Job Safety Plan and Job Briefing Forms
QEW 1 Job Safety Plan Click HERE New!
Download and fill with Adobe Fill & Sign!
QEW 2 / 3 Job Safety Plan Click HERE
Extra Task Risk Assessment Worksheet
QEW 2 / 3 Job Safety Plan Google Form New!
QEW 2 / 3 Job Safety Plan Short Form Click HERE
Job Safety Briefing Form Click HERE
LBNL QEW 1 / 2 / 3 Online JSP Form – for use by LBNL QEWs. Contractors may use this form only with approval from their ESO.
(Downloading of these forms is strongly recommended, as they may not display/print properly in Google Docs)
QEW Field Assessment Forms
QEW 1 Field Assessment – QEW 2 Field Assessment
Electrical Injury Notification Form
This form has been migrated to an online Google Form. Click HERE
See the Emergency Response page for more information.
LOTO Procedure Template
A LOTO procedure is a formal document detailing all the steps required to establish the lockout. It is specific both to the equipment or system and to the scope of work. A LOTO procedure is required for all complex LOTOs.
View the complete process HERE.
Absent Person LOTO Lock Removal Form
Pub-3000, Chapter 18, Work Process O addresses Special Condition LOTO Lock Removal.
View the complete process and requirements HERE.
Printable Barricade Signs
For use on indoor-only danger, warning, and notice barricades. Signs should be printed in color.
