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COMPREHENSIVE SAFETY AND HEALTH PARTNERING AGREEMENT

BETWEEN

THE UNITED STATES DEPARTMENT OF LABOR
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
TARRYTOWN AREA OFFICE,

THE NEW YORK STATE DEPARTMENT OF LABOR
DIVISION OF SAFETY AND HEALTH
ON-SITE CONSULTATION PROGRAM,

THE BUILDING AND CONSTRUCTION TRADES COUNCIL,


THE CONSTRUCTION INDUSTRY COUNCIL OF
WESTCHESTER AND HUDSON VALLEY, INC.,

THE NEW YORK CITY DEPARTMENT OF ENVIRONMENTAL PROTECTION

and

Skanska/ ECCO III/ J.F. White a Joint Venture

PARTNERSHIP - An OSHA Cooperative Program

Table of Contents

Section 1.0 Background
Section 2.0 Definitions
Section 3.0 Project History
Section 4.0 Partnership Goals and Objectives
Section 5.0 Performance Criteria
Section 6.0 Measurement and Evaluation of Performance
Section 7.0 Communication of Results
Section 8.0 Employee Involvement and Employee Rights
Section 9.0 OSHA Inspections
Section 10.0 Incentives
Section 11.0 Termination of Partnership
Section 11.1 OSHA Strategic Partnership Program
Section 12.0 Signatures


1.0 Background
In an effort to eliminate serious hazards and achieve a high level of worker safety and health on the DEP CAT- 210G Project Skanska, Ecco III, and J.F. White JV – (known from this point on as SEW Construction JV) and the above named groups have developed a comprehensive partnering agreement. Participants include project stakeholders from government, industry employers, labor, and trade associations. 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.

This partnering agreement shall be limited to the SEW Construction JV, OSHA’s Tarrytown Area Office (OSHA), the New York State Department of Labor Division of Safety and Health On-Site Consultation Program (NYS Consultation), the New York City Department of Environmental Protection (NYCDEP), the Building and Construction Trades Council (BCTC), the Construction Industry Council of Westchester and Hudson Valley, Inc. (CIC). It is anticipated that at the peak of this project, SEW Construction JV and its 30 subcontractors will employ over 650 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 better use of OSHA resources, innovation in safety and health management, and encourages more participation in the safety and health process from the construction/trade association communities.

2.0 Definitions
DART: Days away from work, restricted work activity, or job transfer

Investigations: The procedure for responding to non-formal complaints described in OSHA’s Field Inspection Reference Manual. This procedure mandates that OSHA contact an employer and inform them of the safety and/or health hazards that are alleged, by a complainant, to exist in that employer’s workplace. OSHA then faxes a copy of the allegations to the employer. The employer must satisfactorily respond to the allegations within five calendar days, or an OSHA enforcement inspection may be initiated.

TCIR: (Total Case Incident Rate) This injury and illness rate is calculated by dividing the number of lost worktime events by the total number of employee hours worked, and then multiplying by 200,000. The resultant rate reflects the injury and illness rate per 100 full-time workers.

Other-than-Serious Violations: This type of violation references situations where the most
serious injury or illness that would be likely to result from a hazardous condition cannot reasonably be predicted to cause death or serious physical harm to exposed employees but does have a direct and immediate relationship to their safety and health.

Qualified Safety and Health Representative: For the purpose of this Partnership only, a Qualified Safety and Health Representative will, as a minimum, be certified in the OSHA 30-hour Construction Course, or have substantial construction safety and health experience.

Serious Violations: Section 17(k) of the Act provides “ . . . a serious violation shall be deemed to exist in a place of employment if there is a substantial probability that death or serious physical harm could result from a condition which exists, or from one or more practices, means, methods, operations, or processes which have been adopted or are in use, in such place of employment unless the employer did not, and could not with the exercise of reasonable diligence, know of the presence of the violation.”

Verification Inspection: A limited scope inspection that will focus on the following areas: a comprehensive review of the required safety and health programs and a site review of Fall, Struck-by, Electrocution, and Caught-Between hazards.

Voluntary Protection Programs: The Voluntary Protection Programs (VPP) promotes effective worksite-based safety and health. In the VPP, management, labor, and OSHA establish cooperative relationships at workplaces that have implemented a comprehensive safety and health management system. Approval into VPP is OSHA’s official recognition of the outstanding efforts of employers and employees who have achieved exemplary occupational safety and health.

VPPPA: The VPPPA promotes the benefits of cooperative programs among employees, management and labor through educational and outreach services, as well as an active government affairs program. Educational opportunities include workshops, conferences and presentations throughout the United States. Outreach programs include the Association's quarterly magazine The Leader, electronic newsletters, the VPPPA Mentoring Program and the VPPPA Web site.

