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Health and Safety Resources

Welcome to the Health & Safety Portal for Tucker HiRise. For details on how and when to use the templates and forms below, please see the Health & Safety Manual.

Forms

1-2 Form - Visitor Sign-In Log
3-4 Form - JHSC Meeting Agenda
3-5 Form - JHSC Meeting Minutes
3-6 Form - JHSC Recommendation to Management
3-7 Form - Managements Response to JHSC Recommendation
4-1-1 Form - Employee Orientation Checklist
4-1-2 Form- Site Orientation Checklist
4-1-3 Form - Fitness For Duty Guidelines and Acknowledgement
4-1-4 Form - Employee Orientation & Acknowledgement
5-1 Form - Safety Talk Form
6-1-1 Form Workplace Inspections
6-1-2 Form - JHSC Workplace Inspection Form
6-2-1 Form - Skid Steer Inspection Checklist
6-2-2 Form - Power Elevating Work Platforms Pre-Use Inspection Checklist
7-1 Form - Super's Incident Investigation Report
7-2 Form - Near Miss Minor Injury
7-3 Form -Workplace Violence
7-4 Form - Workplace Harassment
8-1-1 Form - Workplace Violence Assessment 
9-1 Form - First-Aid Log
9-2-1 Form - First-Aid Checklist (1-5 Workers)
9-2-2 Form - First-Aid Checklist (6-15 Workers)
9-2-3 Form - First-Aid Checklist (16-200 Workers)
9-2-4 Form - First-Aid Checklist (201 Workers)
10-1 Form - Hazard Reporting Form
11-1-1 Form - Job Inventory Form
11-1-2 Form - Job Hazard Assessment (Template)
11-2-1 Form - Daily Hazard Assessment (DHA)
12-1 Form - Emergency Preparedness & Response Plan
12-2 Form - Emergency Preparedness & Response Plan Test Report
13-1 Form - Progressive Discipline
17-1-1 Form - Offered of Modified Work - Letter to the Employee
17-1-2 Form - Letter to Health Care Provider
17-1-3 Form - Modified Work Description Report
17-1-4 Form - Worker Contact Log
17-1-5 Form - Worker's Progress Report
17-1-6 Form - Supervisor's Follow Up Report
17-1-7 Form - Return to Work Self Assessment Report
17-2 Form- Functional Abilities Form
18-1-1 Form - Subcontractor Procurement Checklist
18-1-2 Form - Subcontractor -Declaration of Competent Supervisor
19-1-1 Form - Pre-Project Checklist
19-1-2 Form - Pre-Project Posting Checklist
20-1 Form - Fall Prevention & Rescue Plan
21-1 Form - Traffic Management Plan
23-2 Form - Confined Space Entry Exit Plan

Programs

30 Struck by Program.doc
30-1 Struck By Hazard Assessment.doc
30-3 Tower Crane Checklist.doc