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Checklists, Forms & Templates
Return to Work – Modified Duty Plan

Return to Work – Modified Duty Plan

Published Date December 9, 2020

Return to work after injury.

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Orientation and General Training Information

Orientation and general training information including, who needs training, when and what it should cover.
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New Worker Orientation Guide

Use this checklist to assist you in your orientation process.

Most Recent Documents

11 months ago
Reporting Workplace Violence and Harassment Procedures

We all share responsibility in creating a workplace that is free of violence and harassment.

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about 1 month ago
Worker Orientation Checklist

The Worker Orientation Checklist can be used by the supervisor during the orientation process and customized accordingly to reflect your internal training requirements.

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about 1 month ago
Back At Work Challenge Tracker

Use this form to organize and keep track of “challenges” completed in the workplace.

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about 1 month ago
Safety Pledge Exercise Worker

Workers can complete this exercise to express their commitment to health and safety and identify their own personal pledge.

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about 1 month ago
Safety Pledge Exercise Supervisor

Supervisors can complete this exercise to express their commitment to the health and safety of workers and identify their own personal pledge.

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about 1 month ago
Safety Pledge Exercise Employer

Employers can complete this exercise to express their commitment to the health and safety of workers and identify their own personal pledge.

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about 1 month ago
Employer Due Diligence Checklist

This checklist can assist employers in identifying any gaps/areas of improvement as well as allow for responsibility to be assigned to reduce/eliminate the gaps identified.

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about 1 month ago
Hazard Reporting

This form can be used as an avenue for workers and/or supervisors to report and document hazards observed in the workplace.

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about 1 month ago
Supervisor Competency Assessment Gap Analysis

This assessment can be used to determine competency for those employees who meet the definition under the OHSA of a supervisor, a person who has charge of a workplace or authority over a worker.

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about 1 month ago
Checklist: 50+ Employees

This checklist can be used by organizations who regularly employ 50 or more workers to ensure legal requirements are met under the Occupational Health and Safety Act (OHSA).

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4 months ago
First Aid Kit Monthly Inventory (16‐199 Workers)

An easy to use document to manage your first aid kit's monthly inventory. For use by employers with 16-199 workers. Employers are encouraged to use, reproduce, or customize this document / template.

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4 months ago
First Aid Kit Monthly Inventory (6‐15 Workers)

An easy to use document to manage your first aid kit's monthly inventory. For use by employers with 6-15 workers. Employers are encouraged to use, reproduce, or customize this document / template.

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4 months ago
First Aid Kit Monthly Inventory (1‐5 Workers)

An easy to use document to manage your first aid kit's monthly inventory. For use by employers with 1-5 workers. Employers are encouraged to use, reproduce, or customize this document / template.

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4 months ago
Small Business First Aid Log Book

A first aid log template. Employers are encouraged to use, reproduce, or customize this document / template to meet their health and safety requirements.

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4 months ago
Training Attendance Record

Small business form.

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7 months ago
Stop Think Act - Checklist for Working Alone

Please take a moment to stop and ask yourself if you’re ready to work alone. Take time to correct any hazards. Stop it if it can’t be done safely.

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8 months ago
Mobile Ladder Stands or Mobile Ladder Platforms

Examples of controls to eliminate and/or reduce risk associated with manual materials handling on mobile ladder stands or mobile ladder platforms.

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8 months ago
Visibility Hazards Checklist

Common problems and solutions to reduce visibility hazards and increase the ability for operators to see workers.

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10 months ago
Employee Orientation and Training Checklist: 20-49 Employees

An employer checklist template for managing the orientation and training of workers (20-49 Employees).

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11 months ago
Office Workstation Checklist

Use this checklist to assess your workstation for potential problems.

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