documents to help motor carriers achieve compliance
Health Care Safety » Accreditation
Organizations & their procedures for accreditation of health care facilities
Organizations & their procedures for accreditation of health care facilities
5 Questions - Dentistry Infection Control [32443]
The answers here are derived from recommendations from the CDC, ADA and OSAP
The answers here are derived from recommendations from the CDC, ADA and OSAP
Backflow Prevention and the Dental Operative Unit [32434]
The risk of contamination from cross-connections from the dental operative unit
The risk of contamination from cross-connections from the dental operative unit
Boil-Water Advisories and the Dental Office [32435]
A boil-water advisory is a public health announcement that the public should boil tap water before drinking it
A boil-water advisory is a public health announcement that the public should boil tap water before drinking it
Engineering and Administrative Recommendations for Water Fluoridation [32440]
1995 Centers for Disease Control report
1995 Centers for Disease Control report
HIV Postexposure Prophylaxis by Dental Health Care Personnel [32441]
A study on the use of PEP for exposure to HIV among dental workers
A study on the use of PEP for exposure to HIV among dental workers
Infection Control & Safety in Dentistry FAQ [32433]
Covers waste treatment and disposal, handwashing, practice safety, disease agents, regulatory processes and much more
Covers waste treatment and disposal, handwashing, practice safety, disease agents, regulatory processes and much more
MRSA in the Dental Office [32444]
An overview of the issue of methicillin-resistant staphylococcus aureus (MRSA) infections in dentistry
[32444] An overview of the issue of methicillin-resistant staphylococcus aureus (MRSA) infections in dentistry
Recommendations for Using Fluoride to Prevent & Control Dental Caries [32439]
When used appropriately, fluoride is both safe and effective in preventing and controlling dental caries
When used appropriately, fluoride is both safe and effective in preventing and controlling dental caries
Recommended Infection Control Practices for Dentistry [32438]
Developed for dental health care personnel
Developed for dental health care personnel
Health Care Safety » Disaster Management
Emergency plans and disaster guidance for health care facilities
Emergency plans and disaster guidance for health care facilities
Emergency Department Screening and Isolation Drill Guidance [30056]
Guidance documents for hospital emergency departments
Guidance documents for hospital emergency departments
Healthcare Organizations Nuclear, Biological & Chemical Decontamination [30048]
Summary of Joint Commission's accreditation requirements
Summary of Joint Commission's accreditation requirements
Hospital Disaster Preparedness Guidelines [30051]
Draft guidelines prepared by the State of New York
Draft guidelines prepared by the State of New York
Hospital Treatment Guidelines - Terrorism Agents [30052]
Treament guidelines for hospitals and clinicians on terrorism agents
Treament guidelines for hospitals and clinicians on terrorism agents
Mass Casualty Care Strategy for Biological Terrorism Incidents [30049]
An approach to disaster medical response with mass casualties
An approach to disaster medical response with mass casualties
Medical Center Hazard and Vulnerability Assessment Tool [30046]
Worksheet used to evaluate potential for event and response
Worksheet used to evaluate potential for event and response
Medical Center Hazard Vulnerability Analysis Tool [30047]
Uses a quantitative method to evaluate vulnerability
Uses a quantitative method to evaluate vulnerability
Health Care Safety » Hospital Safety
Sample worker safety programs & guidance on pollution elimination in hospitals
Sample worker safety programs & guidance on pollution elimination in hospitals
Hospital Walk-Around Inspection Checklist [18827]
What to look for when conducting an inspection of a hospital
What to look for when conducting an inspection of a hospital
Medical Center Safety Manuals [3304]
Download full text of 4 safety manuals and numerous forms - Microsoft Word format
Download full text of 4 safety manuals and numerous forms - Microsoft Word format
Health Care Safety » Patient Handling
Patient transfer techniques, use of lift equipment, patient transfer teams
Patient transfer techniques, use of lift equipment, patient transfer teams
Patient Mechanical Lifts - Inspection Checklist [30388] A sample daily mechanical lift inspection checklist
Insurance Loss Control » Construction Insurance
Risk management and insurance related issues in the construction industry
Risk management and insurance related issues in the construction industry
Fire Safety Construction Requirements [19406]
Full text of a safety policy & procedure that can be used when renovating existing structures
