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DLI > Businesses > Workers' Compensation Services > Workers' Compensation > Health & Safety Division > Pennsylvania Training for Health and Safety (PATHS) > Safety Forms
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PATHS Safety Forms

Checklist for Establishing a PPE Program (PDF)

Checklist for Training Employees to Use and Care for Eye and Face Protection (PDF)

Checklist for Training Employees to Use and Care for Hand and Arm Protection (PDF)

Checklist for Training Employees to Use and Care for Head Protection (PDF)

Checklist for Training Employees to Use and Care for Hearing Protection (PDF)

Checklist on Need for PPE (PDF)

Computer Station Ergonomics Checklist (PDF)

Confined Space Entry Permit (PDF)

Confined Space Entry Permit Class-A-B (PDF)

Confined Space Entry Permit Class-C (PDF)

New Employee Health and Safety Orientation Skills Test (PDF)

New Employee Safety Orientation Checklist (PDF)

PA Health & Safety Regulations, Self-Insured Employers (PDF)

Sample Incident Investigation Report (PDF)

Sample Safety Committee Bylaws (PDF)

Sample Safety Committee Meeting Minutes (PDF)

Sample Safety Policy Statement (PDF)

Workplace Inspection Checklist (PDF)

Workplace Inspection Committee Action Sheet (PDF)

If you don't see what you're looking for, contact us at

RA-LI-BWC-PATHS@pa.gov

Accident Prevention Through Education
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