1 Executive Summary
1.1 The goal of this program is to develop a statewide industry partnership between the construction
industry, labor and government, that will encourage New Jersey's contractors to improve their safety
and health performance, assist them in their efforts, and recognize contractors with exemplary
safety and health programs.
1.2 Specifically, the program has two overriding goals:
1.2.1 To improve worker safety and health in the New Jersey construction industry; and
1.2.2 To accomplish this goal in an environment of cooperation among the participating
organizations.
1.3 The program is to be conducted within the state of New Jersey. The
partnership will be available to all heavy-highway, marine, utility, and environmental remediation
contracting firms that are members of the Utility and Transportation Contractors' Association of New
Jersey (UTCANJ).
1.4 Expected outcomes of the program include: allowing OSHA to focus resources toward contractors
who have ineffective safety and health programs for their employees; developing criteria for a model
contractor safety and health program; mentoring of others in the state of New Jersey's construction
industry by partnering with member contractors; and making new safety and health materials available
to all contractors who are members of this partnership.
1.5 The partnership will provide incentives to participating contractors who voluntarily improve
their safety and health performance. Incentives will include special recognition from OSHA,
commensurate with their level of safety and health achievement.
1.6 This partnership program is consistent with OSHA's long-range efforts to develop a
business/labor/government partnership approach to safety management. The partnership allows for
better use of OSHA resources, fosters innovation in safety management, and encourages more
participation in the safety process by employees and the New Jersey Heavy-Highway construction
community.
1.7 Perhaps most importantly, this program will help create private and public sector incentives for
improved safety. Owners may choose contractors who are participants in the partnership and have
demonstrated their commitment to safety for their projects.
2 Utility and Transportation Contractors' Association of New Jersey (UTCANJ) –
OSHA Construction Industry Safety Partnership (C.I.S.P.)
2.1 Program Expectations
2.2 Employers, Labor and other organizations are encouraged to endorse and participate as signatory
partners in the C.I.S.P. They are encouraged for the following reasons:
2.2.1 Implementation of this program is expected to result in decreased serious injuries,
illnesses, and fatalities for participating contractors and improvement of the participant's
existing safety and health programs.
2.2.2 This agreement provides incentives for construction contractors that voluntarily participate
in the C.I.S.P. and demonstrate implementation of effective safety and health programs.
2.2.3 This agreement will not in any way affect employees' exercise of rights under the OSH Act and
OSHA regulations including protection from discrimination for exercising such rights.
3 Background (UTCANJ/OSHA Partnership History)
Utility and Transportation Contractors Association of New Jersey and the United States Department of
Labor, Occupational Safety and Health Administration have a history of cooperative efforts,
strategic alliances, and partnerships dedicated to improving safety and health among contractors in
New Jersey.
UTCANJ and OSHA have worked cooperatively, with other agencies and organizations, to establish the
nationally recognized New Jersey Highway Workzone and New Jersey Pilot Silica Partnerships. The
UTCANJ continues to work cooperatively in the development of the New Jersey Silica Engineering
Control Research Alliance, the first of its kind in the Nation.
UTCANJ and OSHA believe jointly that cooperative efforts, willingness to listen to concerns of
interested parties, willingness to learn from previous efforts and efforts to understand each
partner's concerns, requirements and philosophy, will benefit the industry, the regulators, and
ultimately will provide a safer and healthier work environment for the entire New Jersey heavy,
highway, utility, marine and environmental remediation Construction Industry.
4 Goals
The expectations of the Partnership are:
4.1 To reduce by 4% annually the number of injuries and fatalities affecting participant employers,
with an emphasis on reducing injuries and fatalities resulting from the four focused construction
hazards (falls, struck-by, caught-in\between, and electrocutions).
4.2 Decrease contractors' EMR rates and/or workers compensation costs from the time of application
throughout the term of the partnership.
4.3 Increase the implementation of effective contractor safety and health programs.
4.4 Increase accessibility to quality safety and health training and education, thereby raising
safety and health awareness for both employees and contractors by:
4.4.1 Providing OSHA 30-hour training to all field supervisory employees of participating
contractors, throughout the term of the partnership, and
4.4.2 Providing the OSHA 10-hour Construction Safety & Health course to a minimum of 10 % of all
workers per year throughout the term of the partnership.
4.5 Provide a leadership role for the industry.
4.6 Allow OSHA to better focus resources on firms that require increased assistance, rather than
firms that have implemented effective, meaningful safety and health programs for their employees.
All parties will be consulted on a continuing basis to assess progress in achieving these goals.
5 UTCANJ Commitment/Role
5.1 Representative(s) from the UTCANJ will administer this program as outlined herein and will serve
as the primary safety and health resource, supporting the participating contractors and employees.
To fulfill this Partnership, the UTCANJ will also provide the following services:
5.1.1 Act as a liaison for UTCANJ members with OSHA. Members will be able to call the UTCANJ with
questions and the UTCANJ will contact OSHA for responses, if required. This commitment does not
negate members' rights to contact OSHA directly if they so choose.
5.1.2 Provide up-to-date publications, brochures, and other informational materials (from OSHA,
OSHA's New Jersey On-Site Consultation Services, and other appropriate organizations) to the UTCANJ
Partnership members.
5.1.3 Foster improvement and promotion of worker safety and health among UTCANJ membership by
facilitating communications between OSHA and employers.
5.1.4 Assist contractors of all sizes, especially small contractors, in understanding OSHA's
requirements and emerging issues impacting workers' safety and health.
5.1.5 Together with Participant Contractors, provide leadership, guidance, and a positive example
to other contractors on issues relating to safety and health.
5.1.6 Develop and build written safety and health policies and programs for participating
contractors, including emphasis on contractor/employee responsibilities.
5.1.7 Promote construction safety and health excellence through an annual UTCANJ-OSHA Partnership
Safety and Health Recognition Program.
5.1.8 Notify OSHA on a regular and recurring basis of the name(s) of contractor(s) that have met
the partnership criteria.
5.1.9 Conduct periodic audits to determine the impact and effectiveness of this partnership with
OSHA.
6 OSHA's Commitment/Role
6.1 OSHA Incentives For All Platform Level Participant Contractors
6.1.1 OSHA will conduct meetings quarterly with the UTCANJ and participating contractors, to
provide information on emerging issues and to answer general and specific questions. Additionally,
OSHA is committed to meeting quarterly with the UTCANJ as part of the Partnership Advisory
Committee (see section 7 of this document for the PAC's commitment/role).
