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    WORKERS' COMPENSATION FORMS

    Company Nurse Poster

    Work Comp Medical Treatment Procedures 

    Employee's Report of Industrial Injury/Illness

    Supervisor's Report of Industrial Injury/Illness

    FIELD TRIP DRIVER FORMS

    Driver Statement (English)

    Driver Instructions (English)

    Driver Statement (Spanish)

    Driver Instructions (Spanish)

    2019-2020
    STUDENT ACCIDENT INSURANCE
    PACIFIC EDUCATORS

    Link to Pacific Educators Insurance Website

    Parent Letter (English)

    Parent Letter (Spanish)

    Brochure and RX (English)

    Brochure and RX (Spanish)

    Claim Form if Insurance with Pacific Educators (English)

    Claim Form if Insurance with Pacific Educators (Spanish)

    Welcome to Risk Management

    Safety First

    RISK MANAGEMENT
    STAFF DIRECTORY

    Phone 805.306.4500

    CINDY MYNATT
    Risk Manager
    cynthia.mynatt@simivalleyusd.org
    Extension 4081
    Open
    Risk Management Technician
    Workers' Compensation
    gina.howell@simivalleyusd.org
    Extension 4083
    WENDY YOUSSEF
    Administrative Assistant II
    wendy.youssef@simivalleyusd.org
    Extension 4082
    BECKY WRIGHT
    Emergency Technician and Safety Coordinator
    rebecca.wright@simivalleyusd.org
    Extension 4084

    Dosaster Preparedness

    DISASTER PREPAREDNESS

    Emergency Operations Plan (EOP)

    RSS feed for Risk Management

    SAFETY FORMS

    Inspection Request Report

    SAFE PRACTICES

    Code of Safe Practices

    Fall Protection Best Practices

    CHEMICALS AND SCIENCE-RELATED PROGRAMS

    Chemical Hygiene Plan

    Science Safety Handbook 2014 (Science Chairpersons and others if needed)

    Incompatible Chemicals (from Science Safety Handbook)

    Allowed Chemicals (from Science Safety Handbook)

    Chemical Request Form

    DISTRICT SAFETY PROGRAMS

    Bloodborne Pathogens Exposure Control Plan (BBP)

    Hazard Communication Program

    Injury and Illness Prevention Program (IIPP)

    Heat Illness Prevention Program

    Lockout / Tagout - Energy Control Procedure

    Simi Valley Unified School District

    101 West Cochran Street, 
    Simi Valley, California 93065 
    (805) 306-4500 Phone | (805) 520-6504 Fax

    The Governing Board is committed to providing equal opportunity for all individuals in education. District programs, activities, and practices shall be free from unlawful discrimination, including discrimination against an individual or group based on race, color, ancestry, nationality, national origin, ethnic group identification, age, religion, marital, pregnancy, or parental status, physical or mental disability, sex, sexual orientation, gender, gender identity or expression, or genetic information; a perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived characteristics.

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    Accessibility | Non-Discrimination | Title IX


    © 2019 Simi Valley Unified School District

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