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Important Forms and Posters
Store Manager Safety Audit
Eye and Face Protection
The basics of eye and face protection selection.
Toolbox: Bloodborne Pathogens
Basics of bloodborne pathogens: Who must comply with regulations, universal precautions, training, e
Toolbox: Body Posture Seated Position at Computer
Basics of how one should sit at computer correctly.
Employee Memo
Use this document as an example of an employee memo explaining the Employee Responsibilities Under M
Light or Modified Duty Letter
Use this sample to inform employees of return to work availability.
Carbon Monoxide
The sources, effects and how to monitor carbon monoxide.
Sample Light Duty/Return To Work Statement
Cashiers and Repetitive Motion-Using Checkout Scanners
How one should avoid injury from using repetitive motions while scanning in checkout lines
Driver Safety Policy
A sample of a written safety program.
Chain Saw Air Filter
How to clean a chain saw air filter, why and how often.
The Americans with Disabilities Act
Tips of the Americans with Disabilities Act
Eliminate the Blind Spot
Use the 5-minute Tool Box Talk to review mirror settings. Use this file along with Blind Zone Diagr
Slip & Falls
Guideline on what to do if someone slips and falls at your property.
Benefits of a Return To Work Program
Chemical and Thermal Burns
Classification of burns by degree and depth of injury.
Chemical Hygiene Plan
Developed plan to reduce occupational exposure to hazardous chemicals.
Toolbox: Coffee Urns/Makers
Personal Injuries caused by Urns/Makers and prevention
Common Hazards for Foodservice Employees
A large list of common hazards and how to prevent them.
Compressed Air Safety Guidelines
Air hose safety
Computer Chairs
Ergonomics for computer chairs
Blind Zone Diagram
Use this diagram to identify blind zones and promote safe driving tips.
Slip and Fall Posters for Meat Dept.
Bakery Specialist Self Audit
Use this sample worksheet to perform self audits in your bakery department. In microsoft word forma
Bakery Guard Poster
Poster for Bakery Department
Band Saw Safety
Tool Box talk on Band Saw Safety
Concrete Contractors Sample Safety Program
A SAMPLE safety program designed for the Concrete Industry. Use this sample as a guideline.
Subcontractor Safety Evaluation
Use this form to evaluate the safe work habits of your sub contractors.
Meat Slicer Poster
Electrical Contractor Safety Information
This book is filled with safety information specific to electrical contractors.
Sample Safety Program for Grocers
Use this SAMPLE safety program as a guideline to writing a safety program for your store.
Helicopter Lift Guide
For businesses using a helicopter lift when moving equipment.
Chain Saws
Basic inspections points for chain saws.
Meat Cutter Poster
This is a good one!!!
Toolbox Talk: Workplace Violence
Use this sheet to review with employee's on workplace violence.
Mixer Toolbox for Bakeries
Use this for your 5 minute safety talk
OSHA 300A
Required to be posted February 1st to April 30th.
Oven Mitt Poster
Great one for the kitchen worker.
Restaurant Audit Worksheet
Use this form to conduct your own self audit.
Kitchen Knife Safety Poster
Slip & Fall for the Kitchen Worker
Sample Store Director Audit
Use this audit as a starter point for conducting your own self audit of your store. In microsoft wo
Fire Safety
Confined Space
What is a confined space and how to safely work in a confined area
Lifting Poster
Material Safety Data Sheets
The information that Safety Data Sheets should contain and what they should look like.
Computer Monitors
Ergonomics for Computer Monitors
Inspection and Maintenance for Eye Protection
Tips for maintaining the safety of your eye equipment.
Job Safety Analysis
How to conduct a analysis to ensure a safe working environment
Kitchen Sense!
Safety tips that include all aspects of working in a kitchen.
Toolbox: Knife Safety
General tips on how to use knives safely
Ladders
Tips on how to select the correct latter, how to inspect it and how to operate.
Toolbox: Lifting Awkward Loads
General tips on how to safely lift items
Loading Docks
Risks associated with loading docks
Toolbox Lockout/Tagout
How to safely perform a lockout
Incident/Accident Report Writing
How to write a well written accident report.
Toolbox: Manual Handling of Materials
General tips on handling different materials manually.
Toolbox: Housekeeping CAN make a difference
General housekeeping tips for industrial, laboratory and office work spaces.
MIOSHA Injury and Illness Recordkeeping and Reporting Requirements
Requirements for reporting accidents for MIOSHA.
Negative Bloodborne Pathogens
DO NOT expose yourself to Bloodborne Pathogens!
Neutral Standing Posture
Toolbox: One Person Lift
Operating a Powered Industrial Truck
How to operate a forklift
Personal Protective Equipment
Packet all about personal protective equipment for general industry - very informative.
PPE Training
General training tips.
Pitched Roof Working Tips
Great tips on how to safely work on a steep pitch roof!
Portable Electrical Tools and Temporary Lighting
Dangers of electrocution.
Toolbox: Manual Handling of Materials
General Tips on how to handle many tools and equipment. Also includes how to lift correctly etc.
Eye wash Fountain
For laboratories with hazardous chemicals
Powered Industrial Truck Awareness for Drivers and Pedestrians
Differences between driving a powered industrial truck and a car and the difference between plant pe
Conveyor Safety
Basics of working around or with a conveyor.
Toolbox: Crane Trucks and Boom Trucks
How to operate crane trucks and boom trucks safely
Deep Fat Fyers
Potential Injuries and how to prevent them.
Driving can be a Pain!!
What you can do to reduce your exposure.
Toolbox: Electrical Cord Safety
Basics on electrical cord safety
Toolbox: Electrical Grounding
Basics for Grounding and the safety devices used.
Toolbox: Ergonomics Hazards
Basics for prevention and control for all ergonomics
Return to Work Program
Establishing a effective Return-to-Work Program
Incident Investigation
Basics for accident investigation: Definitions, what it is and what it entails.
Toolbox: Eye and Face Protection
What one should wear for eye and face protection and what it does.
Computer Work Space
Ergonomics of computer work space
Back Injury Risk Factors
Five leading risk factors
Flammable Compressed Gas
How to use a gas cylinder.
Flammable Vapors and Air Compressors Don't Mix!
Ways to prevent flammable vapors from entering the air compressor.
Footwear
Proper footwear/safety footwear
Fueling Chain Saws
How to put fuel in a chain saw safely
Glove Selection
How to select the proper gloves
Ground Fault Circuit Interrupter
How to use a GFCI safely
Toolbox: Hand-Held Power Tools
Tips on how to use general hand-held power tools safely
Toolbox: Hand Protection
Hand injuries account for 1/3 of disabling on-the-job accidents!
Exercises
Hand Exercises that decrease risk of carpal tunnel syndrome.
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© Copyright 2005, Smith-Peabody-Stiles Insurance Agency, Inc.
1190 Torrey Rd. Fenton, MI 48430-2804
810-629-1566 800-467-6645