ADDITIONAL INSURED-OWNERS, LESSEES OR …
ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be
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ADDITIONAL INSURED – DESIGNATED PERSON OR …
risk.nv.govas applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you.
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Office Safety Inspection Checklist - Nevada
risk.nv.gov3. There are no observable drips or water damage. 4. Flooring is in good condition and the carpets are not ripped and tiles are not broken or uneven 5. Employees are refraining from unsafe behaviors (standing on chairs, etc.) 6. Warning signs are posted near hazards (wet floors, repair work, etc.) Comments: Inspector name(s) Date
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AED Monthly Inspection Log - Nevada
risk.nv.govDecember Change 9v battery – cabinet tamper alarm *Operation Checklist: 1. Open the AED lid. 2. Wait for the AED to indicate status: Observe the change of the STATUS INDICATOR to RED. After approximately five seconds, verify that the STATUS INDICATOR returns to GREEN. 3. Check the expiration date on the electrodes.
C-1 Notice of Injury or Occupational Disease Incident Report
risk.nv.govNotice of Injury or Occupational Disease (Incident Report Form C-1): If an injury or occupational disease (OD) arises out of and in the course of employment, you must provide written notice to your employer as soon as practicable, but no later than 7 …
EMERGENCY/FIRE DRILL CHECKLIST - Risk Management
risk.nv.govFire alarm clearly heard in all areas Yes No Alarm monitoring company received alarm Yes No Electro-magnetic locks operated appropriately Yes No N/A Public address system clearly heard in all areas Yes No N/A Elevators recalled to correct floor Yes No N/A Any item receiving a “No” or “Unsatisfactory” is an item that the ...
For assistance with Workers’ Compensation Issues you may ...
risk.nv.govFor the purpose of calculation of the average monthly wage, indi cate the employee’s gross earnings by pay period for 12 weeks p rior to the date of injury or disability. If the injured employee is expected to be off work 5 days or more, attach wage verification form (D-8).
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