3.0 Project History
SEW Construction JV., a joint venture between Skanska USA Civil Northeast, ECCO III, and J.F. White, is headquartered in Whitestone New York. The Project anticipates a workforce of 650 employees, involving heavy civil & mechanical construction.

SEW Construction JV is the general contractor for the CAT- 210G Project. The project is a NYC DEP Project that involves:
  1. Construction of the Catskill and Delaware Water Treatment Ultraviolet Light Disinfection Facility and site structures, including all structural and architectural work and finishes, appurtenant equipment, furnishings, special construction, conveying equipment, piping, gates, valves, instrumentation and controls.
     
  2. Construction of a generator building containing four emergency standby generators.
     
  3. Construction of water conveyances between the structures, including concrete encasement.
Construction for this project will commence on January 31, 2008 and is scheduled to be completed on, or about, October 2012

During construction, SEW Construction JV will provide a full time safety manager and ensure compliance with construction environmental, health, and safety practices. This includes federal, state, local, project, and owner rules and regulations.

4.0 Partnership Goals and Objectives
    4.1 The goals of this Partnership include:
    1. Developing a contractor/government partnership that will encourage local construction subcontractors involved in the project to improve their safety and health performance;
    2. Assisting the participating local construction subcontractors in achieving the objectives listed below;
    3. Implementing strategies to eliminate serious accidents, including the four primary
      construction hazards (falls, electrical, caught in/between, and struck-by);
    4. Ensuring employee safety and health training;
    5. Recognizing those subcontractors with exemplary safety and health programs;
    6. A project DART rate that is 25% less than the national average for Standard Industry Code 1642
       
    4.2 The objectives of this Partnership include:
    1. Reducing the number of conditions that have the potential to result in worker injury/illness to the lowest reasonable level, through employee training and hazard(s) identification and correction;
    2. 100% compliance with project-required incident prevention activities;
    3. Zero (0) fatalities;
    4. Zero (0) exposure of employees to walking/working surfaces (horizontal and vertical) with unprotected sides or edges, which are 6 feet or more above a lower level;
    5. Conducting a gap analysis of all participating contractors’ site-specific safety and health programs and, through resource sharing, enhance these programs to meet the Partnership Agreement performance criteria. “Gap analysis” is the difference between the contractor’s site-specific programs and SEW Construction JV requirements for work procedures each contractor is to perform. SEW Construction JV will evaluate each contractor’s site-and task specific analysis to ensure that it meets the required safety and health performance criteria for the site prior to commencement of their onsite activities. SEW Construction JV will provide reasonable assistance to subcontractor to improve their safety program.
    6. Fostering a sustainable working relationship between SEW Construction JV OSHA, local contractors, building and construction trades, and other entities involved in this project;
    7. Partnering with the CIC, the BCTC, and the union representative framework to encourage positive change within the local construction industry with respect to betterment of construction safety and health during the Project.
    8. Discussions of the benefits of participation in the VPP, and initiation of the VPP Application process.
To achieve the goals and objectives cited above, OSHA, SEW Construction JV, CIC, NYCDEP, NYS Consultation, and the BCTC, will form an Implementation Team (IT) comprised of representatives of their organizations. These representatives will work together to develop a plan of action, determine the working procedures of the IT, identify the roles and responsibilities of the participants, and develop a time-line for the goals and objectives described in this Partnership document. This time-line will also establish the dates for submission of data and other records to OSHA by SEW Construction JV as described in this Partnership document.

The IT will meet within 30 working days of the signing of this Partnership to review the goals and objectives described herein. It will meet three times per year thereafter, for the duration of the Partnership, to evaluate progress toward the Goals and Objectives. Annually, at least one of these meetings will be in person

5.0 Performance Criteria
    5.0.1 Safety and Health Contract Language

    SEW Construction JV shall incorporate safety and health program performance requirements into all contracts including new hire orientations and weekly safety and health craft meetings.

    5.0.2 Experience Modification Rates

    Only contractors with an Experience Modification Rating (EMR) rating of 1 or less will be employed at the site. SEW Construction JV may make an exception to this condition for contractors under the following conditions:
    1. The Contractor has made significant progress in safety and health since receiving the EMR that exceeded 1.0, and agrees to comply with all provisions of the SEW Construction JV “Health & Safety Plan” manual;
       
    2. SEW Construction JV determines that the elevated EMR was not due to serious, consistent infractions of OSHA safety and health standards.
    5.0.3 Bidding Period

    The bid packages, distributed by SEW Construction JV to all potential bidders, include a copy of SEW Construction JV’s “Health & Safety Plan” manual.

