Forms

Bloodborne pathogens

• Bloodborne pathogens exposure control plan
• Sharps injury log
• Statement of declination

See also:

• Publications | Topic page

Confined spaces

• Confined space/permit space evaluation survey
• A written permit-space program for your workplace
• Alternate entry procedure/reclassification
• 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
• Safe-practice lockout-tag out checklist
• Sample lockout/tag out policy

See also:

• Publications | Topic page

Emergency action plan

• Oregon Integrated Contingency Plan and Guidance Outline
  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

See also:

• 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

See also:

• 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

See also:

• Publications | Topic page

Noise

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

See also:

• 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

See also:

• Publications | Topic page

Recordkeeping

• Healthcare assault log
• OSHA form 300 and 300A English Excel
• OSHA form 300 and 300A Spanish PDF NOTE: not customizable
• OSHA Forms for Recording Work-Related Injuries and Ilnesses

See also:

• Publications | Topic page

Respiratory protection

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

• A respiratory protection program for employees required to wear respirators during normal work operations and emergencies
• A respiratory protection program for employees who choose to wear 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

• 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

See also:

• Publications | Topic page

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
• Safety committee bylaws
• Safety committee evaluation checklist
• Sample safety and health policy statement

See also:

• Publications | Topic page

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