I. Scope/Background
To facilitate OSHA’s goal of reducing occupationally related fatalities by 3% each year, and
reducing the total Rate of Days Away from Work by 4% each year, Region III of the Occupational
Safety and Health Administration ("OSHA") and Slattery Skanska, Inc. ("Slattery Skanska") have
agreed to the joint implementation of the Morrisville Train Yard Project #483 partnership during
construction of the Morrisville Train Storage Yard and Service/Inspection Facility.
The goal of this program is to develop a contractor/government partnership that will encourage
construction contractors to improve their safety and health performance, assist them in doing that,
strive for the elimination of serious accidents in the construction industry, and recognize those
contractors with exemplary safety and health programs.
This agreement between Slattery Skanska and OSHA is expected to result in decreased serious injuries
and illnesses and fatalities for the site and improve existing safety and health programs. It
provides incentives to construction contractors that voluntarily participate in the Morrisville
Train Yard Project #483 partnership and demonstrate implementation of effective safety and health
programs, for example, limited scope inspections and reductions in penalties. This agreement will
not in any way affect employees’ ability to exercise rights under the OSH Act and OSHA regulations,
including walk-around rights.
The parties to this agreement recognize that it does not include any exemption from OSHA inspections
or penalties. However, the contractors expect that OSHA will acknowledge superior performance by
providing timely responses to requests for information and requests for clarification of OSHA
standards.
Therefore, OSHA and Slattery Skanska at the Morrisville Train Yard Project #483 are entering into
this partnership to foster a safe and healthful workplace for employees by having joint cooperation
as prescribed within the terms and conditions set forth in this agreement.
II. Identification of Partners
The primary participants in this Partnership are,
- Slattery Skanska Inc. ("Slattery Skanska")
- Occupational Safety and Health Administration, Allentown Area Office ("OSHA")
- Pennsylvania OSHA Consultation at Indiana University of Pennsylvania ("PA OSHA Consultation")
- Union and Local Building Trades
III. Project Overview
The Morrisville Train Yard Project #483, located in Morrisville (Bucks County) Pennsylvania is a
construction project owned by the New Jersey Transit Corporation (NJT) and consists of the
construction of a new train storage yard and an 85,000 square foot train service and inspection
facility. The train yard construction activities will involve the installation of new tracks, an
overhead catenary system (OCS), 138 KV electrical transmission towers, new substations as well as
upgrades to existing substations, site utilities including: catenary lighting, communications,
storm, sanitary and water sewers systems, and general site work such as pavement. The train service
and inspection facility will include construction of a high bay building which will include concrete
track pits, structural steel framing with metal and precast panels and will house elevated posted
track, a center platform between the service and inspection tracks and side locomotive roof access
platforms. This facility will also contain bridge and monorail cranes, a wheel truer machine and car
progression system, a traction sand dispensing system, a mobile platform gantry and a train
signaling system.
Over the life of the project (approximately 18 months) contractors will employ approximately 158
individual construction tradespersons at peak construction. The complete work will include: site
construction, concrete, excavation work, pile foundation installation, structural steel and
miscellaneous metal work, track work, electrical, masonry, mechanical/plumbing, rebar installation,
caissons, cranes and lifts use and installation and painting.
IV. Goals, Strategies, Measures
The partnership’s goal is to reduce injuries and illnesses and fatalities through a cooperative
relationship between Slattery Skanska and OSHA. This goal will be accomplished by implementing and
following the plan outlined below and evaluating these actions as indicated:
- Develop, implement and maintain effective and comprehensive safety and health programs in
accordance with OSHA’s 1989 Safety and Health Program Management Guidelines or its equivalent.
Slattery Skanska agrees to complete a self-audit and an evaluation of subcontractors’ safety and
health programs using Appendix B (or equivalent) at the outset of the partnership.
OSHA will evaluate Slattery Skanska’s safety and health programs prior to and during the OSHA
verification inspection using Appendix B (or equivalent) and will observe whether the safety and
health management systems in place are adequately protecting employees.
