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Carousel Center Mall Expansion
Comprehensive Safety and Health Partnering Agreement
Between
Cianbro Corporation / Destiny USA, Inc.
And
United States Department of Labor
Occupational Safety & Health Administration
Region 2 – Syracuse Area Office
And
New York State Department of Labor Division
Of Safety and Health On-Site Consultation Program
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Table of Contents
Section 1.0 Background
Section 2.0 Project History
Section 3.0 Partnership Goals and Strategies
Section 4.0 Environmental, Health & Safety Performance Criteria
Section 5.0 Measurement and Evaluation of Performance
Section 6.0 Communication of Results
Section 7.0 Employee Involvement and Employee Rights
Section 8.0 Verification and OSHA Inspections
Section 9.0 Termination of Partnership
Section 10.0 New York State
Consultation 21D
Section 11.0 Signatures
Appendix A: Template of Partnership Annual Evaluation Report
1.0 Background
In an effort to eliminate serious hazards and achieve a high level of worker safety and health for
employees engaged in the construction of the The Carousel Center Expansion Project, the project
ownership, Destiny USA, Cianbro Corporation and the above named groups have developed a
comprehensive partnering agreement. Participants include project stakeholders from government,
industry employers, labor and the owner. This partnering agreement will facilitate the process of:
identifying project health and safety performance goals; developing plans for achieving those goals;
cooperation in hazard control implementation; measuring and establishing a vehicle to communicate
the successes; and ultimately learning from the process. Beyond the confines of this project, it is
projected that this partnership agreement will foster a sustainable working relationship between
OSHA, NYS Labor Consultation Program, Destiny USA, Cianbro Corporation, Site Contractors, and Local
Trade Unions.
This partnering agreement shall be limited to the OSHA Syracuse Area Office, Destiny USA, Cianbro
Corporation, New York State 21D Consultation Service, and the workforce of general contractors and
subcontractors. It is anticipated that at the peak of this project, Destiny USA and all the
contractors will employ over 1,000 trades employees.
This partnership is consistent with OSHA's long-range efforts to develop a contractor/government
partnership approach to safety and health management. It allows for innovation in safety and health
management, and it encourages more participation in the safety and health process from the
construction/trade association communities.
2.0 Project History
The Destiny Project will be managed by the Cianbro Corporation who is a heavy construction
contractor with approximately 2,000 employees. The companies headquarters is in Pittsfield Maine,
and the project is being facilitated from the Southern New England office in Bloomfield, Ct. The
construction manager will work closely with the owner Destiny USA
The Carousel Center Expansion Project is a large construction project involving 800,000 square feet
expansion of current retail space in this first phase, located adjacent to the existing Carousel
Mall in Syracuse, NY. The construction type is cast in place concrete, precast concrete and steel.
The Project will start in the spring of 2007 and is scheduled to be completed in December 2008.
3.0 Partnership Goals and Strategies
3.1 The goals of this Partnership include:
- Eliminating accidents, including the four primary construction hazards (falls, electrical,
caught in/between, and struck-by) and illnesses associated with employee exposure to crystalline
silica;
- Developing a contractor/government partnership that will encourage local construction
subcontractors involved in the projects to improve their safety and health performance;
- Employee involvement in safety program management and site conditions;
- Conducting contractor and subcontractor employee safety and health training;
3.2 The strategies of this Partnership include:
- Reducing the number of conditions that have the potential to result in worker injury/illness,
property damage, and environmental impact to the lowest reasonable level;
- Zero (0) fatalities / Zero accidents
- No employee exposures involving trenches and excavations without adequate cave-in protection;
- No employee exposures to silica above OSHA's General Industry Permissible Exposure Limit (PEL)
without utilization of feasible engineering controls, administrative controls, work practice
controls and/or adequate respiratory protection;
- Abating compliance hazards that are identified from weekly safety and health inspections and
having no repeat occurrences of such conditions upon re-inspection;
- To have 100% of all non-supervisory employees on site trained on the OSHA 10-hour Safety and
Health course as soon as feasible of their starting work, not to exceed 45 days. To have 100% of
all safety representatives from the contractors on the project trained with the OSHA 30 Hour
Construction Safety & Health Course. Cianbro Corporation and OSHA strongly recommend that
employees and supervisors have the training current within the last 5 years.
