These Sample Written Programs are designed to help you create customized programs for your specific needs. Most samples are in Word format so you can easily adapt them.
You might also like to visit Safety Writer, which is hosted by the consultation program at the University of South Florida. Originally designed for OSHA employees, it is now available to the public for free. Please note that Safety Writer is currently being updated and will not be available until November 12, 2018. Generic safety procedures for the Construction Industry are still available.
Accident Prevention
- Sample Accident Prevention Plan for Construction (Word document)
- Alternative Accident Prevention Plan for Construction (Word document)
Confined Spaces
With regard to confined spaces in construction, OSHA Standard 1926.21 (b)(6)(i) states: “All employees required to enter into confined or enclosed spaces shall be instructed as to the nature of the hazards involved, the necessary precautions to be taken, and in the use of protective and emergency equipment required”.
While OSHA standards do not required the construction industry to have a written program for confined spaces, we strongly recommend you develop one if needed, and use the OSHA General lndustry 29 CFR 1910.146 – Permit Required Confined Spaces standard as a guide for best practices. Links to information relating to the general industry standard are listed below:
- 1910.146 Permit Required Confined Spaces – OSHA Standard (website link)
- Appendix F to 1910.146 Rescue Team or Rescue Service Evaluation Criteria (Word document)
- OSHA Permit Required Confined Spaces Booklet (pdf)
- Sample Permit Required Confined Space Program (Word document)
- Confined Space and Permit Required Confined Space Recognition Form (pdf)
- Permit Required Confined Space Decision Flow Chart (Word document)
- Work Sheet for Reclassifying a Permit Space (Word document)
- Entry Permit – Sample One (pdf)
- Entry Permit – Sample Two (Word document)
- Work Sheet for Alternative Procedures (Word document)
- Sample Hot Work Permit (Excel document)
Crane and Hoist Safety
- Crane and Hoist Safety Sample Program (Word document)
- Crane Inspection Sample Program (Word document)
- Managing Mobile Crane Hazards (website link)
- NIOSH Preventing Worker Injuries and Deaths from Mobile Crane Tip-Over, Boom Collapse, and Uncontrolled Hoisted Loads (pdf)
- OSHA Cranes and Derricks in Construction – Small Entity Compliance Guide for the Final Rule Booklet (pdf)
- OSHA Fact Sheet: Cranes and Derricks in Construction – Assembly and Disassembly, Subpart CC (pdf)
- OSHA Fact Sheet: Cranes and Derricks in Construction – Operator Qualification and Certification, Subpart CC (pdf)
- OSHA Fact Sheet: Cranes and Derricks in Construction – Qualified Rigger, Subpart CC (pdf)
- OSHA Fact Sheet: Cranes and Derricks in Construction – Signal Person Qualification, Subpart CC (pdf)
- OSHA Quick Card: Crane Safety – English Version (pdf)
- OSHA Quick Card: Crane Safety – Spanish Version (pdf)
Quick Cards summarize safety information. They can be printed, laminated, and distributed to employees as a reminder of what they need to know and do in order to keep themselves safe.
Ergonomics
- Sample Ergonomics Program (Word document)
Emergency Action/Fire Prevention
- Sample Emergency Action/Fire Prevention Plan (Word document)
- Sample Fire Extinguisher/Emergency Light Checklist (pdf)
- Sample Fire Extinguisher/Emergency Light Checklist (Word document)
Energy Control Program (Lockout/Tagout)
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- Sample Energy Control Program for Construction (Word document)
- Sample Energy Control Program – Short Version (Word document)
- Sample Energy Control Program – Long Version (Word document)
- Cut Lock or Removed Tag Report (pdf)
(pdf)
Fall Protection
- 1926.501 Duty to Have Fall Protection – OSHA Standard (website link)
- OSHA Residential Fall Protection Information (website link)
- OSHA Instruction STD 03-11-002 Compliance Guidance for Residential Construction (website link)
- OSHA Fall Protection in Construction Information (website link)
- OSHA Guidance Document: Fall Protection in Residential Construction (pdf)
Hazard Communication
- 1910.1200 Hazard Communication – OSHA Standard (website link)
- Hazard Communication Overview (Word document)
- OSHA Hazard Communication Booklet (pdf)
- Hazard Communication Program – Sample A (Word document)
- Hazard Communication Program – Sample B (Word document)
- Notice to Other Employers (Word document)
Hearing Conservation
- Introduction to Hearing Conservation (Word document)
- 1910.95 Occupational Noise Exposure – OSHA Standard (website link)
- Sample Hearing Conservation Program (Word document)
- OSHA Hearing Conservation Booklet (pdf)
Personal Protective Equipment
- Sample PPE Hazard Assessment (Word document)
Powered Industrial Vehicles (Forklifts)
- Powered Industrial Vehicle Sample Training Program (Word document)
Recordkeeping
- OSHA Injury and Illness Recordkeeping Information (website link)
- What is First Aid? (pdf)
- Recordkeeping Forms – Version One (pdf)
- Recordkeeping Forms – Version Two (Excel document)
Respiratory Protection
- 1910.134 Respiratory Protection – OSHA Standard (website link)
- 1910.134 Respiratory Protection – OSHA Standard (website link)
- Appendix D to Sec 1910.134 (Word document)
- Note: A copy of Appendix D must be given to people who wear respirators even though they aren’t required to by the OSHA Standard.
- Full Respiratory Protection Sample Program (Word document)
- Limited Respiratory Protection Sample Program (Word document)
- Medical Evaluation Questionnaire (Word document)
- OSHA Respiratory Protection Booklet (pdf)
Trenching and Excavation
- Sample Trenching and Excavation Program (Word document)
- Trenching Checklist (Word document)