- Achieve participant recordable illness and injury rates below the national average for the
construction industry. A partnership goal is to keep the DART rate (cases with days away from work,
job-transfer, or restriction) below the national average for the most recent year published for
NAICS 236220 (SIC 1542), which was 3.0 for the year 2004. The partnership goal is to further reduce
this level of recordable injuries annually by at least 4% for the duration of the partnership.
Identify and correct primary causal factors in worker injuries and illnesses.
Establish systems to identify and correct accidents and nears misses.
OSHA will meet at least quarterly with Slattery Skanska to examine the injury and illness experience
of the partnership’s participants and to make corrections and adjustments as needed.
DART rates and injury and illness experience will be evaluated through review of the OSHA 300 log
and any other relevant accident reports.
V. Statement of Agreement
OSHA agrees to:
- Help identify programmatic needs at this site by reviewing the documented safety and health
management system and providing practical guidance for implementation. The review will be performed
by the project Safety and Health Manager and a Compliance Assistance Specialist.
- Help identify, through the review of OSHA 300 logs, accident or near miss reports, primary causal
factors in injuries and illnesses, in particular the four top hazards at this site, and recommend
the appropriate corrective actions.
- Provide information on training resources including available OSHA Training Institute courses and
information on other available sources of training.
- Assist partners in assessing OSHA interpretations and clarifications as to the meaning and
application of OSHA standards and policy.
- Participate in training sessions and meetings as resources permit.
- Designate an experienced safety and health specialist (Allentown Area Office CAS and/or Asst.
Area Director Rapid Response Team Leader) to serve as a resource and liaison person for the
partnership.
- Meet with Slattery Skanska quarterly to review partnership issues and to examine updated DART
rates and the focused four injury and illness experiences of Slattery Skanska and its contractors at
this site. OSHA shall provide feedback on any noted incident trends and patterns.
Additionally,
- PA OSHA Consultation will strive to ensure that subcontractors who request services from the OSHA
funded free consultation program through Slattery Skanska will receive priority service. This
service is part of the OSHA’s PA Consultation Program which can be reached at 1-800-382-1241.
Slattery Skanska agrees to:
- Serve as a safety resource in support of all of the project’s contractors and subcontractors.
- Provide notice to all contractors and subcontractors that the Morrisville Train Yard Project #483
is subject to this strategic partnership with OSHA. All employees will be informed of the
partnership and provided a fact sheet during orientation. (Appendix A).
- Administer the overall partnership program including, but not limited to, the initial contact and
evaluation of subcontractor applications to determine whether the subcontractor meets the criteria
specified within this partnership initiative under Section VI, Contractor Eligibility.
- Notify the Allentown OSHA Area Office on a regular and recurring basis of the names of
subcontractors that have met the partnership criteria and the status of those who have not.
- Maintain a dedicated competent Site Safety and Health Coordinator available to assist contractors
and subcontractors with all safety and health issues.
- Act as liaison for contractors with OSHA.
- Offer on-going information on safety or health topics of importance for contractors, especially
on the focused four construction hazards.
- Provide OSHA's interpretations of standards as well as local issues so that contractors may
better understand and properly comply with standards.
- Maintain a site injury and illness log of all injuries and illnesses reported by all contractors
and tier subcontractors.
- Meet with OSHA quarterly to examine the injury and illness experience of the partnership’s
participants and to make corrections and adjustments as needed.
- Manage the following site safety or health issues common to all areas of the site and be
accessible to all contractors and subcontractors to reduce the potential for injury or illness in
accordance with this partnership agreement:
- emergency action plan
- hazard communication plan and inventory of site chemicals reported by contractors and tier
subcontractors
- fall protection plan and perimeter guards
- personal protective equipment, including equipment specified by NFPA 70 E, where applicable
Slattery Skanska and its contractors and subcontractors agree:
- To apply all relevant components of their respective comprehensive safety and health programs to
the Morrisville Train Yard Project. These programs shall include:
- Analysis of all new and acquired work, materials, chemicals, and equipment before construction
activity begins to determine potential hazards and to plan for their prevention or control.
