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Safety Forms
At Zenith, we like to keep things simple and easy for you. That's why we've collected checklists, tip sheets and other forms here, in one place, for you to view online, save or print.

Guideline for Shoe Policy
Zenith provides you with a guideline for developing your own shoe policy for any type of industry.
View & print this form

Job Safety Analysis Information
Job Safety Analyses (JSAs) are an important part of successful loss prevention programs. A JSA simultaneously meets safety training, safety identification, and control needs.
View & print this form

Lifting Calculator
The Washington State Lifting Calculator provides a basic method of making assessments of acceptable weight lifting limits based on existing research.
View & print this form

Machine Lockout/Tagout Policy Training Acknowledgement Form
Zenith provides you with this form so that you can have your employees read and sign it to confirm they understand your company's Machine Lockout-Tagout Policy.
View & print this form

Management Incident Investigation Report
The purpose of this form is to record accidents and their causes, and to help prevent similar incidents from recurring.
View & print this form (English)
View & print this form (Spanish)

OSHA's Form 300 – Log of Work-Related Injuries & Illnesses
Employers should use this log to record each on-the-job accident.
View & print this form

OSHA's Form 300A – Summary of Work-Related Injuries & Illnesses
At year-end, employers should add the number of accidents recorded on OSHA's Form 300 and enter the sum on this form. Employers must post this completed form in a central location in the workplace.
View & print this form
OSHA Form 301 – Injury & Illness Incident Report
Employers must complete this form after an on-the-job accident occurs.  (Note: California has its own version below.)
View & print this form

Safety Committee Minutes
This form can be used to capture safety meeting minutes including attendees, recommendations and new business.
View & print this form

Safety Inspection Report
The purpose of this report is to help you identify and correct unsafe work practices and conditions before an accident occurs.
View & print this form

Safety Meeting/Tailgate Talk Log
This report can be used to capture notes from a safety meeting and to keep track of those who attended.
View & print this form

Safety Program Component Checklist
Zenith provides you with this checklist to help you cover all your bases in preventing workplace injuries and illnesses.
View & print this form

Safety Program Evaluation
Employers should use this five-page evaluation to rate their safety program and track steps taken to prevent accidents.
View & print this form

California-Specific

OSHA Form 301 – Injury & Illness Incident Report
Employers must complete this form after an on-the-job accident occurs.
View & print this form

Arizona-Specific

Work Exposure to Bodily Fluids Notice
Employers are required to post this notice at a central location in the workplace to let employees know that a claim may be made for a condition related to HIV exposure at work.
View & print this form

 

 
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