The following reference materials were compiled for Authority members to assist in the development and implementation of necessary programs and policies. Materials include, but are not limited to, current OSHA regulations (as of the posting of the information), selections from the California Code of Regulations and policy samples. Some links below may require browser plug-ins such as Adobe Acrobat Reader.

These documents, references and links may serve as templates to help you draft policies for your agency. However, these templates should not be construed as legal advice. Authority members are advised to refer to all federal, state and municipal statutes, ordinances, regulations, and judicial and administrative decisions to ensure the programs and policies being developed meet the unique needs of the involved jurisdiction. Policies should not be implemented without proper review and training, and some policies may require annual training.

These materials are to be considered proprietary and confidential and may not be disclosed to any person without the express, prior permission of the California JPIA. These materials are for Authority member use only and do not apply in any criminal or civil proceeding. These materials should not be construed as a creation of a higher legal standard of safety or care in an evidentiary sense with respect to third party claims.

Note: Authority staff is currently reviewing the documents in the library. Policies will be added to this page as they are updated.

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Link to external website

Resource NameType
ADA - Americans With Disabilities Act of 1990 (Title 42)
ADA Grievance Form   
ADA Grievance Policy - Sample Policy  
ADA Homepage (US Department of Justice)
Automatic External Defibrillator - Sample Policy  
Bleachers - CPSC Guidelines for Retrofitting
Bloodborne Pathogens - Regulation
Bloodborne Pathogens - Sample Policy
Cash Handling - Sample Policy (revised 1/6/05)  
Checklist - Baseball Field  
Checklist - Basketball Court  
Checklist - Beaches  
Checklist - Boat Docks and Piers  
Checklist - Dog Parks  
Checklist - Driver (Daily Conditions)  
Checklist - Horse Corral  
Checklist - Horse Shoe Pit  
Checklist - Lake and/or Body of Water  
Checklist - Office Hazards  
Checklist - Open Play/Soccer Field  
Checklist - Parking Lot  
Checklist - Periodic Playground Inspection  
Checklist - Picnic Area  
Checklist - Skate Park (Permanent)  
Checklist - Skate Park (Prefabricated)  
Checklist - Swimming Pool  
Checklist - Tennis Courts  
Checklist - Trail Maintenance  
Checklist - Vehicle Inspection (Class B Drivers)  
Checklist - Vehicle Inspection (Class C Drivers)  
Confined Spaces - Regulation
Confined Spaces - Sample Policy (JPIA)  
Confined Spaces Guide - Cal OSHA
Construction Site Safety - Regulation
Construction Zone Traffic Control - Regulation
CPR / First Aid - Regulation (Note: Text will be found in Civil Code Section 1714.2)
Criminal Background Checks - CORI
Discrimination & Harassment - Sample Policy  
DMV Pull Notice Program - Applications
DMV Pull Notice Program - Regulation (Note: Text will be found in Vehicle Code Sections 1808.1, 1812)
Dog Park - Guidelines  
Drug Free Workplace - Sample Policy  
Earthquake Safety - Sample Policy  
Elevator Emergency Procedures - Sample Policy  
Emergency Action Plan - Regulation
Employee Exposure and Medical Records - Regulation
Employee Notices - OSHA Requirements & Ordering Information
Employee Notices - Regulation (Note: Text will be found in Labor Code Section 3550)
Encroachment Permit and Standard Conditions  
Environmental Protection Agency: Federal Requirements for Waste Generators
Environmental Protection Agency: Hazardous Waste
Ergonomics - A Physician's Guide to the California Ergonomics Standard
Ergonomics - California Standard Information
Ergonomics - Easy Ergonomics: A Practical Approach
Ergonomics - Federal Standard Information
Ergonomics - Four Step Program for Employers with VDT Operators
Ergonomics - Sample Program (JPIA)  
Evacuation Policy  
