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 Analysis » Accident Investigation
Accident investigation programs, job safey analyses, etc.

Accident Investigation Form [pdf] [34997] Accident Investigation Form : Resource Info
A form to be used - plus, which accidents to investigate

Accident Investigation Report [15580] Accident Investigation Report : Resource Info
Sample form and instructions

Accident Investigation Tool [pdf] [34995] Accident Investigation Tool : Resource Info
The major data components of a Supervisor Accident Report - what is included in an accident investigation

Accident/Illness Reporting and Recording Procedures & Forms [pdf] [18903] Accident/Illness Reporting and Recording Procedures & Forms : Resource Info
Sample procedures and forms in use by a US government agency

Job Safety Analysis [pdf] [34998] Job Safety Analysis : Resource Info
A form to be used - plus, the basic steps in a JSA

Root Cause Accident Analysis [pdf] [34996] Root Cause Accident Analysis : Resource Info
A form to be used as a tool for root cause analysis of accident / injury

Supervising Accident Repeaters [pdf] [18783] Supervising Accident Repeaters : Resource Info
Sample accident review form and guidance (pdf)

Supervisor's Accident Investigation [pdf] [26819] Supervisor
What to look for

Truck Driver Accident Interview Form [pdf] [27829] Truck Driver Accident Interview Form : Resource Info
Includes sections on crash data information, rollover data, fire data, jackknife data, cargo shift data and more

Accident Analysis » Injury Codes
Sample injury code tables and related information

Agriculture Safety » Farm Machinery Safety
Farm equipment safety, tractor safety, ROPS, baler safety, etc.

Tractor/PTO Safety Checklist [pdf] [16835] Tractor/PTO Safety Checklist : Resource Info
Tractor/Power Take Off (PTO) Training Checklist

Biological Safety » Bloodborne Pathogens
Sample bloodborne pathogen plans, BBP program controls and policies, reference m

Bloodborne Pathogens Reference and Training Manual [5457] Bloodborne Pathogens Reference and Training Manual : Resource Info
Workers tutorial with test and training forms on bloodborne pathogens

Chemical Safety » Asbestos Safety
Asbestos control programs, health effects, abatement, technical resources, etc.

Asbestos Management Plan [pdf] [2658] Asbestos Management Plan : Resource Info
Text of an asbestos safety program

Asbestos Safety Checklist [pdf] [18885] Asbestos Safety Checklist : Resource Info
Sample asbestos safety checklist and standard operating procedures

Chemical Safety » Chemical Hazards
Chemical safety guidelines, NIOSH Pocket Guide, harmful chemical health hazards

Chronic Beryllium Disease Prevention Program (CBDPP) [8641] Chronic Beryllium Disease Prevention Program (CBDPP) : Resource Info
The text of the Final Rule including the 2006 revision

Chemical Safety » Compressed Gas
Compressed gas cylinder safety, pressure line safety, etc.

Compressed Gas Safety Checklist [pdf] [18894] Compressed Gas Safety Checklist : Resource Info
Checklists for compressed gas safety, hydrogen safety, cylinder inspections

Chemical Safety » Hazardous Waste
Guides for hazardous waste management, site remediation, waste minimization

Hazardous Waste & Environmental Protection [14022] Hazardous Waste & Environmental Protection : Resource Info
Full text of a written hazardous waste program in use by a government agency

Chemical Safety » Hazcom
Full text of hazard communication programs and resources

Complying with OSHA's Hazard Communication Standard [23113] Complying with OSHA
Includes a sample written hazcom program and forms

Hazard Communication Plan [pdf] [23324] Hazard Communication Plan : Resource Info
Text of the hazcom plan plus chemical safety forms and SOP's

National Institutes of Health Hazard Communication Program [pdf] [5121] National Institutes of Health Hazard Communication Program : Resource Info
Full text of the NIH's Hazcomm Program including checklist & form

Chemical Safety » Lead Safety
Information and resources on lead and lead poisoning

Construction Industry Guide for Managing Lead [35244] Construction Industry Guide for Managing Lead : Resource Info
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 Lookout Checklist [pdf] [26904] Poison Lookout Checklist : Resource Info
Designed for poison control within the home

Chemical Safety » Tank Safety
EPA requirements for above ground and below ground storage tanks

Model Underground Storage Tank Environmental Results Program Workbook [23708] Model Underground Storage Tank Environmental Results Program Workbook : Resource Info
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

Construction Industry Guide for Managing Lead & Silica [35245] Construction Industry Guide for Managing Lead & Silica : Resource Info
Relevant forms, checklists and information sheets that can be adapted to different work sites

Contractor Safety Manual [22582] Contractor Safety Manual : Resource Info
Full text of a safety manual, audit forms, etc.

Construction Safety » Excavation Safety
Resources on excavation and trenching safety requirements

Trenching & Excavation Competent Person Checklist [doc] [30214] Trenching & Excavation Competent Person Checklist : Resource Info
To be completed at the jobsite

Trenching & Excavation Operations Checklist [doc] [30215] Trenching & Excavation Operations Checklist : Resource Info
To be completed at the jobsite

Trenching And Excavation Operations Checklist [pdf] [18886] Trenching And Excavation Operations Checklist : Resource Info
Sample trenching safety checklist and standard operating procedures

Construction Safety » Fall Protection
Falls from elevations and fall protection safety resources

Fall Protection Checklist [pdf] [18881] Fall Protection Checklist : Resource Info
Sample Fall Protection procedure

Fall Protection Checklist [doc] [30217] Fall Protection Checklist : Resource Info
To be used at the jobsite

Construction Safety » Jobsite Safety
Workplace safety and health resources for construction hazards

Construction Jobsite Loss Control Survey [26060] Construction Jobsite Loss Control Survey : Resource Info
Checklist of safety items that should be observed at construction job sites

Contractor Work Rules Sign Off Form [pdf] [35017] Contractor Work Rules Sign Off Form : Resource Info
An example of a form for certification of contractor's responsibilities for safety and environmental compliance

Daily Pre-Job Safety Briefing Form [pdf] [20616] Daily Pre-Job Safety Briefing Form : Resource Info
Includes a job/hazard assessment section

Jobsite Safety Checklist [pdf] [35802] Jobsite Safety Checklist : Resource Info
A basic safety inspection checklist for jobsites

Construction Safety » Scaffolding Safety
Safety requirements for work platforms and scaffolding

Scaffolding Safety Inspection Checklist [pdf] [35800] Scaffolding Safety Inspection Checklist : Resource Info
A sample form with yes/no questions

Emergency Management » Emergency Plans
Examples of emergency management and action plans

School Emergency Preparedness Plan & Forms [8864] School Emergency Preparedness Plan & Forms : Resource Info
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

GRI Guidelines [12940] GRI Guidelines : Resource Info
The G3 Guidelines for Corporate Environmental Reporting

Environmental Safety » TRI
EPA Toxic Release Inventory (TRI) forms, reports, data

TRI - Toxics Release Inventory: Community Right-to-Know [3653] TRI - Toxics Release Inventory:  Community Right-to-Know : Resource Info
Very large number of resources, including TRI forms and reporting requirements

TRI Reporting Forms and Reporting Requirements [13596] TRI Reporting Forms and Reporting Requirements : Resource Info
Download reporting forms and instructions

Equipment Safety » Cranes-Hoists
Crane and hoist safety program materials

Cranes, Hoists And Slings Checklist [pdf] [18907] Cranes, Hoists And Slings Checklist : Resource Info
Sample checklist and safety rules for the use of cranes, hoist and lsings