- Routine examination and analysis of hazards associated with individual jobs, processes, or phases
of construction.
- Routine self-inspections and hazard abatement.
- A system for project workers to notify management, without fear of retaliation, about conditions
that appear hazardous.
- A system for investigating accidents and near-misses, including procedures for guidance, reports
of findings, and the tracking of hazard correction to completion.
- A system to analyze trends through a review of site injury and illness data, and the hazards
identified through inspections so that patterns of common causes can be identified and eliminated.
- To comply with all current OSHA standards.
- To implement a 6 foot fall protection policy.
- To have supervisors provide visible leadership in implementing the safety and health program.
This includes:
- Supervisors establishing clear lines of communication with project workers.
- Supervisors setting an example of safe and healthful behavior.
- Creating an environment that allows project workers access to their top management and for
contractor management to have access to the prime contractor’s management, and;
- To report all site injuries and illnesses to Slattery Skanska immediately so that the site injury
and illness log may be accurately maintained.
- To report all program deficiencies or damage to protective equipment, specifically site fall
protection, immediately upon discovery and to take appropriate interim protective measures for
protection of their employees
- Contractors and subcontractors will submit to Slattery Skanska, at least quarterly, records of
their site recordable injury and illness rates, days away from work rates, restricted workdays, and
the contractor’s OSHA history.
- All contractors and subcontractors must have a person on site that is responsible for, possesses
the authority over, and is capable of effectively implementing the overall site safety and health
program.
- All contractors and subcontractors must complete a successful assessment of their site safety and
health program. This assessment shall consider:
- the comprehensiveness of the program
- the degree to which it has been implemented
- the presence of competent persons as required by relevant standards
- the means by which the program is enforced
- Verify that a comprehensive written safety and health program exists or that it will be
implemented prior to starting work, which is at least equivalent to the criteria referenced herein,
including the contractor’s or subcontractor’s implementation of policies and procedures to ensure
that safety rules and procedures are enforced at the site.
- Certify that their policy and procedures hold supervisors and workers accountable for following
established safety and health rules and OSHA regulations.
- Ensure that employee training covers applicable site hazards and the means to correct them, as
well as pertinent standards and regulations. Provide appropriate safety information and training to
non-English speaking employees in their native language.
- Strive to ensure that within one year after obtaining acceptance into this partnership program
that a designated safety representative or other person serving in the capacity as a competent
person on the project will have completed the OSHA 10-hour course for the construction industry (or
its equivalent).
- Provide safety related data or statistics, as requested, concerning such issues as man-hours
worked, lost work day injuries, accident records and OSHA inspection results. Slattery Skanska will
provide a summary of and analysis of pertinent safety and health related information for review by
OSHA. The purpose of such summary information will assist in preparing an annual report necessary
for the evaluating the merits of the program and making recommendations for continuous improvement.
- Emergency response procedures will be written and communicated to Morrisville Train Yard Project
workers. The procedures will list emergency telephone numbers, emergency routes, emergency exits,
staging areas, requirements for personal protective equipment, and training and evacuation drills.
PA OSHA Consultation agrees to:
- Meet with Slattery Skanska quarterly, as resources permit, to review partnership issues and to
examine updated DART rates and the focused four injury and illness experiences of Slattery Skanska
and its contractors at this site. PA OSHA Consultation shall provide feedback on any noted incident
trends and patterns.
- PA OSHA Consultation will strive to ensure that subcontractors who request services from the OSHA
funded free consultation program through their prime contractor, Slattery Skanska will receive
priority service. This service is part of the PA OSHA Consultation program which can be reached at
1-800-382-1241.
