Templates

Customizable Microsoft Word examples of checklists, forms, plans, policies and more.

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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.

UPDATED: March 31, 2023

Emergency response planning: templates

BP040TMP
These are 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: March 31, 2023

Hazard assessment and control: a handbook for Alberta employers and workers - Templates

BP018TMP
Formal and site-specific hazard assessment and control templates from the 'Hazard assessment and control: A handbook for Alberta employers and workers" in MS Word format so you can adapt them to your organization's needs.

UPDATED: February 2023

Occupational health and safety starter kit: templates

BP035TMP
Templates and sample forms from the 'Occupational health and safety starter kit' in MS Word format so you can adapt them to your organization's needs.

UPDATED: May 2023

Fall protection plan template

GS010TMP
This customizable fall protection plan template can be used as the basis for developing a fall protection plan.

UPDATED: February 2023

Harassment and violence in the workplace: prevention templates

LI045TMP
Sample policies and procedure templates that you can customize for your workplace harassment and violence prevention plans. MS Word format.

UPDATED: February 2023

Impairment in the workplace: prevention policy and procedures template

BP033TMP
***This resource is current to October 2018. For information on the latest OHS requirements, visit OHS website.***

Impairment prevention policy and procedures template

PUBLISHED: October 2018

Workplace Violence Prevention Plan: Templates for retail fuel and convenience stores

BP031TMP
Templates that retail fuel and convenience stores can use to help develop a violence prevention plan. Reference - BP031

PUBLISHED: June 2018

Wildfire recovery: Sample health screening questionnaire

FI005
A questionnaire to help employers determine if a worker is fit to work in areas where there is a high chance of exposure to smoke.

Occupational health and safety guide for retail workers and employers: templates

BP021TMP
***This resource is current to May 2008.
For information on the latest OHS requirements, visit OHS website.***

Templates for use with the OHS Guide for Retail Workers and Employers. Includes example forms to assist in the development of an OHS management system.

PUBLISHED: May 2008

Working on ice - Ice cover profile template

SH011TMP2
***This resource is current to November 2009.
For information on the latest OHS requirements, visit OHS website.***

A template for recording the details of ice cover such as measurements, colour, and location.

PUBLISHED: November 2009

Working on ice - Ice cover inspection template

SH011TMP
***This resource is current to November 2009.
For information on the latest OHS requirements, visit OHS website.***

A template to help assess if a floating ice surface is safe for work.

PUBLISHED: November 2009

Handbook of Occupational Hazards and Controls for Healthcare Administrative Workers: Knowledge and Skills Assessment Verification Checklist

HC003
***This resource is current to May 2008.
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

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