- A project Days Away, Restricted and Transfer (DART) rate and Total Case Incidence Rate (TCIR)
rate which are 25% less than the national average for NAICS 236220 based upon the Bureau of Labor
Statistics (BLS) data available for the most current year (2006). The 2006 BLS DART rate for NAICS
236220 = 3.2 and TCIR rate for NAICS 236220 = 5.9;
- Fostering a sustainable working relationship between Cianbro Corporation, OSHA, building and
construction trades, and other entities involved in this project.
4.0 Environmental, Health and Safety (EH&S) Performance Criteria
4.1 Cianbro Corporation and Destiny USA will establish the following:
4.1.0 Contractors Meetings –Cianbro Corporation shall hold a weekly meeting with all Foremen that
shall include focused discussions addressing site safety and health issues.
4.1.1 Monthly Meetings –Cianbro Corporation shall hold a monthly principles project safety and
health meeting to discuss program status and participant/subcontractor performance. OSHA will be
invited to attend these meetings.
4.1.2 Qualified Safety and Health Representatives –Cianbro Corporation shall assign a qualified
site safety and health representative to administer its safety and health program.
4.1.3 Risk Assessment –Cianbro Corporation shall conduct a comprehensive risk assessment of project
work and incorporate the findings of the assessment into the Site Specific Safety Plan.
4.1.4 Project-specific Safety and Health Plan Guidelines –Cianbro Corporation and Destiny USA shall
prepare a project-specific safety and health plan. This plan shall incorporate the following
minimum elements:
- Comprehensive silicosis prevention program
- All trenches and excavations will require adequate cave-in protection
- Mandatory use of Ground Fault Interrupters (GFCIs) throughout the project on any voltage 120
or less, and Assured Grounding accepted on any voltage greater than 120 volts.
- All cranes, hoists and scissor/aerial lifts will be inspected by a knowledgeable member/s of
the safety committee on a monthly basis. These inspections will be conducted by use of safety
checklists for the items being inspected and a copy of the inspection record maintained on site
by the Cianbro Corporation.
- Use of appropriate personal protective equipment
- Site-specific safety and health orientation training for all employees
- Workplace surveillance
- Employee involvement
- Management commitment
- Provide 100% fall protection for all employees working at heights 6 feet or more above the
adjacent surface or adjacent to dangerous equipment or materials.
4.1.5 Weekly Safety and Health Audits –Cianbro Corporation and project safety committee with
representatives from all contractors shall conduct and document weekly safety and health audits to
assess program performance.
4.1.6 Training –Cianbro Corporation shall help provide safety and health training resources for all
project participants as needed. Another objective of this training will be to familiarize all
employees with the Comprehensive Safety Program Management System. This will include the methods
employees can use to address safety and health concerns. Employees should be encouraged at the time
of this training, to utilize this reporting system as an alternative to filing a complaint with
OSHA.
Cianbro Corporation shall provide on-going safety and health training to workers that will address
new tasks, or processes and major changes to the project. All workers on this project will be
required to successfully complete a 10-hour construction safety course if they have not completed a
previous course. Cianbro Corporation will be responsible for ensuring that these training
requirements are met for their own employees as well as overseeing that project contractors'
employees have received the requisite training pursuant Paragraph 4.2.6 of the Agreement.
4.1.7 Incident Record Keeping Database –Cianbro Corporation shall maintain a project OSHA-300 Log
(or equivalent database) for work at the project. The Log shall be maintained in accordance with
1904.19.
4.1.8 Safety and Health Incentive Program –Cianbro Corporation will implement a health and safety
incentive program to assist in fostering a safe work environment. Individual employees will be
rewarded with incentives for excellence in safety and health.
4.1.9 Soil Intrusive Activities – Cianbro Corporation will implement specific hazard controls when
disturbing soil including but not limited to; 40 hour Hazwoper training, air sampling, soil
analysis, PPE Hazard Assessment.
4.2 Project Contractors and Sub Contractor's Role
4.2.1 Site Specific Safety and Health Plan - All contractors shall provide a site-specific safety
and health plan, which meets or exceeds Cianbro's and Destiny USA's site specific safety plan.
Cianbro Corporation will collect and review plans for compliance.
4.2.2 New Hire Safety Orientation - All contractors and subcontractors shall provide new hire
employees with project-specific safety and health information and instructions prior to starting
work.
4.2.3 Task-specific Weekly Toolbox Instructions - All contractors and subcontractors shall provide
workers with instructions on integration of safety and health requirements with current work tasks
for the week. All Contractors and Subcontractors shall allow an OSHA representative to attend any
of these meetings, when requested by OSHA.