Manlift Pre-Use Inspection Form [pdf] [30240] Manlift Pre-Use Inspection Form : Resource Info
To be used prior to use

Overhead Crane Pre-Use Inspection Checklist [pdf] [30239] Overhead Crane Pre-Use Inspection Checklist : Resource Info
To be used prior to use

Equipment Safety » Equipment Safety
Safety materials on industrial robots, woodworking machinery, machine shops, etc

Industrial Robot Checklist [27053] Industrial Robot Checklist : Resource Info
How to choose the right industrial robot

Equipment Safety » Forklift Safety
Forklift safety program materials

Forklift Checklist [pdf] [18880] Forklift Checklist : Resource Info
Sample pre-operational checklists and forklift safety checklists

Forklift Gas Checklist [pdf] [35801] Forklift Gas Checklist : Resource Info
A forklift operator's daily safety inspection check-off list

Forklift Safety Program [23322] Forklift Safety Program : Resource Info
Text of a safety program for forklifts includes forklift safety forms

Forklift Safety Program [doc] [27057] Forklift Safety Program : Resource Info
Safety rules for forklift operators

Equipment Safety » Ladders-Platforms
Ladder and work platform safety

Portable Ladder Safety Checklist [27058] Portable Ladder Safety Checklist : Resource Info
Checklist for portable ladder safety

Equipment Safety » Lockout/Tagout
Equipment electrical safety, lockout/tagout programs, preventing electrical shoc

Control of Hazardous Energy Sources Checklist [pdf] [18889] Control of Hazardous Energy Sources Checklist : Resource Info
Sample lockout/tagout checklist and safety rules

Electrical Job Briefing Checklist [788] Electrical Job Briefing Checklist : Resource Info
For use in an electrical safety program

Sample Lockout/Tagout Form [pdf] [31549] Sample Lockout/Tagout Form : Resource Info
Example of a form in use by a major university

Equipment Safety » Machine Guarding
Machine safeguarding materials

Machine Guarding Checklist [pdf] [18905] Machine Guarding Checklist : Resource Info
Sample checklist and safety rules for machine guarding

Machine Safeguarding Checklist [pdf] [32555] Machine Safeguarding Checklist : Resource Info
A basic hazard checklist for safeguarding mechanical hazards

Equipment Safety » Mobile Equipment Safety
Construction equipment safety hazards and controls

Daily Inspection Report: Front End Wheel Loader [28991] Daily Inspection Report: Front End Wheel Loader : Resource Info
Sample checklist and form

Safety Inspection Report: Bucket Truck (Cherry Picker) [28986] Safety Inspection Report: Bucket Truck (Cherry Picker) : Resource Info
Sample checklist and form

Equipment Safety » Tool Safety
Safety fact sheets and tips on the safe use of hand and power tools

Hand and Power Tool Safety Checklist [pdf] [18904] Hand and Power Tool Safety Checklist : Resource Info
Sample checklist and safety rules for the use of hand and power tools

Equipment Safety » Welding Safety
Bulletins, guidance on safety in welding

Hot Work [19360] Hot Work : Resource Info
Sample hot work permit and a list of procedures

Hot Work Permit Program [pdf] [3334] Hot Work Permit Program : Resource Info
Example of a hot work permit program for welding, flame cutting and soldering

Hot Work Permit Template and Checklist [pdf] [18879] Hot Work Permit Template and Checklist : Resource Info
Sample hot work permit template, safety checklist and procedures

Ergonomics » Chairs/Sitting Hazards
Chair selection criteria, seated postures, tips on chair adjustment, etc.

Ergonomic Seating Evaluation Form [doc] [19240] Ergonomic Seating Evaluation Form : Resource Info
A worksheet to help you gather information on the quality of chairs being assessed

Ergonomics » Computer Ergonomics
Computer use hazards and guidelines

Ergonomic Keyboard & Mouse Platform Systems Evaluation Form [19241] Ergonomic Keyboard & Mouse Platform Systems Evaluation Form : Resource Info
Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed

Office Workstation Assessment [doc] [33500] Office Workstation Assessment : Resource Info
A sample computer workstation evaluation form

Ergonomics » Ergo Hazards
Full text of a design guide, an ergonomics manual, lecture notes and more

Ergonomic Tape Evaluation [18826] Ergonomic Tape Evaluation : Resource Info
Checklist of information to be obtained that will accompany the video

Ergonomics » Ergo Management
Role of management in ergonomics, cost of injuries, cost/benefits, etc.

Ergonomic Cost-Justification Worksheets [19239] Ergonomic Cost-Justification Worksheets : Resource Info
Helps you to calculate a return-on-investment (ROI) for an ergonomics intervention

Ergonomics » Hand Tool Design
Guidelines for hand tool design

Hand Tool Analysis Checklist [16621] Hand Tool Analysis Checklist : Resource Info
13 question checklist for hand tool evaluation

Ergonomics » Upper Limb Hazards
Elbow, shoulder and upper limb musculoskeletal disorders

Prevention and Control of Work Related Upper Limb Disorders [pdf] [19231] Prevention and Control of Work Related Upper Limb Disorders : Resource Info
Example of a management process description

Fire Safety » Boilers
Boiler and pressure vessel safety materials

Sample Boiler Checklists, Logs, Informational Articles [35120] Sample Boiler Checklists, Logs, Informational Articles : Resource Info
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

Safe Electrical Work Practices Checklist [pdf] [18888] Safe Electrical Work Practices Checklist : Resource Info
Sample checklists and safety rules for electrical safety

Fire Safety » Exits
Means of egress requirements, emergency lighting, etc.

Means of Egress/Escape Self-Inspection Checklist [32558] Means of Egress/Escape Self-Inspection Checklist : Resource Info
Applies to private employers and their employees

Fire Safety » Fire Programs
Full text fire safety programs, checklists and support materials

Sample Fire Prevention Plan [pdf] [18891] Sample Fire Prevention Plan : Resource Info
Template for a fire prevention plan

Fire Safety » Flammables
Controlling the hazards from flammable and combustible liquids and gases

Battery Charging and Storage Operations Checklist [pdf] [18900] Battery Charging and Storage Operations Checklist : Resource Info
These systems may include lead acid batteries, lithium chloride batteries, and other similar devices

Flammable & Combustible Liquid Storage Checklist [pdf] [18901] Flammable & Combustible Liquid Storage Checklist : Resource Info
Sample checklist and safety rules for safe storage of flammable and combustible liquids

Fire Safety » Life Safety
Resources related to the Life Safety Code

Fire Rescue Life Safety Checklist [pdf] [35463] Fire Rescue Life Safety Checklist : Resource Info
For building life safety code compliance

Habitational Risk Life Safety Questionnaire [pdf] [35464] Habitational Risk Life Safety Questionnaire : Resource Info
An information gathering tool

Fire Safety » Sprinklers
Technical resources on fire sprinklers, halon, fire protection engineering

Sample Sprinkler Test Log [21536] Sample Sprinkler Test Log : Resource Info
Download a sample sprinkler test log

Fire Safety » Winter Preparedness
Winter property protection precautions

Preparing Buildings & Facilities for Winter [pdf] [27179] Preparing Buildings & Facilities for Winter : Resource Info
A handy checklist of items to consider

Fleet Safety » Driver Medical Fitness
Guidelines on DOT medical exam requirements

Driver's Medical Examination: Fitness to Drive Form [pdf] [12123] Driver
US DOT medical examination report for commercial fitness determination

FMCSA Drive Medical Examination Form [20710] FMCSA Drive Medical Examination Form : Resource Info
Download the medical exam form used to determine qualification of CMV drivers

Fleet Safety » Driver MVR
Guidance on driver selection criteria, what to look for in an MVR

AR-Arkansas State Vehicle Safety Program [doc] [17550] AR-Arkansas State Vehicle Safety Program : Resource Info
Point system used for the state's fleet drivers - including sample forms

NC-North Carolina Forms for Driver License [15893] NC-North Carolina Forms for Driver License : Resource Info
The Driver Privacy Protection Act - Form 1 required

OH-Ohio Driving Records [15877] OH-Ohio Driving Records : Resource Info
Forms for ordering MVR records in Ohio - consent forms, etc.