6.1.2 To the extent resources allow, OSHA will provide training and technical support to partner
contractors to assist them in developing safety and health management systems.
6.1.3 To the extent resources allow, OSHA, through the New Jersey Department of Labor and Workforce
Development-OSHA Consultation Program will provide free on-site consultation to those employers who
qualify, to assist them in developing safety and health management systems.
6.1.4 Other than Regulatory violations (e.g., 29CFR 1903 and 1904), no penalties will be assessed
for other-than-serious violations provided they are abated the same day as the inspection.
6.1.5 Participating contractors will receive the maximum allowable good-faith penalty discount as
OSHA policy allows.
6.1.6 Participating contractors will be given a penalty reduction for the "Quick Fix" of violations
in accordance with OSHA Directive CPL 2.112.
6.2 OSHA Incentives for RED Platform Level Participant Contractors
6.2.1 RED Platform Level Participant Contractors:
6.2.1.1 Will be recognized by OSHA and UTCANJ by way of providing a certificate from the UTCANJ
designating the contractor as a RED Platform Level Participant Contractor in the UTCANJ
Partnership.
6.3 OSHA Incentives for WHITE Platform Level Participant Contractors
6.3.1 WHITE Platform Level Participant Contractors:
6.3.1.1 Will be recognized by OSHA and UTCANJ by way of providing a certificate from the UTCANJ
designating the contractors as a WHITE Platform Level Participant Contractor in the UTCANJ
Partnership.
6.3.1.2 Will be eligible for a 35% discount on penalties, through the established OSHA Region 2
Expedited Informal Settlement Agreement (EISA) policy, instead of the 25% offered to some
non-participants.
6.3.1.3 In the event an OSHA inspection does occur, WHITE Platform Level Participant Contractors
will be eligible for "Focused" inspection s in accordance with established OSHA policies for
Focused Inspections (CPL 2.103, September 26, 1994, FIRM, Chapter II section A.1.b and OSHA
Guidance to Compliance Officers for Focused Inspections, August 22, 1994 (Revision 2 (9/20/95)).
6.4 OSHA Incentives for BLUE Platform Level Participant Contractors
6.4.1 BLUE Platform Level Participant Contractors: After successful conclusion of an OSHA
verification inspection, OSHA and the UTCANJ will provide the following incentives:
6.4.1.1 Recognition from OSHA and UTCANJ designating the contractor as a participant in the UTCANJ
program by way of a job site sign for each site in the state, a plaque for the contractor's
corporate office and a certificate to display on each job site inside the job site trailer or
office. The cost of the above shall be borne by UTCANJ.
6.4.1.2 BLUE Platform Level Participant Contractors within the jurisdiction of the OSHA Area
Offices participating in this partnership, will not receive a programmed inspection within the
twelve months following their verification inspection. BLUE Platform Level Participant Contractors
who are General Contractors will qualify for construction site inspection deferrals if the
conditions described in section 7.1.3 are met.
6.4.1.3 During an OSHA inspection of other contractors at a site where a BLUE Platform Level
Participant Contractor is not the General Contractor, the BLUE Platform Level Participant
Contractor whose program has been verified by an OSHA inspection within the last twelve months
will not be included unless the Compliance Officer documents that the participant is responsible
for any employee exposures to serious hazards such as fall, struck by; caught in/between or
electric hazards.
6.4.1.4 Participants participating for two years or more at the BLUE Platform Level will be
encouraged to apply for participation in the OSHA Challenge program or OSHA's VPP Program if the
participant so desires.
6.5 Complaint / Referral Investigations
6.5.1 This partnership provides for the immediate response to each allegation of a safety and/or
health hazard brought to the attention of any participating contractor. Upon finding any valid
allegations, the contractor shall promptly abate the hazard.
6.5.2 OSHA agrees that a copy of each non-formal complaint/referral related to work sites of
participating contractors will be forwarded by fax to the UTCANJ and the appropriate contractor.
6.5.2.1 An investigation by the participating contractor will be conducted as soon as possible
after receipt of the complaint/referral.
6.5.2.2 A written response outlining the investigation findings and any corrective action taken
will be faxed to OSHA and UTCANJ within two workdays.
6.5.2.3 Failure to meet these time frames will place the complaint/referral beyond the scope of
this partnership and OSHA will respond as it would any complaint/referral of a similar nature.
6.5.3 All Participating Contractors recognize that OSHA will fully investigate formal complaints
and complaints/referrals involving alleged imminent danger hazards. These investigations will be
conducted outside of this partnership agreement in accordance with normal enforcement practices and
may include the issuance of citations and penalties.
6.6 Accident Investigations
6.6.1 Participating contractors recognize that OSHA will fully investigate accidents involving
death or serious physical harm. These investigations will be conducted outside of this partnership
agreement in accordance with established OSHA enforcement policy. Violations documented during such
investigations may result in the issuance of citations and penalties.
6.7 Programmed Inspections
6.7.1 Participating BLUE Platform Level Participant Contractor will not be subject to programmed
inspections where a verification inspection has been successfully completed within the last 12
months.
6.8 On-Site Verification Inspections
6.8.1 Prior to qualifying for inspection deferrals, each BLUE Platform Level Participant Contractor
will have the effectiveness of its safety and health program as reported by its self-audit verified
though one planned, on-site comprehensive inspection by the OSHA office having jurisdiction over
the work site chosen. OSHA understands that unannounced inspections may result in the absence of
key personnel important to a full and fair evaluation. OSHA will cooperate to allow the participant
to have such personnel participate in the inspection. Additionally, OSHA will endeavor to conduct
its verification inspections within 20 workdays of acceptance by UTCANJ of a BLUE Platform Level
Participant Contractor. Verification inspections are focused inspections conducted by OSHA
enforcement personnel, and therefore, may result in citations with corresponding penalties.
Verification inspections are conducted in an enforcement capacity and as a result, citations and
penalties may be issued as a result of these inspections. Enforcement inspections are performed in
accordance with the applicable sections of the FIRM and other enforcement guidance documents. In
addition to traditional enforcement issues, the inspection should assess the partner's progress in
meeting the requirements of the partnership agreement. Thorough document review, visual
observations and employee interviews, OSHA will assess the partner's commitment to the goal and
strategies of this partnership, and evidence a systemic approach to safety and health management.