4.2.4 Qualified Safety and Health Representatives - All contractors and subcontractors shall assign
a qualified safety and health representative to administer their program on site when they are over
20 people.
4.2.5 Weekly Safety and Health Inspections - All contractors and subcontractors shall conduct and
document weekly inspections of their portion of the jobsite to assess compliance with all project
safety and health requirements and OSHA standards. No outstanding non-compliant issues shall be
allowed to carry over into the subsequent week's inspections.
4.2.6 Safety and Health Training - All contractors and subcontractors shall provide on-going safety
and health training to workers that will address new tasks, or processes and major changes to the
project. All workers on this project will be required to successfully complete a 10-hour
construction safety and health course within 45 days of their start work date. If they are trained
previously they must have proof with a card or certificate.
4.2.7 Record Keeping/ Documentation - All contractors and subcontractors shall maintain
documentation of all safety and health activities described herein and provide copies to Cianbro
Corp. Documentation of near misses, and the correction of observed hazards during this partnership,
shall be completed by Cianbro at least quarterly.
4.3 OSHA's Role
4.3.1 Program Evaluation - Provide initial and periodic review and evaluation of Barr & Barr, Inc.,
and other signatories compliance with the partnership agreement.
4.3.2 Incident Trend Analysis - Provide feedback on incident trends as needed.
4.3.3 Access to Training Resources - Assist in securing cost-effective training resources for
partnership agreement participants.
4.3.4 Interpretation of OSHA Standards - Clarify the intent of OSHA standards and resolve conflicts
of interpretation with assistance from the Office of Construction Standards and OSHA Compliance
Assistance.
4.3.5 Compliance strategies - Provide input on compliance strategies as proposed by program
participants.
4.3.6 Employer Incentives– Extend as appropriate special recognition to
partnership agreement employers that voluntarily improve their safety and health performance.
4.3.7 Attendance at Safety and Health Meetings - OSHA representatives will periodically attend site
safety and health meetings.
4.4 New York State Department of Labor Consultation Program's Role:
4.4.1 Access to Training Resources – Assist in securing cost-effective training resources for
partnership agreement participants.
4.4.2 Compliance Strategies – Provide On-Site Consultation visits for partnership agreement
participants
4.5 Craft Labor's Role
4.5.1 EH&S Field Performance - Meet all project EH&S requirements relative to work assignments as a
condition of employment.
4.5.2 Safe Work on Demand - Refuse any work assignment that violates the project EH&S requirements.
4.5.3 Monthly EH&S Meetings - Attend and participate in monthly meetings that are held by Barr &
Barr, Inc.. Provide input on EH&S as related to specific trade/skill areas of expertise.
4.5.4 Partnership Representation - Designate representative(s) to provide input in all partnership
agreement initiatives.
5.0 Measurement and Evaluation of Performance
5.1 Cianbro Corporation will compile and track a monthly summary of contractor injury and illness
performance statistics at the job site. This data will be compared to Cianbro Corporation historical
data, the historical data (if available) of the participating employers, and national data for
comparison and evaluation.
5.2 Cianbro Corporation will collect documentation from contractors in order to ensure procedural
performance of project requirements.
5.3 Within ninety (90) days of the initiation of this partnership agreement OSHA and Cianbro
Corporation shall conduct a verification inspection of the project. This verification inspection
will determine partnership compliance with the terms of this agreement and include a comprehensive
review of the project's Environmental, Health and Safety Program, and is further described in
Section 8.1.5 of this Partnership Agreement.
5.4 At the end of each quarter Cianbro Corporation will compile and submit to OSHA a report that
evaluates the partnership agreement's achievements and identify areas for improvement. Near misses
are an integral part of the accident prevention program and will be evaluated by the safety and
health team.
5.5 At the end of this Partnership, OSHA and Cianbro Corporation shall conduct a final review of the
partnership through an inspection of the project similar to the inspection outlined in paragraph 5.3
above.
6.0 Communication of Results
6.1 Cianbro will publish a quarterly status report to document partnership agreement status and
progress. The signatories or their designated representative(s) will meet at least quarterly to
review partnership agreement status and progress. This meeting will take place at the Cianbro
Construction site at the Carousel Mall or at the Syracuse Area OSHA Office.
6.2 The partners will prepare a joint evaluation of the partnership annually. The evaluation will
review the success of the partnership, lessons learned, and changes that will be made to meet the
goals of the partnership. The annual performance evaluation report, Appendix A shall be used.
