LDH Division of Safety/Security & Administrative Services
Welcome to the LDH Division of Safety/Security & Administrative Services page! This site is set up for LDH Safety Coordinators/Officers, Agency/Facility Property Managers/Liaisons, Contracts & Procurement Coordinators, Lease Coordinators, Pcard Holders, and Telecommunication Coordinators/Liaisons to obtain information regarding safety in the workplace, contracts/procurement, pcard, and to obtain the latest forms and policies affecting their respective areas of expertise.
LDH DSSAS Staff Contacts
LDH Safety Coordinators
Office of State Buildings and Bienville Building Rules
- OSB Facility Rules Manual
- Bienville Building Rules
- Galvez Parking Rules and Regulations
- Tenant Interaction with Inmates
Safety and Security Resource Links
- Office of Risk Management
- Sedgwick Claims Reporting
- Sedgwick Safety and Security Mandatory Training
- Sedgwick Safety Presentations
- The Louisiana Code of Governmental Ethics
- Louisiana Employees Online (LEO) Training
- LDH Policy Site
- Self Audit Template (internal use only)
Safety and Security Audit Supporting Documentation
Section 1.1: General Safety
- LDH General Safety and Loss Prevention Manual (training via LEO first 90 days of hire)
- LDH Weapons in the Workplace Policy #68.1
- LDH Workplace Violence Policy
- LDH Threat Management Plan: Bienville Building
- Departmental Safety Policy Statement
- Governor Safety Policy Statement
- LDH Safety Rules (training via LEO first 90 days and annually)
- LDH Risk Communications Policy
Section 1.2: Safety Meetings and Training
- Safety Meeting Sign Off Form
- LDH Required Training For Employees
- Building/Site Rules and LDH Safety Rules via LEO (January thru March)
- Please note: This is the one safety meeting (January - March) where agencies can cover safety policy related topics.
- Fire Safety Training (January thru March)
- Office Safety Training (April thru June - odd years)
- Safe Lifting (April thru June - even years)
- Storage Methods Training (July thru Septermber)
- Accident/Incident Investigation and Transportation Claims Training (non-LEO user)
- Electrical Safety Training (October thru December)
- Site or Facility Visit with Animal
- State Vehicle Policy: Driver Safety Coordinator Specific
- Bienville Building Floor Warden Training
- Emergency Equipment (your discretion - only if you have emergency equipment you handle at your facility/location)
Section 1.3: Inspections
- LDH Quarterly Building Inspection Form
- LDH Fire Drill Assessment Form
- HC-1-90 Form: Hazard Control Log
Section 1.4: Incident/Accident Investigations
- DA2000 Form – Employee Incident/Accident Investigation Form
- DA3000 Form – Visitor/Contractor/Inmate Incident/Accident Investigation Form
- DA2065 Form - General Liablility Claim Form
- Job Safety Analysis Form
- OSB Job Safety Analysis Confirmation Form
Section 1.5: Return to Work
- Transitional Return to Work Policy
- DA WC4000 Form
- LDH Employee Drug Testing Policy #48
- Employee Substance Abuse and Drug Free Workplace Policy #4
Section 1.6: Blood Borne Pathogens/First Aid
- Blood Borne Pathogen Policy #3.1
- Bienville Building Sharps Container Inspection/Disposal Process
- High Risk Blood Borne Pathogen Training Sign In Sheets July 1, 2021 - June 30, 2022
Section 1.7: Emergency Preparedness Plan
Section 1.8: Hazardous Materials
Section 2.1: Driver Safety Program
- State Vehicle Policy (See below)
- Non State Employee Hold Harmless Form
Section 2.2: Inspection and Repair of State Owned Vehicles
- DA 2073 Form – Vehicle Glass Repair/Replacement Loss Notice
- DA 424 Form – Vehicle Checklist
- DA 2041 Form: State Vehicle Damage Report
Section 2.3: Driver Training
Section 2.4: Driver Record and Forms
- DA 2054 Form – Driver Authorization Form and Annual Supplemental Signature
- DA 2055 Form – Contractor Driver Auth. Form and Annual Supplemental Signature
Section 3.1: Bonds Crime, and Property Program
- LDH Bonds Crimes and Loss Control Program
- Movable Property Control Policy (See below)
- LaCarte Procurement Card Policy (See below)
- LDH Bienville Building Mail Handling Policy (See below)
Section 3.2: Bonds Crime, and Property Employee Responsibility
- Card Holder Responsibility Slide
- Card Group, Approver, Agreement Date, and Course Completion Spreadsheet Template
- BOA Workflow Training for LaCarte/PCard
- Account Holder Instructions
- LaCarte Cardholder Listing
- LaCarte Cardholder Responsibilities
- LA Administrative Code: Chapter 3 Responsibility for Fiscal Approval
- Division of Fiscal Management: Cash Handling Policy and Procedure
- Reporting Losses Form – Louisiana State Property 1st Party Losses Reporting Form
Section 3.3: Security
- Bienville Security Procedures
- Bienville Building ParkLync FAQ
- Bienille Building Parking Garage License Plate Reader Tenant Enrollment Form
- Badge forms have been removed from this site as they shall be completed by an official badging coordinator(s) only. Prepopulated forms are not permitted since all data must be verified and entered by the badging coordinator(s) only.