    5.0.4 Pre-Construction Meetings
    Prior to the start of construction work, SEW Construction JV shall conduct a pre-construction meeting with each successful bidder which shall include discussion regarding requirements for the successful bidder to integrate SEW Construction JV’s “Safety, Health and Environmental Policy” into their standard safety and health programs and performance expectations.

    5.0.5 Coordination Meetings

    SEW Construction JV shall hold a weekly meeting with all Project Managers, Company Owners, and/or Foremen that shall include focused discussions addressing site safety and health issues.

    5.0.6 Monthly Meetings

    SEW Construction JV shall hold a monthly project safety and health meeting to discuss program status and participant performance. OSHA is welcome to attend these meetings. Invitations to attend the meetings will be extended to Shop Stewards, as well as Foremen.

    5.0.7 Qualified Safety and Health Representatives

    SEW Construction JV shall assign a qualified safety and health representative to administer its safety and health program.

    5.0.8 Risk Assessment

    SEW and/or its designated safety and health representative shall conduct a comprehensive risk assessment of project work and incorporate the findings of the assessment into the Project Operations Plan.

    5.0.9 Project-specific Safety and Health Plan Guidelines

    SEW and/or its designated safety and health representative shall prepare a project-specific safety and health plan to be used as a baseline for contractor programs to meet or exceed. This plan shall incorporate the following minimum elements:
    1. Fall exposure potential greater than six feet requires 100% fall protection
    2. Mandatory use of Ground Fault Interrupters (GFCIs) throughout the project
    3. All cranes, hoists, and scissor/aerial lifts will be inspected and safe prior to use
    4. Use of appropriate personal protective equipment
    5. Site-specific safety and health training
    6. Workplace surveillance
    7. Employee involvement
    8. Management commitment
    5.0.10 Weekly Safety and Health Audits

    SEW shall ensure that wee weekly safety and health audits are conducted and documented by SEW and/ or its designated safety and health representative.

    5.0.11 Training

    SEW and/or its designated safety and health representative shall 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 Safety Management System.

    This will include the methods and contacts employees can use to address safety and health concerns. Employees should be encouraged at the time of this training, and during other safety and health – related training, to utilize this reporting system as a pre-cursor to filing a complaint with OSHA.

    5.0.12 Incident Recordkeeping Database

    SEW and/ or its designated safety and health representative shall maintain a project OSHA-300 Log (or equivalent database). This shall be maintained in accordance with 29 CFR 1904 – Recording and Reporting Occupational Injuries and Illnesses. SEW also agrees to compile and maintain a database that describes “near miss” events, and hazards or hazardous conditions that were discovered and corrected during the safety audits/inspections described in 5.0.10 and 5.1.5 of this Partnership Agreement. Information in this database will be used as a training tool and made available to all the Contractors.

    5.1 Project Contractor’s Role

    5.1.1 Project Specific Safety and Health Plan

    All contractors shall provide a task specific hazard analysis and a site-specific safety and health plan, which meets or exceeds SEW’s project specific plan. If the contractor does not have their own safety plan they must adopt SEW’s plan.

    5.1.2 New Hire Safety Orientation

    All contractors shall provide new hire employees with project-specific safety and health information and instructions prior to starting work.

    5.1.3 Task-specific Weekly Toolbox Instructions

    All contractors shall provide workers with instructions on integration of safety and health requirements with current work tasks for the week. All Contractors shall allow an OSHA representative to attend any of these meetings, when requested by OSHA.

    5.1.4 Safety and Health Representation

    All Contractors shall assign a Qualified Safety and Health Representative to administer their program onsite.

    5.1.5 Weekly Safety and Health Inspections

    All contractors shall be subject to weekly inspections of their portion of the jobsite by SEW and / or its designated safety and health representative to assess compliance with all project safety and health requirements and OSHA standards. No outstanding non-compliance issues shall be allowed to carry over into the subsequent week's inspections.

    5.1.6 Safety and Health Training

    All contractors shall provide on-going safety and health training to workers that will address new project tasks, or processes. Where workers who do not speak English are on-site, training will be conducted or facilitated in a language that the worker understands.

    5.1.7 Recordkeeping/ Documentation

    All documentation of safety and health activities described herein shall be recorded and maintained by SEW and / or its designated safety and health representative. Documentation of near misses, and the correction of hazardous conditions that were noticed due to the heightened safety and health awareness that this partnership creates, shall be completed by SEW and / or its designated safety and health representative at least quarterly.