Full text of a safety policy & procedure that can be used when renovating existing structures
Insurance Loss Control » Risk Control Programs
Full text of risk management policy and procedure manuals
Full text of risk management policy and procedure manuals
State Risk Management Audit [11140]
Full text of a risk management program audit / checklist - 22 pages
[11140] Full text of a risk management program audit / checklist - 22 pages
Physical Demands Assessment Form [25106] Form used to evaluate the physical demands of workplace tasks(pdf)
Physical Job Analysis - Work Demands [35956] A form to record physical demands of work posture requirements
Sample Worker Ergonomics Symptoms Questionnaire [19244]
Questions use a five point or ten point scale
Questions use a five point or ten point scale
Laboratory Safety » Activation-Closure
Procedures to follow when designing, activating, moving or closing laboratories
Procedures to follow when designing, activating, moving or closing laboratories
Hazardous Material Close Out Procedures [16832]
Policy For Termination of Laboratory use of Hazardous Materials - plus, checklist
Policy For Termination of Laboratory use of Hazardous Materials - plus, checklist
Laboratory Safety » Lab Checklists
Safety inspection checklists, audit forms and procedures designed for laboratory
Safety inspection checklists, audit forms and procedures designed for laboratory
Laboratory Safety » Lab Hazards
Chemical Hygiene Plans, standard operating procedures, lab safety programs, etc.
Chemical Hygiene Plans, standard operating procedures, lab safety programs, etc.
Controlled Substances Use in Research [16867]
Conducting research using controlled substances - forms, policies, regulations, etc.
Conducting research using controlled substances - forms, policies, regulations, etc.
Physical Hazards » Hearing Conservation
Hearing conservation programs, acoustics, hearing protection devices, etc.
Hearing conservation programs, acoustics, hearing protection devices, etc.
Hearing Conservation Checklist [18896]
Sample Format for Audiometric Test Records & Hearing Conservation Program Checklist
[18896] Sample Format for Audiometric Test Records & Hearing Conservation Program Checklist
Sample Workplace Violence Prevention Program [9665]
Sample workplace violence program, checklist, incident report form
Sample workplace violence program, checklist, incident report form
Physical Hazards » Slips and Falls
Technical safety materials on falls from walking and working surfaces
Technical safety materials on falls from walking and working surfaces
Walking - Working Surfaces Checklist [18899]
Walking - Working Surfaces Checklist also includes ladders and scaffolds
[18899] Walking - Working Surfaces Checklist also includes ladders and scaffolds
Physical Hazards » Thermal Comfort
TLV's for heat and cold exposure, thermal stress, thermal comfort guidelines
TLV's for heat and cold exposure, thermal stress, thermal comfort guidelines
Canada: TLVs for Heat and Cold Exposure [18887]
Canadian health and safety regulations with respect to thermal conditions in the workplace
Canadian health and safety regulations with respect to thermal conditions in the workplace
PPE Programs » PPE Safety Programs
Sample PPE safety programs, checklists, tutorials, technical briefs
Sample PPE safety programs, checklists, tutorials, technical briefs
Personal Protective Equipment Safety Checklist [18912]
Sample program checklist form for evaluating the need for PPE
Sample program checklist form for evaluating the need for PPE
PPE Hazard Assessment Form [21599]
Selection of the proper personal protective equipment for a job is important
Selection of the proper personal protective equipment for a job is important
PPE Hazard Review Forms [23124]
Use the following charts and tables to complete a hazard assessment of your worksite
Use the following charts and tables to complete a hazard assessment of your worksite
PPE Program Forms [35290]
Assessment and documentation forms for personal protective equipment programs
Assessment and documentation forms for personal protective equipment programs
Sample PPE Inspection Checklists [18825]
What to look for when inspecting clothing, gloves and fully encapsulating suits
What to look for when inspecting clothing, gloves and fully encapsulating suits
Laser Operations Checklist [18906]
Sample checklist and safety rules for laser operations - covers Class 1, 2, and 3a lasers
[18906] Sample checklist and safety rules for laser operations - covers Class 1, 2, and 3a lasers
Radiation Safety » Workplace Radiation
Radiation control programs, technical manuals, tutorials and more
Radiation control programs, technical manuals, tutorials and more
Ionizing and Non-ionizing Radiation Checklist [18902]
Sample checklist and safety rules for ionizing and non-ionizing radiation
[18902] Sample checklist and safety rules for ionizing and non-ionizing radiation