Section 3.4: Key Control
Section 4.1: Equipment Management (Site/Office Specific)
Section 5.1: Water Vessel (Site/Office Specific)
- OSB Water Vessel Confirmation Form
- LDH Water Vessel Operator Safety Policy #127
- Water Vessel Authorization Form (DA 2066)
- Water Vessel Operator Record Request Form
- Operator Boating Incident Report (DWF-BIR-010-OP)
- LDH Water Vessel Operator Monthly Inspection Form
- US Coast Guard Report (Form CG-2692)
Section 6.1: Flight Operations (None)
- OSB Aircraft Confirmation Form
- LDH Unmanned Aircraft Systems (UAS) Policy #144.1
- LDH UAS Flight Log Checklist
- LDH UAS Accident/Incident Statement
Administrative Services Policies and Forms
LDH Agency LaGOV Security Access Form and Docusign Access Form & Training
- Docusign Access Request Form - Complete and submit to Timothy A White and Trina Hull
- Basic Video Training Docusign
- Docusign eSignature: How it Works
- Docusign Simplified Sending: How to Send a Document
- Docusign eSignature: How to Send an Envelope
- Docusign eSignature: How to Sign a Document
- Docusign eSignature: How to Sign Your Own Document
- Docusign Simplified Sending: How to Manage and Correct Envelopes
- Docusign eSignature: How to Manage Envelopes
- Docusign Simplified Sending: How to Create a Template
- Docusign eSignature: How to Protect a Template from Changes
- Docusign eSignature: How to Edit a Template
- Docusign eSignature: How to Apply a Template to an Envelope
- LaGOV Security Purchasing, Contract, and Inventory Access Form - Complete and submit to Timothy A White and Trina Hull
- LaGOV Security Maintenance Operations Access Form - Complete and submit to Susan Spell and Trina Hull
LDH Property Control
- LDH Property Manager Listing
- LDH Movable Property Control Policy #61.2
- Louisiana Property Assistance Agency Policy
- Title 34
- OTS Information Security Policy
- OTS Approved Sanitization Methods
- Class Codes Not Required Data Sanitization
- Class Codes Required Data Sanitization
- OTS Sanitization Status Codes
- Designation Letter Sample (Property Coordinator/Liasion)
- LDH ORM Exposure Training 01.17.2023 Slides
- LDH ORM Exposure Report Acknowledgement Form
- Designation of New Property Manager (LPAA Form)
- Form A - LDH Asset or Movable Property Tag Request
- Form A.1 - LDH Supplemental Asset or Movable Property Tag Request
- Form B - LDH Asset/Movable Property Employee Assignment
- Form C - LDH Asset/Movable Property Out for Servicing/Repair
- Form D - LDH Movable Internal/External Transfer Request
- Form D.1 - LDH Supplemental Internal/External Transfer Request
- Form E - LDH Request to Loan Assets/Movable Property Temporarily
- Form F - Request for Surplus (Data Sanitized Required Items Only) *FORM DISCONTINUED 6/30/2021
- Form G - LDH Surplus-Data Sanitize Only
- Form H - LDH Request for Surplus (Data Sanitization Not Required Items Only)
- Form I - LDH Request for Disposal
- Form J - Sign Out/In Log
LDH Mailroom (Bienville Building)
- Bienville Building Bin Authority Listing
- Capital Area Messenger Mail Sites
- LDH PelicanPost Sub Sub Numbers
- LDH Mail Handing and Postage Handing Policy and Procedures for LDH Administration Building #106.4
- Instructions on How to Fill Out a PelicanPost Mail Service Request Form Via Portal
- Bin Authority and User Change Form
LDH Telecommunications
- Telecom Coordinator Listing
- LDH Telecommunications Policy
- LDH Telecommunications Appointment for Agency,Facility, and District Coordinators/Liasions
- LDH Telecommunications Change Form
- LDH Device Acceptance Form
- LDH Device Sign In/Sign Out Tracking Log
- Request for LDH Telecommunication/Data Device Form
- Telecommunications Device Upgrade Request
- LDH Telecommunications Stipend Request Form
- LDH Telecommunications Stipend Receiver Annual Re-Certification Attestation
- Request for LDH Zoom Conferencing Service (Individual License)
- Phone Bill Monthly Bill Certification Form (Centrix Lines Only)
- Instructions for Centrix (old) Phone System Call Forward, Call Busy, and No Answer
- Complete Guide on how to use and set up features on your Mitel 6867i telephone (HVS/VoIP)
LDH Printables
LDH Vehicles
LDH Contracts/RFP
- 2023 Procurement/Contract Training Schedule
- Request for Proposals Evaluation Policy #124
- LDH RFP Post-Evalutation Review Process
- LDH RFP Process Flow Chart
- LDH Sole Source or Emergency Contract Process
- Small Entrepenureship (Hudson Initiative) Certification Program Policy #123
- LDH Audit Requirements for Contracts #13.3
- Current LDH CF-1 - Contract Request Form
- Current LDH CF-6 - Contract Amendment Form
- Diversity and Inclusion Statement
- LDH Confidentiality and Conflict Statement
- CEA Template
- CEA Amendment Template
- HIPAA Addendum
- OIG Addendum
- Civil Service Form
- R-7101 LDR Exempt Form
- Pull Vendor Profile Data from ECC
- Contract Performance Evaluation Report
- Contracts & Contract Monitor Training
- Professional Contract Training Tool
LDH Leases
LDH LaCarte Purchasing Card (Pcard)
- LaCarte Purchasing Card Policy#58.4
- LDH Meal/Refreshment/Snack Request Form (non-Special Meal)
- LDH Policy on Paying Membership Dues, Licenses, and Subscriptions #128
- LDH Membership Due, Licenses, and Subscription Request Form
- Electronic Signature or E-Signature #133
- LaCare PCard Program Training 2022
- LDH Tax Exemption Form
- PCard Approver Agreement Form
- PCard Cardholder Agreement Form
- PCard Cardholder Limit Change Form
- PCard Enrollment Form
- PCard Missing Receipt Form
- PCard Statement of Disputed Item Form