University of California
ANR Environmental Health & Safety
Plans, Forms and Templates
Injury & Illness Prevention Program
Each ANR location is required by state law and UC policy to have a written Injury and Illness Prevention Program (IIPP). IIPP templates for Cooperative Extension offices and Research and Extenstion Centers are found below.Training Plan & Tracking Form
Inspection Checklists
- Forklift Daily Inspection Checklist
- Tractor Daily Inspection Checklist (Landscape)
- Eyewash / Safety Shower Monthly Inspection Checklist
- Portable Ladder Inspection Checklist
- Fire Extinguisher Monthly Inspection Checklist
- First Aid Inspection Checklist
- Vehicle / Trailer Inspection Checklist
- Onsite Program Reviews
Other Templates and Forms
- Emergency Action Fire Prevention Plan
- Safety Meeting Training Record
- Chemical Hygiene Plan
- Chemical Inventory List Form
- Hazardous Waste Label
- Incident Report
- Workers' Compensation Forms
Required Postings
- Tractor Safety Posting
- Forklift Safety Posting
- Labor and Employment Postings (UC Davis Human Resources)
Note: ANR EH&S annually sends each ANR office a large poster that combines these required postings. For more information, Ask EH&S