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.
Driver Safety » Driver Policies
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.
MVR Statement ![[pdf]](graphics/file_pdf.gif)
[16147] 
Sample form that can be signed by a driver acknowledging MVR point system policies
[16147] Sample form that can be signed by a driver acknowledging MVR point system policies
VA-Virginia Office of Fleet Management Services [19671]
Fleet rules and regulations for state agencies in Virginia
Fleet rules and regulations for state agencies in Virginia
NC-North Carolina Forms for Driver License [15893]
The Driver Privacy Protection Act - Form 1 required
The Driver Privacy Protection Act - Form 1 required
School Emergency Preparedness Plan & Forms [8864]
This two volume model program can be adapted to the needs of your site
This two volume model program can be adapted to the needs of your site
Sample Worker Ergonomics Symptoms Questionnaire [19244]
Questions use a five point or ten point scale
Questions use a five point or ten point scale
Business Safety Incident Calculation Worksheet [31581]
To assist in calculating the anticipated and unexpected costs associated with a workplace safety incident
[31581] To assist in calculating the anticipated and unexpected costs associated with a workplace safety incident
Workplace Injury Cost Calculator Worksheet [31579]
Helps to identify actual costs related to a workplace injury
Helps to identify actual costs related to a workplace injury
Ergonomic Seating Evaluation Form ![[doc]](graphics/file_doc.gif)
[19240]
A worksheet to help you gather information on the quality of chairs being assessed
[19240] A worksheet to help you gather information on the quality of chairs being assessed
Ergonomic Keyboard & Mouse Platform Systems Evaluation Form [19241]
Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed
Worksheet to help you gather information on the quality of keyboard & mouse platforms being assessed
Office Safety » Office Safety Program
Checklists, office safety programs, training materials, home offices, etc.
Checklists, office safety programs, training materials, home offices, etc.
Accident/Illness Reporting and Recording Procedures & Forms [18903]
Sample procedures and forms in use by a US government agency
[18903] Sample procedures and forms in use by a US government agency
![[xls]](graphics/file_xls.gif){kind=small}
OSHA-7 Form Notice of Alleged Safety and Health Hazards [28177]
Download the form and the instructions
Download the form and the instructions
MI-Michigan MIOSHA Recording and Reporting Requirements [3937]
How to complete MIOSHA forms 300, 300A and 301
How to complete MIOSHA forms 300, 300A and 301
Sample Workplace Violence Prevention Program [9665]
Sample workplace violence program, checklist, incident report form
Sample workplace violence program, checklist, incident report form
Sample Safety Committee Meeting Report & Guidelines [18775]
Provides guidance for safety committees and a sample form (pdf)
[18775] Provides guidance for safety committees and a sample form (pdf)
OSHA Small Business Handbook [27022]
Covers a wide variety of workplace safety program topics including self-inspections
[27022] Covers a wide variety of workplace safety program topics including self-inspections
Software » Environmental Software
Download software for EPA safety & health programs, site-specific sampling
Download software for EPA safety & health programs, site-specific sampling
Ergonomics Resources [25107]
Ergonomics tools, data and documents for ergonomist use in workplace task analyses
Ergonomics tools, data and documents for ergonomist use in workplace task analyses
MSHA Online Forms Advisor [10332]
Designed to help those involved in the mining industry fulfill their filing requirements
Designed to help those involved in the mining industry fulfill their filing requirements
US State Government » NH-New Hampshire
Access to state agencies and laws for the state of 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
Download the form required to be filed biennially to the state Department of Labor - New Hampshire
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