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Home » tools » form bank
TOOL

Office safety inspection checklist

October 28, 2022 by

The examples outlined below do not list all the possible items for office inspections. The best checklist for your workplace is one that has been developed for your specific needs. Whatever the format of the checklist, provide space for the inspectors’ signatures and the date. Inspectors: Date: (O) Satisfactory (X) Requires Action Location Condition Comments Bulletin Boards and Signs Are they clean and readable? Is the material changed frequently? Do items interfere with people walking by? Floors Is there loose material, debris, worn carpeting? Are the floors slippery, oily or wet? Stairways and Aisles Are they clear and unblocked? Are stairways well lighted? Are handrails, handholds in place? Are the aisles marked and visible? Equipment Are guards, screens and sound-dampening devices in place and effective? Is the furniture in good… . . . read more.

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Tool: Voluntary COVID-19 Vaccination Policy

February 25, 2021 by

It is important to ensure that your medical office staff get vaccinated against COVID-19 to protect not only themselves but also co-workers, patients and others at your facility. But what if workers neglect or just plain refuse to be vaccinated? There are two basic options: Option 1: Require staff to be vaccinated Option 2: Encourage staff to be vaccinated voluntarily Here’s a Model Policy you can use to implement Option 2.

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TOOL

Medical Office Worker’s Acknowledgement of Decision to Decline COVID-19 Vaccination

February 16, 2021 by

It behooves you to ensure that medical office staff get vaccinated against COVID-19 to protect not only themselves but also co-workers, patients and others at your facility. But what if workers neglect or just plain refuse to be vaccinated? There are two basic options: Option 1: Require medical office workers to be vaccinated Option 2: Encourage medical office workers to be vaccinated voluntarily If you select Option 2, require workers to sign a form acknowledging that they were offered the vaccine and voluntarily declined to accept it and list the reasons for doing so. Here’s a Model Policy you can adapt.

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TOOL

Tool: Mandatory COVID-19 Vaccination Policy

February 6, 2021 by

It’s important to ensure that medical office workers get vaccinated against COVID-19 to protect not only themselves but also co-workers, patients and others at your facility. But what if workers neglect or just plain refuse to be vaccinated? There are two basic options: Option 1: Require medical office workers to be vaccinated option 2: Encourage medical office workers to be vaccinated voluntarily Here’s a Model Policy you can use to implement Option 1.

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TOOL

Model visitors’ waiver of COVID-19 infection liability form

January 30, 2021 by

As long as COVID-19 remains a threat, you run the risk of being sued by patients, vendors, guests and other visitors (“visitors”) who claim they contracted the virus at your office as a result of your inadequate safety measures. One way to limit liability is having visitors sign a form agreeing to waive their rights to sue you for COVID-19 infections before entering the office. Although there’s no guarantee that a court would enforce such a waiver, the Model Form below uses fairly conservative language that has been found to be enforceable in other situations. Caveat: The inclusion of the phrase purporting to insulate you against your own negligence in Sections 3 and 4 is fairly risky and you may want to talk to counsel about whether to use it… . . . read more.

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Tool

Model waiver of COVID-19 infection liability sign to post at your medical office

January 10, 2021 by

As long as COVID-19 remains a threat, you run the risk of being sued by clients, vendors, guests and other visitors (“visitors”) who claim they contracted the virus at your office facility as a result of your inadequate safety measures. One way to limit liability is by conspicuously posting a sign at the entry of your facility indicating visitors’ agreement to waive their rights to sue you for COVID-19 infections by entering the office. Although there’s no guarantee that a court would enforce such a waiver, the Model Sign below uses fairly conservative language that has been found to be enforceable in other situations. Caveat: The inclusion of the phrase purporting to insulate you against your own negligence in Sections 3 and 4 is fairly risky and you may want… . . . read more.

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HIRING

Model Tool: Employee referral form

February 12, 2016 by

Why you need this form:

Employee referral continues to be the No. 1 source of external hires. Good employees know other good employees, so why not tap this valuable pipeline of potential job candidates?

 

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EMPLOYEE BENEFITS

Model Tool: Catastrophic leave program donation form

August 27, 2015 by

Why you need this form:

Leave-sharing programs must meet certain criteria in order to be valid under the Internal Revenue Service’s general tax rules and under various state laws.

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HIRING

Model Form: ABC Medical Office use of social media for pre-employment screening

January 23, 2015 by

Why you need this assessment:

Information collected about individual job applicants is considered personal information subject to privacy laws, regardless of whether the information is publicly available online. You need to consider these privacy risks you face before using social media sites like Facebook to gather personal information about job applicants.

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WORKPLACE SAFETY

Model Form: Hepatitis B vaccine declination

November 14, 2014 by

Why you need this form:

Employees may decline being vaccinated against Hepatitis B and you must prove you offered the vaccination.

 

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