Used by agricultural employers to assist them in determining if they are following the state Agricultural Employment Standards and the Minimum Wage Act for their employees.

Checklist: Provides information to help screen potential contractors for home construction or repair/remodel projects. Presented in an organized, step-by-step format.

For use by consultants to evaluate employers' accident prevention programs. Use this form for large employers (more than 50 employees).

Used by third party attorneys to calculate distribution of proposed settlements in third party claims.

Worksheets used to record the number of hours worked and Related Supplemental Instruction hours during a registered apprenticeship on a monthly basis. If used, a copy is usually given to the program monthly.

Use this form for the inspection of cranes, derricks and materials handling devices on waterfront operations

Doctor's Worksheet for Rating Cervical and Cervico-Dorsal Impairment

This worksheet is to help the attending physician perform impairment rating on their patients with permanent partial disability of the Dorso-Lumbar or Lumbo-Sacral spine.

Hazard Documentation Worksheet for use by L&I compliance staff to describe, measure and comment on workplace hazards.

Used by the attending doctor to determine hearing loss.

Mobile Cranes/Derricks Worksheet for Construction Industry

On-The-Job Training (OJT) Worksheet for Vocational Providers

Overhead Crane Bridge, Monorail, Gantry Worksheet for Construction.

For use by consultants to evaluate employers' accident prevention programs. Use for businesses with less than 50 employees).

Safety and Health Program Assessment Worksheet

Used by L&I to assign industrial insurance classifications for workers of temporary help agencies. The first file is a PDF of the Temporary Services Guide to Workers' Compensation Insurance. The second file is a 2003 Excel file. This file is a cross match of non temporary help classifications and the temporary help risk classification associated with that risk class. The third file is a 2003 Excel file. This is a reverse look up for temporary help risk classification and the non temporary classes associated with a temporary help class. File contains an instructions worksheet for the reverse look up worksheet.