Model Safety Programs

for the roofing industry

Aerosol Transmissible Diseases

Model plans related to aerosol transmissible diseases (California OSHA) – download

Bloodborne Pathogens

Model Bloodborne Pathogens Programs (Federal OSHA) – download

Model Bloodborne Pathogens Program (California OSHA) – download

Fall Protection

Sample Fall Protection Plan for Residential Construction (Federal OSHA) – download

Sample Fall Protection Plan – Non-Mandatory Guidelines for Complying with 1926.202(k) (Federal OSHA) – download

General Safety and Health Programs

Recommended Practices for Safety and Health Programs (Federal OSHA) – download

Hazard Communication Standard

Small Entity Compliance Guide for Employers That Use Hazardous Chemicals (Federal OSHA) – download

Model Hazard Communication Programs (Federal OSHA) – download

Model Hazard Communication Program (California OSHA) – download

Heat Illness Prevention

Sample Heat Illness Prevention Plan in fillable format (California OSHA) – download

Injury and Illness Prevention Program (IIPP)

Model Injury and Illness Prevention Programs in FIllable FOrmat (California OSHA) – download

Lockout/Tagout

Typical Minimal Lockout Procedures (Federal OSHA) – download

Powered Industrial Trucks

Sample Powered Industrial Truck (PIT) Operator Training Program Outline (Federal OSHA) – download

    Respiratory Protection

    Sample Program within the Small Entity Compliance Guide for the Respiratory Protection Standard (Federal OSHA) – download

    Model Respiratory Protection Program in fillable Word format (California OSHA) – download

    The following is a sample of the customizable safety policies relevant to roofing industry within Midwestern’s Risk Management Center. The Risk Management Center is only accessible to workers’ compensation policyholders of Midwestern Insurance Alliance.

    Accident Prevention

    An accident prevention policy dedicated to promoting a safe workplace.

    Accident Prevention

    An accident prevention policy dedicated to promoting a safe workplace.

    Back Injury Prevention and Ergonomic Evaluation

    A written policy for employees that details how to avoid back injuries while in the workplace.

    Basic Accident Report

    A basic accident reporting form to be filled out by employees and supervisors.

    Cold Stress Prevention Program

    A program that establishes controls to protect employees from cold stress, including hazard assessments, engineering controls, administrative controls, personal protective equipment including proper clothing, and employee training.

    Contractor Safety Program

    This program provides guidelines for the review and approval of contractors and subcontractors and establishes necessary safety measures to follow onsite.

    Electrical Safety – Hazard Checklist

    This checklist covers electrical safety hazards to watch out for.

    Electrical Safety Checklist

    A sample electrical checklist.

    Fall Protection – Jobsite Worksheet

    Fall protection plan evaluation and audit tools, including prework planning worksheet.

    Fall Protection Policy

    A written policy for facilities and field operations where personnel are exposed to elevated work hazards.

    Hand Tool Safety

    A written policy for the proper use of hand tools in the workplace.

    Hazard Assessment for PPE

    A hazard assessment policy for employees using PPE (personal protective equipment).

    Hazard Assessment Worksheet

    A worksheet used for assessing and identifying hazards in the workplace and job-site.

    Heat Illness Prevention Plan

    A policy on how to protect employees who work outdoors or in hot environments from heat illness.

    Incident Investigation Form

    A form that is to be used in the case of an on-the-job accident. 

    Incident Investigation Plan

    A policy on the topic of conducting incident investigations including the process of investigating incidents, gathering information about the incident, identifying root causes, and determining corrective actions to prevent the incident from recurring.

    Ladder Inspection Checklist

    Specific risk factors identified for inspecting ladders before use.

    Personal Protective Equipment Inspection

    A safety checklist that reviews safe working behaviors when using personal protective equipment (PPE).

    Personal Protective Equipment Policy

    Outlines the personal protective equipment that must be worn at all facilities.

    Portable Ladders

    The purpose of this procedure is to require the safe use and proper construction, inspection, and maintenance of ladders at work sites.

    Safety Inspection Checklist

    A checklist for use during safety inspections and observations.

    Slip, Trip, and Fall Prevention – Inspection Form

    An inspection form to evaluate your workplace for slip, trip, or fall hazards.