Safety Management Industry - Knowledge & Resource Center

Special Resources
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    » 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.

Accident Analysis » Accident Investigation

Accident investigation programs, job safey analyses, etc.

Accident Investigation Form [pdf] [34997] ?

A form to be used - plus, which accidents to investigate

Accident Investigation Report [15580] ?

Sample form and instructions

Accident Investigation Tool [pdf] [34995] ?

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] ?

Sample procedures and forms in use by a US government agency

Incident / Hazard Report [doc] [36718] ?

A sample report for internal use only

Root Cause Accident Analysis [pdf] [34996] ?

A form to be used as a tool for root cause analysis of accident / injury

Supervising Accident Repeaters [pdf] [18783] ?

Sample accident review form and guidance (pdf)

Supervisor's Accident Investigation [pdf] [26819] ?

What to look for

Truck Driver Accident Interview Form [pdf] [27829] ?

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.

Updated Tractor/PTO Safety Checklist [pdf] [16835] ?

Tractor/Power Take Off (PTO) Training Checklist

Agriculture Safety » Landscaping Safety

Safety hazards and controls in plant nurseries and landscaping services

Landscaping Industry OSHA Violations [pdf] [36656] ?

Michigan OSHA's top 25 serious rule violations cited for the landscaping industry 2006-2008

Landscaping Safety Self-Inspection Checklist [pdf] [36655] ?

For the following industries: landscape, tree care, lawn maintenance and irrigation

Biological Safety » Bloodborne Pathogens

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

Chemical Safety » Asbestos Safety

Asbestos control programs, health effects, abatement, technical resources, etc.

Asbestos Management Plan [pdf] [2658] ?

Text of an asbestos safety program

Asbestos Safety Checklist [pdf] [18885] ?

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] ?

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] ?

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] ?

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] ?

Includes a sample written hazcom program and forms

Hazard Communication Plan [pdf] [23324] ?

Text of the hazcom plan plus chemical safety forms and SOP's

National Institutes of Health Hazard Communication Program [pdf] [5121] ?

Text of the NIH's Hazcom Program including checklist & form

Chemical Safety » Lead Safety

Information and resources on lead and lead poisoning

Construction Industry Guide for Managing Lead [35244] ?

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] ?

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] ?

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

Audit Forms: Contractor Safety Written Program Audit and Jobsite Audit [39371] ?

An audit form for a written construction safety program and a jobsite audit to evaluate construction safety standards

Construction Industry Guide for Managing Lead & Silica [35245] ?

Relevant forms, checklists and information sheets that can be adapted to different work sites

Contractor Safety Manual - University [pdf] [22582] ?

Construction safety requirements of a major university

Construction Safety » Excavation Safety

Resources on excavation and trenching safety requirements

Trenching & Excavation Competent Person Checklist [doc] [30214] ?

To be completed at the jobsite

Trenching & Excavation Operations Checklist [doc] [30215] ?

To be completed at the jobsite

Trenching And Excavation Operations Checklist [pdf] [18886] ?

Sample trenching safety checklist and standard operating procedures

Construction Safety » Fall Protection

Falls from elevations and fall protection safety resources

Fall Hazard Alert When Using Y Lanyard [doc] [38478] ?

Details some of the hazards associated with the misapplication of the Y lanyard or double lanyard

Fall Protection - Competent Person Checklist [38476] ?

To help determine ASSE/ANSI Z359 Fall Protection Code

Fall Protection - Compliance Checklist [doc] [38477] ?

Example of a checklist to assess a fall protection program

Fall Protection Checklist [pdf] [18881] ?

Sample Fall Protection procedure

Fall Protection Checklist [doc] [30217] ?

To be used at the jobsite

Rope Access [pdf] [38479] ?

Details some of the hazards associated with the suspended access system - cradles, boatswain's chairs, rope access

Construction Safety » Jobsite Safety

Workplace safety and health resources for construction hazards

Construction Jobsite Loss Control Survey [26060] ?

Checklist of safety items that should be observed at construction job sites

Contractor Work Rules Sign Off Form [pdf] [35017] ?

An example of a form for certification of contractor's responsibilities for safety and environmental compliance

Daily Pre-Job Safety Briefing Form [pdf] [20616] ?

Includes a job/hazard assessment section

Jobsite Safety Checklist [pdf] [35802] ?