Fleet Safety » Fleet Policies
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.

Central Fleet Administration Forms [23620] Central Fleet Administration Forms : Resource Info
Sample forms to be used in fleet administration

MVR Statement [pdf] [16147] MVR Statement : Resource Info
Sample form that can be signed by a driver acknowledging MVR point system policies

VA-Virginia Office of Fleet Management Services [19671] VA-Virginia Office of Fleet Management Services : Resource Info
Fleet rules and regulations for state agencies in Virginia

Fleet Safety » Hazmat Transport
DOT hazardous materials regulations, guides & reference materials

DOT Hazardous Materials Library [3570] DOT Hazardous Materials Library : Resource Info
Documents from the Office of Hazardous Materials

Fleet Safety » Vehicle Inspections
Procedures for inspecting trucks, buses, cargo tanks, etc. Pre-trip inspections.

Motor Vehicle Safety, Vehicle Inspection & Snomobile Pre-Trip Checklists [pdf] [18883] Motor Vehicle Safety, Vehicle Inspection & Snomobile Pre-Trip Checklists : Resource Info
Sample checklists and safety rules for motor vehicle safety, snomobiles and snowcats

Fleet Safety » Vehicle Maintenance
Guidance & checklists for vehicle preventive maintenance procedures

Light Vehicle Preventive Maintenance Checklists [21059] Light Vehicle Preventive Maintenance Checklists : Resource Info
Series of service checklists based on mileage

Truck Preventive Maintenance Schedule [21060] Truck Preventive Maintenance Schedule : Resource Info
Series of service checklists based on hours of use

Fleet Safety » Vehicle Safety Programs
Articles, topics and tips related to fleet safety programs

Motor Carrier and Highway Safety Forms and Publications [5733] Motor Carrier and Highway Safety Forms and Publications : Resource Info
Various forms & other guidance documents to help motor carriers achieve compliance

Health Care Safety » Accreditation
Organizations & their procedures for accreditation of health care facilities

JCAHO Mock Survey Audit Tool [22282] JCAHO Mock Survey Audit Tool : Resource Info
Environment of Care JACHO Walkthrough Assessment audit

Health Care Safety » Dentistry Safety
Safety materials for the dentistry profession

5 Questions - Dentistry Infection Control [32443] 5 Questions - Dentistry Infection Control : Resource Info
The answers here are derived from recommendations from the CDC, ADA and OSAP

Backflow Prevention and the Dental Operative Unit [32434] Backflow Prevention and the Dental Operative Unit : Resource Info
The risk of contamination from cross-connections from the dental operative unit

Boil-Water Advisories and the Dental Office [32435] Boil-Water Advisories and the Dental Office : Resource Info
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] Engineering and Administrative Recommendations for Water Fluoridation : Resource Info
1995 Centers for Disease Control report

HIV Postexposure Prophylaxis by Dental Health Care Personnel [32441] HIV Postexposure Prophylaxis by Dental Health Care Personnel : Resource Info
A study on the use of PEP for exposure to HIV among dental workers

Infection Control & Safety in Dentistry FAQ [32433] Infection Control & Safety in Dentistry FAQ : Resource Info
Covers waste treatment and disposal, handwashing, practice safety, disease agents, regulatory processes and much more

MRSA in the Dental Office [pdf] [32444] MRSA in the Dental Office : Resource Info
An overview of the issue of methicillin-resistant staphylococcus aureus (MRSA) infections in dentistry

Recommendations for Using Fluoride to Prevent & Control Dental Caries [32439] Recommendations for Using Fluoride to Prevent & Control Dental Caries : Resource Info
When used appropriately, fluoride is both safe and effective in preventing and controlling dental caries

Recommended Infection Control Practices for Dentistry [32438] Recommended Infection Control Practices for Dentistry : Resource Info
Developed for dental health care personnel

Sharps Injuries in Dental Settings [32432] Sharps Injuries in Dental Settings : Resource Info
Device screening and evaluation forms

The Use and Handling of Toothbrushes [32436] The Use and Handling of Toothbrushes : Resource Info
Recommended toothbrush care

Health Care Safety » Disaster Management
Emergency plans and disaster guidance for health care facilities

Decontamination Line Set-Up for Hospitals [30050] Decontamination Line Set-Up for Hospitals : Resource Info
How to establish decontamination line layouts

Emergency Department Screening and Isolation Drill Guidance [30056] Emergency Department Screening and Isolation Drill Guidance : Resource Info
Guidance documents for hospital emergency departments

Emergency Drills & Exercises Toolkit [30055] Emergency Drills & Exercises Toolkit : Resource Info
For hospitals and primary care centers

Healthcare Organizations Nuclear, Biological & Chemical Decontamination [30048] Healthcare Organizations Nuclear, Biological & Chemical Decontamination : Resource Info
Summary of Joint Commission's accreditation requirements

Hospital Disaster Preparedness Guidelines [30051] Hospital Disaster Preparedness Guidelines : Resource Info
Draft guidelines prepared by the State of New York

Hospital Treatment Guidelines - Terrorism Agents [30052] Hospital Treatment Guidelines - Terrorism Agents : Resource Info
Treament guidelines for hospitals and clinicians on terrorism agents

Mass Casualty Care Strategy for Biological Terrorism Incidents [30049] Mass Casualty Care Strategy for Biological Terrorism Incidents : Resource Info
An approach to disaster medical response with mass casualties

Mass Medical Care with Scare Resources [pdf] [30053] Mass Medical Care with Scare Resources : Resource Info
A planning guide - strategies

Medical Center Hazard and Vulnerability Assessment Tool [30046] Medical Center Hazard and Vulnerability Assessment Tool : Resource Info
Worksheet used to evaluate potential for event and response

Medical Center Hazard Vulnerability Analysis Tool [30047] Medical Center Hazard Vulnerability Analysis Tool : Resource Info
Uses a quantitative method to evaluate vulnerability

Health Care Safety » Hospital Safety
Sample worker safety programs & guidance on pollution elimination in hospitals

Hospital Walk-Around Inspection Checklist [18827] Hospital Walk-Around Inspection Checklist : Resource Info
What to look for when conducting an inspection of a hospital

Medical Center Safety Manuals [3304] Medical Center Safety Manuals : Resource Info
Download full text of 4 safety manuals and numerous forms - Microsoft Word format

Medical Center: Safety Standard Operating Procedures [2783] Medical Center: Safety Standard Operating Procedures : Resource Info
Samples of SOPs developed for hospitals