VI. Contractor Eligibility
Subcontractors wishing to take advantage of this opportunity to partner with OSHA must:
- Sign a letter of agreement with Slattery Skanska indicating their intent to participate in this
partnership initiative and to take steps to adopt into their safety program all of the provisions of
the partnership agreement. Appendix C.
- Verify that a comprehensive written safety and health program exists or will be implemented
within 30 days of signing which is based on the OSHA 1989 Safety and Health Program Management
Guidelines (or their equivalent), and has site specific safety plans for all of the contractor’s
work sites.
- Certify that their policy and procedures hold supervisors and workers accountable for established
safety rules and OSHA regulations.
- Provide the level of training required by OSHA regulations to their workers either through their
own training personnel or other consultants or trainers.
- Strive to ensure that as soon as possible, but not longer than one year after obtaining
acceptance into this partnership program, all supervisory personnel or other personnel serving in
the capacity of competent person will have completed the OSHA 10-hour course for the construction
industry (or its equivalent). Records of training certification will be provided to Slattery Skanska
and made available for review.
- Provide periodic safety-related statistics (man hours worked, lost workday injuries, accident
records and OSHA inspection results). Slattery Skanska is to provide a summary and analysis for
review by OSHA to track the progress of the partnership in meeting its goals to reduce injury and
illness rates and to prepare an annual report to evaluate the merits of the partnership.
VII. On-Site Verification Inspection and Benefits
- Verification
In order to assist in measuring the success of this partnership, a verification inspection
consisting of a review of the written program elements outlined herein by a Compliance Assistance
Specialist and a focused inspection of site construction hazards by a Compliance Safety and Health
Officer will be conducted after the signing of this agreement, and annually thereafter. The timing
of the inspection will be intended to evaluate employee exposure to the four focused hazards: falls,
struck-by, caught-in, and electrocution. After the initial verification inspection, annual
inspections will focus on the most serious hazards that have been previously identified pursuant to
the procedure herein.
The top causes of injuries and illnesses will be determined by all parties prior to and during the
initial OSHA verification inspection, and may be adjusted based on experience. Additionally,
corrections will be identified by all parties and implemented by Slattery Skanska. Injury and
illness incidence in targeted areas will be evaluated through the OSHA 300 log and any other
relevant accident reports.
OSHA will meet with Slattery Skanska quarterly to review partnership issues and to examine updated
DART rates and the injury and illness experience of Slattery Skanska Inc and its contractors at this
site. OSHA shall provide feedback on any noted incident trends and patterns.
- Benefits
OSHA will not issue penalties to participating contractors for other-than-serious violations,
provided the violations are immediately abated. OSHA reserves the right to issue penalties for
regulatory violations for which mandatory penalties are established pursuant to the policy set forth
in the Field Inspection Reference Manual (FIRM).
When calculating initial penalty reductions, OSHA may provide an additional 10% penalty reduction
for good faith to participating contractors provided they have taken steps to adopt into their
safety program all of the provisions of the partnership agreement. This additional reduction will
not apply to high gravity serious, willful, failure to abate or repeat citations. In cases where a
contractor’s total penalty reduction is 100 percent or more, the minimum penalty provisions of
OSHA’s FIRM will apply.
VIII. OSHA Inspections
- Complaint Investigations
This partnership provides for the immediate response to each allegation of a safety or health hazard
brought to its attention by any person. Upon a finding that an allegation is valid, the employer
shall promptly abate the hazard. OSHA agrees that a copy of each non-formal complaint related to the
work at the site and filed with OSHA will be forwarded by fax or mail to the Slattery Skanska site
office. In accordance with applicable law, the identity of a complainant requesting confidentiality
will not be revealed. Slattery Skanska agrees to investigate these complaints, regardless of the
employer involved and provide OSHA with a written response as follows:
- non-formal complaints/referrals alleging a hazard: 24 hours
Failure to meet this time frame, or providing a response determined by OSHA to be inadequate, will
place the complaint/referral outside the scope of this partnership and OSHA will respond as it would
to any complaint of a similar nature.
