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] 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
Please report broken links by referencing the number in brackets in black.
Do, or do not. There is no 'try'. 