For employers with multiple worksites, OSHA will conduct verification inspections at at least 10%
of participants' worksites with a minimum of one inspection in the event the employer has less than
10 worksites. The minimum number of On-Site verification inspections needed for verification shall
be based on the number of active worksites at which the partner currently performs work within the
UTCANJ jurisdictional boundary:
OSHA will conduct verification inspections as indicated in the table below:
| Number of Sites |
Number of Verification Inspections |
| 1-3 |
1 |
| 7-13 |
2 |
| 14-20 |
3 |
| 20-26 |
4 |
| 27-33 |
5 |
| 34-40 |
6 |
| 40-46 |
7 |
| 47-53 |
8* |
| 54-60 |
9* |
| 51-66 |
10* |
| 67-73 |
11* |
| 74-80 |
12* |
| 81-86 |
13* |
| 87-93 |
14* |
| 94-100+ |
15* |
*In the event the participating contractor successfully undergoes eight (8) enforcement
verification inspections and OSHA determines that the contractor is effectively implementing their
safety and health management system at all locations and no serious hazards are observed, OSHA may
opt to discontinue conducting further verification inspections and recommend the contractor be
accepted into the partnership at the Blue Level.
OSHA understands that unannounced inspections may result in the absence of key personnel important
to a full and fair evaluation. OSHA will cooperate to allow the participant to have such personnel
participate in the inspection(s). Additionally, OSHA will endeavor to conduct its verification
inspections within 30 workdays of acceptance by the committee of a Blue Level Participant
Contractor. Upon completion of the inspection(s), OSHA will either accept or reject the
contractor's application for inspection deferral and participation at the BLUE Inspection Defferal
Level.
Blue Level partners must re-apply and receive on-site verification inspections annually to maintain
partnership with OSHA and to be eligible for partnership benefits.
6.8.2 Blue Level partners must re-apply and receive on-site verification inspections annually to
maintain partnership with OSHA and to be eligible for partnership incentives.
6.8.3 Prior to qualifying for full site inspection deferrals where the participating BLUE Platform
Level Participant Contractor is the General contractor at a site, in addition to the requirements
in 6.8.1 above:
6.8.3.1 The participating contractor must demonstrate during the verification inspection that it
has safely and health responsibility for the job site including their subcontractors (i.e. job
site control); and
6.8.3.2 The participating contractor requires each subcontractor on site to have implemented a
written comprehensive site-specific safety and health program.
Note that participating RED and WHITE contractors will not be granted deferrals
from programmed inspection activity.
7 UTCA-OSHA Partnership Advisory Committee Commitment/Role
7.1 The UTCANJ and OSHA will form a UTCANJ-OSHA Partnership Advisory Committee (PAC) consisting of
representatives from both the UTCANJ and OSHA. This role of this committee is to oversee partnership
progress and activities, make recommendations of changes for partnership improvement and to take
disciplinary action against participants if warranted. The PAC will meet quarterly to assess the
progress of the partnership, discuss partnership activities and determine and schedule future
partnership activities.
7.2 If necessary, the UTCANJ-OSHA Partnership Advisory Committee will terminate contractors from the
partnership, if findings indicate unacceptable performance or submission of falsified application
documentation. (Note: At the discretion of the UTCANJ-OSHA Partnership Advisory Committee, a
participating contractor may be permitted to correct deficiencies within 30 days of notification and
apply to the UTCANJ Partnership Advisory Committee for continued recognition as a partner in good
standing before termination would take effect.)
7.3 The UTCANJ-OSHA Partnership Advisory Committee has the discretion to veto contractors from
participating for just cause. OSHA also has the discretion to unilaterally veto contractors from
participating in this Partnership, for just cause, upon providing notification and explanation to
the UTCANJ-OSHA Partnership Advisory Committee.
8 Participating Contractor Commitment / Role
The UTCANJ partnership is a Multi-Platform Programs consisting of three levels or classifications
based on each participant's level of achievement relating to safety and health. The three
participant levels of the UTCANJ Partnership program: RED, WHITE and BLUE.
Program Implementation
8.1 Eligibility Requirements for the Multi-Platform Program: RED, WHITE and BLUE. Listed
below you will find the eligibility requirements for each phase of the partnering program: RED,
WHITE and BLUE Platforms:
8.1.1 RED: Applicants seeking entrance onto the RED Platform Level must
meet the following requirements:
8.1.1.1 Develop and implement a written safety and health program;
8.1.1.2 Conduct weekly employee safety meetings;
8.1.1.3 Conduct and document self-audits under direction of a
competent person*
Competent person is defined by OSHA in 29CFR1926.32(f): A "competent person" means one who is
capable of identifying existing and predicable hazards in the surroundings or working conditions
which are unsanitary, hazardous, or dangerous to employees, and who has the authorization to take
prompt corrective measures to eliminate them.
8.1.1.4 Achieve a score of 94-108 points on their self-audit checklist.
8.1.2 WHITE: Applicants seeking entrance onto the WHITE Platform level
must meet all of the requirements for the RED level plus meet the following additional
requirements.
8.1.2.1 Develop and implement a comprehensive written safety and health program based on ANSI
A10.38-1991 Guidelines or OSHA's 1989 Safety and Health Program Management Guidelines.
8.1.2.2 Assign at least one competent person, who has had training equivalent to the OSHA 30-Hour
Construction Safety and Health Outreach program, and who has the responsibility for employee
safety and health;
8.1.2.3 Ensure designated safety personnel at each site conduct and document daily inspections to
identify and correct safety and health hazards;
8.1.2.4 Conduct an orientation of all new employees on the contractor's safety and health programs
and show evidence of effective employee training for avoidance of hazards specific to the
contractor's work site(s);
8.1.2.5 Conduct weekly employee safety meetings which, to the extent possible, include employee
representatives;
8.1.2.6 Show evidence of employee involvement in the safety and health program; for example,
participation in self-audits, site inspections, job hazard analyses, safety and health program
reviews, safety training, and accident investigations;
8.1.2.7 Provide all field construction supervisory personnel with training equivalent to the OSHA
10-Hour Construction Safety training course;
8.1.2.8 Maintain a Lost Workday Incidence Rate at or below the national average for their specific
Standard Industrial Classification (SIC) as per the Bureau of Labor Statistics;
8.1.2.9 Achieve a score of 109-125 from Part III of the Application Packet – Self Evaluation
scoring at least half of the points available for each section.
