Publications & Forms

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Monthly Wellness Tips
22 Publications
Health & Safety
51 Publications
Publications & Forms
79 Publications
General
36 Publications
Medical Panels
19 Publications
Workers’ Compensation
43 Publications
21-Day Plant Power Challenge (pdf)
24HourFitness_special rate details_07302023 (pdf)
3 Exercises for a Stronger Core (pdf)
5 Tips for a Better Morning (pdf)
6 Steps for Safe and Effective Disinfectant Use (pdf)
6 Ways to Quit Soda (pdf)
Acalanes Medical Panel Poster (pdf)
Acalanes Memorandum of Coverage_Aug 29 2019 (pdf)
Accident Investigation Form Best Practice (02/22) (pdf)
Administrative Policies & Regulations (pdf)
Antioch Medical Panel Poster (pdf)
Antioch Memorandum of Coverage_Aug 29 2019 (pdf)
BBP Exposure Control Plan Template (pdf)
Blood Pressure Guidelines (pdf)
Brentwood Medical Panel Poster (pdf)
Brentwood Memorandum of Coverage_Aug 29 2019 (pdf)
Building Resilience (pdf)
Byron Medical Panel Poster (pdf)
Byron Memorandum of Coverage_Aug 29 2019 (pdf)
CAL OSHA Reporting Requirements for School Districts (pdf)
Cal-OSHA-Mandated-Training-Matrix-by-Occupation-5-25-21AT (pdf)
Canyon Medical Panel Poster (pdf)
Canyon Memorandum of Coverage_Aug 29 2019 (pdf)
Caring for Aging Parents (pdf)
CCCCD Medical Panel Poster May 2021 (pdf)
CCCCD Memorandum of Coverage_Aug 29 2019 (pdf)
CCCOE Medical Panel Poster_Nov 2021 (pdf)
CCCOE Memorandum of Coverage_Aug 29 2019 (pdf)
CCCSIG Annual Report 2004-05 (pdf)
CCCSIG Annual Report 2005-06 (pdf)
CCCSIG Annual Report 2006-07 (pdf)
CCCSIG Annual Report 2007-08 (pdf)
CCCSIG Annual Report 2008-09 (pdf)
CCCSIG Annual Report 2009-10 (pdf)
CCCSIG Annual Report 2010-11 (pdf)
CCCSIG Annual Report 2011-12 (pdf)
CCCSIG Annual Report 2012-13 (pdf)
CCCSIG Annual Report 2013-14 (pdf)
CCCSIG Annual Report 2014-15 (pdf)
CCCSIG Annual Report 2020-21 (pdf)
CCCSIG Annual Report 2021-22 (pdf)
CCCSIG Annual Report 2022-23 (pdf)
CCCSIG Committment to Excellence (pdf)
CCCSIG Preferred Provider List (pdf)
CCCSIG Safety Shoe Program Reimbursement Form 4 26 22 DS (pdf)
CCCSIG Strategic Priorities (pdf)
Changes to Hazard Communication Standard_OSHA3642 (pdf)
Claims Coordinator Workshop September 2017 (pdf)
Claims Investigation Red Flags (pdf)
Closing Down Your Classroom Tips (pdf)
Coloring Is Not Just for Kids (pdf)
Concentra Fit for Duty Form (pdf)
COVID-19 Prevention Plan Template_June 29 2021 (pdf)
COVID-19_food_service_safety_precautions (pdf)
Crunchy Maple Granola (pdf)
Description of Employees Job Duties Form 10133 33 (pdf)
Employee Accident Investigation Form for Supervisors (pdf)
Employee Health and Safety Services flyer - FY21-22 (pdf)
Equipment Operator Training (pdf)
Ergonomic Self-Assessment (PPT) (ppt)
Ergonomics for the Home or Virtual Office (March 2020) (pdf)
Exercise and Physical Activity Ideas (pdf)
Eye Strain Handout (pdf)
Facts About Worker's Compensation - Rev November 1 2025 (pdf)
Fitness - Getting and Staying Active (pdf)
For Injured Workers Flyer (pdf)
FY22-23 Incentive Program (pdf)
Haz Com Program Guide for Districts 2014 (pdf)
Hazard Communication (pdf)
Hazard Communication Self Audit Checklist (pdf)
Hazard Communication Written Program Template (doc)
Healthy Eating (pdf)
Healthy Meeting Guidelines (pdf)
Healthy Mind, Body, and Spirit (pdf)
Heat Illness Prevention Plan Template (updated May 2019) (pdf)
How to Practice Mindful Meditation (pdf)
how to report new claims flyer (pdf)
Injury and Illness Prevention Program Template (SASH, June 2021) (doc)
Injury Reporting (pdf)
Job Safety Analysis (JSA) Form (pdf)
John Swett Medical Panel Poster (pdf)
John Swett Memorandum of Coverage_Aug 29 2019 (pdf)
Knightsen Medical Panel Poster (pdf)