Excavations, Trenches & Earthwork - Sample Policy  
Excavations, Trenches, Earthwork - Regulation
Facility Use Agreement  
Fall Protection - Regulation
Fidelity Bond - Resolution  
Fidelity Bond 2006-2007 Application  
Fingerprinting/Criminal Background Guidelines & Resolutions  
Fire / Smoke Procedures - Sample Policy  
Fire Extinguishers - Regulation
Fire Prevention Plan - Regulation
Footwear Safety - Sample Policy  
Hard Hat - Sample Policy  
Hazard Communication Program - Regulation
Hazard Communication Program - Sample Policy (JPIA)  
Hazard Communication Program - Sample Policy (OSHA)
Hazardous Waste Control Procedures - Sample Policy  
Hazardous Waste Operations & Emergency Response - Regulation
Hearing Conservation - Sample Policy  
Hearing Conservation Program - Regulation
Industrial Truck Operating Rules - Regulation
Injury & Illness Prevention Program - Regulation (including checklists)
Injury & Illness Prevention Program - Sample Policy  
Job Hazard Analysis - OSHA Information
Lead & Asbestos Operations and Maintenance Program - Sample Policy  
Lockout / Tagout Program - Methods & Procedures
Lockout / Tagout Program - Regulation
Medical Services and First Aid - Sample Policy  
OSHA - Cities Subject to Fines - Regulation
OSHA Form 300
OSHA Form 300, 300A & 301 instructions & forms
OSHA Form 300A
OSHA Form 301
OSHA Recordkeeping Guidelines for Occupational Injuries & Illnesses (Federal)
Periodic Inspections - Recordkeeping Guidelines
Pesticide Respiratory Protection
Playgrounds - CPSC Handbook for Public Playground Safety
Playgrounds - Equipment for Public Use - ASTM: Consumer Safety Performance Specifications
Playgrounds - Legislation (Note: Text will be found in Health and Safety Code Section 115725-115750)
Playgrounds - Template Safety Policy  
Release Form - Sample  
Resolution - Delegating Basic Claims Handling to Agency Staff  
Resolution - Delegating Claims Handling to California JPIA  
Resolution of Employee Safety Complaints  
Respirator Protection - Sample Policy  
Respiratory Protection - Fact Sheet
Risk Identification and Analysis: A Guide for Small Public Entities
Safety - Employee Responsibilities - Sample Policy  
Safety - Helpful Website Links
Safety - Meeting Topics
Safety - Supervisory Responsibilities - Sample Policy  
Safety - Tailgate / Toolbox Topics
Safety - Tailgate Meetings - Fact Sheet
Safety Hazard Inspection & Control - Sample Policy  
Safety Meetings - Frequency - Sample Policy  
School Area Pedestrian Safety - Manual
Sidewalk Inspection Program  
Skate Park - Guidelines  
Skate Park - Legislation (SB 994)
Skate Park - Participant registration form  
Skate Park - Sample Ordinance  
Skate Park - Waiver Form  
Transitional Return to Work Program - Sample Policy  
Tree Inspection and Maintenance  
Trench & Excavation Shoring - Regulation
Trench Safety - Inspection Form  
Vector Control Information (including ants, bees, spiders, rodents and more)
Vehicle Usage - Sample Policy (cell phone hands free effective July 1st)  
Vehicles - Commercial Driver Handbook
Vehicles - Seat Belt Usage - Regulation (Note: Text will be found in Vehicle Code Section 27315)
Volunteer Handbook - Sample Policy  
Volunteers - Harmonizing Risk and Reward
Website Resources - Sample Policies  
Welding - Fire Prevention & Suppression Procedure - Regulation
Workers' Compensation - Notice of Personal Chiropractor or Personal Acupuncturist  
Workers' Compensation - Pre-Designation Explanation  
Workers' Compensation - Pre-Designation of Personal Physician  
Workers' Compensation - Resolution Extending Coverage to Volunteers  
Workers' Compensation - Resolution to Join the California JPIA's program  
Workers' Compensation - Sample Employer Memo - WC Pre-Designation Revisions  
Workers' Compensation: Guidebook for Injured Workers
Workers' Compensation: Application of Consent to Self-Insure  
Working Outdoors - Fact Sheet
Workplace Security - Sample Policy


CALIFORNIA JOINT POWERS INSURANCE AUTHORITY
8081 Moody Street, La Palma, CA 90623
Phone: (800) 229-2343
Email: info@cjpia.org
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