8.1.3 BLUE: Applicants seeking entrance onto the BLUE Platform level must
meet all of the requirements for RED and WHITE levels plus meet the following additional
requirements:
8.1.3.1 Ensure all sub-contractors on the site for which the BLUE contractor has responsibility
use a written site-specific safety and health program. If a subcontractor does not have a program,
they shall adopt and implement the program written by the participant contractor;
8.1.3.2 Assign a minimum of one competent person who will administer the contractor's safety and
health program. This person must have attended the OSHA 500 Train the Trainer Course for the
Construction Industry or equivalent within the previous four years;
8.1.3.3 Designated site safety personnel, through training and experience, must be able to
recognize hazards associated with various phases of construction and shall have the authority to
take prompt corrective action. Training curriculum equivalent to the OSHA 30-Hour Construction
Safety and Health Training Course will be deemed satisfactory;
8.1.3.4 Implement a 6-foot Fall Protection Policy or a 100% Fall Protection Policy at the
prescribed heights in accordance with specific OSHA Regulations;
8.1.3.5 Have no Willful violations within the last three years;
8.1.3.6 Have no Repeated Serious violations within the last three years;
8.1.3.7 Have no fatalities or catastrophes within the past three years that resulted in Serious,
Willful or Repeat citations related to the incident;
8.1.3.8 Maintain an Experience Modification Rate at or below a 1.00.
8.1.3.9 Achieve a score of 126-150 from Part III of the Application Packet for Self Evaluation
scoring at least half of the points available for each section.
NOTE: This next section is only needed when the participant would like to apply
for complete site inspection deferral.
In order to qualify for a complete site inspection deferral, the participant must be the General
Contractor and assume a controlling contractor's role:
8.1.3.10 General Contractors must have a written policy that addresses subcontractor safety to
include requirements for assurance of compliance, safety training, site inspections, accident
investigations, safety meetings, and other requirements of the Occupational Safety and Health Act
of 1970;
8.1.3.11 General Contractors shall involve subcontractors (and subcontractors of subcontractors)
in identification and correction of safety and health hazards and concerns. General Contractors
shall assure that root causes of fatalities and disabling injuries are identified and preventative
action taken;
8.1.3.12 General Contractors shall perform and document comprehensive safety and health audits of
all subcontractors. Comprehensive audits shall address all aspects of all subcontractors' safety
and health management programs including the extend of employee participation;
8.1.3.12.1 Additional audits shall be conducted on a periodic basis to monitor the continued
effectiveness of all subcontractors' programs. The frequency of the audits shall be determined by
the general contractor, but will be conducted at least biannually.
8.1.3.13 General Contractors shall conduct daily site inspections by a competent person and
document those inspections. The results shall be made available to OSHA upon request;
8.1.3.14 General Contractors shall establish an effective policy for dealing with non-complying
contractors. Hazards will be documented including time, dates, contractor name and representative,
and what action was taken to gain compliance. The general contractor must ensure that hazards with
a high probability of causing serious injury are immediately corrected and action taken to ensure
the condition does not recur;
8.1.3.15 General Contractors agree to require that subcontractor's management officials
participate during safety meetings and site inspections;
8.1.3.16 General Contractors shall have at least one on-site safety coordinator with his/her only
duties being safety and health compliance.
8.2 Application submission
8.2.1 Applications will be accepted quarterly, beginning the first week of November 2004.
Applications will only be accepted during the first week of the following months: November,
February, May and August.
8.2.2 All applicants shall:
8.2.2.1 Complete the four-part UTCANJ program application form.
8.2.2.2 The first part will request company information.
8.2.2.3 The second part will request safety statistical data from the summary of the contractor's
OSHA 200 log (for the year 2000 only and OSHA 300 log for calendar years beginning 2001) and 300
logs for the past three calendar years. If the employer has not been in business for the past
three calendar years it may submit OSHA 300 data for the calendar years they have been in
business. All applicants must have been in business long enough to have complete OSHA 300 data for
at least one full calendar year.
8.2.2.4 The third part will be a self-audit checklist, related to the company's written safety
program.
8.2.2.5 The fourth section of the application packet is to document that employee participation is
an integral part of the employer's comprehensive safety and health management system.
8.2.2.5.1 Applicant contractors who have agreements with recognized organized labor groups for
work conducted under this partnership must submit a list of all labor organizations with which
they have labor agreements. In addition, at a minimum, written evidence that organized labor is
not opposed to contractor participation is required. Contractor submission of evidence of
organized labor support of partnership participation, from at least the BA level, from all labor
groups employed to perform work covered under this partnership, is preferred. Written support can
be in the form of a letter of support from each labor group, or each group may fill out the Labor
Support Form located in Part IV-A of the application packet.
8.2.2.5.2 Applicant contractors who do not have agreements with recognized labor groups for work
conducted under this partnership must certify that employee participation is an integral part of
their safety and health management system by completing Part IV-B of the application packet.
8.2.2.6 All applicants seeking WHITE and BLUE Level status must score at least half of the
available points per section of the Self Evaluation. Applicants seeking RED Level status must
score at least one point per section of the Self Evaluation. Additionally, the following minimum
total scores must be attained for each of the levels listed below:
RED Level: 94-108 points
WHITE Level: 109-125 points
BLUE Level: 126-150 points
8.2.2.7 Additionally, each participating contractors will supply a list of pending and active
sites annually to the UTCANJ. The UTCANJ will forward the BLUE Platform Level Participant
Contractors' site locations to OSHA.
8.3 Program Verification and Acceptance
8.3.1 The UTCANJ is responsible for the following program monitoring activities:
8.3.1.1 Receive and maintain all application information submitted by Platform Participant
contractors.
8.3.1.2 Review applications submitted by perspective Platform Participants and determine their
eligibility for the program. These applications shall be reviewed by the UTCANJ-OSHA Partnership
Advisory Committee.
8.3.1.3 Termination of a participant's current status and re-designation to the appropriate
status, if any, in the even the UTCANJ discovers information that significantly contradicts the
representations made by the participant in its application.
8.3.1.4 Recommend program improvements to Platform Participant Contractors.
8.3.1.5 Once the participant has been identified by the UTCANJ as a BLUE Platform Level
Participant Contractor, the UTCANJ will provide to OSHA for each participant:
8.3.1.5.1 The summary of the contractors' 300 Logs for the last three years and the total number
of hours worked for each year. If the contractor has not been in business for the past three
calendar years, UTCANJ may submit OSHA 300 data for the calendar years they have been in
business. All applicants must have been in business long enough to have complete OSHA 300 data
and hours worked for at least one full calendar year.
