Templates
Customizable Microsoft Word examples of checklists, forms, plans, policies and more.
Occupational health and safety starter kit: template package
BP035TMP
This zip folder holds MS Word versions of templates and sample forms from the 'Occupational health and safety starter kit', which employers can adapt them to their organization's needs.
Note that the templates and sample forms are also available individually: see "Related resources" section below.
UPDATED: April 2025
Note that the templates and sample forms are also available individually: see "Related resources" section below.
UPDATED: April 2025
Hazard assessment and control: a handbook for Alberta employers and workers: template package
BP018TMP
This zip package contains a formal hazard assessment and control report template, and a site-specific hazard assessment and control template. If you choose to use these templates, make sure you customize them to your work and work site. (Microsoft Word format.)
UPDATED: October 2023
UPDATED: October 2023
Emergency response planning: template package
BP040TMP
These are Microsoft Word template versions of the sample forms in the "Emergency response planning: an occupational health and safety tool kit" pdf. Employers can customize these templates to suit their work site.
UPDATED: September 2024
UPDATED: September 2024
Fuel and convenience store employer guide: template package
BP031TMP
This zip folder holds MS Word versions of the four templates from the "Fuel and convenience store employer guide: violence and harassment prevention plan". Employers can customize these templates to their work and work site. Note that the templates are also available individually: see "Related resources" section below.
UPDATED: March 2025
UPDATED: March 2025
Working on ice: template package
BP043TMP
This zip package contains an ice cover inspection template and an ice cover profile template. Both are intended for use as described in the "Guide for building and working safely on ice covers in Alberta".If you choose to use these templates, make sure that you customize them to your work and work site. (Microsoft Word format.)
UPDATED: December 2024
UPDATED: December 2024
Hazard assessment and control report (template)
TMP001-1
This is one example of a hazard assessment and control report template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Site-specific hazard assessment (template)
TMP001-2
This site-specific hazard assessment is part of the Hazard Assessment and Control handbook. If you choose to use this template, make sure you customize it to your work and work site. (Microsoft Word format.)
UPDATED: October 2023
UPDATED: October 2023
Emergency response plan template
TMP002-1
This is one example of an emergency response plan. If you choose to use this template, make sure you customize it to suit your work site's emergency response planning requirements.
UPDATED: April 2025
UPDATED: April 2025
Emergency contact list (template)
TMP002-2
This is an example of an emergency contact list template. If you choose to use this template, make sure you customize it to your work and work site.
PUBLISHED: September 2024
PUBLISHED: September 2024
Emergency planning team list (template)
TMP002-3
This is one example of a document you can use to build your emergency response planning team. If you choose to use this template, make sure you customize it to your work site's emergency response planning requirements.
PUBLISHED:September 2024
PUBLISHED:September 2024
Emergency response drill record (template)
TMP002-4
This is an example of an emergency response drill record template. If you choose to use this template, make sure you customize it to your work and work site.
PUBLISHED: September 2024
PUBLISHED: September 2024
Emergency response planning checklist (template)
TMP002-5
This is an example of an emergency response planning checklist template. If you choose to use this template, make sure you customize it to your work and work site.
PUBLISHED: September 2024
PUBLISHED: September 2024
Emergency response training summary record (template)
TMP002-6
This is an example of an emergency response training record template. If you choose to use this template, make sure you customize it to your work and work site.
PUBLISHED: September 2024
PUBLISHED: September 2024
Work site inspection (template)
TMP003
This is an example of a work site inspection template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Health and safety policy (sample)
TMP004
This is one example of a health and safety policy. If you choose to use this sample policy, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Violence and harassment prevention plan (template)
TMP005
This is an example of a violence and harassment prevention plan template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
PUBLISHED: March 2025
PUBLISHED: March 2025
Health and safety committee terms of reference (sample)
TMP006
This is an example of health and safety committee terms of reference. If you choose to use this example, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Worker orientation record (template)
TMP007-1
This is an example of a worker orientation record template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Worker training record (template)
TMP007-2
This is an example of a worker training record template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Incident investigation report (template)
TMP008
This is an example of an incident investigation report template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Illness or injury record (template)
TMP009
This is an example of an illness or injury record template. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: April 2025
UPDATED: April 2025
Fuel and convenience store employer guide: staff training record (template)
TMP010-1
This is an example of a staff training record template for fuel and convenience stores. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: March 2025
UPDATED: March 2025
Fuel and convenience store employer guide: video surveillance test log (template)
TMP010-2
This is an example of a video surveillance test log template for fuel and convenience stores. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: March 2025
UPDATED: March 2025
Fuel and convenience store employer guide: personal emergency transmitter test log (template)
TMP010-3
This is an example of a personal emergency transmitter test log template for fuel and convenience stores. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: March 2025
UPDATED: March 2025
Fuel and convenience store employer guide: action plan list (template)
TMP010-4
This is an example of an action plan list template for fuel and convenience stores. If you choose to use this template, make sure you customize it to your work and work site. MS Word format.
