OSHA MicroPlan Sample Checklist
This starter checklist is a planning aid for organizing review work. It is not legal advice, safety advice, OSHA compliance advice, professional review, or certification. Review official OSHA materials and adapt requirements to the workplace before relying on completed paperwork.

Before You Use This Sample
•	Pick one workplace, one review owner, and one record location before filling this out.
•	Use official OSHA source links while deciding which written programs, logs, or training records may apply.
•	Keep completed records in your own files, binder, or customer-owned spreadsheet. Formmark Works does not host completed records for this sample.
•	Ask a qualified reviewer when a hazard, rule, or workplace-specific decision is unclear.

Basic Company Information
Business name:	______________________________
Worksite address:	______________________________
Responsible person:	______________________________
Review date:	______________________________
Next review date:	______________________________
Record location:	______________________________

Starter Review Items
•	Identify which written programs may apply to this workplace.
•	List covered job roles and recurring tasks.
•	List relevant hazards and the official source materials used for review.
•	Attach official OSHA source links or printed source notes to the binder.
•	Confirm who owns employee training, acknowledgements, and refresher review.
•	Confirm where completed records, SDS materials, inspection logs, and training notes are stored.
•	Confirm the annual review owner and monthly paperwork check cadence.

Useful Source Links
OSHA sample programs:	https://www.osha.gov/complianceassistance/sampleprograms
OSHA Bloodborne Pathogens:	https://www.osha.gov/bloodborne-pathogens
OSHA Hazard Communication:	https://www.osha.gov/hazcom/standards
OSHA Respiratory Protection:	https://www.osha.gov/respiratory-protection

What The Paid Starter Pack Adds
•	Excel-compatible workbook with a Start Here tab and product-specific template tabs.
•	Word/Docs-friendly RTF templates for written starter paperwork and handoff notes.
•	Individual CSV trackers for records, owners, issue follow-up, and review logs.
•	File-by-file use map, 30-day implementation guide, safe worked example, buyer handoff packet, and readiness checklist.