Safety Forms and Checklists

Your mission is to work safely and we want to help you do that.  We have prepared standardized checklists, templates and forms for you to use.  They are not all-inclusive but are intended to contain basic programmatic requirements that you need to look for.  They can be used to develop, assess or inspect your equipment, programs or other Safety Office related areas. 

We will continue to add these so check back frequently.


Section 01 & Appendix A

Section 05

        Respiratory Use, 05-01

Section 10

Section 11
        Battery Charging Areas/Activity, 11-01

Section 15


        Chains and Slings, 15-02

Section 16

        Certificate of Compliance for LHE and Rigging, Form 16-1

        Standard Pre-Lift Plan (LHE), Form 16-2

        Critical Lift Plan (LHE), Form 16-3

Section 18

Section 24

        Ladders, 24-01

Section 26
        Underground Construction (Tunnels), Shafts and Caissons, 26-01


        Record of First-Aid Treatment, 03-01