Health Care Safety » Medical Devices
FDA regulatory guidance for manufacturers of medical devices

HACCP Worksheet [25397] HACCP Worksheet : Resource Info
A sample form that can be used to help design a HACCP plan

Health Care Safety » Patient Handling
Patient transfer techniques, use of lift equipment, patient transfer teams

Updated Patient Mechanical Lifts - Inspection Checklist [pdf] [30388] Patient Mechanical Lifts - Inspection Checklist : Resource Info
A sample daily mechanical lift inspection checklist

Health Care Safety » Patient Safety
Medical errors, medication errors, patient safety guidance

Incident Reporting [21665] Incident Reporting : Resource Info
A critical analysis of patient safety practices in incident reporting

MRI Safety Screening Form [pdf] [24250] MRI Safety Screening Form : Resource Info
Form for patients to complete prior to obtaining an MRI

Insurance Loss Control » Construction Insurance
Risk management and insurance related issues in the construction industry

Fire Safety Construction Requirements [19406] Fire Safety Construction Requirements : Resource Info
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

State Risk Management Audit [pdf] [11140] State Risk Management Audit : Resource Info
Full text of a risk management program audit / checklist - 22 pages

Job Analysis » Job Safety Analysis
Sample forms and advice for conducting JHAs

Hazard Assessment, Analysis and Control [pdf] [35628] Hazard Assessment, Analysis and Control : Resource Info
Sample policies and forms

Job Hazard Analysis [30182] Job Hazard Analysis : Resource Info
Booklet and sample form

Job Hazard Analysis FAQ [8334] Job Hazard Analysis FAQ : Resource Info
Basics of job hazard analysis process with sample forms

Job Hazard Analysis Form [35293] Job Hazard Analysis Form : Resource Info
Includes instructions

Job Hazard Analysis Instructions [25126] Job Hazard Analysis Instructions : Resource Info
Sample form and instructions for completing a JHA

Job Hazard Analysis Training [pdf] [26668] Job Hazard Analysis Training : Resource Info
Explanation of JHA's

Job Hazard Analysis Worksheet [23496] Job Hazard Analysis Worksheet : Resource Info
A sample completed form

Task Hazard Analysis [35629] Task Hazard Analysis : Resource Info
There are four basic steps in conducting a task hazard analysis

Job Analysis » Physical Demands
Analyzing the physical demands of job duties

Updated Physical Demands Assessment Form [pdf] [25106] Physical Demands Assessment Form : Resource Info
Form used to evaluate the physical demands of workplace tasks(pdf)

Updated Physical Job Analysis - Work Demands [35956] Physical Job Analysis - Work Demands : Resource Info
A form to record physical demands of work posture requirements

Job Analysis » Symptom Surveys
Ergonomics medical symptom survey questionnaires

Updated Ergonomics Evaluation Form [148] Ergonomics Evaluation Form : Resource Info
Employee checklist for medical symptoms from computer workstations

Ergonomics Symptom Survey [pdf] [23908] Ergonomics Symptom Survey : Resource Info
Download a sample form

Sample Worker Ergonomics Symptoms Questionnaire [19244] Sample Worker Ergonomics Symptoms Questionnaire : Resource Info
Questions use a five point or ten point scale

Laboratory Safety » Activation-Closure
Procedures to follow when designing, activating, moving or closing laboratories

Hazardous Material Close Out Procedures [16832] Hazardous Material Close Out Procedures : Resource Info
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

Lab Safety Inspection Checklists [26997] Lab Safety Inspection Checklists : Resource Info
Sample safety checklists for laboratories

Laboratory Safety Self-Inspections [904] Laboratory Safety Self-Inspections : Resource Info
Chemistry lab safety inspection form and checklist

Laboratory Safety » Lab Hazards
Chemical Hygiene Plans, standard operating procedures, lab safety programs, etc.

Controlled Substances Use in Research [16867] Controlled Substances Use in Research : Resource Info
Conducting research using controlled substances - forms, policies, regulations, etc.

Laboratory Safety » Lab Training
Tutorials and training materials related to laboratory safety

Science Class Student Safety Contract [13007] Science Class Student Safety Contract : Resource Info
Example of a science student safety contract

Marine Safety » Boating Safety
Resources on boating and marine safety

Small Boat Safety [pdf] [18878] Small Boat Safety : Resource Info
Sample small boat safety checklist, accident report form and float plan

Marine Safety » Marine Safety Manuals
Sample marine safety programs, crewman's handbook, etc

Naval Safety Center Checklists [29073] Naval Safety Center Checklists : Resource Info
Checklists to ensure safe standarized work procedures

Physical Hazards » Hearing Conservation
Hearing conservation programs, acoustics, hearing protection devices, etc.

Hearing Conservation Checklist [pdf] [18896] Hearing Conservation Checklist : Resource Info
Sample Format for Audiometric Test Records & Hearing Conservation Program Checklist

Sound Level Survey Form [pdf] [31762] Sound Level Survey Form : Resource Info
A sample form for workplace sound level testing

Physical Hazards » OSHA Violence
OSHA technical resources on violence in the workplace

Sample Workplace Violence Prevention Program [9665] Sample Workplace Violence Prevention Program : Resource Info
Sample workplace violence program, checklist, incident report form

Physical Hazards » Slips and Falls
Technical safety materials on falls from walking and working surfaces

Walking - Working Surfaces Checklist [pdf] [18899] Walking - Working Surfaces Checklist : Resource Info
Walking - Working Surfaces Checklist also includes ladders and scaffolds

Walking and Working Surfaces Safety Checklist [pdf] [27062] Walking and Working Surfaces Safety Checklist : Resource Info
For workplace safety

Physical Hazards » Thermal Comfort
TLV's for heat and cold exposure, thermal stress, thermal comfort guidelines

Canada: TLVs for Heat and Cold Exposure [18887] Canada: TLVs for Heat and Cold Exposure : Resource Info
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

Personal Protective Equipment Safety Checklist [18912] Personal Protective Equipment Safety Checklist : Resource Info
Sample program checklist form for evaluating the need for PPE

PPE Checklist [pdf] [18893] PPE Checklist : Resource Info
Sample checklist for PPE use - eye & face protection and more

PPE Hazard Assessment Form [21599] PPE Hazard Assessment Form : Resource Info
Selection of the proper personal protective equipment for a job is important

PPE Hazard Review Forms [23124] PPE Hazard Review Forms : Resource Info
Use the following charts and tables to complete a hazard assessment of your worksite

PPE Program Forms [35290] PPE Program Forms : Resource Info
Assessment and documentation forms for personal protective equipment programs

Sample PPE Inspection Checklists [18825] Sample PPE Inspection Checklists : Resource Info
What to look for when inspecting clothing, gloves and fully encapsulating suits

Radiation Safety » Laser Safety
Technical resources related to the safe use of lasers

Laser Operations Checklist [pdf] [18906] Laser Operations Checklist : Resource Info
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

General Radiation Safety Protocols [13364] General Radiation Safety Protocols : Resource Info
Forms and procedures in use by a major university

Ionizing and Non-ionizing Radiation Checklist [pdf] [18902] Ionizing and Non-ionizing Radiation Checklist : Resource Info
Sample checklist and safety rules for ionizing and non-ionizing radiation

Radiation Program Forms & Instructions [14005] Radiation Program Forms & Instructions : Resource Info
In actual use in a laboratory radiation safety program created by a government agency

