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Cal/OSHA
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Injury and Illness Prevention Program eTool
| Home | Preventing and Reducing Costly Injuries and Illnesses | What an IIPP Is and How It Works | Exceptions to the Written IIPP and Documentation Requirements | IIPP for Employers with Seasonal or Intermittent Employees | How to Create Your Written IIPP | Effectiveness Questions | Other Cal/OSHA Regulations | Sample Forms and Checklists | Cal/OSHA Resources | Credits |

Sample Forms and Checklists

Sample Forms

  • INVESTIGATION / CORRECTIVE ACTION REPORT
  • IDENTIFIED HAZARDS AND CORRECTION RECORD
  • WORKER TRAINING AND INSTRUCTION RECORD

Checklists

  • LIST OF TRAINING SUBJECTS
  • HAZARD ASSESSMENT CHECKLIST
 
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