A basic safety inspection checklist for jobsites

Construction Safety » Scaffolding Safety

Safety requirements for work platforms and scaffolding

Scaffolding Safety Inspection Checklist [pdf] [35800] ?

A sample form with yes/no questions

Emergency Management » Emergency Plans

Examples of emergency management and action plans

School Emergency Preparedness Plan & Forms [8864] ?

Model program can be adapted to the needs of your site

Environmental Health » Pollution

Resources to identify technologies & management practices to reduce pollution

GRI Guidelines [12940] ?

The G3 Guidelines for Corporate Environmental Reporting

Environmental Health » TRI

EPA Toxic Release Inventory (TRI) forms, reports, data

TRI - Toxics Release Inventory: Community Right-to-Know [3653] ?

Very large number of resources, including TRI forms and reporting requirements

TRI Reporting Forms and Reporting Requirements [13596] ?

Download reporting forms and instructions

Equipment Safety » Cranes-Hoists

Crane and hoist safety program materials

Cranes, Hoists And Slings Checklist [pdf] [18907] ?

Sample checklist and safety rules for the use of cranes, hoist and lsings

Manlift Pre-Use Inspection Form [pdf] [30240] ?

To be used prior to use

Overhead Crane Pre-Use Inspection Checklist [pdf] [30239] ?

To be used prior to use

Equipment Safety » Equipment Safety

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

Industrial Robot Checklist [27053] ?

How to choose the right industrial robot

Equipment Safety » Forklift Safety

Forklift safety program materials

Forklift Checklist [pdf] [18880] ?

Sample pre-operational checklists and forklift safety checklists

Forklift Gas Checklist [pdf] [35801] ?

A forklift operator's daily safety inspection check-off list

Forklift Safety Program [23322] ?

Text of a safety program for forklifts includes forklift safety forms

Forklift Safety Program [27057] ?

Safety rules for forklift operators

Equipment Safety » Ladders-Platforms

Ladder and work platform safety

Portable Ladder Safety Checklist [27058] ?

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] ?

Sample lockout/tagout checklist and safety rules

Electrical Job Briefing Checklist [788] ?

For use in an electrical safety program

Sample Lockout/Tagout Form [31549] ?

Example of a form

Equipment Safety » Machine Guarding

Machine safeguarding materials

Machine Guarding Checklist [pdf] [18905] ?

Sample checklist and safety rules for machine guarding

Machine Safeguarding Checklist [pdf] [32555] ?

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 [pdf] [28991] ?

Sample checklist and form

Safety Inspection Report: Bucket Truck (Cherry Picker) [pdf] [28986] ?

Sample checklist and form

Equipment Safety » Tool Safety

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

Abrasive Wheel Equipment Grinders Checklist [39450] ?

A safety checklist for abrasive wheel grinders

Hand and Power Tool Safety Checklist [pdf] [18904] ?

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] ?

Sample hot work permit and a list of procedures

Hot Work Permit Program [pdf] [3334] ?

Example of a hot work permit program for welding, flame cutting and soldering

Hot Work Permit Template and Checklist [pdf] [18879] ?

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] ?

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] ?

Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed

Office Workstation Assessment [doc] [33500] ?

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] ?

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] ?

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] ?

13 question checklist for hand tool evaluation

Fire Safety » Boilers

Boiler and pressure vessel safety materials

Sample Boiler Checklists, Logs, Informational Articles [35120] ?

Created by State government agencies responsible for boilers and pressure vessels

Fire Safety » Exits

Means of egress requirements, emergency lighting, etc.

Means of Egress/Escape Self-Inspection Checklist [32558] ?

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] ?

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] ?

These systems may include lead acid batteries, lithium chloride batteries, and other similar devices

Flammable & Combustible Liquid Storage Checklist [pdf] [18901] ?

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] ?

For building life safety code compliance

Habitational Risk Life Safety Questionnaire [pdf] [35464] ?

An information gathering tool

Fire Safety » Sprinklers

Technical resources on fire sprinklers, halon, fire protection engineering

Sample Sprinkler Test Log [pdf] [21536] ?

Download a sample sprinkler test log

Fire Safety » Winter Preparedness

Winter property protection precautions

Preparing Buildings & Facilities for Winter [pdf] [27179] ?