Radiation Safety Guide [13998] Radiation Safety Guide : Resource Info
Full text of a radiation safety guide in use by a government laboratory

Updated Radiation Safety New Worker Form [pdf] [902] Radiation Safety New Worker Form : Resource Info
Sample radiation safety form

Radiation Safety Service [861] Radiation Safety Service : Resource Info
Radiation safety protocols, radionuclide training guide, isotope data sheets, forms

Recreation Safety » Playground Safety
Playground safety information

Playground Inspections [17606] Playground Inspections : Resource Info
Worksheets, forms, checklists, etc. for playground inspections

Sample Safety Checklist for Active Play Areas [pdf] [19571] Sample Safety Checklist for Active Play Areas : Resource Info
Checklist for safety equipment and location hazards

Recreation Safety » Swimming Safety
Pool and spa safety - drowning prevention

Scientific Diving Safety [22286] Scientific Diving Safety : Resource Info
Safety manual and forms

Respiratory Safety » Confined Space Program
Technical resources related to confined space requirements

Confined Space Entry Checklist [pdf] [18897] Confined Space Entry Checklist : Resource Info
Sample Confined-Space Entry Permit and Checklist

Confined Space Program [23325] Confined Space Program : Resource Info
Includes sample forms and a program flow chart

Confined Space Sample Forms [22364] Confined Space Sample Forms : Resource Info
Sample forms for a confined space entry program

Confined Spaces Program [2744] Confined Spaces Program : Resource Info
Recommended safe work practices to permit entry

Confined-Space Pre-entry Checklist [pdf] [27067] Confined-Space Pre-entry Checklist : Resource Info
Checklist must be filled out whenever workers enter a permit required space

Confined-Space-Entry Safety Checklist [27068] Confined-Space-Entry Safety Checklist : Resource Info
Checklist for a confined space entry safety program

Respiratory Safety » Dust Inhalation
Hantavirus, histoplasmosis, silicosis and more

Construction Industry Guide for Managing Silica [35243] Construction Industry Guide for Managing Silica : Resource Info
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 Questionnaire [pdf] [34682] IAQ Questionnaire : Resource Info
To be completed by occupants complaining of indoor air quality

Indoor Air Quality Checklist [pdf] [18898] Indoor Air Quality Checklist : Resource Info
Common indoor contaminants TLVs and Indoor Air Quality Checklist

Respiratory Safety » OSHA Respirators
OSHA technical resources on respiratory protection

OSHA Respiratory Standard; Medical Evaluation Questionnaire [7917] OSHA Respiratory Standard; Medical Evaluation Questionnaire : Resource Info
OSHA requires the employee to fill out a medical questionnaire - sample template provided

Respiratory Safety » Respiratory Protection
Respirator fit, full text of respiratory programs, etc.

Respiratory Protection Checklist & Program [pdf] [18895] Respiratory Protection Checklist & Program : Resource Info
Sample respiratory protection program and checklist, respirator medical evaluation questionnaire

Respiratory Protection Program [23323] Respiratory Protection Program : Resource Info
Includes sample forms & safety SOP's

Respiratory Safety » Sampling
Technical guides on industrial hygiene air & noise sampling, monitoring, etc

Customer Service Manual [5897] Customer Service Manual : Resource Info
US Army manual provides guidance on how to order IH sampling and lab services

Safety Forms » Disaster Checklists
Emergency preparedness checklists, bomb threat checklists

Emergency Action Plan Checklist [pdf] [18890] Emergency Action Plan Checklist : Resource Info
Sample EAP checklist for creating a site-specific plan

Emergency Response Agreements Checklist [pdf] [18909] Emergency Response Agreements Checklist : Resource Info
Checklist currently in use by the US National Weather Service

Essential Corporate Documents and Records Kit Checklist [26903] Essential Corporate Documents and Records Kit Checklist : Resource Info
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

New Computer Workstation Assessment Form [pdf] [36130] Computer Workstation Assessment Form : Resource Info
An ergonomics checklist for computer work

Computer Workstation Ergonomic Checklist [16833] Computer Workstation Ergonomic Checklist : Resource Info
Areas to consider when setting up your workstation

New Computer Workstation Set-up Checklist [pdf] [36131] Computer Workstation Set-up Checklist : Resource Info
An ergonomics checklist for computer workstations

New Employee Ergonomic Survey [pdf] [36129] Employee Ergonomic Survey : Resource Info
An ergonomics assessment form for analyzing employee workstations

Ergonomics Risk Factor Checklist [pdf] [35178] Ergonomics Risk Factor Checklist : Resource Info
Musculoskeletal injury prevention risk evaluation checklist

New Fleet Vehicle Ergo Checklist [pdf] [36127] Fleet Vehicle Ergo Checklist : Resource Info
An ergonomics assessment form for analyzing delivery drivers

Human Factors: Process Hazard Analysis Evaluation of External Forces [16842] Human Factors: Process Hazard Analysis Evaluation of External Forces : Resource Info
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)

Laboratory Workstation Evaluation Checklist [26812] Laboratory Workstation Evaluation Checklist : Resource Info
Identify risk factors that can contribute to work-related musculoskeletal problems

Performance Oriented Ergonomic Checklist For Computer (VDT) Workstations [19238] Performance Oriented Ergonomic Checklist For Computer (VDT) Workstations : Resource Info
Designed to help you to evaluate what is needed for a good ergonomic workstation arrangement

United Kingdom: Sample Ergonomics Checklists [23712] United Kingdom: Sample Ergonomics Checklists : Resource Info
A series of ergonomics checklists and forms

Safety Forms » Fire Checklists
Fire safety inspection checklists

Building Inspection Program [35126] Building Inspection Program : Resource Info
Sample instructions, forms, logs as used by a university-based safety program

Fire Alarm sytem Inspection, Testing and Maintenance Report [doc] [35119] Fire Alarm sytem Inspection, Testing and Maintenance Report : Resource Info
Procedures for Inspecting, Testing, Maintaining Fire Alarm, Fire Sprinkler, and Smoke Management Systems

ID-Idaho Fire Inspection Form for Daycare Centers [23675] ID-Idaho Fire Inspection Form for Daycare Centers : Resource Info
Download a fire safety inspection form for daycare centers

Monthly Fire Service Test Log [pdf] [28923] Monthly Fire Service Test Log : Resource Info
A form for logging monthly test inspections

Property Inspection Checklist [doc] [35445] Property Inspection Checklist : Resource Info
Primarily fire inspection plus building exterior and parking lot inspection components

Workplace Fire Safety Checklist [26889] Workplace Fire Safety Checklist : Resource Info
For a fire safe workplace check these items routinely

Safety Forms » Inspection Forms
Safety self-inspections, self-evaluation checklists, yes/no questions

Building Safety Inspection Form [pdf] [34238] Building Safety Inspection Form : Resource Info
Monthly fire and safety inspection checklist

Canada: Workplace Inspections [17611] Canada: Workplace Inspections : Resource Info
Sample Inspection Check Sheet and guidance for conducting a safety inspection

Canada: Workplace Inspections [18950] Canada: Workplace Inspections : Resource Info
How to inspect your workplace and identify potential problems

Chemical Safety Checklist - Laboratories [27877] Chemical Safety Checklist - Laboratories : Resource Info
Use this form to document periodic lab inspections as designated in your CHP

Updated Confined Space Pre-Entry Check List [22430] Confined Space Pre-Entry Check List : Resource Info
Check for compliance with the OSHA standard1910.146

