Sample Programs
The following sample safety and health programs are intended to provide examples of written programs on various workplace safety and health topics. They are not intended to supersede the requirements in OSHA standards. Employers should consult the applicable OSHA standards for the specific requirements applicable to their workplaces. Employers can use these sample programs as guidance when developing their own customized programs that are tailored to their specific workplaces.
- Bloodborne Pathogens
- Fall Protection
- General Safety and Health Programs
- Hazard Communication Standard
- Lockout/Tagout
- Powered Industrial Trucks
- Permit-Required Confined Spaces Program
- Respiratory Protection
- Shipyard Employment
- Tuberculosis
- OSHA eTools for Developing Customized Programs
- Sample Programs From State On-Site Consultation Programs
Bloodborne Pathogens
- Model Plans and Programs for the OSHA Bloodborne Pathogens and Hazard Communications Standards (PDF). OSHA Publication 3186-06N, (2003).
Fall Protection
- Sample Fall Protection Plan for Residential Construction.
- Sample Fall Protection Plan - Non-Mandatory Guidelines for Complying with 1926.502(k). OSHA Standard 1926 Subpart M App E, (1995, January 26).
General Safety and Health Programs
Hazard Communication Standard
- Small Entity Compliance Guide for Employers That Use Hazardous Chemicals - Appendix A (PDF*). OSHA Publication 3695, (2014).
Lockout/Tagout
- Typical Minimal Lockout Procedures. OSHA Standard 1910.147 Appendix A, (1996, February 13).
Powered Industrial Trucks
- Sample Powered Industrial Truck (PIT) Operator Training Program Outline. Included in training materials developed by OSHA Directorate of Training and Education.
Permit-Required Confined Spaces Program
- Protecting Construction Workers in Confined Spaces - Small Entity Compliance Guide - Appendix A (PDF*). OSHA Publication 3825, (2015).
Respiratory Protection
- Small Entity Compliance Guide for the Respiratory Protection Standard: Attachment 4 - Sample Program. OSHA Publication 3384-09, (2011).
Shipyard Employment
- Model Fire Safety Plan (Non-Mandatory). OSHA Standard 1915 Subpart P Appendix A, (2004, September 15).
Tuberculosis
- Sample Exposure Control Plan. Part of OSHA's eTools for hospitals and nursing homes. This sample plan was included in OSHA's proposed tuberculosis standard (Appendix F to proposed 29 CFR 1910.1035, 62 Fed. Reg. 54160, Oct. 17, 1997), but OSHA withdrew the proposed rule in May 2003.
OSHA eTools for Developing Customized Programs
- Emergency Action Plan. An OSHA eTool helps employers create their own basic Emergency Action Plan.
- Lockout/Tagout: Interactive Training Program. An OSHA eTool that includes guidance on developing an energy control program.
Sample Programs From State Consultation Programs
A number of On-site Consultation Programs provide collections of sample safety and health programs on their Websites, including those listed below. The On-Site Consultation Programs are run by the states with funding from OSHA. If you are in a state with an OSHA-approved state program, please check with your state agency.
These sample programs provide examples of written programs on various workplace safety and health topics. They are not intended to supersede the requirements in OSHA standards. Employers should consult the applicable OSHA standards when developing their own customized programs that are tailored to their workplace. Contact your State On-Site Consultation Program to request help in developing customized programs.