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?

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

Task/Job	Footwear Required
		#stSafTTAdder Remove

#stSafTaskTable

Add Task

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

Type of Floor	Cleaning Product and Procedures
		#stSafFTAdder Remove

#stSafFloorTable

Add Task

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

Yes No

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

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

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

Create Document

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