Construction Jobsite Safety Inspection Checklist [pdf] [25913] Construction Jobsite Safety Inspection Checklist : Resource Info
To be used to inspect job sites for safety compliance

Construction Safety Checklist [27183] Construction Safety Checklist : Resource Info
Sample job site inspection form

Consumer Safety Checklists [27696] Consumer Safety Checklists : Resource Info
For home safety, child safety, water safety

Electrical Residential Safety Checklist [26886] Electrical Residential Safety Checklist : Resource Info
Checklist to make certain your residence is electrically safe

Electrical Workplace Safety Checklist [26887] Electrical Workplace Safety Checklist : Resource Info
Checklist to make certain your workplace is electrically safe

Facility Safety Inspection Checklist [pdf] [35298] Facility Safety Inspection Checklist : Resource Info
A general safety waltkthrough inspection checklist

First Aid Checklist [26243] First Aid Checklist : Resource Info
Checklist for a comprehensive first aid kit

Hazardous Waste Inspection Checklists [29059] Hazardous Waste Inspection Checklists : Resource Info
Santa Clara, California designed forms

Health Services Inspection Checklists [pdf] [29020] Health Services Inspection Checklists : Resource Info
Checklists of potential safety hazards in medical facilities

Heat Stress: General Workplace Review [18828] Heat Stress: General Workplace Review : Resource Info
Sample questions of what to ask when investigating heat stress in the workplace

Laboratory Employee Training Checklist [pdf] [14056] Laboratory Employee Training Checklist : Resource Info
Employee training checklist form to document safety training (pdf)

Ladder Inspection Checklist [26669] Ladder Inspection Checklist : Resource Info
General safety checklist for all types of ladders

Lockout Tagout Procedures [10151] Lockout Tagout Procedures : Resource Info
Forms for a LOTO program

Manufacturing Facility Safety Analysis [18956] Manufacturing Facility Safety Analysis : Resource Info
Manufacturing safety checklist

Monthly Workplace Inspection Form [pdf] [26558] Monthly Workplace Inspection Form : Resource Info
Example of a 3 page yes/no form

Office Safety Analysis [18955] Office Safety Analysis : Resource Info
Office safety checklist

Office Safety Inspection Checklist [pdf] [26099] Office Safety Inspection Checklist : Resource Info
Form designed to be used monthly

Process Hazard Analysis Evaluation of External Forces [16843] Process Hazard Analysis Evaluation of External Forces : Resource Info
Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)

Safety Checklists [28913] Safety Checklists : Resource Info
A series of safety inspection checklists

Safety Checklists [18877] Safety Checklists : Resource Info
Download a variety of workplace and general safety checklists

Safety Guidelines for the Home Work Space [9145] Safety Guidelines for the Home Work Space : Resource Info
Sample safety checklist for home-based telecommuters

Safety Inspection Checklists [27278] Safety Inspection Checklists : Resource Info
Office Safety Checklist, Laboratory Safety Checklist, Shop Safety Checklist

Self-Inspection Safety Checklist [pdf] [31982] Self-Inspection Safety Checklist : Resource Info
For worship centers, schools and related facilities

Table Top Job Analysis [pdf] [16851] Table Top Job Analysis : Resource Info
Uses the example of a job hazard analysis seminar

Workplace Housekeeping Checklist [18957] Workplace Housekeeping Checklist : Resource Info
Use the following checklist as a general workplace guide

Workplace Safety Inspection Checklist [doc] [35164] Workplace Safety Inspection Checklist : Resource Info
A yes/no safety inspection checklist for general industry

Yard Inspection Checklist [pdf] [18786] Yard Inspection Checklist : Resource Info
Checklist to inspect job yards (pdf)

Yard Safety Analysis [18954] Yard Safety Analysis : Resource Info
Yard safety checklist

Safety Forms » OSHA Forms
Download OSHA logs and forms for workplace injury recordkeeping requirements, co

MSHA Forms [28181] MSHA Forms : Resource Info
Mine Safety and Health Administration - Download the forms and the instructions

OSHA Forms [3548] OSHA Forms : Resource Info
Forms to be used for calendar year 2004 and beyond

OSHA Logs [xls] [24171] OSHA Logs : Resource Info
Download US Federal OSHA Forms in Microsoft Excel format

OSHA Online Complaint Form [23931] OSHA Online Complaint Form : Resource Info
Notice of Alleged Safety or Health Hazards

OSHA Recordkeeping Forms [21072] OSHA Recordkeeping Forms : Resource Info
Download OSHA 300 forms

OSHA Worker Complaint Form [21073] OSHA Worker Complaint Form : Resource Info
File a complaint online or download the OSHA complaint form

OSHA-171 Grantee Quarterly Progress Report [28180] OSHA-171 Grantee Quarterly Progress Report : Resource Info
Download the form and the instructions

OSHA-182 Student Data Form [28179] OSHA-182 Student Data Form : Resource Info
Download the form and the instructions

OSHA-49 Course Evaluation [28178] OSHA-49 Course Evaluation : Resource Info
Download the form and the instructions

OSHA-7 Form Notice of Alleged Safety and Health Hazards [28177] OSHA-7 Form Notice of Alleged Safety and Health Hazards : Resource Info
Download the form and the instructions

Safety Forms » Safety Audits
Regulatory compliance self-inspections, program audits, self-evaluations

Assessing Safety and Health Management Programs [23112] Assessing Safety and Health Management Programs : Resource Info
Includes audit forms and an action worksheet

CA-California Safety Program Self Audit [27043] CA-California Safety Program Self Audit : Resource Info
A form to compare your existing safety program to minimum required elements

Contractor Accident Prevention Plan and Review [doc] [30213] Contractor Accident Prevention Plan and Review : Resource Info
A program audit for construction contractors

Employer Safety and Health Program Self-Assessment [pdf] [31740] Employer Safety and Health Program Self-Assessment : Resource Info
For use by employers to evaluate their workplace safety programs

Ontario Canada: Workwell Core Health and Safety Audit [25105] Ontario Canada: Workwell Core Health and Safety Audit : Resource Info
67 page manual of instructions on how to conduct a point-assessed safety program audit

Safety and Health Management Program Assessment Worksheet [25031] Safety and Health Management Program Assessment Worksheet : Resource Info
Scoring worksheet for evaluating a worksite safety program

Safety and Health Program Checklist [26551] Safety and Health Program Checklist : Resource Info
Analyze how your safety and health program measures up

Safety Management Evaluation Audit [28993] Safety Management Evaluation Audit : Resource Info
Format for evaluating a company's safety program using a point system

Safety Program Evaluation Checklist [16638] Safety Program Evaluation Checklist : Resource Info
Safety program audit checklist used by Cal/OSHA for VPP

Safety Forms » Safety Forms
Forms used by safety departments

Accident / Incident Accident Investigation Form [pdf] [35130] Accident / Incident Accident Investigation Form : Resource Info
Sample form includes cause codes, nature of injury codes, part of body codes, etc

Accident Investigation Form [20126] Accident Investigation Form : Resource Info
A sample form in English or Spanish

Accident Witness Statement [pdf] [35939] Accident Witness Statement : Resource Info
Sample form to be used by employees who witness accidents on the job

Action Planning Grid [24270] Action Planning Grid : Resource Info
Sample Action Plan format

Aerial Lift Device Inspection Forms [4106] Aerial Lift Device Inspection Forms : Resource Info
Pre-use, weekly, monthly and annual inspection forms

Alternate Entry Procedure/Reclassification Form [doc] [31735] Alternate Entry Procedure/Reclassification Form : Resource Info
For use for confined spaces requirements

Australia - Risk Management Forms [14034] Australia - Risk Management Forms : Resource Info
Download a large variety of occupational safety and health forms

Biosafety Forms [14059] Biosafety Forms : Resource Info
Series of forms used in a biosafety program of a major university

Business Safety Incident Calculation Worksheet [pdf] [31581] Business Safety Incident Calculation Worksheet : Resource Info
To assist in calculating the anticipated and unexpected costs associated with a workplace safety incident

CA-California School IPM Forms [24863] CA-California School IPM Forms : Resource Info
Sample pesticide application warning signs, information sheet for parents, etc.