A handy checklist of items to consider

Fleet Safety » Driver Medical Fitness

Guidelines on DOT medical exam requirements

DOT Driver Medical Examination Form [pdf] [20710] ?

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

NC-North Carolina Forms for Driver License [15893] ?

The Driver Privacy Protection Act - Form 1 required

OH-Ohio Driving Records [15877] ?

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] ?

Sample forms to be used in fleet administration

MVR Statement [pdf] [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 Safety » Hazmat Transport

DOT hazardous materials regulations, guides & reference materials

DOT Hazardous Materials Library [3570] ?

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] ?

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] ?

Series of service checklists based on mileage

Truck Preventive Maintenance Schedule [21060] ?

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] ?

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] ?

Environment of Care JACHO Walkthrough Assessment audit

Health Care Safety » Dentistry Safety

Safety materials for the dentistry profession

Backflow Prevention and the Dental Operative Unit [32434] ?

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

Dental Unit Waterlines - Infection Control [32443] ?

Guidance on the subject

Dentistry and Infection Control - International Guidelines and Standards [32444] ?

Dental infection prevention initiatives from around the world

Engineering and Administrative Recommendations for Water Fluoridation [32440] ?

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

Infection Control & Safety in Dentistry FAQ [32433] ?

Covers waste treatment and disposal, handwashing, practice safety, disease agents, regulatory processes and much more

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

Recommended Infection Control Practices for Dentistry [32438] ?

Developed for dental health care personnel

Sharps Injuries in Dental Settings [32432] ?

Device screening and evaluation forms

The Use and Handling of Toothbrushes [32436] ?

Recommended toothbrush care

Health Care Safety » Disaster Management

Emergency plans and disaster guidance for health care facilities

Decontamination Line Set-Up for Hospitals [30050] ?

How to establish decontamination line layouts

Emergency Department Screening and Isolation Drill Guidance [30056] ?

Guidance documents for hospital emergency departments

Emergency Drills & Exercises Toolkit [30055] ?

For hospitals and primary care centers

Healthcare Organizations Nuclear, Biological & Chemical Decontamination [30048] ?

Summary of Joint Commission's accreditation requirements

Hospital Disaster Preparedness Guidelines [30051] ?

Draft guidelines prepared by the State of New York

Hospital Treatment Guidelines - Terrorism Agents [30052] ?

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

Updated Mass Medical Care with Scarce Resources [30053] ?

A planning guide - strategies

Medical Center Hazard and Vulnerability Assessment Tool [30046] ?

Worksheet used to evaluate potential for event and response

Medical Center Hazard Vulnerability Analysis Tool [30047] ?

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] ?

What to look for when conducting an inspection of a hospital

Updated Patient Safety for Patients [2783] ?

Bringing patients into the hospital safety process

Safety Policies and Procedures [3304] ?

Asbestos, biosafety, committees, occupational health, radiation safety, water quality

Health Care Safety » Medical Devices

FDA regulatory guidance for manufacturers of medical devices

Can Inspection Time Be Reduced?: Developing a HACCP Plan [25397] ?

The experience of a medical device company

Health Care Safety » Patient Handling

Patient transfer techniques, use of lift equipment, patient transfer teams

Patient Handling - Ergonomic Injury Investigation Form [pdf] [36660] ?

A sample accident form to use to evaluate health worker workplace injury when handling patients

Patient Mechanical Lifts - Inspection Checklist [pdf] [30388] ?

A sample daily mechanical lift inspection checklist

Health Care Safety » Patient Safety

Medical errors, medication errors, patient safety guidance

Incident Reporting [21665] ?

A critical analysis of patient safety practices in incident reporting

MRI Safety Screening Form [pdf] [24250] ?

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 for Renovations [19406] ?

Text of a safety policy & procedure 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] ?

Full text of a risk management program audit / checklist - 22 pages

Job Analysis » Job Safety Analysis

Sample forms and advice for conducting JHAs

Job Hazard Analysis [30182] ?

Booklet and sample form

Job Hazard Analysis FAQ [8334] ?

Basics of job hazard analysis process with sample forms

Job Hazard Analysis Form [35293] ?

Includes instructions

Job Hazard Analysis Training [pdf] [26668] ?

Explanation of JHA's

Job Hazard Analysis Worksheet [23496] ?

A sample completed form

Job Safety Analysis [pdf] [34998] ?