8.3.1.5.2 A copy of the applicant's self-audit/evaluation forms used by the UTCANJ to verify BLUE
status.
8.3.1.5.3 A list of active sites for BLUE Platform Level Participant Contractors only. This list
is not needed by the UTCANJ-OSHA Partnership Advisory Committee for the application review
process and therefore will not be provided to the committee. The list will be provided directly
to OSHA by the UTCANJ upon acceptance of the employer as a potential BLUE Platform Level
Participant by the committee prior to the OSHA on-site verification inspection.
8.3.2 OSHA will ensure the following monitoring activities are performed:
8.3.2.1 Prior to qualifying for inspection deferral, each BLUE Platform Level Participant
Contractor will have the effectiveness of its safety and health program verified though one
verification inspection as defined in Section 6.8 of this agreement.
8.4 Maintaining Participant Status
8.4.1 BLUE Level participants must re-apply and receive on-site verifications inspections annually
to maintain partnership with OSHA and to be eligible for partnership incentives.
8.4.2 RED and WHITE participants wishing to elevate to the next level (RED to WHITE or WHITE to
BLUE) must re-apply.
9 Program Confidentiality
9.1 Information submitted by contractors as part of the application or renewal process, as well as
obtained by virtue of the contractor's application or participation in the program, will be held in
strict confidence within the confines of the partnership program. Information will be used only to
measure the effectiveness of the partnership program.
10 Partnership Evaluation
10.1 It is the responsibility of the UTCANJ designated representative to gather required participant
data to evaluate the overall success of the program. Aggregated data will be reported to the OSHA
Area Directors during the quarterly meetings discussed in Sections 6.1.1 and 7 above.
10.1.1 The aggregate data will include the following:
10.1.1.1 The number of new RED, WHITE or BLUE Platform Level Participant Contractors;
10.1.1.2 The number of 10 or 30 hour newly trained UTCANJ member's employees within the State of
NJ during the previous year;
10.1.1.3 The number of supervisory employees of participating members trained to the OSHA 30hr
level;
10.1.1.4 The number of participating UTCANJ members who have established written safety and health
programs;
10.1.1.5 OSHA 300 data from all participating contractors at all levels. This data shall included
the aggregate totals for all OSHA Log columns for each calendar year as well as the aggregate
total number of hours worked for each calendar year;
10.1.1.6 Contractor Experience Modification Rate (EMR) aggregate average.
10.2 The partnership will be evaluated annually to determine if the annual
goal of a 4% reduction in injury and illness rates has been met. The UTCANJ is responsible for
collating the baseline and annual performance data. This information will be reported to the four
OSHA Area Offices in New Jersey.
10.3 Participant aggregate Lost Workday Incidence Rates and Fatality Rates will be compared with
participant baselines and BLS published data to determine if the goals have been met.
10.4 Participant incidence of injuries resulting fro the four leading construction hazards (falls,
struck-by & caught between, excavations and electrocutions) will be measured and compared against
the baseline established in the first year of the partnership.
10.5 If all signatory partners agree, partnership criteria may be revised annually based on
recommendations for continuous improvement.
11 Contractor Termination
11.1 A contractor's participation will be referred to the UTCANJ-OSHA Partnership Advisory Committee
for termination or reduction in platform level by the UTCANJ and OSHA will be informed, if one or
more of the following occurs:
11.1.1 Information is obtained and verified by the UTCANJ or OSHA that reveals a significant
deviation from program criteria;
11.1.2 The contractor has falsified information on the application or supporting records;
11.1.3 If the contractor is a BLUE platform participant, the contractor's Lost Workday Incidence
Rate rises above the most current national average for the SIC or NAIC classification to which the
contactor belongs;
11.1.4 The contractor takes other actions inconsistent with the goals and intent of this program.
11.2 Prior to final termination of a contractor's status, the following will
occur:
11.2.1 The contractor will be notified in writing of the intent to terminate;
11.2.2 The notice will include an explanation of the reasons for termination;
11.2.3 The contractor will have an opportunity to reply to the written notice within a period of
thirty (30) days;
11.2.4 The contractor will have the right to appear before the UTCANJ-OSHA Partnership Advisory
Committee.
11.3 The UTCANJ-OSHA Partnership Advisory Committee will have the authority
to reinstate the contractor for a 1-year probationary period if it determined that the contractor's
experience was unusual and not necessarily inconsistent with a sound safety and health program. In
this event, OSHA may conduct another verification inspection.
11.4 Any contractor may terminate participation in the program at any time.
12 Contractor/Employee Rights
12.1 As an integral part of an effective safety and health program, the ability of employees to
exercise rights guaranteed under the OSH Act and other applicable regulations, (such as, but not
limited to, the right to file a safety and health complaint and the right to information collected
pursuant to OSHA requirements) will not be infringed.
12.2 Contractors retain all rights guaranteed under the OSH Act, including but not limited to the
right to appeal or contest violations issued by OSHA.
12.3 Routine employee involvement in the day-to-day implementation of worksite safety and health
programs is to be assures, including employee participation in contractor self-audits, site
inspections, job hazard analysis, safety and health program reviews and near miss investigations.
13 Termination or amendment of this Partnership
13.1 This agreement will terminate 3 years from the date of signing. If any signatory of this
agreement wishes to terminate their participation prior to the established termination date, the
agreement will terminate upon receiving a written notice of the intent to withdraw from either
signatory. However, individual BLUE participants seeking deferral from programmed inspections must
have their programs verified through an on-site OSHA verification inspection each year to remain
eligible for OSHA incentives.
13.2 OSHA may terminate the partnership with any individual contractor at any time via notification
in writing to the management and labor representatives. However, the observation by OSHA from any
public place of an imminent danger situation resulting in the issuance of a citation may result in
the termination of any partnership with that contactor. OSHA's final decision on the status of the
partnership with this contractor will take into account the recommendations of UTCANJ and the
UTCANJ-OSHA PAC.
13.3 For non-signatory participants of this strategic partnership, OSHA may terminate the
participant's involvement at any time with written notice. Additionally, any participant may
withdraw their participation from the strategic partnership at any time with a written notice of the
intent to withdraw to OSHA.
13.4 The UTCANJ-OSHA Partnership Advisory Committee may terminate an individual participant
contractor from the partnership if the contractor fails to meet the qualifications or otherwise
violates the terms and conditions of this Partnership.
13.5 Any party may propose modification or amendment to this Partnership subject to concurrence by
all parties to the Partnership.