UPDATED: March 2025
UPDATED: March 2025
Fall protection plan (template)
TMP011
This template provides an example of a fall protection plan, and can be customized for use on work sites.
PUBLISHED: March 2023
PUBLISHED: March 2023
Working alone: questions for employers to consider (template)
TMP012
This list of sample questions is intended to help employers identify what steps they can take to ensure the safety of their workers who work alone.
UPDATED: March 2025
UPDATED: March 2025
Excavation/Trench Safety Checklist
TMP013
This resource is one example of a safety checklist that could be used at an excavation work site. If you choose to use this checklist, make sure to customize it to your own work site.
PUBLISHED: June 2023
PUBLISHED: June 2023
Ice cover inspection (template)
TMP014-1
A template to help assess if a floating ice surface is safe for work. The template is intended for use as described in the"Guide for building and working safely on ice covers in Alberta".
If you choose to use this template, make sure you customize it to your work and work site. (Microsoft Word format.)
UPDATED: December 2024
If you choose to use this template, make sure you customize it to your work and work site. (Microsoft Word format.)
UPDATED: December 2024
Ice cover profile (template)
TMP014-2
A template for recording the details of ice covers, such as measurements, colour, and location. The template is intended for use as described in the "Guide for building and working safely on ice covers in Alberta". If you choose to use this template, make sure you customize it to your work and work site. (Microsoft Word format.)
UPDATED: December 2024
UPDATED: December 2024
Handbook of Occupational Hazards and Controls for Healthcare Administrative Workers: Knowledge and Skills Assessment Verification Checklist
HC003
***This resource is current to 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Administrative Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Administrative Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Community Clinics and Doctors’ Offices: Knowledge and Skills Assessment Verification Checklist
HC005
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Personnel in Community Clinics and Doctors' Offices – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Personnel in Community Clinics and Doctors' Offices – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Personnel in Continuing Care Facilities: Knowledge and Skills Assessment Verification Checklist
HC007
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Caregivers in Continuing Care Facilities – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Caregivers in Continuing Care Facilities – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Dental Workers: Knowledge and Skills Assessment Verification Checklist
HC009
***This resource is current to July 2008.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Dental Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: July 2008
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Dental Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: July 2008
Handbook of Occupational Hazards and Controls for Personnel in Diagnostic Imaging and Nuclear Medicine: Knowledge and Skills Assessment Verification Checklist
HC011
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment Personnel in Diagnostic Imaging and Nuclear Medicine – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment Personnel in Diagnostic Imaging and Nuclear Medicine – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Homecare Providers: Knowledge and Skills Assessment Verification Checklist
HC013
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment Homecare Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment Homecare Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Laboratory Workers: Knowledge and Skills Assessment Verification Checklist
HC015
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Laboratory Workers - Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Laboratory Workers - Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Medical and Surgical Staff: Knowledge and Skills Assessment Verification Checklist
HC017
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Medical and Surgical Staff –Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Medical and Surgical Staff –Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Medical Emergency Response Personnel: Knowledge and Skills Assessment Verification Checklist
HC019
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Emergency Response Personnel – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Emergency Response Personnel – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Mental Health Workers: Knowledge and Skills Assessment Verification Checklist
HC021
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Mental Health Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Mental Health Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Pharmacy Workers: Knowledge and Skills Assessment Verification Checklist
HC023
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Pharmacy Workers - Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Pharmacy Workers - Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Physiotherapy, Occupational Therapy, and Respiratory Therapy Personnel: Knowledge and Skills Assessment Verification Checklist
HC025
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment PTs, OTs, RTs – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment PTs, OTs, RTs – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
Handbook of Occupational Hazards and Controls for Public Health Workers: Knowledge and Skills Assessment Verification Checklist
HC027
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Public Health Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Public Health Workers – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011.
Handbook of Occupational Hazards and Controls for Staff in Central Processing: Knowledge and Skills Assessment Verification Checklist
HC029
***This resource is current to January 2011.
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Personnel in Central Processing – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011
For information on the latest OHS requirements, visit OHS website.***
Knowledge and Skills Assessment for Personnel in Central Processing – Verification Checklist for Preceptors or Self-assessment.
PUBLISHED: January 2011