Forms

• Accidents and Injuries
• Audits and Surveys
• Bloodborne Pathogen
• Forklift
• Respiratory Protection

Accidents and Injuries

Employee's Choice or Change of Doctor Form (1/97)
First Report of Alleged Occupational Injury or Illness (8/09)
Release To Return To Work (5/08) (.pdf) (word) This form used for cases with medical care and to be filled out by a medical doctor when an employee visits a clinic/hospital.
Workers' Compensation Incident Report (5/08)

Audits and Surveys

See Safety Audit Guidelines SOPs

Bloodborne Pathogens

Declination Statement (EHS-BBP-02) (10/08)

Forklift

Certification of Training and/or Evaluation (EHS-FL-02) (1/08)
Driver Evaluation Checklist (EHS-FL-03) (1/08)
Inspection Checklist (EHS-FL-01) (1/08)

Respiratory Protection

Hazard Assessment (EHS-RPP-01) (6/08)
Medical Evaluation Questionnaire (EHS-RPP-04) (4/08)
Medical Surveillance Assessment (EHS-RPP-05) (4/08)
Respirator Training and Fit Test Record (EHS-RPP-03) (4/08)