- Other Investigations
OSHA personnel will continue to conduct investigations under local and national emphasis programs,
workplace complaints, referrals, fatalities, catastrophes, other accidents or significant events,
and will investigate contractors whose employees are exposed to or are creating plain view hazards
at partnering worksites. 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.
IX. Employee Rights
This Partnership does not preclude employees and/or employers from exercising any right provided
under the OSH Act (or, for federal employees, 29 CFR 1960), nor does it abrogate any responsibility
to comply with rules and regulations adopted pursuant to the OSH Act.
X. Leveraging
This partnership seeks to leverage the resources of both Slattery Skanska and OSHA by encouraging
contractors to develop safety and health programs, implement them in an effective manner, complete
self inspections, and evaluate worksite conditions and near misses to prevent accidents. By
combining resources, Slattery Skanska and OSHA expect to have a greater and more positive impact on
safe working conditions at this site than could be achieved otherwise.
XI. Evaluation
A joint evaluation of the partnership will be prepared annually by the partners using Appendix D.
The evaluation will review the success of the partnership, lessons learned, and changes that will be
made to meet the goals of the partnership.
XII. Termination
This agreement will terminate two years from the date of the signing or upon completion of the
Morrisville Train Yard Project #483. If either OSHA or Slattery Skanska wishes to withdraw its
participation prior to the established termination date, the agreement will terminate upon receiving
a written notice of the intent to withdraw from either signatory.
OSHA will terminate the partnership if the participating employer is issued a citation related to
workplace hazards which resulted in a fatality.
XIII. OSHA Primary Contact
Scott G. Shimandle, Compliance Assistance Specialist, Allentown OSHA Area Office
Signature Page Morrisville Train Yard Project #483
Strategic Partnership Agreement between OSHA and Slattery Skanska Inc.
| All undersigned Parties mutually agree to the terms and conditions of this
document and commencement of this Partnership Agreement. |
Jean Kulp
Area Director
USDOL/OSHA
Allentown Area Office |
Salvatore Taddeo
Project Executive
Slattery Skanska, Inc. |
Date: _______________________________ |
Date: _______________________________ |
John Engler
Project Director
Pennsylvania OSHA Consultation Program |
Ronald Bryant
Project Manager
S.M. Electric |
Date: _______________________________ |
Date: _______________________________ |
| |
Bernard Griggs
Business Representative
Philadelphia Building Trades Council |
| |
Date: _______________________________ |
APPENDIX A
Slattery Skanska Morrisville Train Yard Project #483 Partnership Fact Sheet |
A strategic partnership agreement has been developed jointly by the United States Department of
Labor, Occupational Safety and Health Administration Allentown Area Office (“OSHA”), and Slattery
Skanska Inc. (“Slattery Skanska”). The common objective and goal of the program is to develop a
contractor/government partnership that encourages all construction contractors to improve their
safety and health performance, assist them in doing that, strive for the elimination of serious
accidents in the construction industry, and to recognize those contractors with exemplary safety and
health programs. The specific impetus behind the agreement is to provide a safe and healthful work
environment for workers engaged in construction activities for the project.
Expected outcomes of this partnership include: developing criteria for a model multi-employer
worksite safety and health program which specifically identifies the responsibilities of each
subcontractor; making safety and health materials available to all subcontractors onsite; planning
for safety and health in all aspects of the project; providing visible safety and health leadership;
achieving participant recordable illness and injury rates below the national average for the
construction industry; and focusing OSHA enforcement activity on those contractors and
subcontractors who have little or no regard for the safety and health of their workers.
The agreement provides incentives to contractors and subcontractors who voluntarily improve their
safety and health performance. Incentives will include special recognition from OSHA and focused
enforcement efforts by OSHA and consideration for additional good faith penalty reductions.