Performance measures listed below will be collected and analysed to determine the partnership's
progress toward meeting its goals.
- Aggregate number of employers active in the partnership;
- Aggregate number of employees active in the partnership;
- Number of site inspections conducted, hazards found (including the four most prevalent
construction hazards and silica), and hazards corrected per month during the partnership term
until the completion of the project;
- Number of pre-task job safety or task analyses conducted per month during the partnership term
until the completion of the project;
- Number of participant contractor workers provided the OSHA 10-Hour Course and safety
representatives provided the 30-Hour Course;
- Number of participant contractor workers provided other training such as NFPA 70(e), crane
safety, etc.;
- Site TCIR and DART rates for each calendar year compared to the national average for NAICs code
236220 for non-residential general contractors;
- Number of partnership participants who developed written safety and health management systems
under this partnership;
- Number of partnership participants who improved their written safety and health management
systems under this partnership;
- Number of employees involved in the site safety and health management (e.g., employee
participation in self-audits, site inspections, job hazard analysis, safety and health program
reviews, safety training, and mishap/near miss investigations);
- Number of daily safety checklists conducted by on-site contractors;
7.0 Employee Involvement and Employee Rights
7.1 This partnership agreement fully supports and recognizes the importance of employee
participation in matters concerning safety and health in the workplace. As a vital component of an
effective safety and health program, the ability of employees to exercise their rights, which are
guaranteed under the OSH Act, will not be infringed. Employee involvement in the worksite safety and
health program will be required, including employee participation in safety and health program
reviews, site inspections, employee safety and health training, accident investigations, and freedom
to report hazards, including near misses. The signatory construction trade unions directly involved,
or, effected by this partnership have been consulted and encouraged to suggest improvements and
further enhancements of this partnership. All employee, trade organization, and union involvement in
this Partnership will be documented by Cianbro Corporation.
8.0 Verification and OSHA Inspections
8.1.1 Cianbro Corporation and DestinyUSA (designee) shall exercise control over any recognized site
safety and health hazard to eliminate the potential for injury or illness in accordance with this
partnership agreement. Cianbro Corporation and Destiny USA or its representatives will conduct
comprehensive safety and health reviews and audits. If any subcontractor, under the control and
direction of Cianbro Corporation does not meet the terms of this partnership agreement, the
contractor or subcontractor may be subject to traditional enforcement action by OSHA.
8.1.2 Programmed Inspections – OSHA will not conduct a Programmed Inspection of a partnering
contractor and subcontractor if OSHA has conducted a Verification Inspection, as described in
Section 8.1.5 of this Partnership Agreement, within the twelve month period preceding the initiation
of such an inspection. Should a Programmed Inspection, such as a National Emphasis Program (NEP) or
a Local Emphasis Program (LEP), result in the initiation of a Programmed Inspection of Cianbro
Corporation, and the employers engaged in this partnership, the inspection will focus on:
- The hazards identified as targets of the NEP or SEP;
- The hazards identified by this Partnership: falls, electrical, caught in/between, struck-by,
and silica-related hazards.
Hazards identified may result in the issuance of citations and penalties.
8.1.3 Unprogrammed Inspections – Cianbro Corporation and the employers engaged in this partnership
recognize and accept that OSHA will fully investigate incidents involving employee deaths or the
hospitalization of three or more employees, reports of imminent danger conditions, formal complaints
and referrals. These inspections will be conducted outside the partnership in accordance with normal
enforcement procedures and practices. Hazards identified may result in the issuance of citations and
penalties.
8.1.4 Complaint/Referral Investigations – OSHA agrees that a copy of each non-formal
complaint/referral related to the work at the Project and filed with OSHA will be forwarded by fax,
or by other means to Cianbro Corporation project office. The name of the complainant will not be
revealed. Cianbro Corporation agrees to promptly investigate complaints, regardless of the employer
involved, and provide OSHA with a written response within three days for non-formal
complaints/referrals alleging a serious hazard, and within three days when an other-than-serious
hazard is alleged.
Failure to meet these timeframes will place the complaint/referral outside the scope of this
Partnership and OSHA will respond as it would to any complaint of a similar nature.
