{"id":2,"date":"2025-03-11T13:54:18","date_gmt":"2025-03-11T13:54:18","guid":{"rendered":"http:\/\/192.168.1.28\/wordpress\/?page_id=2"},"modified":"2026-04-20T11:33:25","modified_gmt":"2026-04-20T18:33:25","slug":"forms","status":"publish","type":"page","link":"http:\/\/216.70.228.101\/wordpress\/forms\/","title":{"rendered":"Forms Landing Page"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”54px|||||” link_option_url_new_window=”on” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”b4967f27-b17d-499a-8fc0-6f206cc1f8f9″ text_orientation=”center” custom_margin=”||10px||false|false” animation_style=”bounce” locked=”off” global_colors_info=”{}”]<\/p>\n

Safety Binder Forms<\/h1>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”6d811bfe-62bb-49bb-9236-9688de06449e” text_orientation=”center” max_width=”700px” module_alignment=”center” locked=”off” global_colors_info=”{}”]<\/p>\n

Download your site plans by clicking on the badges below.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.27.4″ min_height=”847.7px” global_colors_info=”{}”][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ _builder_version=”4.27.4″ _module_preset=”default” width=”100%” custom_margin=”|282px||auto||” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(1) Designated Clinic” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

\u00a0Concentra Location Columbus<\/a><\/p>\n

Concentra Newport News, VA.<\/a><\/p>\n

Patient First & Urgent Care Denbigh Rev A<\/a><\/p>\n

Concentra Locations Map San Diego Rev C<\/a><\/p>\n

Concentra Locations Map Inland Empire Rev A<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/new-employee-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(2) Injury Reporting Checklist” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” width=”98.9%” global_colors_info=”{}”]<\/p>\n

Injury Reporting Checklist MACH<\/a><\/p>\n

Injury Reporting Checklist MCACH<\/a><\/p>\n

Injury Reporting Checklist NMC<\/a><\/p>\n

Injury Reporting Checklist SYLPOE & NIC<\/a><\/p>\n

Injury Reporting Checklist Food Serives<\/a><\/p>\n

Injury Reporting Checklist Facilities<\/a><\/p>\n

 <\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/site-safety-inspection-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(3) Managers Injury Incident Report” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n

Managers Injury – Incident Report Form<\/a><\/p>\n

Managers Injury – Incident Report Form (Fillable)<\/a><\/a><\/p>\n

Body Part Affected Diagram<\/a> <\/a><\/p>\n

 <\/p>\n

 <\/p>\n

[\/et_pb_toggle][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(4) Injured Employee & Witness Statement” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n

Injured Employee or Witness Statement <\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0px|||50px|false|false” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/forms\/injury-accident-reporting-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(5) DWC-1″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n

(5A) DWC-1 Form Rev C 04.02.2026<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/new-employee-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(6) Note to File ” _builder_version=”4.27.4″ _module_preset=”default” title_text_align=”center” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Note to File<\/a><\/p>\n

Note to File (Fillable)<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/site-safety-inspection-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(7) Site Safety Inspection” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

(7) Site Inspection Checklist Rev B <\/a><\/p>\n

Site-Inspection-Checklist-electronic-Oct-2022 Rev A<\/a><\/p>\n

[\/et_pb_toggle][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||400″ url=”http:\/\/192.168.1.28\/wordpress\/employee-certificates-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||||false|false” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(8) New Employee Papaerwork” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

New Employee 1st Day Safety Orientation Checklist<\/a><\/a><\/p>\n

New Employee Check-In Form – HR520<\/a><\/p>\n

Safety Pledge & Acknowledgement <\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(9) IIPP” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

IIPP <\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/site-safety-inspection-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(10) Code of Safe Practices” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Code of Safe Practices <\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/employee-certificates-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||||false|false” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(11) Hazard Communication Program” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Hazard Communication Program<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(12) Emergency Action Plan” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n

Your content goes here.\u00a0<\/p>\n

[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||divi||400″ align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(13) Safety Order Forms” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Project Managers Safety Responsibilities<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||900″ url=”http:\/\/192.168.1.28\/wordpress\/site-safety-inspection-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(14) Project Managers Responsibilities” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Your content goes here.<\/p>\n

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_icon font_icon=”||fa||400″ url=”http:\/\/192.168.1.28\/wordpress\/employee-certificates-forms\/” align=”center” _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||||false|false” global_colors_info=”{}”][\/et_pb_icon][et_pb_toggle title=”(15) Instructions” _builder_version=”4.27.4″ _module_preset=”default” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

Safety Program Requirements for Project Managers<\/a><\/p>\n

Injury Reporting Procedures<\/a><\/p>\n

Steps to Fill Out the DWC-1<\/a><\/p>\n

Safety Training Topics<\/a><\/p>\n

[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Safety Binder FormsDownload your site plans by clicking on the badges below.\u00a0Concentra Location Columbus Concentra Newport News, VA. Patient First & Urgent Care Denbigh Rev A Concentra Locations Map San Diego Rev C Concentra Locations Map Inland Empire Rev AInjury Reporting Checklist MACH Injury Reporting Checklist MCACH Injury Reporting Checklist NMC Injury Reporting Checklist SYLPOE […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"\n

This is an example page. It's different from a blog post because it will stay in one place and will show up in your site navigation (in most themes). Most people start with an About page that introduces them to potential site visitors. It might say something like this:<\/p>\n\n\n\n

Hi there! I'm a bike messenger by day, aspiring actor by night, and this is my website. I live in Los Angeles, have a great dog named Jack, and I like piña coladas. (And gettin' caught in the rain.)<\/p><\/blockquote>\n\n\n\n

...or something like this:<\/p>\n\n\n\n

The XYZ Doohickey Company was founded in 1971, and has been providing quality doohickeys to the public ever since. Located in Gotham City, XYZ employs over 2,000 people and does all kinds of awesome things for the Gotham community.<\/p><\/blockquote>\n\n\n\n

As a new WordPress user, you should go to your dashboard<\/a> to delete this page and create new pages for your content. Have fun!<\/p>\n","_et_gb_content_width":"","footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":24,"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":736,"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/pages\/2\/revisions\/736"}],"wp:attachment":[{"href":"http:\/\/216.70.228.101\/wordpress\/wp-json\/wp\/v2\/media?parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}