This agreement is consistent with OSHA’s long-range effort to develop a contractor/government
partnership approach to safety management. It allows for better use of OSHA resources and for
innovation in safety management, and it encourages more participation in the safety process by each
stakeholder.
Jean Kulp
Area Director
Allentown Area Office |
President
Slattery Skanska, Inc. |
John M. Engler, Project Manager
PA OSHA Consultation Program |
|
Appendix B
Safety and Health Program Evaluation |
- Contractor has implemented a comprehensive written safety and health program based on ANSI
A10.38-1991 or the OSHA 1989 Safety and Health Program Management Guidelines, and has site specific
safety plans for all of the contractor’s work sites.
- Contractor maintains a copy of its specialty contractor’s safety and health plan, hazard
communication plan, and fall protection plan (where applicable) or contractor requires specialty
contractor to follow participant’s plan.
- Contractor has designated safety personnel at each site who conduct documented safety inspections
of all work on the contractor’s projects, and through training and experience, can recognize hazards
and have authority to take prompt corrective action. Training equivalent to the OSHA 10-Hour
Construction Outreach Course is satisfactory.
- Contractor has trained all field supervisory personnel and has provided additional training for
competent persons in such areas as scaffolding, excavation, fall protection, crane operations, etc.
(This additional training will be dictated by the type and scope of the work the contractor
routinely conducts).
- Contractor provides a safety and health program orientation for all new employees and trains
employees for hazard recognition specific to the contractor’s work sites.
- Contractor has evidence of employee involvement including, but not limited to, participation in
self-audits, site inspections, job hazard analyses, safety and health program reviews, safety
training and mishap investigations.
- Contractor conducts and documents weekly employee safety meetings.
- Contractor conducts and documents self-audits.
- Contractor uses a six-foot fall protection policy.
- Contractor has a written enforcement program.
Appendix C
LETTER OF INTENT TO PARTICIPATE
MORRISVILLE TRAIN YARK PROJECT #483
SAFETY PARTNERSHIP |
Name of Subcontractor: __________________________________________________________
Subcontractor Site Representative:____________________________________________________
Anticipated Number of Workers:___________________________________________________
We have read the requirements to participate in the Morrisville Train Yard Project #483 Safety
Partnership and agree with all aspects of the program, including the submission of the required
information. Specifically, we recognize the need to meet the following requirements:
- Establishment of a written safety and health program including the following elements: management
leadership, worker involvement, worksite analysis, hazard prevention and control, and safety and
health training.
- Compliance with all current OSHA standards.
- Provision of visible leadership by supervisors in implementing the safety and health program
including, but not limited to, having a representative complete the OSHA 10 hour construction
training program.
- Planning for safety and health as part of the overall management planning process, including
appropriate job hazard analyses.
- Establishment and communication of all safety and health program responsibilities to all project
workers.
- Evaluation of safety and health programs at least annually.
- Reporting all site injuries and illnesses so that a site log may be maintained.
- Reporting all deficiencies or damage to site wide programs or protective measures, specifically
site fall protection, immediately upon discovery and taking appropriate interim protective measures
for protection of their employees.
We understand the agreement provides incentives to participating subcontractors who undertake these
actions to voluntarily improve their safety and health performance. Incentives will include special
recognition from OSHA, focused enforcement efforts by OSHA and consideration for additional good
faith penalty reductions.
Based upon the mutual interest to protect construction workers in the Morrisville Train Yard Project
#483 Project, we agree to the terms of the OSHA Partnering Agreement.