8.1.5 On-site Verification - In order to qualify for partnership, OSHA will conduct a verification
inspection of the project pursuant to section 8, within 30 days of the signing of this agreement and
every 6 months thereafter to reflect those new contractors who have arrived on site following
previous verification inspections. This verification will determine Cianbro Corporation and
contractor compliance with the terms of this agreement. It will also include a comprehensive review
of each onsite subcontractor's Safety and Health program for its effectiveness in eliminating the
four major construction hazards (falls, electrical, caught in/between and struck-by hazards), and a
comprehensive review of the silicosis prevention program to ensure elimination of silica-related
hazards. Citations and penalties may be issued, when appropriate, as a result of this inspection.
Enforcement verification inspections are performed in accordance with the applicable sections of the
OSHA FIRM and other enforcement guidance documents. As such, a focused inspection, concentrating on
the project safety and health program/plan, and the four leading hazards in construction: falls,
electrical hazards, caught in/between hazards, and struck by hazards may be done where upon initial
inspection of the site the OSHA compliance officer (CSHO) determines that the contractor meets the
requirements of the Focused Inspection Initiative. Serious hazards may result in the issuance of
citations and penalties. Subcontractors who are determined, either by Cianbro Corporation or OSHA,
to be outside the aforementioned criteria for inclusion in this partnership agreement will be
subject to traditional OSHA inspections and enforcement actions.
8.1.6 Follow-up Inspections - If OSHA issues citations for serious hazards on any inspection
conducted at this project during the tenure of this Partnership, OSHA may conduct a follow-up
inspection to verify abatement.
9.0 Termination of Partnership Agreement
This agreement will terminate on December 31, 2008 or may be extended dependent on the actual
completion of the project. If any signatory of this agreement wishes to terminate their
participation prior to the established termination date, written notice of the intent to withdraw
must be provided to all other signatories.
If OSHA chooses to withdraw its participation in the partnership, the entire agreement is
terminated. Any signatory party may also propose modification or amendment of the agreement.
For non-signatory participants of the strategic partnership, OSHA may terminate the participant's
involvement at any time with written notice. Additionally, the participant may withdraw their
participation from the strategic partnership at any time with a written withdraw to OSHA.
10.0 New York State Department of Labor 21(d) Consultation Services
The New York State Department of Labor On-Site Consultation Program will provide resources as
necessary and available to support the priority training and technical assistance needs of the
participants of this partnership. Such assistance, which is provided only at the request of the
employer, may be in the form of onsite or off-site safety and/or health consultations. All
consultation findings will be kept confidential, so long as the employers agree to correct any
serious hazards that may be identified. There are no costs to the employer for the assistance
provided by the On-site Consultation Program under this agreement
11.0 Signatures
Occupational Safety and Health Administration
_____________________________ ________
Patricia K. Clark
Date
Region 2 Regional Administrator
_____________________________ ________
Christopher R Adams, CIH, CSP Date
Area Director, Syracuse Area Office
Cianbro Corporation
_____________________________ ________
Peter Vigue, President
Date
Cianbro Corporation
_____________________________ ________
Brian Watson, Project Manager Date
Cianbro Corporation
Destiny U.S.A.
_____________________________ ________
Robert Congel
Date
President, Destiny USA
New York State Department of Labor On-Site Consultation Program
_______________________________________________
Mark Sliker
Supervising Safety and Health Inspector
Paperwork Reduction Act Notice
Form Approved
OMB# 1218-0244 Expires 01-31-2009
Public reporting burden for the time needed to develop
the Partnership requirements, craft agreement language,
and conduct an internal review process is estimated to
be an average of 11 burden hours per respondent
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Appendix A
Template of Partnership Annual Evaluation Report |
OSHA Strategic Partnership Program
Annual Partnership Evaluation Report
Cover Sheet
| Goals of Partnership |
| Goal |
Strategy |
Measure |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| Strategic Management Plan Target
Areas (check one) |
| |
Construction |
|
Manufacturing Amputations |
| |
Non-Construction |
|
|
| Strategic Management Plan Areas of
Emphasis (check all applicable) |
| |
Amputations in Construction |
|
Oil and Gas Field Services |
| |
Blast Furnaces and Basic Steel Products |
