Build a Safety Manual (Templates)

Below is a list of student resources available for the PHSM course that can help you build an effective Health & Safety Program for your company.

1. Policy/Management Role
   • Company Safety Policy Sample 1
   • Company Safety Policy Sample 2
   • Company Safety Policy Sample 3
   • Company Roles and Responsibilities Sample 1
   • Company Roles and Responsibilities Sample 2
   • Company Roles and Responsibilities Sample 3
2. Hazard Assessment
   • Hazard Assessment Sample Policy and How to Conduct a Hazard Assessment
   • (Sub)Contractor Management Policy Sample 1
   • Hazard Assessment Form with Corrective Action Sample 1
   • Hazard Assessment/Tailgate Meeting Form Sample 1
3. Safe Work Practices
   • Safe Work Practice Policy Sample 1
   • Safe Work Practice Annual Review Sheet Sample 1
   • Safe Work Practice - Defective Tools Example
   • Safe Work Practice - Fire and Use of Fire Extinguisher Example
   • Safe Work Practice - Use of Cleaning Solvents Flammables Example
4. Safe Job Procedures
   • Safe Job Procedure Policy Sample 1
   • Job Hazard Analysis Form Sample 1
   • Safe Job Procedure Annual Review Sheet Sample 1
5. Rules
   • Safety Enforcement Policy Sample 1
   • General Company Rules Sample 1
   • General Company Rules Sample 2
   • General Company Rules Sample 3
   • Employee Warning Report Sample 1
6. Personal Protective Equipment (PPE)
   • PPE Policy Sample 1
   • PPE Policy Sample 2
   • PPE Policy Sample 3
   • Info Sheet for Eye and Face Protection Sample 1
   • Info Sheet for Foot Protection Sample 1
   • Info Sheet for Head Protection Sample 1
7. Preventative Maintenance
   • Preventative Maintenance Policy Sample 1
   • Preventative Maintenance Policy Sample 2
   • Scaffold Inspection Checklist Sample 1
   • Equipment/Vehicle Checklist Sample 1
   • Pre-Start Checklist Sample 1
   • Office Environment Checklist Sample 1
   • Record of Actions Taken Form Sample 1
8. Training and Communication
   • Training and Communication Policy Sample 1
   • Training and Communication Policy Sample 2
   • Training and Communication Policy Sample 3
   • Safety Meeting Form Template 1
   • Safety Meeting Form Template 2
   • New Employee Orientation Form Sample 1
   • New Employee Orientation Form Sample 2
   • New Employee Orientation Questionnaire Sample 1
   • Toolbox Meeting Template 1
   • Tailgate Meeting/Hazard Assessment Form Template 1
9. Inspections
   • Inspection Policy Sample 1
   • Inspection Policy Sample 2
   • Workplace Inspection Form Sample 1
10. Investigations
    • Investigation Policy Sample 1
    • Investigation Report Sample 1
    • Investigation Report Sample 2
    • Investigation Report Sample 3
    • Witness Statement Sample 1
11. Emergency Preparedness
    • Emergency Policy Sample 1
    • Fire Prevention Policy Sample 1
    • Emergency Evacuation Procedure Sample 1
    • Emergency Evacuation Procedure Sample 2
    • Emergency Evacuation Procedure Sample 3
    • Emergency Phone Number List Sample 1
    • Emergency Response Assistance List Sample 1
12. Records and Stats
    • Company Action Plan Sample 1
    • Employee Training Records Form Sample 1
    • Employee Training Summary Form Sample 1
    • Injury Summary Sheet Sample 1
    • Nature of Injury Summary Sheet Sample 1
    • Year End Injury Summary Sheet Sample 1
    • Safety Activity Summary Form Sample 1
13. Legislation
    • Under construction
14. Joint Health & Safety Committee/Rep
    • JHSC Agenda Sample 1
    • JHSC Agenda Sample 2
    • JHSC Meeting Minutes Form Sample 1
    • JHSC Meeting Minutes Form Sample 2
    • JHSC Meeting Minutes - Completed Form Sample 1
    • JHSC Recommendation Form Sample 1
15. Return to Work
    • Return to Work Policy Statement Sample 1
    • Return to Work Plan Sample 1
    • Return to Work Protocol Sample 1
16. Additional Policies/Programs
    • Bullying and Harassment Policy Sample 1
    • Drug and Alcohol Sample 1
    • Environment Policy Sample 1
    • Environment Policy Sample 2
    • Environment Policy Sample 3
    • Ergonomics Policy Sample 1
    • Working Alone Policy Sample 1
    • Working in Extreme Temperatures Policy Sample 1
    • Table of Contents Sample 1
17. Harrassment and Violence Prevention
    • Workplace Harassment and Violence Prevention Template

We recommend that all companies looking to obtain COR®/SECOR® status review the Northern Safety Network Yukon Audit Document prior to your external audit.

Links

• Policy/Management Role
• Hazard Assessment
• Safe Work Practices
• Safe Job Procedures
• Rules
• Personal Protective Equipment (PPE)
• Preventative Maintenance
• Training and Communication
• Inspections
• Investigations
• Emergency Preparedness
• Records and Stats
• Legislation
• Joint Health & Safety Committee/Rep
• Return to Work
• Additional Policies/Programs
• Harrassment and Violence Prevention