A form to be used - plus, the basic steps in a JSA

Job Safety Analysis - Backgrounder [35628] ?

Detailed explanation of JSAs

Task Hazard Analysis [35629] ?

There are four basic steps in conducting a task hazard analysis

Job Analysis » Physical Demands

Analyzing the physical demands of job duties

Physical Demands Assessment Form [pdf] [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

Job Analysis » Symptom Surveys

Ergonomics medical symptom survey questionnaires

Ergonomics Evaluation Form [148] ?

Employee checklist for medical symptoms from computer workstations

Ergonomics Symptom Survey [pdf] [23908] ?

Download a sample form

Sample Worker Ergonomics Symptoms Questionnaire [19244] ?

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] ?

Policy For Termination of Laboratory use of Hazardous Materials - plus, checklist

Laboratory Safety » Lab Biosafety

Procedures for handling biosafety hazards in the laboratory

Biological Program Forms - Labs [37280] ?

In use at a major university

Laboratory Safety » Lab Checklists

Safety inspection checklists, audit forms and procedures designed for laboratory

Lab Safety Inspection Checklists [26997] ?

Sample safety checklists for laboratories

Laboratory Safety Self-Inspections [904] ?

Chemistry lab safety inspection form and checklist

Laboratory Safety » Lab Ergonomics

Laboratory ergonomic hazards, controls and training

Laboratory Ergonomics: Self-Evaluation [37269] ?

A form to assist in performing a personal self-assessment for ergonomic risk factors in the laboratory

Laboratory Safety » Lab Hazards

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.

Lab Safety Inspection Form [pdf] [27233] ?

For laboratory safety procedures

Laboratory Safety » Lab Training

Tutorials and training materials related to laboratory safety

Science Class Student Safety Contract [13007] ?

Example of a science student safety contract

Marine Safety » Boating Safety

Resources on boating and marine safety

Small Boat Safety [pdf] [18878] ?

Sample small boat safety checklist, accident report form and float plan

Marine Safety » Marine Safety Manuals

Sample marine safety programs, crewman's handbook, etc

Vessel Safety Check (VSC) [pdf] [29073] ?

Checklist to be completed by a US Coast Guard approved Vessel Examiner

Physical Hazards » Hearing Conservation

Hearing conservation programs, acoustics, hearing protection devices, etc.

Hearing Conservation Checklist [pdf] [18896] ?

Sample Format for Audiometric Test Records & Hearing Conservation Program Checklist

Sound Level Survey Form [pdf] [31762] ?

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 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] ?

Guidelines to reduce potential slips, trips, and falls

Physical Hazards » Thermal Comfort

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

PPE Programs » PPE Safety Programs

Sample PPE safety programs, checklists, tutorials, technical briefs

Personal Protective Equipment Safety Checklist [18912] ?

Sample program checklist form for evaluating the need for PPE

PPE Checklist [pdf] [18893] ?

Sample checklist for PPE use - eye & face protection and more

PPE Hazard Assessment Form [21599] ?

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

PPE Program Forms [35290] ?

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

Radiation Safety » Laser Safety

Technical resources related to the safe use of lasers

Laser Operations Checklist [pdf] [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

General Radiation Safety Protocols [13364] ?

Forms and procedures in use by a major university

Ionizing and Non-ionizing Radiation Checklist [pdf] [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

Radiation Safety Guide [13998] ?

Full text of a radiation safety guide in use by a government laboratory

Radiation Safety New Worker Form [pdf] [902] ?

Sample radiation safety form

Radiation Safety Service [861] ?

Radiation safety protocols, radionuclide training guide, isotope data sheets, forms

Recreation Safety » Playground Safety

Playground safety information

Playground Inspections [17606] ?

Worksheets, forms, checklists, etc. for playground inspections

Sample Safety Checklist for Active Play Areas [pdf] [19571] ?

Checklist for safety equipment and location hazards

Student Injury Report - Example [pdf] [12517] ?

Much of the information is playground and sports-related

Recreation Safety » Recreational Facilities

Indoor and outdoor recreational facility safety and accessibility

Locker Room Safety Checklist [pdf] [15954] ?

Practices for locker room safety

Recreation Safety » Swimming Safety

Pool and spa safety - drowning prevention

Scientific Diving Safety [22286] ?

