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Sample Policies and Forms
The forms and policies collected below are intended as samples. Review them with your employment law counsel to confirm that they are appropriate for your specific needs and situation. Used as a starting point, these can greatly reduce the cost of having an attorney draft documents from scratch for use in your organization.
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Online Exclusive: Sample Slip, Trip, and Fall Prevention Policy
COCA Online Exclusive February 2012
Slips, trips, and falls are the leading cause of lost-worktime injuries in California, so it makes sense for employers to have a policy in place to prevent these accidents. A formal policy that involves everyone in the organization in identifying and controlling slip, trip, and fall hazards can help you prevent these accidents. . . .
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Featured Resource: Portable Fire Extinguisher Use Policy
August 2011
Many workplaces are equipped with portable fire extinguishers that can control small fires, preventing property damage and loss of life. However, General Industry Safety Orders Section 6151(g) prohibits workers from using fire extinguishers unless they have received training in their proper use. . . .
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Sample Return-to-Work Policy
COCA Online Exclusive May 2011
When an employee has been away from work because of an injury or illness or is returning to work with new medical issues (for example, a veteran who has been injured on duty), you may need to provide accommodations to help the worker smoothly re-enter the workplace. The sample return-to-work policy below will help you provide the necessary assistance while complying with workers' compensation and disability rights laws. . . .
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Sample Forklift Attachment and Modification Policy
COCA Online Exclusive July 2010
Adding attachments to or modifying the lifting apparatus on a forklift can create hazards if not done with care. Under this company's policy, the following must be done if any attachment is added to a forklift or modification made to the lifting apparatus: . . .
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Manlift Safety Policy
Updated May 2010
As we report in this month's issue, a worker in Turlock was seriously injured after materials that were being improperly moved with a manlift shifted and fell on him. It's important for workers to understand that misuse of a manlift, far from being a smart shortcut, can lead to injury or even death.
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Cell Phone Policy
Updated May 2010
This sample policy has been newly updated to reflect the latest technology changes, including texting
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Sample Incident and Near Miss Reporting Policy
Updated May 2010
In order to ensure a safe, healthful, and efficient work environment for our employees, the Company has established the following incident and near miss reporting policy as a condition of employment and continued employment
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Bucket Truck Safety Policy
Updated May 2010
Companies whose workers operate aerial platform/bucket trucks should have a policy regarding truck safety and safe work practices. This sample policy can be adapted to suit specific industries or applications.
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Drug- and Alcohol-Free Workplace Policy
Updated May 2010
In order to ensure a safe, healthful and efficient work environment you can use the following alcohol- and drug-free workplace policy to establish a safer workplace. . . .
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Sample Telecommuting Agreement
Updated May 2010
Here's a sample agreement in the form of a letter signed by you and your employee. The letter can be easily modified to fit your needs. . . .
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Sample Telecommute Policy
Updated May 2010
If telecommuting is right for your company, it's important to have a written policy so employees who wish to telecommute understand their rights and your expectations. Here's a sample policy that you can use . . .
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