Injury Forms & County Claim Documents
documents are formatted in Microsoft Word. Accessing any of these forms
will open a new window. The forms are designed for the reader to enter
limited information. Please note that when the cursor is placed into a
writable field, there is a note at the bottom of the screen that will
indicate the maximum number of characters that may be entered. You will
not be allowed to enter more characters even if you create more space
using the 'enter' key.
completing your entries, you can either print the document or save it
to a designated drive on your computer. You will also receive a prompt
regarding saving or discarding the changed form if you close the window
after entering any information.
These forms are only for the
Maricopa County Government and it's employees.
others Click "HERE"
for the Notice of Claim Form.
|Safety Reporting Forms - Internal Use Only
information regarding Workers' Compensation, please click "HERE"
a list of FastMed locations, please click "HERE"
|County Claim Documents - Internal Use Only
Use Permit Forms - Internal Use Only
Safety Analysis (JSA)
The following information
is nonproprietary can be used by anyone.
Job Safety Analysis
(JSA) is a method that can be used to identify, analyze and record:
Use the following link
for more information.
- The steps
involved in performing a specific job.
- The existing
or potential safety and health hazards associated with each step.
- The recommended
action(s)/procedure(s) that will eliminate or reduce these hazards
and the risk of a workplace injury or illness.
02 Apr 2015, jrr