Radiation Program Forms & Instructions [14005]
In actual use in a laboratory radiation safety program created by a government agency
In actual use in a laboratory radiation safety program created by a government agency
Radiation Safety Guide [13998]
Full text of a radiation safety guide in use by a government laboratory
Full text of a radiation safety guide in use by a government laboratory
Radiation Safety Service [861]
Radiation safety protocols, radionuclide training guide, isotope data sheets, forms
Radiation safety protocols, radionuclide training guide, isotope data sheets, forms
Sample Safety Checklist for Active Play Areas [19571]
Checklist for safety equipment and location hazards
[19571] Checklist for safety equipment and location hazards
Respiratory Safety » Confined Space Program
Technical resources related to confined space requirements
Technical resources related to confined space requirements
Confined-Space Pre-entry Checklist [27067]
Checklist must be filled out whenever workers enter a permit required space
[27067] Checklist must be filled out whenever workers enter a permit required space
Construction Industry Guide for Managing Silica [35243]
Relevant forms, checklists and information sheets that can be adapted to different work sites
Relevant forms, checklists and information sheets that can be adapted to different work sites
Respiratory Safety » Indoor Air Quality
IAQ guides, checklists, fact sheets, sick building syndrome & more
IAQ guides, checklists, fact sheets, sick building syndrome & more
Indoor Air Quality Checklist [18898]
Common indoor contaminants TLVs and Indoor Air Quality Checklist
[18898] Common indoor contaminants TLVs and Indoor Air Quality Checklist
OSHA Respiratory Standard; Medical Evaluation Questionnaire [7917]
OSHA requires the employee to fill out a medical questionnaire - sample template provided
OSHA requires the employee to fill out a medical questionnaire - sample template provided
Respiratory Protection Checklist & Program [18895]
Sample respiratory protection program and checklist, respirator medical evaluation questionnaire
[18895] Sample respiratory protection program and checklist, respirator medical evaluation questionnaire
Respiratory Safety » Sampling
Technical guides on industrial hygiene air & noise sampling, monitoring, etc
Technical guides on industrial hygiene air & noise sampling, monitoring, etc
Customer Service Manual [5897]
US Army manual provides guidance on how to order IH sampling and lab services
US Army manual provides guidance on how to order IH sampling and lab services
Emergency Response Agreements Checklist [18909]
Checklist currently in use by the US National Weather Service
[18909] Checklist currently in use by the US National Weather Service
Essential Corporate Documents and Records Kit Checklist [26903]
To recover after an emergency or disaster, you will need to access your organization's essential records
To recover after an emergency or disaster, you will need to access your organization's essential records
Safety Forms » Ergonomics Checklists
Checklists designed to evaluate proper ergonomic workstation arrangements
Checklists designed to evaluate proper ergonomic workstation arrangements
Ergonomics Risk Factor Checklist [35178]
Musculoskeletal injury prevention risk evaluation checklist
[35178] Musculoskeletal injury prevention risk evaluation checklist
Human Factors: Process Hazard Analysis Evaluation of External Forces [16842]
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)
Laboratory Workstation Evaluation Checklist [26812]
Identify risk factors that can contribute to work-related musculoskeletal problems
Identify risk factors that can contribute to work-related musculoskeletal problems
Performance Oriented Ergonomic Checklist For Computer (VDT) Workstations [19238]
Designed to help you to evaluate what is needed for a good ergonomic workstation arrangement
Designed to help you to evaluate what is needed for a good ergonomic workstation arrangement
Building Inspection Program [35126]
Sample instructions, forms, logs as used by a university-based safety program
Sample instructions, forms, logs as used by a university-based safety program
Fire Alarm sytem Inspection, Testing and Maintenance Report [35119]
Procedures for Inspecting, Testing, Maintaining Fire Alarm, Fire Sprinkler, and Smoke Management Systems
[35119] Procedures for Inspecting, Testing, Maintaining Fire Alarm, Fire Sprinkler, and Smoke Management Systems
ID-Idaho Fire Inspection Form for Daycare Centers [23675]
Download a fire safety inspection form for daycare centers
Download a fire safety inspection form for daycare centers
Property Inspection Checklist [35445]
Primarily fire inspection plus building exterior and parking lot inspection components
[35445] Primarily fire inspection plus building exterior and parking lot inspection components
Safety Forms » Inspection Forms