Safety manual and forms

Respiratory Safety » Confined Space Program

Technical resources related to confined space requirements

Confined Space Entry Checklist [pdf] [18897] ?

Sample Confined-Space Entry Permit and Checklist

Updated Confined Space Entry Program [2744] ?

Example of safe work practice policies

Confined Space Program [pdf] [23325] ?

A sample draft written program

Confined Space Sample Forms [22364] ?

Sample forms for a confined space entry program

Confined-Space Pre-entry Checklist [pdf] [27067] ?

Checklist must be filled out whenever workers enter a permit required space

Confined-Space-Entry Safety Checklist [27068] ?

Checklist for a confined space entry safety program

Respiratory Safety » Dust Inhalation

Hantavirus, histoplasmosis, silicosis and more

Construction Industry Guide for Managing Silica [35243] ?

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] ?

To be completed by occupants complaining of indoor air quality

Indoor Air Quality Checklist [pdf] [18898] ?

A sample form of indoor air quality management

Respiratory Safety » OSHA Respirators

OSHA technical resources on respiratory protection

OSHA Respiratory Standard; Medical Evaluation Questionnaire [7917] ?

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] ?

Sample respiratory protection program and checklist, respirator medical evaluation questionnaire

Respiratory Protection Program [23323] ?

Includes sample forms & safety SOP's

Respiratory Safety » Sampling

Technical guides on industrial hygiene air & noise sampling, monitoring, etc

Updated IH Exposure Assessment Strategies [5897] ?

The steps in an industrial hygiene assessment model

Safety Forms » Disaster Checklists

Emergency preparedness checklists, bomb threat checklists

Disaster Readiness Assessment Checklist [pdf] [37776] ?

How prepared is your business for a disaster

Emergency Action Plan Checklist [pdf] [18890] ?

Sample EAP checklist for creating a site-specific plan

Emergency Response Agreements Checklist [pdf] [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

Safety Forms » Ergonomics Checklists

Checklists designed to evaluate proper ergonomic workstation arrangements

Computer Ergonomic Self-Assessment Survey [36129] ?

An ergonomics assessment form for analyzing computer workstations

Computer Workstation Assessment Form [pdf] [36130] ?

An ergonomics checklist for computer work

Computer Workstation Ergonomic Checklist [16833] ?

Areas to consider when setting up your workstation

Computer Workstation Set-up Checklist [doc] [36131] ?

An ergonomics checklist for computer workstations

Delivery Driver Ergonomics Checklist [pdf] [36127] ?

An ergonomics assessment form for analyzing delivery drivers

Human Factors: Process Hazard Analysis Evaluation of External Forces [16842] ?

Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)

Individual Computer Workstation Evaluation Form [doc] [36733] ?

Clerical Workstation Ergonomic Evaluation

Laboratory Workstation Evaluation Checklist [26812] ?

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

United Kingdom: Sample Ergonomics Checklists [23712] ?

A series of ergonomics checklists and forms

Safety Forms » Fire Checklists

Fire safety inspection checklists

Building Inspection Program [35126] ?

Sample instructions, forms, logs as used by a university-based safety program

Fire Alarm sytem Inspection, Testing and Maintenance [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

Monthly Fire Service Test Log [pdf] [28923] ?

A form for logging monthly test inspections

Property Inspection Checklist [pdf] [35445] ?

Primarily fire inspection plus building exterior and parking lot inspection components

Workplace Fire Safety Checklist [pdf] [26889] ?

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 Forms [34238] ?

Monthly and weekly fire and safety inspection checklists

Canada: Workplace Inspections [17611] ?

Sample Inspection Check Sheet and guidance for conducting a safety inspection

Canada: Workplace Inspections [pdf] [18950] ?

How to inspect your workplace and identify potential problems

Chemical Safety Checklist - Laboratories [27877] ?

Use this form to document periodic lab inspections as designated in your CHP

Confined Space Pre-Entry Check List [22430] ?

Check for compliance with the OSHA standard1910.146

Construction Jobsite Safety Inspection Checklist [pdf] [25913] ?

To be used to inspect job sites for safety compliance

Construction Safety Checklist [27183] ?

Sample job site inspection form

Contractor Site Safety Assessment [38464] ?

A worksite for inspecting a construction job site

Electrical Residential Safety Checklist [26886] ?

