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Sample checklist and form

Sample checklist and form

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

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

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

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

Construction safety requirements of a major university

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

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

Includes a job/hazard assessment section

A basic safety inspection checklist for jobsites

Text of a safety policy & procedure used when renovating existing structures

Checklist on what questions to ask of the caller (pdf)

How prepared is your business for a disaster

Sample EAP checklist for creating a site-specific plan

Checklist currently in use by the US National Weather Service

To recover after an emergency or disaster, you will need to access your organization's essential records

Model program can be adapted to the needs of your site

The medical exam form used to determine qualification of CMV drivers

Sample forms to be used in fleet administration

Sample form that can be signed by a driver acknowledging MVR point system policies

Fleet rules and regulations for state agencies in Virginia

The Driver Privacy Protection Act - Form 1 required

Forms for ordering MVR records in Ohio - consent forms, etc.

Various forms & other guidance documents to help motor carriers achieve compliance

Sample checklists and safety rules for motor vehicle safety, snomobiles and snowcats

Sample Format for Audiometric Test Records & Hearing Conservation Program Checklist

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

Sample form

Tractor/Power Take Off (PTO) Training Checklist

Sample pre-operational checklists and forklift safety checklists

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

Text of a safety program for forklifts includes forklift safety forms

Safety rules for forklift operators

Checklist for portable ladder safety

Sample lockout/tagout checklist and safety rules

For use in an electrical safety program

Example of a form

A safety checklist for abrasive wheel grinders

Sample checklist and safety rules for the use of hand and power tools

Sample hot work permit and a list of procedures

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

Sample hot work permit template, safety checklist and procedures

To be completed at the jobsite

To be completed at the jobsite

Sample trenching safety checklist and standard operating procedures

Series of service checklists based on mileage

Series of service checklists based on hours of use

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

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

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

Sample form and instructions

The major data components of a Supervisor Accident Report - what is included in an accident investigation

Sample procedures and forms in use by a US government agency

A sample report for internal use only

Basics of job hazard analysis process with sample forms

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

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

Sample accident review form and guidance (pdf)

What to look for

Includes sections on crash data information, rollover data, fire data, jackknife data, cargo shift data and more

Example of a sample form for those who witness an accident in the workplace

Created by State government agencies responsible for boilers and pressure vessels

Checklists for compressed gas safety, hydrogen safety, cylinder inspections

Sample Confined-Space Entry Permit and Checklist

Example of safe work practice policies

A sample draft written program

Sample forms for a confined space entry program

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

Checklist for a confined space entry safety program

Documents from the Office of Hazardous Materials

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

To help determine ASSE/ANSI Z359 Fall Protection Code

Example of a checklist to assess a fall protection program

Sample Fall Protection procedure

To be used at the jobsite

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

Template for a fire prevention plan

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

Sample checklist and safety rules for safe storage of flammable and combustible liquids

Includes a sample written hazcom program and forms

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

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

Sample Inspection Check Sheet and guidance for conducting a safety inspection

How to inspect your workplace and identify potential problems

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

Check for compliance with the OSHA standard1910.146

To be used to inspect job sites for safety compliance

Sample job site inspection form

A worksite for inspecting a construction job site

Checklist to make certain your residence is electrically safe

Checklist to make certain your workplace is electrically safe

A general safety waltkthrough inspection checklist

Checklist for a comprehensive first aid kit

Santa Clara, California designed forms

Checklists of potential safety hazards in medical facilities

Sample questions of what to ask when investigating heat stress in the workplace

General safety checklist for all types of ladders

Manufacturing safety checklist

Example of a 3 page yes/no form

Office safety checklist

Form designed to be used monthly

Download a general safety checklist

Home safety checklist for older consumers

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

Modify these documents to meet site-specific hazards

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

Sample safety checklist for home-based telecommuters

Office Safety Checklist, Laboratory Safety Checklist, Shop Safety Checklist

A sample form with yes/no questions

For worship centers, schools and related facilities

Uses the example of a job hazard analysis seminar

Use the following checklist as a general workplace guide

Checklist to inspect job yards (pdf)

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

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

Office general safe work practices

Sample office safety checklist and instructions

A basic office safety checklist

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

Download federal OSHA forms

Download US Federal OSHA Forms in Microsoft Excel format

Notice of Alleged Safety or Health Hazards

Download OSHA 300 forms

File a complaint online or download the OSHA complaint form

Download the form and the instructions

Sample program checklist form for evaluating the need for PPE

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

Selection of the proper personal protective equipment for a job is important

Use the following charts and tables to complete a hazard assessment of your worksite

Assessment and documentation forms for personal protective equipment programs

Sample respiratory protection program and checklist, respirator medical evaluation questionnaire

Includes sample forms & safety SOP's

Provides guidance for safety committees and a sample form (pdf)

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

Over 80 items

Sample form to authorize use of machine shop equipment (pdf)

Example of safety training evaluation forms for saws, sanders, presses, grinders, etc

Over 40 items

Advice on how to conduct a shop safety inspection plus checklist

A sample form with yes/no questions

Over 80 items

Example of a form authorizing a worker to use woodworking equipment (pdf)

Guidelines to reduce potential slips, trips, and falls

Download a sample sprinkler test log

164-page workbook contains general information about ERP, regulatory requirements, best practices, draft forms

Canadian health and safety regulations with respect to thermal conditions in the workplace

Areas to observe in a Motor Truck Terminal

Warehouse safety checklist

Forms and procedures in use by a major university

Sample checklist and safety rules for ionizing and non-ionizing radiation

In actual use in a laboratory radiation safety program created by a government agency

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

Sample radiation safety form

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

Monthly and weekly fire and safety inspection checklists

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