Safety self-inspections, self-evaluation checklists, yes/no questions
Safety self-inspections, self-evaluation checklists, yes/no questions
Canada: Workplace Inspections [17611]
Sample Inspection Check Sheet and guidance for conducting a safety inspection
Sample Inspection Check Sheet and guidance for conducting a safety inspection
Chemical Safety Checklist - Laboratories [27877]
Use this form to document periodic lab inspections as designated in your CHP
Use this form to document periodic lab inspections as designated in your CHP
Construction Jobsite Safety Inspection Checklist [25913]
To be used to inspect job sites for safety compliance
[25913] To be used to inspect job sites for safety compliance
Electrical Residential Safety Checklist [26886]
Checklist to make certain your residence is electrically safe
Checklist to make certain your residence is electrically safe
Electrical Workplace Safety Checklist [26887]
Checklist to make certain your workplace is electrically safe
Checklist to make certain your workplace is electrically safe
Health Services Inspection Checklists [29020]
Checklists of potential safety hazards in medical facilities
[29020] Checklists of potential safety hazards in medical facilities
Heat Stress: General Workplace Review [18828]
Sample questions of what to ask when investigating heat stress in the workplace
Sample questions of what to ask when investigating heat stress in the workplace
Laboratory Employee Training Checklist [14056]
Employee training checklist form to document safety training (pdf)
[14056] Employee training checklist form to document safety training (pdf)
Process Hazard Analysis Evaluation of External Forces [16843]
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)
Safety Guidelines for the Home Work Space [9145]
Sample safety checklist for home-based telecommuters
Sample safety checklist for home-based telecommuters
Safety Inspection Checklists [27278]
Office Safety Checklist, Laboratory Safety Checklist, Shop Safety Checklist
Office Safety Checklist, Laboratory Safety Checklist, Shop Safety Checklist
Workplace Safety Inspection Checklist [35164]
A yes/no safety inspection checklist for general industry
[35164] A yes/no safety inspection checklist for general industry
Safety Forms » OSHA Forms
Download OSHA logs and forms for workplace injury recordkeeping requirements, co
Download OSHA logs and forms for workplace injury recordkeeping requirements, co
![[xls]](graphics/file_xls.gif){kind=small}
OSHA-7 Form Notice of Alleged Safety and Health Hazards [28177]
Download the form and the instructions
Download the form and the instructions
Safety Forms » Safety Audits
Regulatory compliance self-inspections, program audits, self-evaluations
Regulatory compliance self-inspections, program audits, self-evaluations
Assessing Safety and Health Management Programs [23112]
Includes audit forms and an action worksheet
Includes audit forms and an action worksheet
CA-California Safety Program Self Audit [27043]
A form to compare your existing safety program to minimum required elements
A form to compare your existing safety program to minimum required elements
Employer Safety and Health Program Self-Assessment [31740]
For use by employers to evaluate their workplace safety programs
[31740] For use by employers to evaluate their workplace safety programs
Ontario Canada: Workwell Core Health and Safety Audit [25105]
67 page manual of instructions on how to conduct a point-assessed safety program audit
67 page manual of instructions on how to conduct a point-assessed safety program audit
Safety and Health Management Program Assessment Worksheet [25031]
Scoring worksheet for evaluating a worksite safety program
Scoring worksheet for evaluating a worksite safety program
Safety Management Evaluation Audit [28993]
Format for evaluating a company's safety program using a point system
Format for evaluating a company's safety program using a point system
Accident / Incident Accident Investigation Form [35130]
Sample form includes cause codes, nature of injury codes, part of body codes, etc
[35130] Sample form includes cause codes, nature of injury codes, part of body codes, etc
Accident Witness Statement [35939]
Sample form to be used by employees who witness accidents on the job
[35939] Sample form to be used by employees who witness accidents on the job
Australia - Risk Management Forms [14034]
Download a large variety of occupational safety and health forms
Download a large variety of occupational safety and health forms
Business Safety Incident Calculation Worksheet [31581]
To assist in calculating the anticipated and unexpected costs associated with a workplace safety incident
[31581] To assist in calculating the anticipated and unexpected costs associated with a workplace safety incident
CA-California School IPM Forms [24863]
Sample pesticide application warning signs, information sheet for parents, etc.
