The Risk Management Office administers the Archdiocese's Insurance Program and works with parishes and schools on various risk management issues including:
The Risk Management Office serves as a day-to-day resource for parishes and schools on all aspects of effective risk management at the local level.
We are pleased to announce that once again the Archdiocesan Insurance Program will be offering the SAFETY FIRST Grant Program. This program has proven to be very successful and we hope you will take advantage of this opportunity to improve safety at your location.
To encourage safety and loss prevention, the program provides and dollor for dollar match incentive. The Archdiocesan Insurance Program funds the SAFETY FIRST Grant Program. Each parish, mission and school insured under the AIP may apply for a matching grant up to $10,000.
2019 important Update
In an effort to ensure our ability to effectively manage our resources and offer this program, newly revised guidelines for 2019 have been established and are below. Please pay close attention to the changes and contact Diane Woodruff if you have any questions about the guidleine revisions, potential projects or the application process.
2019 Safety First Grant Packet with Fillable Application
Safety First Grant Contract
Certificate of Liability Insurance & Additionally Insured Endorsement Form
ARCHDIOCESAN INSURANCE PROGRAM
Preface
Philosophy
Coverages
BUILDING MAINTENANCE CHECKLISTS:
Airconditioning Pre-Season
Employee and Volunteer Safety
Entrances and Exits
Exterior
Fire Safety
General Maintenance
Hazardous Chemicals
Heating Boiler Startup
Interior
Kitchen
Playgrounds, Athletic Fields and Gymnasiums
Security Inspection
Stairs and Ramps
Lighting and Electrical
CONTRACTS, AGREEMENTS FOR SERVICE AND LEASES
Overview
Agreement for Services (Parish/School)
Certificate of Liability Insurance & Additionally Insured Endorsement Form
CYO Lease Agreement
General Building Lease
Ground Lease
Contract
Rental Agreement
Safety First Grant Contract
Parking Lot Lease
EMERGENCY PREPAREDNESS
Overview
Earthquake
Fire Prevention
Water Damage and Remediation
Emergency Procedures Manual
Red Cross Information
ENVIRONMENTAL & SAFETY TRAINING INFORMATION
Asbestos
Asbestos Fact Sheet
Asbestos Training
Bloodborne Pathogen Fact Sheet
Confined Spaces Fact Sheet
Fall Protection Fact Sheet
Flamable Liquids Fact Sheet
Ground-fault Circuit Interruptors (GFCI) Fact Sheet
Hazard Communication Fact Sheet
Heating Oil Tanks (No Longer In Use) DEQ Fact Sheet
Integrated Pest management (IPM) for Schools
Lead in Water Fact Sheet
Lead in Construction Fact Sheet
Lockout/Tagout Fact Sheet
Mold Fact Sheet
Mold Fact Sheet - OSHA
Motor Vehicle Safety Fact Sheet
Noise Exposure and Hearing Conservation Fact Sheet
Oregon OSHA Right to Know Poster
Personal Protective Equipment Fact Sheet
Portable Fire Extinguishers Fact Sheet
Radon
Respiratory Protection
Safety Committee and Safety Meetings Fact Sheet
Safety Data Sheets (SDS) Fact Sheet
Sit-Stand Computer Workstations Fact Sheet
Storage of Flammable Materials Fact Sheet
Storage of Pesticides and Chemicals Fact Sheet
Workplace Injury - OSHA 300 Log Instructions
Workplace Injury- Recording and Posting Instructions
Work Related Incident Reporting
EVENTS (USE OF PROPERTY BY OTHERS)
Overview
TULIP Guidelines
TULIP Form (Fillable)
Rental Agreement (Fillable)
GUIDELINES FOR LARGE PARISH SPONSORED EVENTS
Overview
INSURANCE - WHAT IS REQUIRED FROM OTHERS
Overview
General Certificate of Liability (Sample)
Host Liquor Certificate of Liability (Sample)
Transport Certificate of Liability (Sample)
REPORTING INCIDENTS AND CLAIMS
Claim Reporting
Overview
Automobile Accident Incident Reporting
Overview
Accident Report (Fillable)
Employee Accident Reporting
Employee Accident Report (Fillable)
Guide for Workers Recently Hurt on the Job
Report of Job Injury or Illness
Workers Compensation Claims
General Liability Incident Reporting
Overview
General Liability Incident Report (Fillable)
Property Loss and Damage Reporting
Property Loss Claim Form (Fillable)
Student Youth Accidents
Overview
Myers, Stevens, Toohey Student/Youth Accident Claim Form
Myers, Stevens, Toohey Summary of Benefits (Youth Ministry)
Short-Term (24 Hr) Student/Youth Accident Claim Form
Student/Youth Accident Report (Fillable)
Student/Youth Accident Insurance Form (Fillable)
Student Accident Report (Fillable)
Volunteer Accident Reporting
Excess Volunteer Accident Coverage
NAHGA Claim Form (Fillable)
Volunteer Accident Report (Fillable)
STUDENT AND YOUTH SAFETY
Playground Safety
Overview
Public Playground Safety Checklist
Public Playground Safety Handbook - Publication #325
Student and Youth Travel
Policy on Travel Involving Minors
Chartered Services Contract (Fillable)
Permission Slip (English)
Permission Slip (Spanish)
Blanket Transport Certificate (Sample)
Certificate of Liability Insurance and Additionally Insured Form (SAMPLE)
Driver Information Form (Fillable)
Inbound/Outbound Exchange Student Coverage (Fillable)
Student/Youth Emergency Info Form - English (Fillable)
Student/Youth Emergency Info Form - Spanish (Fillable)
TRANSPORTATION
Overview
12-15 Passenger Van Memo
Driver Information Form
Accident Reporting
Auto Accident Report
Oregon DMV Traffic Accident Form
Chartered Transportation
Blanket Transportation - Certificate of Liability Ins. & Endorsements (SAMPLE)
Transportation - Certificate of Liability Ins. & Endorsements (SAMPLE)
Transportation - Professional Services Contract
Adding or Deleting a Vehicle
Vehicle Add or Delete Form
Oregon DMV Bill of Sale Form
VOLUNTEERS
Overview (updated 2/11/19)
Excess Volunteer Accident Coverage
Volunteer Accident Report
Volunteer Claim Form (Updated)
WHEN OTHERS REQUEST OUR INSURANCE
Overview
Certificate of Insurance Request
RESOURCES
General Information
12-15 Passenger Van Memo
DMV Vehicle Bill of Sale
OLCC Guidelines for Non-Profits and Events with Alcohol
Oregon OSHA Right to KNow Poster
Oregon Workers' Compensation Guide
Forms
Real Property Add and Delete