Small Employer Safety Program Manual Appendix 3 Forms

Small Employer Safety Program Manual Appendix 3 Forms

<p>Safety Program Manual Appendix 3 – Forms</p><p>Appendix 3 – Forms</p><p> Block Site Hazard Assessment/Site Inspection/Pre-Work Meeting/Daily Pre-Shift Safety Meeting</p><p> Contractor Management Pre-Qualification Checklist</p><p> Contractor Safety Meeting Minutes</p><p> Contractor Selection and Safety Checklist</p><p> Corrective Action Log</p><p> Danger Tree Risk Assessment Reference</p><p> Emergency Response Drill Form</p><p> Emergency Response Plan – Field Version</p><p> Emergency Response Plan – Supervisor Version</p><p> Employee Injury Communication Tracking Sheet – Return-to-Work Program</p><p> Exposure Control Plan – Blood-Borne Pathogens</p><p> First Aid Assessment Worksheet</p><p> First Aid Assessment Worksheet for Harvesting Activities</p><p> First Aid Kits: Recommended Minimum Contents</p><p> Hazard, Close Call/Near Miss, Property Damage or Injury Report</p><p> Incident Investigation Form</p><p> Initial Safety Meeting Checklist</p><p> Job Safety Analysis</p><p> Meeting Log</p><p> Monthly Meeting Minutes</p><p> Orientation of Persons Other Than Employees Checklist</p><p> Orientation of Young or New Workers Checklist</p><p> Orientation of Young or New Workers Checklist with Follow Up Assessment</p><p> Phase Congestion Guiding Document</p><p> Phase Congestion Hazard Assessment</p><p> Pre-Work Planning Log</p><p>0cb15583e2330252c41a1c188a0f4382.doc Page 1 of 2 Revised: November 17, 2016 Safety Program Manual Appendix 3 – Forms</p><p> Prime Contractor Agreement – Form 23</p><p> Prime Contractor Corrective Action Log</p><p> Prime Contractor Orientation Form</p><p> Prime Contractor Pre-Qualification Checklist</p><p> Prime Contractor Pre-Work Checklist</p><p> Prime Contractor Site Inspection Checklist</p><p> Prime Contractor Worksite Checklist</p><p> Refusal of Unsafe Work Tracking Form</p><p> Risk Assessment Form</p><p> Safety Alert</p><p> Safety Meeting Log</p><p> Site Inspection Checklist</p><p> Site Log</p><p> Site Safety Plan</p><p> Steep Slope Logging Risk Assessment and Site Pre-Work</p><p> Tailgate Safety Meeting / Crew Talk</p><p> Training and Certification Log</p><p> Travel Plan</p><p> Vehicle Inspection Report</p><p> Worker Assessment Checklist</p><p> Worker Contractor Training List</p><p> Working Alone or in Isolation Safe Work Procedure and Checklist</p><p> Workplace Bullying or Harassment Complaint Form</p><p> Workplace Safety Plan (two versions)</p><p> WSBC Form 7 – Employer's Report of Injury or Occupational Disease</p><p> WSBC Reference Guide Form 7 – Employer's Report of Injury or Occupational Disease</p><p>0cb15583e2330252c41a1c188a0f4382.doc Page 2 of 2 Revised: November 17, 2016</p>

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