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Manual Form
OSHA Safety Manuals & Compliance Guides

Have us develop your Personalized Custom Safety Plan

*Fill out this simple form below and recieve our TailGate safety meetings for FREE! - A $179.00 Value!

This comprehensive site-specific and activity-specific safety manual will be prepared in your company's name to your specifications as per the following Development Form to be shipped to you within 15 working days.  For a small additional fee we can Expedite the delivery, should you require a rush job.

Complimentary Company Analysis

Our experts will review your operational survey, perform a requirements analysis, and send you an informative report complete with suggested chapters to include in your personalized, site-specific safety plan

    A Typical Safety Manual System Includes:

  • Approximately 35 Chapters Covering Approx. 400 Pages,
  • And your company name will appear approx. 200 times.
  • The system also includes:
  • An implementation guide
  • A supervisors safety manual
  • An employee safety handbook in English and Spanish if required.
  • All OSHA required forms for mandated record keeping and documentation
  • Will be provided to you, along with safety meeting scripts in English and in Spanish.
  • The entire system will come to you on a CD in Microsoft Word Format for easy printing and editing.

IMPORTANT:

To receive the analysis and quote please complete the following form below as completely as possible, hit the submit button at the bottom of the form when finished and you will recieve our TailGate Safety Meetings for FREE!

NOTE: All accepted program proposals are sent on approval with an invoice. Should you decide to use the program, please pay the enclosed invoice. If you decide not to use the program, please write refused on the invoice and return it along with the CD.

Business Name: 
Address:

 

 

 

City:State:
Phone:Fax:
Zip:

 

 

 

Contact Person:
Title:
Email Address:
President/Upper Management:
Title:

 

 

 

 

 

Type of Business:
Main Activities/
Product/Services:

 

 

 

#Employees:#Supervisors:
#Vehicles:#Fork Lifts:
#People First Aid Trained:
#People CPR Trained:

 

 

 

 

 

THE FOLLOWING QUESTIONS MUST BE ANSWERED TO DEVELOP A COMPLETE PROGRAM!

Are Respirators Used:
yesno
If So, What Kind & Why: 
Is Hearing Protection Used:
yesno
If So, Why/Why Not If Noisy: 
Confined Space Exposure (Describe):
Construction Exposures:

 

 

 

 

 

 

 

Scaffolding Used:
yesno
Over 30’:
yesno
Permit:
yesno
Excavation/
Underground Work
:yesno

Over 5’ Deep:
yesno

Permits:
yesno
Building Demolition:
yesno
Over 30’:
yesno
Permits:
yesno

 

 

 

 

 

INDUSTRY AND ACTIVITY-SPECIFIC NEEDS ANALYSIS

PLEASE CHECK ALL ACTIVITIES RELATIVE TO YOUR OPERATION


MANUFACTURING EXPOSURES
 
 
RETAIL TRADES INDUSTRY
 
Machine Guarding Display Cases/Equipment 
Power Tools Racks and Counters 
Pneumatic Tools Retail Area 
Grinders Storage 
Metal Working Machines  Maintenance 
Die Casting Machines Exits and Entrances 
Press Brake Customer and Public Exposure 
Punch Press Accident to the Public 
Welding & Cutting Parking Lot 
Compressed Gases 
Propane CONSTRUCTION INDUSTRY 
Hazardous ChemicalsConstruction Tools 
Spray Painting Heavy Equipment 
Specialty Machines  Excavation and Trenching 
Excavation and Trenching 
  Concrete/Form Work 
  Grading 
MEDICAL INDUSTRY  Foundations 
Medical Exposures  Floor/Hole Openings 
HIV,HBV Exposures  Lifting Ropes, Slings, Chains 
Blood Handling  Elevated Surfaces
Medical Equipment  Stud Guns
Barium X-Ray   Electrical 
X-Ray Equipment   Plumbing 
Nursing   Heating/Air Conditioning 
Patient Handling  Finish Carpentry
Assaultive Behavior Exposure  Skill Saws, Radial Arm Saws
Prescription Drugs  Scaffolding 
Housekeeping  Paints/Solvents 
Infectious Disease  Chemicals 
Infectious Waste   Compressor 
  Compressed Gases
  Propane 
   
RESTAURANT INDUSTRY 
Kitchen Safety   Ice Machines 
Knife Safety   Steamers/Pressure Cooking 
Cooking Equipment  Dough Mixers
Fryers  Display Cases/Equipment 
Food Machinery  Walk-In Freezer/Refrigerator 
Microwave  Slicers 
Ovens   Glassware 
Blenders   Dish Washing Machine
Fire Protection Equipment   
   

ACTIVITY-SPECIFIC NEEDS

PLEASE CHECK ALL ACTIVITIES RELATIVE TO YOUR OPERATION

 

*Electrical Lockout/Tagout  *Construction "Safety Meetings" 
*Confined Space Entry- Permit
and Non-Permit 
 Construction Supervisor Safety Manual 
*Motor Vehicle Operation   Food Services Safety 
*Excavation & Trenching   Drug Free Workplace 
*Industrial Trucks/Forklift   *Ergonomics 
*Hearing Conservation  *Hazcom - MSDS Terms, Glossary & Procedures 
*Bloodborne Pathogens & Medical Safety/Health  *Violence In The Workplace
*Respiratory Protection  *Gas Cylinders & Compressed Gases 
*Welding Safety  Safety Incentive Program 
*Personal Protective Equipment  *Fall Protection 
 
  

NOTE: OSHA REGULATIONS STATE THAT THOSE PROGRAMS MARKED WITH AN ASTERISK (*)
REQUIRE A FORMAL PROGRAM WHICH IS TO BE "IN WRITING" IF THE EXPOSURE IS PRESENT!!

 

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