13.6 If OSHA chooses to withdraw its participation in the partnership, the entire agreement is
terminated. Either party may also propose modification or amendment of the agreement.
14 Partnership Participant Annual Renewal.
14.1 Once accepted into partnership by all parties, contractor incentives will be effective for one
year. Contractors must re-apply annually to maintain status in the partnership program. This
re-application and acceptance process will be identical to the process stated in the above agreement
and is based on the conditions set forth in this program. Contractors seeking re-application must do
so sixty days prior to the expiration date of their current partnership agreement. Failure to
re-apply within the sixty-day period will forfeit all incentives until all requirements of the above
partnership are fulfilled and accepted by the UTCANJ, the UTCANJ-OSHA Partnership Advisory Committee
and OSHA.
14.2 It is understood that BLUE level participants who seek deferral from OSHA planned inspections
must apply for deferral annually.
Signed on this 7th day of March, 2008
Louis Ricca
Acting Regional Administrator
U.S. Department of Labor OSHA
Region II New York |
|
Robert Briant Jr.
Chief Executive Officer
Utility and Transportation Contractors' Association of New Jersey |
|
Philip M. Peist
Area Director
U.S. Department of Labor OSHA
Parsippany, NJ Area Office |
|
Ed Nyland
President
Utility and Transportation Contractors' Association of New Jersey |
|
Robert D. Kulick
Area Director
U.S. Department of Labor OSHA
Avenel, NJ Area Office |
|
|
|
Lisa Levy
Area Director
U.S. Department of Labor OSHA
Hasbrouck, NJ Heights Area Office |
|
|
|
Gary W. Roskoski
Area Director
U.S. Department of Labor OSHA
Marlton, NJ Area Office |
|
|
|
Leonard Katz
Assistant Commissioner
Labor Standards and Safety Enforcement
NJ Dept of Labor and Workforce Development |
|
|
|
APPENDIX
UTCANJ-OSHA
Construction Industry Safety Partnership
SUMMARY AND APPLICATION PACKET |
This program was designed in conjunction with management, trade labor and OSHA
representation all working together to create a program which will mutually benefit the membership of
the UTCANJ, all corresponding trades which work with the UTCANJ, and the Occupational Safety and Health
Administration.
The goals of this program are:
- To reduce by 4% annually the number of injuries and fatalities affecting participant employers,
with an emphasis on reducing injuries and fatalities resulting from the four focused construction
hazards (falls, struck-by, caught-in\between, and electrocutions).
- Decrease contractors' EMR rates and/or workers compensation costs from the time of application
throughout the term of the partnership.
- Increase the implementation of effective contractor safety and health programs.
- Increase accessibility to quality safety and health training and education, including OSHA 10 and
30-hour courses, thereby raising safety and health awareness for both employees and contractors by:
- Provide a leadership role for the industry.
- Allow OSHA to better focus resources on firms that require increased assistance, rather than firms
that have implemented effective, meaningful safety and health programs for their employees.
PARTICIPATION RECOGNITION:
| RED LEVEL: |
WHITE LEVEL: |
BLUE LEVEL: |
| |
|
|
| - Certificates for all sites |
- Certificates for all sites
- Plaque for corporate office |
- Certificates for all sites
-Plaque for corporate office
-Jobsite Sign for all sites |
In addition to the above, OSHA will remove BLUE Level contractors from the programmed inspection
list for one year. All participants must re-apply annually to maintain status in the program.
An annual awards program will also be conducted, sponsored by the UTCANJ and OSHA, to acknowledge
publicly those who participate in this program. Awards will be judged by the UTCANJ-OSHA Partnership
Advisory Committee and given to members in the following categories:
1) Excellent Safety Performance 2) Most Improved
Contractor 3) Safety Mentor of the Year
This is an exciting new venture for New Jersey=s construction industry. It promises to be an
effective new communication tool between the membership of the UTCANJ, LABOR and OSHA in which all
participants will benefit.
If you have any questions, please call the UTCANJ office at 732-292-4300.
The UTCANJ, LABOR and OSHA sincerely appreciate your interest and participation in this program.
UTCANJ-OSHA Construction Industry Safety Partnership
DIRECTIONS FOR ENROLLMENT INTO ALL LEVELS
Checklist and Mailing Address |
All applicants must complete the following application to considered for
participation in the partnership.
____Complete the UTCANJ-OSHA Construction Industry Safety Partnership Application Packet:
____Part I - Company Information
____Part II - Statistical Data
____Part III - Self – Evaluation
____Part IV – Labor Support / Involvement Documentation
____Attach a copy of your 300 for the previous three calendar years
____Attach a list of your current active job sites in New Jersey (BLUE Level Applicants only)
____Make sure all forms are signed
____Mail completed package to the Utility and Transportation Contractors' Association of New Jersey
NOTE: All application packets must be complete upon submission. Incomplete packets will be returned
by UTCANJ unapproved.
Send completed package to:
Utility and Transportation Contractors Association of New Jersey
P.O. Box 728
Allenwood, NJ 08720
732-292-4300 |
New Jersey Heavy Highway Construction Industry
Partnership Program
Application for Enrollment |
Part I - Company Information
All companies wishing to participate in the UTCANJ-OSHA Construction Industry Safety Partnership
must submit a completed application.
New Application OR Re-application (required annually to sustain participation)
Company Name:_________________________________________________________
Address: _________________________________________________________
City: _________________________________________________________
State:_______ Zip Code:_______________
Phone Number: ( )____________ Fax: ( )____________ E-mail:__________________
Please supply the following information:
Number of employees:________ (Include all field and office personnel)
Number of Safety, Health and Environmental Personnel within company: Full-Time:_____ Part-Time:_____
Do you subcontract safety responsibilities to an outside firm? Yes No
(If yes, please supply the following information)
Name of Consultant:______________________________________________________
Address: ______________________________________________________________
City: ______________________________________________________________
State:_______ Zip Code:_______________
Phone Number: ( )____________ Fax: ( )____________ E-mail:__________________
Do you have a substance abuse program? (If yes, please provide copy with application.)
Yes No
Number of Recordable Injuries/Illnesses in current and past two calendar years:___________
Have you, or any of your sub contractors had any fatalities in the past 3 years? Yes
No
Number of Fatalities:
If so, did you receive OSHA citations? Yes No
What were the citations you received?
I have supplied the above information to the best of my ability and have not knowingly made any
false representation of the above stated company applying for enrollment Into the UTCANJ-OSHA
Construction Industry Safety Partnership.
