Doc No. USF-OSHA-1926 ยท Rev. 2026.Q1

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Groundwork Publishing is an independent publisher and is not affiliated with, endorsed by, or sponsored by the U.S. Department of Labor's Occupational Safety and Health Administration. This template covers the 28 federal OSHA-jurisdiction states, plus American Samoa, Guam, the Northern Mariana Islands, and the U.S. Virgin Islands (private sector). Contractors operating in State Plan jurisdictions (e.g., California, Washington, Michigan, Virginia) should verify supplemental state-specific addenda. This template is a compliance-drafting instrument and is not a substitute for competent-person site evaluation or licensed legal counsel.