Campus Safety Forms [14064] Campus Safety Forms : Resource Info
Download forms used by the safety department of a major university

Canada: Safety Forms [16554] Canada: Safety Forms : Resource Info
Blaster's log book, blasting incident report, occupational health and safety checklist

Confined Space Entry Permit Forms [28914] Confined Space Entry Permit Forms : Resource Info
A series of sample forms on confined space entry

Confined Space/Permit Space Space Evaluation Form [pdf] [31736] Confined Space/Permit Space Space Evaluation Form : Resource Info
For use for confined spaces requirements

Contractor Safety Assessment Form [pdf] [25311] Contractor Safety Assessment Form : Resource Info
An example of one firm's safety requirements for construction contractors

Contractor Safety Performance Survey [pdf] [26804] Contractor Safety Performance Survey : Resource Info
Form used to evaluate construction company safety practices

Department of Occupational Health & Safety Forms [14061] Department of Occupational Health & Safety Forms : Resource Info
Download forms in use by a major university

Updated Driver and Risk Management Forms [20918] Driver and Risk Management Forms : Resource Info
Includes general incident reports, vehicle use agreement, camp accident form, etc

EHS Forms [24907] EHS Forms : Resource Info
Examples of environmental safety and health forms in use at a major university

EHS Forms [27276] EHS Forms : Resource Info
Sample safety forms in use at a major university

Employee Health and Safety Attitude Survey [26803] Employee Health and Safety Attitude Survey : Resource Info
Form to survey employee perceptions of safety at their workplace

Employee Safety Data Sheet [pdf] [14062] Employee Safety Data Sheet : Resource Info
An employee form that tracks training records, PPE, accidents by employee

Employer First Report of Injury [pdf] [31554] Employer First Report of Injury : Resource Info
Example of a form in use at a major university

Entry Permit Form [31734] Entry Permit Form : Resource Info
For use for confined spaces requirements

Environmental Health & Safety Forms [23297] Environmental Health & Safety Forms : Resource Info
Series of forms and checklists

Forms for Injury & Illness Prevention Program [14055] Forms for Injury & Illness Prevention Program : Resource Info
Environmental health and safety forms

General Contractor Safety Form [pdf] [25620] General Contractor Safety Form : Resource Info
Form for the contractor to complete about jobsite safety program requirements

Hazardous Waste Disposal Forms [14037] Hazardous Waste Disposal Forms : Resource Info
Download forms related to hazardous waste disposal

Helpful Tools [17436] Helpful Tools : Resource Info
Sample safety policy statements, program check-up form, sample program for small business, etc.

Helpful Tools [20180] Helpful Tools : Resource Info
These are optional forms that can help you meet the requirements of your safety program

Incident Reporting Procedures Form [pdf] [22185] Incident Reporting Procedures Form : Resource Info
Sample form to be used when there are injuries

Industrial Hygiene Forms [26313] Industrial Hygiene Forms : Resource Info
IH forms related to air sampling, noise surveys, heat stress and various IH surveys

Job Safety Analysis Guideline Form [pdf] [18782] Job Safety Analysis Guideline Form : Resource Info
Provide guidance on how to conduct a JSA and a sample form

Jobsite Audit Form [pdf] [24235] Jobsite Audit Form : Resource Info
Yes/no boxes for each audit element

Laser Equipment Survey Form [pdf] [26470] Laser Equipment Survey Form : Resource Info
Sample form to be used for safe laser use (pdf)

MN-Minnesota Safety & Environmental Forms [4648] MN-Minnesota Safety & Environmental Forms : Resource Info
In use by a Minnesota university - biosafety, controlled substances, hazardous waste, lab safety etc

MSHA Forms & On-Line Filing [8668] MSHA Forms & On-Line Filing : Resource Info
Download forms or use on-line

NH-New Hampshire Safety Summary Form, Self Inspection Checklist [22508] NH-New Hampshire Safety Summary Form, Self Inspection Checklist : Resource Info
Annual form that must be filed to the state by January 1 every other year

Notice of Property Loss Form [pdf] [34240] Notice of Property Loss Form : Resource Info
A report form used for property, boiler and machinery, etc

Ontario, Canada - Health & Safety WC Forms [18967] Ontario, Canada - Health & Safety WC Forms : Resource Info
For employers, health care practitioners, physicians and more

Updated OSHA Forms [22047] OSHA Forms : Resource Info
Copies of OSHA Forms 300, 300A

Radiation Safety Forms [14036] Radiation Safety Forms : Resource Info
View forms in use by a major university for radiation safety hazards

Radiological Safety Forms [21826] Radiological Safety Forms : Resource Info
Over 50 radiological health forms for medical institutions

Safety Department Forms [25157] Safety Department Forms : Resource Info
Environmental, fire and life, laboratory, occupational, radiation safety forms

Safety Department Forms [23945] Safety Department Forms : Resource Info
Includes a variety of forms - safety shoes, safety glasses, safety training evaluation, unsafe report, etc

Safety Forms [7965] Safety Forms : Resource Info
Series of approx 50 safety forms

Safety Forms [27186] Safety Forms : Resource Info
A series of safety inspection checklists and forms

Safety Forms [14035] Safety Forms : Resource Info
Download forms related to biological materials, radioactive materials, & other miscellaneous forms

Safety Forms Index [14038] Safety Forms Index : Resource Info
Forms for biological safety, fire safety, lab safety, radiation safety, etc.

Safety Incident Report [pdf] [31555] Safety Incident Report : Resource Info
Example of a form in use at a major university

Safety Management Forms [35645] Safety Management Forms : Resource Info
A series of sample safety program forms for audits, meetings, workplace incidents, checklists

Safety Program Forms [22414] Safety Program Forms : Resource Info
Download a variety of safety forms, audits, etc

Sample JSA & Physician Evaluation Forms [20128] Sample JSA & Physician Evaluation Forms : Resource Info
Download sample forms in pdf format

Updated Sample MSDS Form [22042] Sample MSDS Form : Resource Info
Download a blank MSDS form

Student Laboratory Safety Contract [16100] Student Laboratory Safety Contract : Resource Info
Sample form for students to sign indicating their acceptance of science classroom safety rules

Tailgate Safety Meeting Form [14808] Tailgate Safety Meeting Form : Resource Info
Download a safety department form to document tailgate safety meetings (MS Word)

Vehicular Accident Investigation Form [26244] Vehicular Accident Investigation Form : Resource Info
Sample form for auto accidents

Witness Statement of Accident/Incident [pdf] [33498] Witness Statement of Accident/Incident : Resource Info
Example of a sample form for those who witness an accident in the workplace

Workplace Injury Cost Calculator Worksheet [31579] Workplace Injury Cost Calculator Worksheet : Resource Info
Helps to identify actual costs related to a workplace injury

Safety Programs » Safety Committees
Safety committees, safety teams, etc.

