Commonly Used Forms

Completed forms can be faxed to 702-799-2995 or emailed to RiskManagement@nv.ccsd.net

Monthly Playground Safety Inspection Form -Checklist for playground safety site inspections.

Safety Concern Form CCF-305 - Report a safety concern that you would like us to investigate.

How to fill out a CCF 305 


Supervisor's Accident/Incident Investigation Report CCF-99 - Complete after every accident involving an employee. This will assist our office in developing procedures and training to reduce the number of injuries and help our employees work safer.

How to fill out a CCF 99 


Workplace Hazard Assessment

Job Hazard Analysis (JHA)

You may have some hazards that may or may not require the use of (PPE) Personal Protective Equipment. In any case review the hazards found with your immediate supervisor and determine what can be done about the hazard(s).

For assistance with completing any of these forms or for general questions, please contact the Risk Services Office at 799-6496 x5662 or RiskManagement@nv.ccsd.net