Fillable Forms Instructions

Cleaning Schedule

This form is part of OSHA’s Bloodborne Pathogens Standard and found on page xx of our OSHA and Infection Control Manual. 

Complete the form in its entirety. You may then save on your computer and print or simply print. Post in an area where staff can view. 

Detailed Office Assessment

 This assessment is part of Subpart I, Personal Protective Equipment. When hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE), a Hazard Assessment is required to determine the potential hazards and for selection of the appropriate PPE.

Complete the form in its entirety. You may then save on your computer and print or simply print. You should place the completed assessment in the PPE Section of your OSHA binder/manual.

Emergency Action Plan

This plan is part of OSHA’s Means of Egress standard. An emergency action plan must be in writing, kept in the workplace, and available to employees for review. However, an employer with 10 or fewer employees may communicate the plan orally to employees.

Complete the form in its entirety. You may then save on your computer and print or simply print. You should place the completed assessment in the Fire Safety section of your OSHA binder/manual.

Emergency Information Form

This form is part of the First Aid Standard and must be completed to ensure you have contact information for local authorities and documentation of those trained in First Aid.

Complete this form in its entirety. You may then save on your computer and print or simply print. Post this document in a visible area. 

Fire Prevention Checklist

 This checklist may be used to assess your office to help ensure fire safety compliance.

Complete the assessment and print. Correct any areas of concern, document, and place in the Fire Safety section of your OSHA binder.

Injury and Illness Prevention and Worker Training and Instruction Record

This is used in a proactive process to help employers find and fix workplace hazards before workers are hurt. 

Complete the form in its entirety. You may then save on your computer and print or simply print. You should place the completed assessment in the Injury and Illness Program section of your OSHA binder/manual.

Manufacturer SDS Request Letter

This template may be used to notify manufacturers that you need a current SDS for their product. 

To be used as needed.

Respiratory Protection Program, Sample Respiratory Fit Test Record, Sample Respirator Training Record

OSHA requires that each employer must provide respirators to protect workers from workplace hazards to prevent inhalation of hazardous materials that cannot be controlled by other measures (i.e., engineering, or administrative controls). This must be completed when employees are required to wear respirators, such as a N95.

Complete the form in its entirety. You may then save on your computer and print or simply print. You should place the completed assessment in the Personal Protective Equipment section of your OSHA binder/manual.

Exposure Control Plan

An Exposure Control Plan is meant to be a “living” document, used as a source of information for answering bloodborne pathogen-related questions and to help ensure exposure control activities are in place. If exposures to blood or other body fluids are reasonably anticipated, you are required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard to develop an Exposure Control Plan.

Complete the form in its entirety. You may then save on your computer and print or simply print. You must place the completed assessment in the Exposure Control Plan section of your OSHA binder/manual.

Post Exposure Evaluation and Follow-up

When a worker experiences an exposure incident, the employer must make an immediate confidential medical evaluation and follow-up available to the worker. We recommend making several copies of these forms so they will be “ready-to-go” in the event of an exposure incident. 

In the event of an emergency, complete the forms in their entirety and print 2 copies. One copy will accompany the employee to the treatment facility, while the other will be placed in their employee file. 

Training

This document is found in the Training Section of the OSHA binder. It contains a training contract, OSHA exam and sign-in sheet. 

Complete the forms as needed for each employee, print and file in a documentation of training folder. These training records must be kept for a minimum of 3 years. 

Workplace Violence Checklist, Workplace Violence Employee Training Log, Workplace Violence Incident Forms

The Workplace Violence section contains information on implementing a program within your facility. The checklist is an assessment used to help in determining the needs of your office. The Training Log is used to document training for each employee. The incident form is used to document a workplace violence incident. 

Complete the forms as needed for each employee, print and file in a documentation of training folder

Written Hazard Communication Plan

Employers that have hazardous chemicals in their workplaces are required by OSHA’s Hazard Communication Standard, to implement a hazard communication program.

Complete the form in its entirety. You may then save on your computer and print or simply print. You must place the completed assessment in the Written Hazard Communication Plan section of your OSHA binder/manual.

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