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Slip and Fall Prevention Program Generator

To create a slip, trip and fall prevention program, you will need to fill in the following items:

General Information


Name of company or organization:

Who or what area will be in charge of the slip, trip and fall program?

Phone number of area in charge of the slip, trip and fall program?

Who or what area will be in charge of inspecting your facility's mats?

Required Footwear


List the jobs/tasks where slip-resistant footwear is required. (e.g. closed-toed slip-resistant footwear)

Task/Job Footwear Required
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Add Task

Floor Cleaning Procedures


List the cleaning products and procedures for the floors in your buildings. (e.g. Use a pH-neutral tile cleaner on tile)

Type of Floor Cleaning Product and Procedures
Remove Move

Add Floor Type

Snow and Ice


Do you have building(s) in an area where there is snow/ice?

Who or what area will be in charge of snow removal?

Where will the snow be placed once it’s cleared?

Records Retention


How many years do you retain records related to this program?

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