Mandatory Vaccination Policy Template
The OSHA COVID-19 Emergency Temporary Standard (ETS) on Vaccination and Testing generally requires
employers to establish, implement, and enforce a written mandatory vaccination policy (29 CFR
1910.501(d)(1)).1 Employers may use this template to develop a mandatory COVID-19 vaccination policy
for their workplaces.
Employers using this template will need to customize areas marked with blue text and modify (change,
add, or remove sections of) this document to accurately represent their policies. Text that is italicized is
sample language employers may use when developing their policies; however, that text is not
comprehensive and not all of that text will be applicable to all workplaces. Employers will need to add to
or revise the italicized text to ensure the final policy matches the specific procedures that will be
implemented in their workplaces.
Lastly, employers using this template should consider incorporating their policies and procedures for
non-employees (e.g., visitors, customers) and for employees of other employers (e.g., contractor
Vaccination is a vital tool to reduce the presence and severity of COVID-19 cases in the workplace, in
communities, and in the nation as a whole. [Employer Name] has adopted this policy on mandatory
vaccination to safeguard the health of our employees from the hazard of COVID-19. [Consider inserting
additional statements about the impact of mandatory vaccination of employees on the safety of
workers’ families, customers and visitors, business partners, and the community.] This policy complies
with OSHA’s Emergency Temporary Standard on Vaccination and Testing (29 CFR 1910.501).
This Mandatory COVID-19 Vaccination Policy applies to all employees of [Employer Name], except for
employees who do not report to a workplace where other individuals (such as coworkers or customers)
are present; employees while working from home; and employees who work exclusively outdoors.