Publications & Forms

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Monthly Wellness Tips
22 Publications
Health & Safety
56 Publications
Medical Panels
19 Publications
Publications & Forms
60 Publications
Workers’ Compensation
47 Publications
General
22 Publications
21-Day Plant Power Challenge (pdf)
24 Hour Fitness (pdf)
3 Exercises for a Stronger Core (pdf)
5 Tips for a Better Morning (pdf)
6 Ways to Quit Soda (pdf)
Acalanes Medical Panel Poster (pdf)
Acalanes Memorandum of Coverage_Aug 29 2019 (pdf)
Accident investigation form (pdf)
Accident investigation form (pdf)
Accident Investigation Form Best Practice (pdf)
Administrative Policies & Regulations (pdf)
Antioch Medical Panel Poster (pdf)
Antioch Memorandum of Coverage_Aug 29 2019 (pdf)
BBP Exposure Control Plan Template (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 IIPP Boilerplate (pdf)
Cal OSHA Mandated Training Matrix by Occupation (docx)
Cal OSHA Reporting Requirements for School Districts (pdf)
Canyon Medical Panel Poster (pdf)
Canyon Memorandum of Coverage_Aug 29 2019 (pdf)
Caring for Aging Parents (pdf)
CCCCD Memorandum of Coverage_Aug 29 2019 (pdf)
CCCOE Medical Panel Poster (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 Committment to Excellence (pdf)
CCCSIG Facts About Workers' Compensation Pamphlet (pdf)
CCCSIG Preferred Provider List (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)
Contra Costa County CCD Medical Panel Poster (pdf)
CPI Nonviolent Crisis Intervention Training_03-2020 (pdf)
Crunchy Maple Granola (pdf)
Description of Employees Job Duties Form 10133 33 (pdf)
Equipment Operator Training (pdf)
Ergonomic Self-Assessment (PPT) (ppt)
Exercise and Physical Activity Ideas (pdf)
Eye Strain Handout (pdf)
Fitness - Getting and Staying Active (pdf)
For Injured Workers Flyer (pdf)
Haz Com Program Guide for Districts 2014 (pdf)
Hazard Communication (pdf)
Hazard Communication Self Audit Checklist (pdf)
Hazard Communication Written Program Template (doc)
Health & Safety Services Brochure (pdf)
Healthy Eating (pdf)
Healthy Meeting Guidelines (pdf)
Healthy Mind, Body, and Spirit (pdf)
Heat Illness (pdf)
Heat Illness Prevention Plan Template (updated May 2019) (pdf)
How to Practice Mindful Meditation (pdf)
How to Report New Claims Flyer (pdf)
Injury Illness Prevention Program (doc)
Injury Reporting (pdf)
InShapeFlyer (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 (pdf)
Moraga Memorandum of Coverage_Aug 29 2019 (pdf)
Move More, More Often (pdf)
Mung Bean Green Papaya Spinach Soup (pdf)
New EE Orientation Flyer (pdf)
New Employee Orientation Flyer_03-2020 (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)
Organization Chart _ 02-03-2020 (pdf)
Orinda Medical Panel Poster (pdf)
Orinda Memorandum of Coverage_Aug 29 2019 (pdf)
Paying Benefits for School District Employees (pdf)
PEP Brochure (pdf)
Pitsburg Memorandum of Coverage_Aug 29 2019 (pdf)
Pittsburg Medical Panel Poster (pdf)
Planet Fitness Flyer May 2018 (pdf)
Post Offer Pre-Placement Evaluation Program Brochure (pdf)
PRE_DESIGNATION (pdf)
Predesignated Work Assignments (pdf)
Prevention Recommendations for Accident Investigation Form Emails to Managers (doc)
Principal - Floor Hazards (pdf)
Principal - Footwear (pdf)
Principal - Good Housekeeping (pdf)
Principal - Step Ladders (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 Lifting (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)
Safety by Design Checklist (pdf)
Safety Credit Fund Contribution-Withdrawal form (pdf)
Safety Credit Fund Program - Final (pdf)
Safety Credit Fund Withdrawal Request (pdf)
Sample Workers' Compensation Monthly Trend Report (pdf)
San Ramon Medical Panel Poster (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 (pdf)
Statement of Personal Physician Designation (pdf)
Statement of Personal Physician Designation -Spanish (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)
US Health Works Fit for Duty (pdf)
User Friendly Workstation_03 18 20 (pdf)
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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