Sample Programs

Disclaimer

The documents are not intended to supersede the requirements in HIOSH standards. Employers should consult the applicable HIOSH standards for the specific requirements applicable to their workplaces. Employers will need to add information relevant to their particular facility in order to develop an effective program.

The following sample safety and health programs are intended to provide examples of written programs on various workplace safety and health topics.

Employers can use these sample programs as guidance when developing their own customized programs that are tailored to their specific workplaces.

Bloodborne Pathogen Program (PDF)
Fall Protection Program for residential construction (PDF)
Hazard Communication Program (PDF)
HIOSH Small Business Safety and Health Handbook (PDF)
Permit-Required Confined Spaces Program (PDF)
Powered Industrial Trucks (website)
Respiratory Protection Program and Training Guide (PDF)
- Appendix D to 1910.134 – Information to Employees when using Respirators not Required by the Standard (PDF)
Safety and Health Program (doc)
- Recommended Practices for Safety and Health Programs (PDF)
- Recommended Practices for Safety and Health Programs in Construction (PDF)
- Safety & Health Program Assessment Worksheet (PDF)
Other Safety & Health Web Links (PDF)

We provide our forms, instructions, publications and other items in a variety of file formats. Please click for more information on how to electronically access these.

Sample Programs

Disclaimer

Occupational Safety and Health

Lea Faka-Tonga (Tongan)

‘Okú ke fie maʻu tokoni ʻi ha lea fakafonua ʻe taha? Temau kumi haʻo taha fakatonulea taʻetotongi. Telefoni ki he (808-586-9116) ke fakahā mai ʻa e lea fakafonua ʻokú ke lea aí.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

VISAYAN: CEBUANO

Gakinahanglan ka ba ug tabang sa imong pinulongan? Amo kang mahatagan ug libre nga maghuhubad. Tawag sa (808-586-9116) aron magpahibalo kung unsa ang imong sinulti-han.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

TIẾNG VIỆT: VIETNAMESE

Bạn có cần giúp đỡ bằng ngôn ngữ khác không ? Chúng tôi se yêu cầu một người thông dịch viên miễn phí cho bạn. Gọi (808-586-9116) nói cho chúng tôi biết bạn dùng ngôn ngữ nào.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

ภาษาไทย: THAI

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

TAGALOG: TAGALOG

Kailangan ba ninyo ng tulong sa ibang lengguwahe? Ikukuha namin kayo ng libreng tagasalin. Tumawag sa (808-586-9116) para sabihin kung anong lengguwahe ang nais ninyong gamitin.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

ESPAÑOL: SPANISH

¿Necesita ayuda en otro idioma? Nosotros le ayudaremos a conseguir un intérprete gratuito. Llame al (808-586-9116) y diganos que idioma habla.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

GAGANA SAMOA: SAMOAN

E te mana’o mia se fesosoani i se isi gagana? Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Vili mai i le numera lea (808-586-9116) pea e mana’o mia se fesosoani mo se faaliliu upu.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

KAJIN MAJÔL: MARSHALLESE

Kwoj aikuij ke jiban kin juon bar kajin? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kirtok (808-586-9116) im kwalok non kim kajin ta eo kwo melele im kenono kake.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

한국어: KOREAN

다른언어로 도움이 필요하십니까? 저희가 무료로 통역을 제공합니다. (808-586-9116) 로 전화해서 사용하는 언어를 알려주십시요

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

日本語 (JAPANESE)

貴方は、他の言語に、助けを必要としていますか ? 私たちは、貴方のために、無料で 通訳を用意で きます。電話番号の (808-586-9116) に、電話して、私たちに貴方の話されている言語を申し出てください。

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

ILOKANO: ILOCANO

Masapulyo kadi ti tulong iti sabali a pagsasao? Ikkandakayo iti libre nga paraipatarus. Awaganyo ti (808-586-9116) tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

ʻŌLELO HAWAIʻI: HAWAIIAN

Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Makemake la maua i ki`i `oe mea unuhi manuahi. E kelepona (808-586-9116) `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

KAPASEN CHUUK: CHUUKESE

En mi niit alilis lon pwal eu kapas? Sipwe angei emon chon chiaku ngonuk ese kamo. Kokori (808-586-9116) omw kopwe ureni kich meni kapas ka ani.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

中文 – CHINESE Mandarin

您需要其它語言嗎？如有需要, 請致電 (808-586-9116), 我們會提供免費翻譯服 (Traditional)

您需要其它语言吗？如有需要,请致电 (808-586-9116), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

中文 – CHINESE: Cantonese

您需要其它語言嗎？如有需要, 請致電 (808-586-9116), 我們會提供免費翻譯服務 (Traditional)

您需要其它语言吗？如有需要,请致电 (808-586-9116), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

貴方は、他の言語に、助けを必要としていますか ? 私たちは、貴方のために、無料で通訳を用意できます。電話番号の (808-586-9116) に、電話して、私たちに貴方の話されている言語を申し出てください。

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.

You have the right to an interpreter
at no cost to you.