Sample pesticide application warning signs, information sheet for parents, etc.
Canada: Safety Forms [16554]
Blaster's log book, blasting incident report, occupational health and safety checklist
Blaster's log book, blasting incident report, occupational health and safety checklist
Contractor Safety Assessment Form [25311]
An example of one firm's safety requirements for construction contractors
[25311] An example of one firm's safety requirements for construction contractors
Contractor Safety Performance Survey [26804]
Form used to evaluate construction company safety practices
[26804] Form used to evaluate construction company safety practices
Department of Occupational Health & Safety Forms [14061]
Download forms in use by a major university
Download forms in use by a major university
Driver and Risk Management Forms [20918] Includes general incident reports, vehicle use agreement, camp accident form, etc
Employee Health and Safety Attitude Survey [26803]
Form to survey employee perceptions of safety at their workplace
Form to survey employee perceptions of safety at their workplace
Employee Safety Data Sheet [14062]
An employee form that tracks training records, PPE, accidents by employee
[14062] An employee form that tracks training records, PPE, accidents by employee
General Contractor Safety Form [25620]
Form for the contractor to complete about jobsite safety program requirements
[25620] Form for the contractor to complete about jobsite safety program requirements
Helpful Tools [17436]
Sample safety policy statements, program check-up form, sample program for small business, etc.
Sample safety policy statements, program check-up form, sample program for small business, etc.
Helpful Tools [20180]
These are optional forms that can help you meet the requirements of your safety program
These are optional forms that can help you meet the requirements of your safety program
Industrial Hygiene Forms [26313]
IH forms related to air sampling, noise surveys, heat stress and various IH surveys
IH forms related to air sampling, noise surveys, heat stress and various IH surveys
Job Safety Analysis Guideline Form [18782]
Provide guidance on how to conduct a JSA and a sample form
[18782] Provide guidance on how to conduct a JSA and a sample form
MN-Minnesota Safety & Environmental Forms [4648]
In use by a Minnesota university - biosafety, controlled substances, hazardous waste, lab safety etc
In use by a Minnesota university - biosafety, controlled substances, hazardous waste, lab safety etc
NH-New Hampshire Safety Summary Form, Self Inspection Checklist [22508]
Annual form that must be filed to the state by January 1 every other year
Annual form that must be filed to the state by January 1 every other year
Ontario, Canada - Health & Safety WC Forms [18967]
For employers, health care practitioners, physicians and more
For employers, health care practitioners, physicians and more
Safety Department Forms [25157]
Environmental, fire and life, laboratory, occupational, radiation safety forms
Environmental, fire and life, laboratory, occupational, radiation safety forms
Safety Department Forms [23945]
Includes a variety of forms - safety shoes, safety glasses, safety training evaluation, unsafe report, etc
Includes a variety of forms - safety shoes, safety glasses, safety training evaluation, unsafe report, etc
Safety Forms [14035]
Download forms related to biological materials, radioactive materials, & other miscellaneous forms
Download forms related to biological materials, radioactive materials, & other miscellaneous forms
Safety Forms Index [14038]
Forms for biological safety, fire safety, lab safety, radiation safety, etc.
Forms for biological safety, fire safety, lab safety, radiation safety, etc.
