Confirmation of Source Patient's Denial for Testing

Use form to document patient’s decision. The form is part of the Regulatory Compliance Manual. Updated June 2024.

Dental Sharps

Use form to document evaluation of sharps used in the practice and availability of sharps injury protection devices. The form is part of the Regulatory Compliance Manual. Updated June 2024.

Medical Waste Management and Disposal Plan

Use sample plan to describe the practice’s medical waste management and disposal procedures as required by state law. This resource is part of the Regulatory Compliance Manual. Updated June 2024.

Individual Training Documentation Form

Use this form to document individual employee's annual training on the control of exposures to bloodborne pathogens. This form is part of the Regulatory Compliance Manual. Updated June 2024.

Hazard Communication Plan

Customize this sample plan to describe how the practice communicates to employees about workplace hazardous chemicals. Print final plan on a color printer. Updated June 2024.

General Office Safety Plan

Customize this sample plan to describe the general office safety procedures at your practice. This resource is part of the Regulatory Compliance Manual. Updated June 2024.

Ergonomics/Repetitive Motion Injury Prevention Plan

Customize sample plan to describe how your practice prevents repetitive motion injuries. This resource is part of the Regulatory Compliance Manual. Updated June 2024.

Employee Medical Record Form

Use form to record individual employee's workplace injuries, vaccinations, and exposure monitoring. This sample form is part of the Regulatory Compliance Manual. Updated June 2024.

Employee Injury Protocol

Use template to create a Dental Board-required written protocol for the management of injuries. This sample form is part of the Regulatory Compliance Manual. Updated June 2024.

Respiratory Protection Program

Customize this sample plan which is required when an employer requires an employee to wear a respirator, such as an N95. This is part of the Regulatory Compliance Manual. Updated June 2024.

Employee Accident Form

Use this form to document employee exposures to bloodborne pathogens, sharps injuries and accidents as required by Cal/OSHA. Updated June 2024.

Sharps Injury Log

Use form to record required information associated with an employee’s injury with a contaminated sharp. This form is part of the Regulatory Compliance Manual. Updated June 2024.

Instrument Processing Protocol

Use this sample form to describe the practice’s sterilization protocol, as required by the Dental Board. This resource is part of the Regulatory Compliance Manual. Updated June 2024.

Informed Refusal for Hepatitis B Vaccination

Document employee’s refusal of employer's offer of the Hepatitis B vaccination on this form which has mandated language. This form is part of the Regulatory Compliance Manual. Updated June 2024.

Identification, Evaluation and Selection of Engineering and Work Practice Controls

Staff must assess annually the effectiveness of the practice's safety procedures and devices and consider safety sharps. This form is part of the Regulatory Compliance Manual. Updated June 2024.

Housekeeping Schedule

Customize form to comply with Cal/OSHA and a Dental Board requirement to have a written protocol for operatory cleanliness. The form is part of the Regulatory Compliance Manual. Updated June 2024.

Exposure Control Plan

Customize sample plan to describe how your practice limits employee exposure to bloodborne pathogens. This resource is part of the Regulatory Compliance Manual. Updated June 2024.

Employee Informed Refusal of Post-Exposure Medical Evaluation

Use this form to document an employee’s informed refusal of a medical evaluation following exposure to bloodborne pathogens. This form is part of the Regulatory Compliance Manual. Updated June 2024.

Hazardous Waste Management and Disposal Plan

Use sample plan to describe how to manage and dispose of hazardous waste in accordance with federal and state laws. This is part of the Regulatory Compliance Manual. Updated June 2024.

What to Expect When Your Employee is Expecting

When an employee tells you they are pregnant, you must be prepared. As a California employer, you must be well-versed in the various leave entitlements, documentation obligations, and wage replacement benefits your employees may qualify for.

Air Contaminants in Dentistry

Tips for reducing employee exposure to air contaminants including formaldehyde, glutaraldehyde and nitrous oxide in order not to exceed Cal/OSHA permissible exposure levels.

Automated External Defibrillators

State requirements for a business that acquires an automated external defibrillator for use on the public.

Workplace Violence Incident Log

Use this sample form to document workplace violence incidents as required by law. This resource is part of the Regulatory Compliance Manual. Created May 2024.

Physical Hazard Risk Assessment

Use this sample form to collect information annually for the dental practice workplace violence prevention plan. This resource is part of the Regulatory Compliance Manual. Created May 2024.

Workplace Violence Prevention

Guidance and resources related to workplace violence prevention regulatory compliance.

Workplace Violence Prevention Plan

Customize sample plan to describe the steps your dental practice takes to prevent violence at the workplace. This resource is part of the Regulatory Compliance Manual. Created May 2024.

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