Knightsen Memorandum of Coverage_Aug 29 2019 (pdf)
Lafayette Medical Panel Poster (pdf)
Lafayette Memorandum of Coverage_Aug 29 2019 (pdf)
Liberty Medical Panel Poster (pdf)
Liberty Memorandum of Coverage_Aug 29 2019 (pdf)
Lock Out Tag Out Template (docx)
Longevity Noodles with Tofu and Edamame (pdf)
Managing Stress (pdf)
Martinez Medical Panel Poster (pdf)
Martinez Memorandum of Coverage_Aug 29 2019 (pdf)
MEWP Emergency/Rescue Personnel Contact List-Fillable (pdf)
MEWP Safe Use Checklist-Fillable (pdf)
MEWP Worksite Inspection-Fillable (pdf)
Moraga Medical Panel Poster May 2021 (pdf)
Moraga Memorandum of Coverage_Aug 29 2019 (pdf)
Move More, More Often (pdf)
Mung Bean Green Papaya Spinach Soup (pdf)
New Member Information (pdf)
Notice of Personal Chiropractor or Personal Acupuncturist (pdf)
Oakley Medical Panel Poster (pdf)
Oakley Memorandum of Coverage_Aug 29 2019 (pdf)
Orinda Medical Panel Poster May 2021 (pdf)
Orinda Memorandum of Coverage_Aug 29 2019 (pdf)
Paying Benefits for School District Employees (pdf)
Pittsburg Medical Panel Poster (pdf)
Pittsburg Memorandum of Coverage_Aug 29 2019 (pdf)
Policy - Conflict of Interest Jan 25 2024 Clean (pdf)
Post Offer Pre-Placement Evaluation Program (June 2021) (pdf)
PRE_DESIGNATION (pdf)
Predesignated Work Assignments (pdf)
Respiratory Protection in the Workplace: A Guide for Employers (Cal OSHA; Updated April 2021) (pdf)
Return to Work Guidelines (pdf)
Return to Work process for injured employees (pdf)
RTW on Day of Injury (pdf)
RTW Process for Claims Coordinator (pdf)
RTW Process for Injured Employee (pdf)
Safe Work Practices - Administrative & Office Staff (pdf)
Safe Work Practices - Bus Drivers (pdf)
Safe Work Practices - Custodian (pdf)
Safe Work Practices - Educators (pdf)
Safe Work Practices - Food Service Workers (pdf)
Safe Work Practices - Groundskeepers (pdf)
Safe Work Practices - Maintenance Workers (pdf)
Safe Work Practices - Special Education Instructional Assistants (pdf)
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Safety Briefs for B&G Managers: Heat Illness (pdf)
Safety Briefs for B&G Managers: Safe Lifting (pdf)
Safety Briefs for Principals: Floor Hazards (pdf)
Safety Briefs for Principals: Footwear (pdf)
Safety Briefs for Principals: Good Housekeeping (pdf)
Safety by Design Checklist (pdf)
Safety Credit Fund Program - Final (pdf)
Safety Credit Withdrawal Request with Fillable Fields (pdf)
Sample Workers' Compensation Monthly Trend Report (pdf)
San Ramon Valley Medical Panel Poster 09/2026 (pdf)
San Ramon Valley Memorandum of Coverage_Aug 29 2019 (pdf)
Section 100 _ Organization (pdf)
Section 200 _ Business (pdf)
Section 300 _ Finance (pdf)
Section 400 _ Personnel (pdf)
Section 500 _ Claims (pdf)
Section 600 _ Health & Safety (pdf)
Self-Care for a Happier, Healthier You (pdf)
Show Your Heart Some Love (pdf)
Six Stats to Monitor with Health Wearables (pdf)
Slip Trip Fall Site Inspection Forms (pdf)
Staff Development Day Trainings FY21-22 (pdf)
Statement of Personal Physician Designation (pdf)
Statement of Personal Physician Designation -Spanish (pdf)
Strength Testing Flyer for Applicants - June 2022 (pdf)
Stress Management Breathing Exercises (pdf)
Temporary Work Agreement for Work Related Injuries (pdf)
The Role of Our Triage Nurses (pdf)
Time of Hire Pamphlet (pdf)
Tofu Kale Scramble (pdf)
UR FAQ (pdf)
User-Friendly-Workstation (pdf)
Voluntary Use Respiratory Protection Program BLANK TEMPLATE (docx)
Walnut Creek Medical Panel Poster (pdf)
Walnut Creek Memorandum of Coverage_Aug 29 2019 (pdf)
West Contra Costa Medical Panel Poster (pdf)
West Contra Costa Memorandum of Coverage_Aug 29 2019 (pdf)

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