Safety Management Forms [35645]
A series of sample safety program forms for audits, meetings, workplace incidents, checklists
A series of sample safety program forms for audits, meetings, workplace incidents, checklists
Student Laboratory Safety Contract [16100]
Sample form for students to sign indicating their acceptance of science classroom safety rules
Sample form for students to sign indicating their acceptance of science classroom safety rules
Supervisor's Incident Investigation and Report of Occupational Injury Form [27860]
Example of a sample form
[27860] Example of a sample form
Tailgate Safety Meeting Form [14808]
Download a safety department form to document tailgate safety meetings (MS Word)
Download a safety department form to document tailgate safety meetings (MS Word)
Witness Statement of Accident/Incident [33498]
Example of a sample form for those who witness an accident in the workplace
[33498] Example of a sample form for those who witness an accident in the workplace
Workplace Injury Cost Calculator Worksheet [31579]
Helps to identify actual costs related to a workplace injury
Helps to identify actual costs related to a workplace injury
Sample Safety Committee Meeting Report & Guidelines [18775]
Provides guidance for safety committees and a sample form (pdf)
[18775] Provides guidance for safety committees and a sample form (pdf)
Safety Programs » Safety Programs
Full text of over 30 workplace safety and health programs & manuals
Full text of over 30 workplace safety and health programs & manuals
Laboratory Safety Committee Worksite Survey [28884]
Standardized reporting format for a laboratory safety inspection
[28884] Standardized reporting format for a laboratory safety inspection
Safety / Loss Control Program Materials [15600]
Sample safety checklists, forms, programs and manuals
Sample safety checklists, forms, programs and manuals
SOP Development Form for Hazardous Material [22018]
Standard operating procedures guidelines and template for hazardous materials
[22018] Standard operating procedures guidelines and template for hazardous materials
SOP for Safe Handling of Carcinogenic Materials [6656]
A fill-in-the-blank form outlines the standard operating procedure for carcinogens and highly toxic materials
[6656] A fill-in-the-blank form outlines the standard operating procedure for carcinogens and highly toxic materials
Safety Training » Safety Handouts
Safety bulletins & tool box talks for workplace, home, personal & off-the-job
Safety bulletins & tool box talks for workplace, home, personal & off-the-job
Safety Training » Safety Training
Guidance on safety training presentations, training requirements, etc.
Guidance on safety training presentations, training requirements, etc.
Employee Safety Orientation Checklist [26465]
Check mark the required safety training programs (pdf)
[26465] Check mark the required safety training programs (pdf)
School Safety » School Checklists
Checklists and audit forms related to school safety and risk management
Checklists and audit forms related to school safety and risk management
Science Classroom Safety Checklists [13006]
Safety Checklists: Classrooms, Chemical, Electrical, and Refrigerators
Safety Checklists: Classrooms, Chemical, Electrical, and Refrigerators
Software » Environmental Software
Download software for EPA safety & health programs, site-specific sampling
Download software for EPA safety & health programs, site-specific sampling
Ergonomics Resources [25107]
Ergonomics tools, data and documents for ergonomist use in workplace task analyses
Ergonomics tools, data and documents for ergonomist use in workplace task analyses
MSHA Online Forms Advisor [10332]
Designed to help those involved in the mining industry fulfill their filing requirements
Designed to help those involved in the mining industry fulfill their filing requirements
Auto Body Repair Industry Safety & Health Plan [23639]
Full text of a sample safety program including forms
Full text of a sample safety program including forms
Specific Industries » Office Safety
Checklists, office safety programs, training materials, home offices, etc.
Checklists, office safety programs, training materials, home offices, etc.
Machine Shop Authorization Form [26471]
Sample form to authorize use of machine shop equipment (pdf)
[26471] Sample form to authorize use of machine shop equipment (pdf)
Machine Shop Safe Work Practices Evaluation Forms [26730]
Example of safety training evaluation forms for saws, sanders, presses, grinders, etc
Example of safety training evaluation forms for saws, sanders, presses, grinders, etc
Shop Safety Inspection Checklist [18780]
Advice on how to conduct a shop safety inspection plus checklist
[18780] Advice on how to conduct a shop safety inspection plus checklist
Wood Shop Authorization Form [26469]
Example of a form authorizing a worker to use woodworking equipment (pdf)
[26469] Example of a form authorizing a worker to use woodworking equipment (pdf)
US Laws » Biosafety Laws
Full text of biosafety standards, manuals and guidelines for US federal laws
Full text of biosafety standards, manuals and guidelines for US federal laws
Importation Permits for Etiologic Agents [1427]
Application form and instructions to apply for importation permits for etiologic agents
Application form and instructions to apply for importation permits for etiologic agents
MI-Michigan MIOSHA Recording and Reporting Requirements [3937]
How to complete MIOSHA forms 300, 300A and 301
How to complete MIOSHA forms 300, 300A and 301
US OSHA » OSHA Sample Programs
OSHA technical resources on safety programs, including motor vehicle safety
OSHA technical resources on safety programs, including motor vehicle safety
OSHA Small Business Handbook [27022]
Covers a wide variety of workplace safety program topics including self-inspections
[27022] Covers a wide variety of workplace safety program topics including self-inspections
Safety Summary Form - New Hampshire [17236]
Download the form required to be filed biennially to the state Department of Labor - New Hampshire
Download the form required to be filed biennially to the state Department of Labor - New Hampshire
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