Completed by:_______________________________________________________________________
Title: ______________________________________________________________________________
Signature:___________________________________________________________________________
Confirmed by:________________________________________________________________________
(President/CEO)
Title:_______________________________________________________________________________
Signature:___________________________________________________________________________
Part II - Statistical Data
Company Name:__________________________________________
| For Each of the Previous Three Calendar Years |
You may photocopy this form and submit one form with data from each of the previous calendar years |
1. _______ Average Number of Employees - (an average number of persons on your
payroll for each of the previous calendar years)
2. _______ Total Hours Worked - (the total of all hours worked for each of the previous three
calendar years by all employees in the company, including office personnel, not including hours for
vacation or sick leave).
Number of Work-Related Injury or Illness Cases*
a._______ Total number of work-related deaths (report all deaths which were the result of any injury
or occupational illness). See OSHA Log Form 300, Column G (OSHA Log Form 200 Columns 1+8).
b._______ Total number of recordable cases with days away from work, days of restricted work
activity, or job transfer (DART). See OSHA Log Form 300, Sum of Columns H+I (OSHA Log Form 200 Sum of
Columns 2+9).
c._______ Total number of non-fatal cases without lost workdays, restricted work activity, or job
transfer. See OSHA Log Form 300, Column J (OSHA Log Form 200 Columns 6+13).
d._______ Total number of recordable cases with days away from work. See OSHA Log Form 300 Column H.
3. _______ Total Number of recordable Cases (a+b+c).
Number of Lost Workdays Due to Work Related Injuries or Illnesses*
a._______ Total number of workdays lost (Days away from work, do not include day of injury). See
OSHA Log Form 300, Column L (OSHA Log Form 200 Sum of Columns 4+11)
b._______ Total number of, days of restricted work activity, or job transfer. See OSHA Log Form 300,
Column K (OSHA Log Form 200 Sum of Columns 5+12).
4. Total Number of Workdays Lost (a+b).
*NOTE: If you are not required to maintain OSHA Log Form 300 (or OSHA Log Form 200 prior to calendar
year 2001), refer to your insurance records to obtain the information requested above.
Contractor Experience Modification Rate:______________
Completed by (print name):__________________________________________________________
Signature: _____________________________________________________________________
Date: __________________________
Part III - Self Evaluation
Directions: Place a check next to all items which apply to your program. Each checked item
represents one point unless otherwise specified. Please write the number of points for each section
into subtotal column. Once complete, add subtotals to get your total score. Your total score will
help you determine what level your company should apply for in the UTCANJ-OSHA Construction Industry
Safety Partnership Program.
Company Name: _______________________________________________________
A. SAFETY & HEALTH PROGRAM (15 points possible)
_____ Is in writing
_____ Has been read by all employees
_____ Is site specific
_____ Addresses major hazards on the site
_____ Details consequences of violating safety rules
_____ Copies of Subcontractors' Safety & Health
programs kept on file
_____ Is shared with subcontractors
_____ Program reviewed at least annually and revised
as needed |
______ Gives direction of Safety Program
______ Emphasizes management approach
______ Signed by CEO/President
______ Specifies management accountability
______ Is reviewed by the Safety Director
______ Is shared with employees before job begins
______ Sub's programs reviewed and feedback provided |
Subtotal ______
B. MANAGEMENT COMMITMENT (6 points possible)
_____ Participates in Safety Committee activities
_____ Sets safety objectives
_____ Budgets funds for safety activities |
_____ Makes safety part of performance reviews
_____ Makes safety a percentage of total salary
_____ Requires regular feedback on safety activities |
Subtotal ______
C. SUPERVISOR MEETINGS (5.5 points possible)
____ Weekly meetings including safety (2 pts.)
_____ Monthly meeting including safety
____ Quarterly meetings including safety (.5 pt.) |
_____ Safety Training is conducted at this time
_____ Accident/Injury records reviewed |
Subtotal ______
D. Contractor RESPONSIBILITY (5.5 points possible)
____ Provides job site specific safety training
____ Provides all necessary Personal Protective
Equipment
____ Trains employees in the hazards of jobs |
Participates in safety meetings including:
Tool Box Talks: ____Weekly ____ Monthly (.5 pt.)
______ Corporate Safety Meetings |
Subtotal ______
E. EMPLOYEE PARTICIPATION (7 points possible)
____ Participates in Safety Program
____ Participates in tool box talks weekly
____ Participates in safety training
____ Reports hazards to management |
______Is aware of all hazards present in work area
______Participates in safety committee activities
______Has been trained in emergency procedures |
Subtotal ______
F. PROJECT PRE-PLANNING (7 points possible)
_____ Pre-Bid Safety Assessment is completed
_____ All potential hazards are recognized
_____ Monies allocated for safety on project
_____ Hire a Jobsite Safety Coordinator if Project bid is
over $ 1 million |
_______ Supervisors are involved with process at bid
stage
_______ Safety equipment is mobilized prior to start of
project
_______ Employee safety orientation mandated |
Subtotal ______
G. ANNUAL SAFETY BUDGET (4 points possible)
_____ Is established yearly
_____ Is based on planned programs |
_______ Is derived from safety program savings
_______ Management is aware of budget |
Subtotal ______
H. GOALS OF SAFETY PROGRAM (7 points possible)
______ Goals and objectives defined in program
______ Program developed to attain goals
______ Management responsible for feedback from
reports
______ Employees are aware of goals |
______ Audits conducted to assess performance
______ Long term goals set
______ Short term goals set |
Subtotal ______
I. SAFETY ORIENTATION (11 points possible)
_____ Orientation is conducted for all new hires
_____ Orientation conducted when employee transfers
to a new jobsite
_____ Employees sign orientation roster
_____ Recordkeeping activities are performed
_____ Management participates in Orientation |
Orientation includes: (but is not limited to)
_____ Hazard Communication Training
_____ Rules and Regulations Training
_____ Jobsite Hazard Exposure Training
_____ Personal Protective Equipment Training
_____ Fall Protection
_____ Emergency Action Procedures |
Subtotal ______
J. SAFETY TRAINING AND EDUCATION (15 points possible)
_____ All field employees have had a
10-hour OSHA Construction Safety Course
|
_____ Site specific training
_____ Training includes hazard recognition
_____ First aid and CPR
_____ Fire protection and prevention
_____ Housekeeping
_____ Sanitation
_____ Training is documented (Date, Subject, Trainer) |
_____ Personal protective equipment
_____ Trade specific training
_____ Material handling techniques
_____ Tool safety
_____ Scaffold safety
_____ Fall protection
_____ Motor vehicle safety training |
Subtotal ______
K. RULES and REGULATIONS (6 points possible)
_____ Rules and regulations are published and posted
on
site
_____ Enforcement policy in place
_____ Subcontractors are expected to follow rules and
enforcement policy is the same
