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Forms

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Accident investigation

Describing an accident or incident

Investigating an accident - example 1

Investigating an accident - example 2

How to conduct an accident investigation

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Publications | Topic page

Bloodborne pathogens

Bloodborne pathogens exposure control plan

Sharps injury log

Statement of declination

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Publications | Topic page

Confined spaces

Confined space/permit space evaluation survey

A written permit-space program for your workplace

Alternate entry form

Entry permit

Permit space evaluation form

See also:

Publications | Topic page

Control of hazardous energy

Example for documenting a specific energy-control procedure

Form for documenting a specific energy-control procedure

Lockout/tag out inspection form

Sample lockout/tag out policy

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Publications | Topic page

Emergency action plan

Oregon Integrated Contingency Plan and Guidance Outline PDF file
A plan and guidance outline to help deal with certain types of oil and hazardous substance spills or releases. This single-facility response plan is only for accidental releases or spills of oil and non-radiological hazardous substances.
- Developed by Oregon DEQ, Oregon State Fire Marshal, and Oregon OSHA

Emergency action for small businesses sample plan

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Publications | Topic page

Fire prevention

Fire prevention for small businesses sample plans

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Publications | Topic page

Forest activities

Sample Written Safety and Health Program - Forest Activities
Modelo de Programa Escrito de Seguridad y Salud - Actividades de Forestación

- English & Spanish / Inglés y Español

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Publications | Topic page

General

AV catalog supplement

 

Hazard communication

A written Hazard Communication Plan in either English or Spanish

Example of a Hazard Communication training form in either English or Spanish

Example of an employee training record in either English or Spanish

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Publications | Topic page

Noise

Hearing loss prevention program
- Sample programs available from Washington Dept of Labor & Industries

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Publications | Topic page

Personal protective equipment

Hazard assessment form Office 2010 (.docx) or Office 97-2003 (.doc)

PPE program
- Sample programs available from Washington Dept of Labor & Industries

See also:

Publications | Topic page

Pesticides

Fumigation management plan for burrowing pests

Worker Protection Standard required information

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Publications | Topic page

Recordkeeping

OSHA 300 and 300A for Recording work-related injuries and illnesses

  • English: Excel or PDF
  • Spanish: PDF
  • Note - PDF is not customizable

801 for Reporting work-related injury or illness (*Workers' Comp Division)

Health Care Assault Log: Excel or Word or PDF

See also:

Publications | Topic page

Federal OSHA

Respiratory protection

For Division 2/General Industry, Divsion 3/Construction, and Division 7/Forest Activities employers:

A respiratory protection program for employees required to use respirators

A respiratory protection program for employees who voluntarily use respirators

Medical evaluation questionnaire in English or Spanish

For Division 4/Agricultural employers:

Customizable written respiratory protection program for employees required to wear respirators during normal work operations

Customizable written respiratory protection program for employees who choose to wear respirators

Medical evaluation questionnaire in English or Spanish

See also:

Publications | Topic page

Safety and health management

801 Report of job injury or accident * Oregon Workers' Compensation Division

Accident prevention program
- Sample programs available from * Washington Dept of Labor & Industries

Form for describing an accident or incident

Form for investigating an accident

Form for investigating an accident or incident

Form for reporting a hazard or other safety concern

Form for reporting an overexertion injury

How to conduct an accident investigation

Sample safety and health policy statement

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Safety committees

Form for describing an accident or incident

Form for investigating an accident

Form for investigating an accident or incident

Form for reporting a hazard or other safety concern

Form for reporting an overexertion injury

How to conduct an accident investigation

Minutes from safety committee

Safety and health policy for centralized safety committees

Annual review of centralized safety committee activities

Safety committee bylaws

Safety committee evaluation checklist

Sample safety and health policy statement

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Safety meetings

Minutes from safety meeting

See also:

Publications | Topic page

Vehicles

Sample Vehicle safety program for small businesses in the construction industry

See also:

Topic page