|
Preserve Fruits and Vegetables |
| |
Blood Lead Levels |
|
Public Warehousing and Storage |
| |
Concrete, Gypsum and Plaster Products |
|
Ship/Boat Building and Repair |
| |
Ergo/Musculoskeletal |
|
Silica-Related Disease |
| |
Landscaping/Horticultural Services |
|
|
|
Section 1 General Partnership Information |
| Date of Evaluation Report |
|
| Evaluation Period |
| Start Date |
|
End Date |
|
| Evaluation Contact Person |
|
| Originating Office |
|
| Partnership Coverage |
| # Active Employers |
|
# Active Employees |
|
| Industry Coverage (note range or
specific SIC and NAICS for each partner) |
| Partner |
SIC |
NAICS |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
|
Section 2 Activities Performed |
| Note whether an activity was
required by the OSP and whether it was performed |
| |
Required |
Performed |
| a. Training |
|
|
| b. Consultation Visits |
|
|
| c. Safety and Health Management Systems
Reviewed/Developed |
|
|
| d. Technical Assistance |
|
|
| e. VPP-Focused Activities |
|
|
| f. OSHA Enforcement Inspections |
|
|
| g. Offsite Verifications |
|
|
| h. Onsite Non-Enforcement Interactions |
|
|
| i. Participant Self-Inspections |
|
|
| j. Other Activities |
|
|
| 2a. Training (if performed,
provide the following totals) |
| Training sessions conducted by OSHA staff |
|
| Training sessions conducted by non-OSHA staff |
|
| Employees trained |
|
| Training hours provided to employees |
|
| Supervisors/managers trained |
|
| Training hours provided to supervisors/managers |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2b. Consultation Visits (if
performed, provide the following total) |
| Consultation visits to partner sites |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2c. Safety and Health Management
Systems (if performed, provide the following total) |
| Number of systems implemented or improved using the 1989
Guidelines as a model |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2d. Technical Assistance (if
performed, note type and by whom) |
| |
Provided by OSHA Staff |
Provided by Partners |
Provided by Other Party |
| Conference/Seminar Participation |
|
|
|
| Interpretation/Explanation of Standards or OSHA Policy |
|
|
|
| Abatement Assistance |
|
|
|
| Speeches |
|
|
|
| Other (please specify) |
|
|
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2e. VPP-Focused Activities (if
performed, provide the following totals) |
| Partners/participants actively seeking VPP participation |
|
| Applications submitted |
|
| VPP participants |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2f. OSHA Enforcement Activity (if
performed, provide the following totals for any programmed, unprogrammed, and verification-related
inspections) |
| OSHA enforcement inspections conducted |
|
| OSHA enforcement inspections in compliance |
|
| OSHA enforcement inspections with violations cited |
|
| Average number of citations classified as Serious, Repeat, and
Willful |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2g. Offsite Verification (if
performed provide the following total) |
| Offsite verifications performed |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2h. Onsite Non-Enforcement
Verification (if performed provide the following total) |
| Onsite non-enforcement verifications performed |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2i. Participant Self-Inspections
(if performed provide the following totals) |
| Self-inspections performed |
|
| Hazards and/or violations identified and corrected/abated |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2j. Other Activities (briefly describe other
activities performed) |
|
|
Section 3 Illness and Injury Information |
| Year |
Hours |
Total Cases |
TCIR |
# of Days Away from Work Restricted and
Transferred Activity Cases |
DART |
| 2007 |
|
|
|
|
|
| 2008 |
|
|
|
|
|
| 2009 |
|
|
|
|
|
| Total |
|
|
|
|
|
| Three-Year Rate (2007-2009) |
|
|
|
BLS National Average for
2006
(NAICS Code 238) |
5.9 |
|
3.2 |
| Baseline |
|
|
5.9 |
|
3.2 |
|
Section 4 Partnership Plans, Benefits, and Recommendations |
| Changes and Challenges
(check all applicable) |
| |
Changes |
Challenges |
| Management Structure |
|
|
| Participants |
|
|
| Data Collection |
|
|
| Employee Involvement |
|
|
| OSHA Enforcement Inspections |
|
|
| Partnership Outreach |
|
|
| Training |
|
|
| Other (specify) |
|
|
| Comments |
|
| Plans to Improve
(check all applicable) |
| |
Improvements |
N/A |
| Meet more often |
|
|
| Improve data collection |
|
|
| Conduct more training |
|
|
| Change goals |
|
|
| Comments |
|
| Partnership Benefits (check all
applicable) |
| Increased safety and health awareness |
|
| Improved relationship with OSHA |
|
| Improved relationship with employers |
|
| Improved relationship with employees or unions |
|
| Increased number of participants |
|
| Other (specify) |
|
| Comments |
|
| Status Recommendation |
| Partnership Completed |
|
| Continue/Renew |
|
| Continue with the following provisions: |
|
|
| Terminate (provide explanation) |
|
|
|
|
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