_____ Rules are clear, concise and easy to read |
______ Rules are updated at least annually
______ Rules are enforced equally among all employees |
Subtotal ______
L. SUPERVISOR/PROJECT MANAGER TRAINING (13 points possible)
_____ All supervisors/project managers
trained with a 30-hour OSHA Construction Safety Course
|
_____ Accident investigation training
_____ Company has in-house Safety Director
_____ Training conducted by Safety Director or
outside agency
_____ Conducts jobsite safety inspections
_____ Has ability to recognize hazards
_____ Has ability to stop project for safety violations |
______ First Aid/CPR Trained
______ Conducts safety meetings
______ Is involved with Safety Committee
______ Supervisory skills training
______ Management skills training
______ Emergency reporting procedures training |
Subtotal ______
M. TOOL BOX TALKS (9.5 points possible)
_____ Meetings held weekly
_____ Meetings held monthly (.5 pt)
_____ Conducted by supervisor or safety coordinator
_____ Attended by management (Project Engineer at
least monthly)
_____ Talks are site specific |
______ Attendance and topic records kept
______ Employee participation in meetings
______ Employees pick topic and conduct meetings
______ Meetings are attended by subcontractors
______ Talks are timely |
Subtotal ______
N. PERSONAL PROTECTIVE EQUIPMENT AND ITS USE (9 points possible)
_____ Determination made to find PPE needs
_____ Employees receive training on specific equipment
use and maintenance
_____ Regular inspections conducted on PPE
_____ Respiratory Protection Program in place
_____ Task specific PPE requirements are documented |
_____ Employees aware of enforcement policies
_____ PPE is provided in accordance with OSHA
standards
_____ Only approved PPE is used
_____ PPE use is regularly enforced |
Subtotal ______
O. JOBSITE INSPECTIONS/AUDITS (11.5 points possible)
_____ Inspections are conducted daily (3 pts)
_____ Inspections are conducted weekly (2 pts)
_____ Inspections are conducted monthly
_____ Inspections are conducted quarterly (.5 pt)
_____ Results are documented |
______ Management analyzes inspection reports
______ Management acts on continuing problems
______ Abatement dates are set
______ Follow up inspections are conducted |
Subtotal ______
P. ACCIDENT INVESTIGATION (7 points possible)
_____ Employees trained in Investigation Procedures
_____ All near misses are investigated
_____ Analysis of all accident information is conducted
and corrections are made
_____ Management reviews all documentation |
______ Conducted by employee/management team
______ Reports are made of all accidents and
documented
______ Follow up inspections are completed |
Subtotal ______
Q. RECORDKEEPING REQUIREMENTS (11 points possible)
_____ Employee Training
_____ Medical Records
_____ Accident Investigations
_____ OSHA 300 Log
_____ Inspections Reports
_____ Records of periodic site inspections |
_____ Material Safety Data Sheets
_____ First Aid Log
_____ Orientation Records
_____ Respiratory Fit Testing Records
_____ Respiratory Medical Evaluations |
Subtotal ______
| TOTAL POINTS SCORED: ______________ |
TOTAL POINTS NEEDED FOR EACH
LEVEL: |
Red Level:
94-108 |
White Level:
109-125 |
BLUE Level:
126-142 |
Level Applied For: |
RED |
WHITE |
BLUE |
I have read, understand and answered the above questions to the best of my ability. I have not
knowingly made any false representation of this company applying for the UTCANJ-OSHA Construction
Industry Safety Partnership.
Company Name:____________________________________________________________________
Address:___________________________________________________________________________
City:_______________________________ State: ______________ Zip:__________________________
Phone Number:_____________________ Fax Number:______________ E-mail:__________________
Name of person completing Self Evaluation:
Title:_______________________________________________________________________________
Signature:__________________________________________________________________________
Date:_________________________
| Confirmation of Information |
Company President/CEO:____________________________________________________________
Signature:_______________________________________________ Date:_____________________
Part IV-A – Written Documentation of Organized Labor Support.
Directions: To participate in the Partnership, written documentation of organized labor support is
required for all applicants that have agreements with organized labor. All applicants who do not
have agreements with organized labor must complete Part IV-B of this part of the application only.
Documentation of labor support must be signed by a union official who is at least at the BA level.
Applicants may either obtain separate letters of support from each Union from which it employs labor
in New Jersey, or it may have each union complete a copy of this form. Written support is required
from all organized labor groups applicants utilize in New Jersey for this application to be
considered complete.
Organized labor written documentation of
support of employer's participation in the
UTCANJ-OSHA Construction Industry Safety Partnership |
The undersigned labor group fully supports, or at a minimum, is not opposed to, the participation of
________________________________________ (name of company) in the UTCANJ-OSHA Construction Industry
Safety Partnership and we agree that this applicant includes employee involvement as part of its
overall safety and health management system. We fully understand support of the above-mentioned
employer's participation in this partnership, in no way, diminishes any employees' rights under the
Occupational Safety and Health Act (e.g., employees' right to file complaints).
Name of Organized Labor Group__________________________________________________________________
Name of Authorized representative________________________________________________________________
Signature of Authorized representative_____________________________________________________________
Title of Authorized Representative_________________________________________________________________
Date________________________
Part IV-B – Written Documentation of Employee Involvement for applicants who do
not have agreements with organized labor groups.
Directions: To participate in the Partnership, written certification of employee involvement in the
applicant's safety and health management system is required. All applicants do have agreements with
organized labor must complete Part IV-A of this part of the application only. The following
certification must be executed by an officer representing the applicant contractor for the
application to be considered complete.
Written certification of employee participation in the applicant's safety and
health management system.
The undersigned applicant contractor representative certifies that employee involvement is an
integral part of the applicant's safety and health management system. Furthermore, the
aforementioned employee involvement meets or exceeds the employee involvement requirements outlined
in Section 7 of this partnership for the level of participation the applicant is applying for.
Name of applicant contractor__________________________________________________________________
Name of Authorized Representative____________________________________________________________
Signature of authorized representative__________________________________________________________
Title of authorized representative_______________________________________________________________
Date-_______________________
|