Table of Contents (Revised 6/1/11)

Section 1 - Injury/Illness Prevention Program (IIPP)

Injury/Illness Prevention Program - Part 1  (Revised 1/20/11)

Injury/Illness Prevention Program - Part 2  (Revised August 2006)

Injury/Illness Prevention Program - Part 3  (Revised 5/2/11)

Section 2 - Cal/OSHA DOSH 8 CCR 3203

Cal/OSHA Compliance, Policies and Procedures Manual (Enforcement of 8 CCR Section 3203: Injury/Illness Prevention Program)  (Revised 2/1/95)

Section 3 - Code of Safe Practices

Code of Safe Practices  (Revised 03/22/00)

Safe Practices and Operating Procedures (Revised 3/21/00)

Section 4 - Model Programs

1. Accident Investigation & Investigation Form

Accident Investigation & Investigation Form  (Revised 5/2/11)

2. Confined Space

CSE   (Revised 1/24/11)

Flow Chart   (Revised 1/24/11)

Hot Work Permit   (Revised 3/12/08)

Employee Training Record   (Revised 12/16/99)

Rescue Training Vendors   (Revised 8/29/02)

Confined Space Entry Assignment and Authorization   (Revised 10/24/07)

Confined Space Entry Permit   (Revised 1/24/11)

3. Drug &Alcohol

Model Drug & Alcohol Policy   (Revised 5/2/11)

4. Emergency Plan

Emergency Action Plan Guidelines   (Revised 2/15/00)

5. Fire Plan

Fire Prevention Plan   (Revised 8/24/08)

Urban Wildland Fire Coordination Plan for Water Utilities and Fire Departments   (Revised 1/20/11)

6. Hazard

Hazard Communication Program   (Revised 3/14/00)

Hazard Communication Plan - Employee Training Record   (Revised 10/24/07)

7. Hearing Plan

Hearing Conservation Program   (Revised 1/19/10)

 8. Job Hazards

Job Hazard Analysis   (Revised 1/19/10)

9. Lock / Block

Lockout / Blockout Procedure   (Revised 4/1/09)

10. Recreation

JPIA Recreation / Special Event Policy   (Revised 1/19/10)

11. Respiratory Protection

Customizable Respiratory Protection Program   (Revised 9/28/01)

Employee Respirator Assignment   (Revised 10/24/07)

Monthly Maintenance Checklist for SCBA   (Revised 10/24/07)

Voluntary Respirator Use Form   (Revised 10/24/07)

Voluntary Use of Dust/Mist Respirator   (Revised 10/24/07)

12. Welding &Cutting Safety

Welding & Cutting Safety Procedure   (Revised 2/15/00)

13. Heat Illness Prevention

Heat Illness Prevention Program   (Revised 5-9-11)

Section 5 - Fleet Safety Program

Automobile Self Inspection Report   (Revised 1/12/00)

Cellular Phone Safety   (Revised 6/11/08)

CHP Bit Program   (Revised 9/7/00)

Defensive Driver Training   (Revised 6/25/08)

Driver Record Review   (Revised 9/20/08)

Driver Road Test Examination   (Revised 2/7/00)

Driver Selection   (Revised 2/7/00)

Driver's Report of Accident   (Revised 10/1/06)

DOT Driver's Vehicle Inspection Report   (Revised 2/8/00)

Vehicle Inspection Report   (Revised 1/12/00)

Maintenance   (Revised 1/12/00)

Semi-Annual Vehicle Inspection Report   (Revised 2/8/00)

Supervisor's Report of Incident / Accident   (Revised 1/12/00)

Vehicle Accident Reporting   (Revised 2/8/00)

Vehicle Accident Reporting Kits   (Revised 2/8/00)

Vehicle / Equipment Inspections   (Revised 1/12/00)

Vehicle Repair / Maintenance Order   (Revised 1/12/00)

Vehicle Backing Policy   (Revised 7/28/08)

Section 6 - Risk Transfer

Contracts with Outside Entities   (Revised 10/9/08)

Section 7 - Special Plans, Policies and Guidelines

OSHA Inspection Procedures   (Revised11/26/03)

Trespassers on District Property   (Revised 12/05/08)

Model Discrimination/Sexual Harassment Policy/Manager's Responsibilities/Investigation/   (Revised August 2008)

Firearm Use   (Revised 7/27/00)

Powers of Arrest and Issuance of Citations   (Revised 7/28/08)

Return to Work Program (Revised 1/24/11)

   FLMA-CFRA Checklist (Revised 1/24/11)

   Authorization for Release of Medical Information (Revised 1/24/11)

   Employee's Acknowledgement of Return to Work Program (Revised 1/24/11)

   FLMA-CFRA Approval Letter (Revised 1/24/11)

   FLMA-CFRA Application Form (Revised 1/24/11)

   FLMA-CFRA Conditional Leave Form (Revised 1/24/11)

   FLMA-CFRA During Workers' Compensation Leave Form (Revised 1/24/11)

   FLMA-CFRA Medical Certification (Revised 1/24/11)

   Letter to Medical Provider Regarding Return to Work Program (Revised 1/24/11)

   Physician's Report-Employee Work Status (Revised 1/24/11)

   Transitional Duty Assignment (Revised 1/24/11)

Guard Dog Policy   (Revised 2/8/07)

Section 8 - General Forms, Permits, Checklists

List of Forms   (Revised 6/1/11)

Lockout/Tagout "Authorized Person" Assignment   (Revised 10/24/07)

Traffic Control Flagger Assignment and Authorization   (Revised 10/24/07)

Traffic Control Supervisor Assignment and Authorization   (Revised 10/24/07)

Trench & Excavation "Competent Person" Assignment   (Revised 10/24/07)

Underground Utility Locator Qualification and Assignment   (Revised 10/24/07)

A Guide to High-Value Physician Services in Workers' Compensation   (Revised 10/29/10)

Clinic Evaluation   (Revised 1/24/11)

Encroachment Permit Steel Plate Bridging Utility Provisions   (Revised 1/20/11)



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