Forms/Checklists and Education
Find everything you need, from information on safe handling of chemicals and emergency preparedness, to preventing slips and falls and weather-related precautions. All are downloadable for easy sharing with teammates as you work with Accident Fund to create a culture of safety. Link
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Certification of Safety-Related PPE
Declination of Treatment (locked)
Developing a Safety Program Checklist ADM 6001
Electrical Grounding Safety Tips
Employee Accident Investigation Report (locked)
Employee Report of Injury – form C-64
Employee Report of Injury – form C-64 No Dependency
Eye and Face Protection Checklist
Fall Protection Checklist
Fire Protection Checklist
First-Aid Checklist
Fork Truck Certification Card
Fork Truck Safety Checklist
Guide to Building a Safety Program ADM 1100
Guide to Heat Stress Prevention
Hazard Communication Checklist
Housekeeping Checklist
Incident Investigation Report Form
Ladder and Scaffold Safety Checklist
Medical Authorization Report (locked)
OSHA 300 Log
Personal Protective Equipment Assessment Worksheet
Personal Protective Equipment Hazard Assessment Log
Personal Protective Equipment Hazard Training Certification Log
Portable Ladder Inspection Checklist
PPE – Foot Safety Checklist
PPE – Training Log
PPE Checklist
Respirator Checklist
Respirator Fit Test Worksheet
S.A.F.E Housekeeping Guide
Safety Checklist
Safety Program Checklist- Sample Company Notice to Physician (locked)
Slip and Fall Prevention Safety Checklist
Slips, Trips and Falls Checklist
Worksafe Checklist ADM 6000
Your Guide to Building a Return to Work Program