Checklist to make certain your residence is electrically safe

Electrical Workplace Safety Checklist [26887] ?

Checklist to make certain your workplace is electrically safe

Facility Safety Inspection Checklist [pdf] [35298] ?

A general safety waltkthrough inspection checklist

First Aid Checklist [26243] ?

Checklist for a comprehensive first aid kit

Hazardous Waste Inspection Checklists [29059] ?

Santa Clara, California designed forms

Health Services Inspection Checklists [pdf] [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

Ladder Inspection Checklist [26669] ?

General safety checklist for all types of ladders

Manufacturing Facility Safety Analysis [18956] ?

Manufacturing safety checklist

Monthly Workplace Inspection Form [pdf] [26558] ?

Example of a 3 page yes/no form

Office Safety Analysis [18955] ?

Office safety checklist

Office Safety Inspection Checklist [pdf] [26099] ?

Form designed to be used monthly

Office-Workplace Safety Inspection Checklist [doc] [18877] ?

Download a general safety checklist

Older Consumer Home Safety Checklist [pdf] [27696] ?

Home safety checklist for older consumers

Process Hazard Analysis Evaluation of External Forces [16843] ?

Includes human factors, facility siting issues, and external events (earthquake, floods, etc.)

Safety Checklists [25126] ?

Modify these documents to meet site-specific hazards

Safety Checklists [28913] ?

A series of safety inspection checklists for workplace safety, office safety and lab safety

Safety Guidelines for the Home Work Space [9145] ?

Sample safety checklist for home-based telecommuters

Safety Inspection Checklists [27278] ?

Office Safety Checklist, Laboratory Safety Checklist, Shop Safety Checklist

Self Inspection Checklists [doc] [38841] ?

For property, premises liability, workers compensation, auto, etc

Self-Inspection Safety Checklist [pdf] [31982] ?

For worship centers, schools and related facilities

Table Top Job Analysis [pdf] [16851] ?

Uses the example of a job hazard analysis seminar

Workplace Housekeeping Checklist [18957] ?

Use the following checklist as a general workplace guide

Workplace Safety Inspection Checklist [doc] [35164] ?

A yes/no safety inspection checklist for general industry

Yard Inspection Checklist [pdf] [18786] ?

Checklist to inspect job yards (pdf)

Safety Forms » OSHA Forms

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

MSHA Forms [28181] ?

Mine Safety and Health Administration - Download the forms and online filing

OSHA Forms [3548] ?

Download federal OSHA forms

OSHA Logs [xls] [24171] ?

Download US Federal OSHA Forms in Microsoft Excel format

OSHA Online Complaint Form [23931] ?

Notice of Alleged Safety or Health Hazards

OSHA Recordkeeping Forms [21072] ?

Download OSHA 300 forms

OSHA Worker Complaint Form [21073] ?

File a complaint online or download the OSHA complaint form

OSHA-7 Form Notice of Alleged Safety and Health Hazards [pdf] [28177] ?

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] ?

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

Construction Safety Program Management Evaluation [38467] ?

Audit form to analysis safety management of a construction contractor

Contractor Accident Prevention Plan and Review [doc] [30213] ?

A program audit for construction contractors

Employer Safety and Health Program Self-Assessment [pdf] [31740] ?

For use by employers to evaluate their workplace safety programs

IIPP Checklist [doc] [36734] ?

Used to audit a California Injury and Illness Prevention Program

Ontario Canada: Workwell Core Health and Safety Audit [pdf] [25105] ?

A manual of instructions on how to conduct a point-assessed safety program audit

Safety and Health Management Program Assessment Worksheet [pdf] [25031] ?

Scoring worksheet for evaluating a worksite safety program

Safety and Health Program Checklist [26551] ?

Analyze how your safety and health program measures up

Safety and Occupational Health Program Evaluation Tool [doc] [39587] ?

A sample form used to audit and evaluate a workplace safety program - a numeric ranking system

Safety Management Evaluation Audit [pdf] [28993] ?

Format for evaluating a company's safety program using a point system

Safety Program Audit Checklist [doc] [38840] ?

Also includes safety committee self-evaluation materials

Safety Program Evaluation Checklist [16638] ?

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] ?

Sample form includes cause codes, nature of injury codes, part of body codes, etc

Accident Investigation - Public Recreation [doc] [36609] ?