    5.2 OSHA’s Role

    5.2.1. Program Evaluation

    Provide initial and continued review and evaluation of SEW Construction JV compliance with the partnership agreement.

    5.2.2 Incident Trend Analysis

    Provide feedback on incident trends and patterns as needed.

    5.2.3. Access to Training Resources

    Assist in identifying cost-effective training resources for partnership agreement participants.

    5.2.4. 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.

    5.2.5. Compliance Strategies

    Provide input on compliance strategies as proposed by program participants.

    5.2.6 Attendance at Safety and Health Meetings

    OSHA representatives will periodically attend site safety and health meetings.

    5.2.7 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.

    5.3 New York City Department of Environmental Protection’s Role

    DEP’s Bureau of Engineering Design and Construction (BEDC) has a formal Health and Safety Program in place for Contractors working on DEP’s Capital Construction Program. The requirements begin at the bidding stage with the Environmental Health and Safety Specification may be found in detailed specification 01356, Environmental Health and Safety Requirements and elsewhere in the contract.

    In addition, during construction and throughout the entire project, BEDC’s Environmental Health and Safety Division is continually auditing the contractors performance and requiring corrective action as warranted. These requirements are currently in place for CAT 210G and SEW Construction JV., and is required by DEP to adhere to these Safety requirements for this project.

    5.4 Craft Labor’s Role

    5.4.1. Safety and Health Field Performance

    Meet all project Safety and Health requirements relative to work assignments as a condition of employment.

    5.4.2. Safe Work on Demand

    Immediately notify designated site safety and health representatives, or management personnel, of any work assignment that violates the project EH&S requirements.

    5.4.3. Monthly Safety and Health Meetings

    Attend and participate in monthly meetings that are held by SEW. Provide input on safety and health as related to specific trade/skill areas of expertise.

    5.4.4. Partnership Representation
    Designate representative(s) to provide input in all partnership agreement initiatives.
6.0 Measurement and Evaluation of Performance
6.1 SEW and/or its designated safety and health representative will compile and track a monthly summary of contractor injury and illness performance statistics at the job site. This data will be compared to SEW historical data, the historical data (if available) of the participating employers, and national data for comparison and evaluation.

6.2 SEW and/or its designated safety and health representative will collect documentation from contractors in order to ensure procedural performance of project requirements.

6.3 Within 30 days of the initiation of this partnership agreement OSHA and SEW shall conduct a verification inspection of the Cat- Del UV Filtration Plant, as defined in Section 2.0: Definitions, and Section 9.1: Verification Inspections.

6.4 At the end of each quarter, SEW and/or its designated safety and health representative will compile and submit to OSHA a report that evaluates the partnership agreement's achievements and identifies areas for continued improvement. Near misses are an integral part of the accident prevention program and will be evaluated by the safety and health team. This quarterly report will also include a list of all employees that have received safety and health training as a result of and during the term of this Partnership Agreement. The employee’s name, employer, and topic and length of training shall be included in this quarterly report.
7.0 Communication of Results
The signatories or their designated representative(s) will meet at least three times annually to review partnership agreement status and progress. At least one of these meetings will be in person, and this meeting will take place at the Cat- Del UV Filtration Plant, and may be combined with the Implementation Team meetings.

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 format from Appendix C of the OSHA Strategic Partnership Program (OSPP) Directive CSP 03-02-002 will be used. Performance measures listed in Section 4.0 Partnership Goals and Objectives, of this partnership agreement will be collected and analyzed to determine the partnership’s progress toward meeting its goals.

8.0 Employee Involvement and Employee Rights
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 encouraged, 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 Building Trade Organizations most directly involved or affected by this partnership will be consulted and encouraged to suggest improvements and further enhancements of this partnership. SEW will document all employee, trade organization, and union involvement in this Partnership.

9.0 OSHA Inspections and Investigations 
9.1 Verification Inspections - Qualification for this OSHA Partnership requires that OSHA conduct a Verification Inspection of SEW and the Cat- Del UV Filtration Plant site within 30 days of the signing of this agreement, and annually thereafter for the term of this Partnership

Agreement. This verification inspection will determine SEW and contractor compliance and include a comprehensive review of the effectiveness of each subcontractor’s safety and health program. Subcontractors who are determined, by OSHA, to be outside the aforementioned criteria for inclusion under this Partnership Agreement will be subject to traditional OSHA inspections and enforcement actions. Serious hazards discovered during the Verification Inspection may result in the issuance of citations and penalties. 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.

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.