Sample Safety Committee Meeting Report & Guidelines [pdf] [18775] Sample Safety Committee Meeting Report & Guidelines : Resource Info
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

Laboratory Safety Committee Worksite Survey [pdf] [28884] Laboratory Safety Committee Worksite Survey : Resource Info
Standardized reporting format for a laboratory safety inspection

Safety / Loss Control Program Materials [15600] Safety / Loss Control Program Materials : Resource Info
Sample safety checklists, forms, programs and manuals

Safety Programs » Safety Rules
Examples of safe operating procedures (SOPs) and safety rules

Updated Example Employee Safety Policy & General Safety Rules [16098] Example Employee Safety Policy & General Safety Rules : Resource Info
Can be signed by the employee

General Safety Rules [24231] General Safety Rules : Resource Info
Issued to provide a safe and healthy working environment

SOP Development Form for Hazardous Material [doc] [22018] SOP Development Form for Hazardous Material : Resource Info
Standard operating procedures guidelines and template for hazardous materials

SOP for Safe Handling of Carcinogenic Materials [pdf] [6656] SOP for Safe Handling of Carcinogenic Materials : Resource Info
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 Meeting Outline Topics [1554] Safety Meeting Outline Topics : Resource Info
Employee training bulletins

Safety Training » Safety Training
Guidance on safety training presentations, training requirements, etc.

Employee Safety Orientation Checklist [pdf] [26465] Employee Safety Orientation Checklist : Resource Info
Check mark the required safety training programs (pdf)

Sample Safety Orientation Outline [pdf] [18908] Sample Safety Orientation Outline : Resource Info
Sample outline for employees, visitors and contractors

School Safety » School Checklists
Checklists and audit forms related to school safety and risk management

Science Classroom Safety Checklists [13006] Science Classroom Safety Checklists : Resource Info
Safety Checklists: Classrooms, Chemical, Electrical, and Refrigerators

School Safety » School Violence
Guides for schools to prevent violence - checklists, sample policies

School Violence & Facilities Assessment [pdf] [22623] School Violence & Facilities Assessment : Resource Info
A checklist to assess school security

Software » Environmental Software
Download software for EPA safety & health programs, site-specific sampling

TRI-ME Reporting Software [3652] TRI-ME Reporting Software : Resource Info
Toxics Release Inventory – Made Easy (TRI-ME) software page

Software » Ergonomics Software
Ergonomics-related software available for downloading on the internet

Ergonomics Resources [25107] Ergonomics Resources : Resource Info
Ergonomics tools, data and documents for ergonomist use in workplace task analyses

Software » Safety Software
Download software related to workplace safety

MSHA Online Forms Advisor [10332] MSHA Online Forms Advisor : Resource Info
Designed to help those involved in the mining industry fulfill their filing requirements

Specific Industries » Industry Loss Control
Risk management advice for specific industries

Municipalities - Managing Your Risk [25285] Municipalities - Managing Your Risk : Resource Info
Addresses risk management, safety and insurance issues

Specific Industries » Industry Safety
Safety and health hazards & controls in specific industries

Auto Body Repair Industry Safety & Health Plan [23639] Auto Body Repair Industry Safety & Health Plan : Resource Info
Full text of a sample safety program including forms

Bakery Operation Safety [29058] Bakery Operation Safety : Resource Info
Safety advice specific to the bakery industry

Specific Industries » Office Safety
Checklists, office safety programs, training materials, home offices, etc.

Office Safety Analysis [18951] Office Safety Analysis : Resource Info
Office safety checklist

Office Safety Checklist [pdf] [18882] Office Safety Checklist : Resource Info
Sample office safety checklist and instructions

Office Safety Checklist for Visually Impaired [26888] Office Safety Checklist for Visually Impaired : Resource Info
A basic office safety checklist

Specific Industries » Shop Safety
Safety hazards and controls associated with shop work

Food Services Safety Inspection Form [pdf] [35635] Food Services Safety Inspection Form : Resource Info
Over 80 items

Machine Shop Authorization Form [pdf] [26471] Machine Shop Authorization Form : Resource Info
Sample form to authorize use of machine shop equipment (pdf)

Machine Shop Safe Work Practices Evaluation Forms [26730] Machine Shop Safe Work Practices Evaluation Forms : Resource Info
Example of safety training evaluation forms for saws, sanders, presses, grinders, etc

Office Safety Inspection Form [pdf] [35634] Office Safety Inspection Form : Resource Info
Over 40 items

Shop Safety Analysis [18952] Shop Safety Analysis : Resource Info
Shop safety checklist

Shop Safety Inspection Checklist [pdf] [18780] Shop Safety Inspection Checklist : Resource Info
Advice on how to conduct a shop safety inspection plus checklist

Shop Safety Inspection Checklist [pdf] [35799] Shop Safety Inspection Checklist : Resource Info
A sample form with yes/no questions

Shop Safety Inspection Form [pdf] [35632] Shop Safety Inspection Form : Resource Info
Over 80 items

Wood Shop Authorization Form [pdf] [26469] Wood Shop Authorization Form : Resource Info
Example of a form authorizing a worker to use woodworking equipment (pdf)

Specific Industries » Warehouse Safety
Common warehouse and loading dock safety hazards and controls

Updated Warehouse/Dock Safety Analysis [18953] Warehouse/Dock Safety Analysis : Resource Info
Warehouse safety checklist

Terrorism » Bomb Threats
Bomb threat and physical security planning

Bomb Threat Telephone Procedures [pdf] [26472] Bomb Threat Telephone Procedures : Resource Info
Checklist on what questions to ask of the caller (pdf)

US Laws » Biosafety Laws
Full text of biosafety standards, manuals and guidelines for US federal laws

Importation Permits for Etiologic Agents [1427] Importation Permits for Etiologic Agents : Resource Info
Application form and instructions to apply for importation permits for etiologic agents

US OSHA » OSHA Accident Records
OSHA recordkeeping guidelines, standards, fact sheets, etc.

Cal/OSHA Forms 300, 300A, 301 [8134] Cal/OSHA Forms 300, 300A, 301 : Resource Info
Download the injury and illness forms

MI-Michigan MIOSHA Recording and Reporting Requirements [3937] MI-Michigan MIOSHA Recording and Reporting Requirements : Resource Info
How to complete MIOSHA forms 300, 300A and 301

OR-OSHA Recordkeeping [7915] OR-OSHA Recordkeeping : Resource Info
Everything you need for OSHA recordkeeping in the State of Oregon

US OSHA » OSHA Publications
OSHA fact Sheets, publications, online documents

OSHA Publications [2123] OSHA Publications : Resource Info
Large variety of OSHA documents, fact sheets and forms

US OSHA » OSHA Sample Programs
OSHA technical resources on safety programs, including motor vehicle safety

OSHA Small Business Handbook [pdf] [27022] OSHA Small Business Handbook : Resource Info
Covers a wide variety of workplace safety program topics including self-inspections

US State Laws » NH-New Hampshire
Access to state agencies and laws for the state of New Hampshire

Safety Summary Form - New Hampshire [17236] Safety Summary Form - New Hampshire : Resource Info
Download the form required to be filed biennially to the state Department of Labor - New Hampshire



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