Sample form - Initial Notification of Public Recreation Accident Work Sheet

Updated Accident Investigation Form [pdf] [20126] ?

A sample form in English

Accident Notification Worksheet [doc] [36611] ?

Sample worksheet for preliminary accident notification

Accident Witness Statement [pdf] [35939] ?

Sample form to be used by employees who witness accidents on the job

Action Planning Grid [24270] ?

Sample Action Plan format

Activity Hazard Analyses Forms [36610] ?

Sample forms - for analysis of worksite job activity hazards

Aerial Lift Device Inspection Forms [4106] ?

Pre-use, weekly, monthly and annual inspection forms

Alternate Entry Procedure/Reclassification Form [doc] [31735] ?

For use for confined spaces requirements

Biosafety Forms [14059] ?

Series of forms used in a biosafety program of a major university

Business Safety Incident Calculation Worksheet [pdf] [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.

Campus Safety Forms [14064] ?

Download forms used by the safety department of a major university

Canada: Safety Forms [16554] ?

Blaster's log book, blasting incident report, occupational health and safety checklist

Confined Space Entry Permit Form [pdf] [28914] ?

A sample blank entry form on confined space entry

Confined Space/Permit Space Space Evaluation Form [pdf] [31736] ?

For use for confined spaces requirements

Contractor Safety Assessment Form [pdf] [25311] ?

An example of one firm's safety requirements for construction contractors

Contractor Safety Performance Survey [pdf] [26804] ?

Form used to evaluate construction company safety practices

Department of Occupational Health & Safety Forms [14061] ?

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

EHS Forms [24907] ?

Examples of environmental safety and health forms in use at a major university

EHS Forms [27276] ?

Sample safety forms in use at a major university

Employee Health and Safety Attitude Survey [26803] ?

Form to survey employee perceptions of safety at their workplace

Employee Safety Data Sheet [pdf] [14062] ?

An employee form that tracks training records, PPE, accidents by employee

Employer First Report of Injury [doc] [31554] ?

Example of a form in use at a major university

Employer’s Report of Occupational Injury or Illness [14037] ?

Example of a WC injury reporting form

Entry Permit Form [31734] ?

For use for confined spaces requirements

Environmental Health & Safety Forms [23297] ?

Series of forms and checklists

Forms for Injury & Illness Prevention Program [14055] ?

Environmental health and safety forms

General Contractor Safety Form [pdf] [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.

Helpful Tools [20180] ?

These are optional forms that can help you meet the requirements of your safety program

Incident Reporting Procedures Form [pdf] [22185] ?

Sample form to be used when there are injuries

Industrial Hygiene Forms [26313] ?

IH forms related to air sampling, noise surveys, heat stress and various IH surveys

Job Safety Analysis Guideline Form [pdf] [18782] ?

Provide guidance on how to conduct a JSA and a sample form

Jobsite Audit Form [pdf] [24235] ?

Yes/no boxes for each audit element

Laser Equipment Survey Form [pdf] [26470] ?

Sample form to be used for safe laser use (pdf)

MN-Minnesota Safety & Environmental Forms [4648] ?

In use by a Minnesota university - biosafety, controlled substances, hazardous waste, lab safety etc

MSHA Forms & On-Line Filing [8668] ?

Download forms or use on-line

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

Notice of Property Loss Form [pdf] [34240] ?

A report form used for property, boiler and machinery, etc

Ontario, Canada - Health & Safety WC Forms [18967] ?

For employers, health care practitioners, physicians and more

OSHA Forms [22047] ?

Copies of OSHA Forms 300, 300A

Radiation Safety Forms [14036] ?

View forms in use by a major university for radiation safety hazards

Radiological Safety Forms [21826] ?

Over 50 radiological health forms for medical institutions

Safety Department Forms [25157] ?

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

Safety Forms [7965] ?

Series of approx 50 safety forms

Safety Forms [27186] ?

A series of safety inspection checklists and forms

Safety Forms - Biological Research Lab [14035] ?

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.

Safety Incident Report [pdf] [31555] ?

Example of a form in use at a major university

Safety Management Forms [35645] ?

A series of sample safety program forms for audits, meetings, workplace incidents, checklists

Safety Program Forms [22414] ?

Download a variety of safety forms, audits, etc

Updated Sample JSA & Physician Evaluation Forms [20128] ?