9.2 Formal Complaints / Referrals / Imminent Danger

This partnership calls for the immediate response by SEW to each allegation of a safety and health hazard brought to the attention of management by any person. Upon finding that the allegation is valid, the employer shall promptly correct the hazard.

SEW and the participating contractors recognize and accept that OSHA will investigate formal complaints and referrals, and alleged imminent danger hazards in accordance with OSHA’s CPL-02-00-140 – Complaint Policies and Procedures. These inspections will be conducted outside the scope of this partnership agreement in accordance with normal enforcement procedures and practices. Hazards identified may result in the issuance of citations and penalties. All formal complaints, referrals, and imminent danger situations will be discussed by SEW at the next scheduled job safety and health meeting.

9.3 Investigations

OSHA will investigate non-formal complaints in accordance with OSHA’s CPL-02-00-140 – Complaint Policies and Procedures. SEW will immediately investigate all allegations and correct any hazards identified. The affected subcontractor, if any, as well as affected unions will also be notified of the alleged hazard. SEW will notify OSHA of its findings and abatement within five calendar days of the original complaint notification. Failure to meet this time frame will place the complaint/referral outside the scope of this partnership agreement and result in an OSHA on-site inspection of the allegations.

All non-formal complaints and investigation results will be discussed by SEW at the next scheduled job safety and health meeting.

9.3 Accident/Incident Inspections

SEW and the participating contractors recognize and accept that OSHA will fully inspect incidents involving employee deaths, incidents resulting in the hospitalization of three or more employees, or other serious incidents that come to the attention of OSHA. 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.

9.4 Programmed Inspections

Programmed Inspections may be initiated if there has not been a verification inspection during the 12 previous months. These inspections will be conducted in accordance with normal enforcement procedures and practices. Hazards identified may result in the issuance of citations and penalties. SEW and the contractors participating in this partnership will receive a deferral from Programmed Inspections, for 12 months, after successful completion of the Verification Inspection.

9.5 Follow-up Inspections

If OSHA issues citations as a result of any inspection conducted, it may conduct a follow-up inspection to verify abatement.
10.0 Incentives
10.1 SEW Construction JV, and the participating contractors will receive a deferral, for 12 months, from programmed inspections following successful completion of a verification inspection.

10.2 No penalties will be assessed for other-than-serious violations provided they are abated the same day as the inspection.

10.3 A maximum “Good Faith” and “History” penalty adjustment factor will be applied as allowed under OSHA’s Field Instruction Reference Manual (FIRM) in the event that citations are issued to the SEW and the participating contractors.

10.4 OSHA will work with the Partnership participants to maximize recognition of the Partnership through various media outlets and the OSHA web site.
11.0 Termination of Partnership Agreement
This agreement will expire when SEW Construction JV. Project activities are completed. Should either OSHA or SEW choose to withdraw prior to that date, thirty (30) days written notice will be given, and the partnership would terminate. 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.

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.


Appendix

OSHA Strategic Partnership Program
Annual Partnership Evaluation Report
Cover Sheet
 
Partnership Name

 
 
Purpose of Partnership



 
Goals of Partnership
Goal Strategy Measure
     
     
     
     
Anticipated Outcomes




 
Strategic Management Plan Target Areas (check one)
Construction   Amputations in Manufacturing  
General Industry      
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 provided for 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 Inspection    
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)
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
2008          
2009          
2010          
Total          
Three-Year Rate (2008-2010)      
BLS National Average for 2006      
Baseline          
Comments








 
*Sample Chart – not required format

 
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 (Check one)
Partnership Completed  
Continue/Renew  
Continue with the following provisions:  




 
Terminate (provide explanation)  




 


Signed this 13th day of August, 2008



 
Robert D. Kulick
Region 2 Regional Administrator
United States Department of Labor
Occupational Safety and Health Administration


 
Date


 
Rich Cavallaro
Executive Vice President
Skanska USA Civil Northeast, Inc.


 
Date



 
Diana Cortez
Area Director, Tarrytown Area Office
United States Department of Labor
Occupational Safety and Health Administration


 
Date


 
James Rush
Program Manager
NYS Department of Labor
Onsite Consultation Program


 
Date



 
Heather Belovin
Director, Environmental Health and Safety
Compliance
New York City Department of Environmental
Protection, Bureau of Engineering Design and
Construction


 
Date


 
Ray Gizzi
President
E.C.C.O. III Enterprises, Inc.


 
Date



 
Ed Doyle
President
BCTC of Westchester and Putnam Counties, NY


 
Date


 
Frank Wright
Owner
JF White


 
Date



 
Ross Pepe
President
Construction Industry Council of
Westchester and Hudson Valley, Inc.


 
Date