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Animal and Plant Health Inspection Service
U.S. Department of Agriculture
USDA FAQ's and resources about coronavirus (COVID-19).  LEARN MORE

Safety & Security Forms

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All Safety & Security 
Forms

Fillable

Download
Format

Description of  Form

APHIS 29

Yes

PDF

Occupational Medical Monitoring Program - Occupational Exposures
Instructions

APHIS 162

No

PDF

Serious Accident Preliminary Report

APHIS 168

Yes

PDF

Hazardous Waste Disposal Request Form

APHIS 240-R

No

PDF

APHIS Office Ergonomic Evaluation Checklist (OEEC)

APHIS 257-R

No

PDF

Hazard Communication Standard Checklist

APHIS 270-R

No

PDF

Health Hazard Assessment Form

CA-1

No

DOL Form

Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation

CA-1 Form Explained (PPS)

CA-2

No

DOL Form

Notice of Occupational Disease and Claim for Compensation

SF-91

Yes

GSA Form

Motor Vehicle Accident Report

Environmental Protection Plan Forms

Fillable

Download
Format

Description of  Form

APHIS 168

Yes

PDF

Hazardous Waste Disposal Request Form

APHIS 264-R

Yes

PDF

Facility Environmental Inventory Report

APHIS 265-R

Yes

PDF

Individual Discovery Report

APHIS 266-R

Yes

PDF

Hazardous Waste Accumulation Inspection Form

APHIS 267-R

Yes

PDF

Monthly Hazardous Waste (Generator) Activity Report

Ergonomics Program Forms

Fillable

Download
Format

Description of  Form

APHIS 240-R

No

PDF

APHIS Office Ergonomic Evaluation Checklist (OEEC)

 

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