Download sample forms in pdf format

Sample MSDS Form [22042] ?

Download a blank MSDS form

Student Laboratory Safety Contract [16100] ?

Sample form for students to sign indicating their acceptance of science classroom safety rules

Tailgate Safety Meeting Form [14808] ?

Download a safety department form to document tailgate safety meetings (MS Word)

Traffic Crash Report Forms by State [36653] ?

Traffic crash report forms and any code sheets applicable to that state form

Updated Vehicular Accident Investigation Form [26244] ?

Sample form for auto accidents

Witness Statement of Accident/Incident [pdf] [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

Safety Programs » Safety Committees

Safety committees, safety teams, etc.

Sample Safety Committee Meeting Report & Guidelines [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

Biological Laboratory Safety Survey Form [doc] [28884] ?

Standardized reporting format for a laboratory safety inspection

Health and Safety Program Guide [24789] ?

Use this guide to create and enhance your safety and health program

Safety / Loss Control Program Materials [15600] ?

Sample safety checklists, forms, programs and manuals

Safety Programs » Safety Rules

Examples of safe operating procedures (SOPs) and safety rules

Example Employee Safety Policy & General Safety Rules [16098] ?

Can be signed by the employee

General Safety Rules [24231] ?

Issued to provide a safe and healthy working environment

SOP Development Form for Hazardous Material [doc] [22018] ?

Standard operating procedures guidelines and template for hazardous materials

SOP for Safe Handling of Carcinogenic Materials [pdf] [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 Meeting Outline Topics [1554] ?

Employee training bulletins

Safety Training » Safety Orientation

Safety orientation for new hires

Employee Safety Orientation Checklist [pdf] [26465] ?

Check the required safety training programs

New Employee Safety Orientation Form [doc] [36750] ?

A sample form

Sample Safety Orientation Outline [pdf] [18908] ?

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] ?

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] ?

A checklist to assess school security

Software » Environmental Software

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

TRI-ME Reporting Software [3652] ?

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 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] ?

Designed to help those involved in the mining industry fulfill their filing requirements

Specific Industries » Industry Safety

Safety and health hazards & controls in specific industries

Auto Body Repair Industry Safety & Health Plan [23639] ?

Full text of a sample safety program including forms

Bakery Operation Safety [29058] ?

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 general safe work practices

Office Safety Checklist [pdf] [18882] ?

Sample office safety checklist and instructions

Office Safety Checklist for Visually Impaired [26888] ?

A basic office safety checklist

Office Safety Inspection Form [pdf] [35634] ?

Over 40 items

Specific Industries » Public Sector Safety

Safety materials for local and municipal governments

Local Government - Managing Your Risk [25285] ?

Addresses risk management, safety and insurance issues

Specific Industries » Shop Safety

Safety hazards and controls associated with shop work

Canada: Shop Safety Analysis [18952] ?

A series of shop safety inspection checklists and self-assessment forms

Food Services Safety Inspection Form [pdf] [35635] ?

Over 80 items

Machine Shop Authorization Form [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

Shop Safety Inspection Checklist [pdf] [18780] ?

Advice on how to conduct a shop safety inspection plus checklist

Shop Safety Inspection Checklist [pdf] [35799] ?

A sample form with yes/no questions

Shop Safety Inspection Form [pdf] [35632] ?

Over 80 items

Wood Shop Authorization Form [pdf] [26469] ?

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

Freight Dock and Terminal Inspection Checklist [38752] ?

Areas to observe in a Motor Truck Terminal

Warehouse and Dock Safety Analysis [pdf] [18953] ?

Warehouse safety checklist

Terrorism » Bomb Threats

Bomb threat and physical security planning

Bomb Threat Telephone Procedures [pdf] [26472] ?

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] ?

Application forms 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] ?

Download the injury and illness forms

MI-Michigan MIOSHA Recording and Reporting Requirements [3937] ?

How to complete MIOSHA forms 300, 300A and 301

OR-OSHA Recordkeeping [7915] ?

Everything you need for OSHA recordkeeping in the State of Oregon

US OSHA » OSHA Publications

OSHA fact Sheets, publications, online documents

OSHA Publications [2123] ?

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] ?

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] ?

Download the form required to be filed biennially to the state Department of Labor - New Hampshire






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