DISTRICT FORMS
1. Accident Prevention Program Forms
Section 3 Exhibit Forms
Emergency Contact List
Incident Investigation Report
In Person Safety Training
New Employee Safety Orientation Check List
For incident report, go to District Forms/Incident Reports
Exposure Sharp Incident Report
Hep B Immunization Consent Refusal
Check List Post Exposure
Sharp Clean up Log
Source Individual Blood Test Consent
Supervisor Check List Employees
Confined Spaces Forms
Alternate Entry Procedure
Cert Temp Reclass
Certificate of Temporary Reclassification Space 101 NAKATA POOL: SURGE PIT OFF POOL DECK
Certificate of Temporary Reclassification Space 102 NAKATA POOL: DISCHARGE PIT IN PUMP ROOM
Certificate of Temporary Reclassification Space 103 NAKATA POOL: HVAC FILTER DUCT IN BOILER ROOM
Certificate of Temporary Reclassification Space 104 RAY WILLIAMSON POOL: FILTER PIT IN PUMP ROOM
Certificate of Temporary Reclassification Space 105 RAY WILLIAMSON POOL: PUMP ROOM
Certificate of Temporary Reclassification Space 201 RESTROOM NEAR KIDS UPS PLAY AREA (WATER CIRCULATION CLOSET)
Confined Spaces Entry Permit
Confined Spaces Entry Permit Annual Review
Fall Protection Forms
Personal Protective Equipment Forms
Hazard Assessment Certificate
Training Certificate
Hazard Assessment For PPE
Respirator Forms
Voluntary Use of Respirators
Work Site Info Medical Evaluation
2. AED Forms
3. Computers, Cell Phone & Email
Cell Phone Request and Agreement
Email Address Request and Agreement:
Please contact Skye Carlson at skyec@biparks.org to request a Park District email address for an employee. Upon request for an email address, a required email training will be assigned to the employee through SafePersonnel, which must be completed before an email address will be assigned. In your request, please include the following:
- Employee’s first and last name and best contact email
Cell Phone Email Setup:
You will need to delete any existing Park District email account on the phone and reload the account with the instructions listed below.
- iPhone Users: Here is a video with instructions on setting up https://youtu.be/VXgZoxoPLkY
- Android Users: Here is a video with instructions on set up https://youtu.be/uAkgm9PLjhg
New Computer or IT Equipment Request: Email Skye Carlson at skyec@biparks.org
Include the following items:
- Desktop/Laptop or equipment needed
- Primary location of the computer or equipment
- Email account information (username & password)
- Any printing needs
- Any other special set-up requests
IT Work Ticket Requests:
Send an email to Skye Carlson at skyec@biparks.org
In the body of the email, please include:
- Issue or proposed work needed
- Computer Asset Tag number (Each computer has a green and white tag with a four-digit number on it)
- Building the computer or issue is located
- Your name and the best number to reach you
- Please leave the computer powered on and connected to the internet, if possible
Emergency IT Phone Number:
Skye’s mobile number: 206-488-8870
4. Concessions
5. Incident Reports
6. Liability Waivers & Concussion Info
7. Vans
Cleaning Schedule
Driver Experience Statement
Van Driver Orientation
Bus Driver Orientation
Emergency Procedures
Manager’s Checklist
Online Training Checklist – Click here to access this form (No. 9)
User Checklist
WA State Driving Record Release – Click here to access this form (No. 2)