Signed this ___ day of
_______________________________
_______________________________
Appendix D
OSHA Strategic Partnership Program
Annual Partnership Evaluation Report
Cover Sheet |
| Goals of Partnership |
| Goal |
Strategy |
Measure |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| Strategic Management Plan Target
Areas (check one) |
| |
Construction |
|
Manufacturing Amputations |
| |
Non-Construction |
|
|
| Strategic Management Plan Areas of
Emphasis (check all applicable) |
| |
Amputations in Construction |
|
Oil and Gas Field Services |
| |
Blast Furnaces and Basic Steel Products |
|
Preserve Fruits and Vegetables |
| |
Blood Lead Levels |
|
Public Warehousing and Storage |
| |
Concrete, Gypsum and Plaster Products |
|
Ship/Boat Building and Repair |
| |
Ergo/Musculoskeletal |
|
Silica-Related Disease |
| |
Landscaping/Horticultural Services |
|
|
|
Section 1 General Partnership Information |
| Date of Evaluation Report |
|
| Evaluation Period |
| Start Date |
|
End Date |
|
| Evaluation Contact Person |
|
| Originating Office |
|
| Partnership Coverage |
| # Active Employers |
|
# Active Employees |
|
| Industry Coverage (note range or
specific SIC and NAICS for each partner) |
| Partner |
SIC |
NAICS |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
|
Section 2 Activities Performed |
| Note whether an activity was
required by the OSP and whether it was performed |
| |
Required |
Performed |
| a. Training |
|
|
| b. Consultation Visits |
|
|
| c. Safety and Health Management Systems
Reviewed/Developed |
|
|
| d. Technical Assistance |
|
|
| e. VPP-Focused Activities |
|
|
| f. OSHA Enforcement Inspections |
|
|
| g. Offsite Verifications |
|
|
| h. Onsite Non-Enforcement Interactions |
|
|
| i. Participant Self-Inspections |
|
|
| j. Other Activities |
|
|
| 2a. Training (if performed,
provide the following totals) |
| Training sessions conducted by OSHA staff |
|
| Training sessions conducted by non-OSHA staff |
|
| Employees trained |
|
| Training hours provided to employees |
|
| Supervisors/managers trained |
|
| Training hours provided to supervisors/managers |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2b. Consultation Visits (if
performed, provide the following total) |
| Consultation visits to partner sites |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2c. Safety and Health Management
Systems (if performed, provide the following total) |
| Number of systems implemented or improved using the 1989
Guidelines as a model |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2d. Technical Assistance (if
performed, note type and by whom) |
| |
Provided by OSHA Staff |
Provided by Partners |
Provided by Other Party |
| Conference/Seminar Participation |
|
|
|
| Interpretation/Explanation of Standards or OSHA Policy |
|
|
|
| Abatement Assistance |
|
|
|
| Speeches |
|
|
|
| Other (please specify) |
|
|
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2e. VPP-Focused Activities (if
performed, provide the following totals) |
| Partners/participants actively seeking VPP participation |
|
| Applications submitted |
|
| VPP participants |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2f. OSHA Enforcement Activity (if
performed, provide the following totals for any programmed, unprogrammed, and verification-related
inspections) |
| OSHA enforcement inspections conducted |
|
| OSHA enforcement inspections in compliance |
|
| OSHA enforcement inspections with violations cited |
|
| Average number of citations classified as Serious, Repeat, and
Willful |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2g. Offsite Verification (if
performed provide the following total) |
| Offsite verifications performed |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2h. Onsite Non-Enforcement
Verification (if performed provide the following total) |
| Onsite non-enforcement verifications performed |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2i. Participant Self-Inspections
(if performed provide the following totals) |
| Self-inspections performed |
|
| Hazards and/or violations identified and corrected/abated |
|
| Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
| 2j. Other Activities (briefly describe other
activities performed) |
|
|
Section 3 Illness and Injury Information* |
| Year |
Hours |
Total Cases |
TCIR |
# of Days Away from Work Restricted and
Transferred Activity Cases |
DART |
| 2006 |
|
|
|
|
|
| 2007 |
|
|
|
|
|
| 2008 |
|
|
|
|
|
| Total |
|
|
|
|
|
| Three-Year Rate (2006-2008) |
|
|
|
|
BLS National Average for 2004 |
|
|
|
| Baseline |
|
|
|
|
|
*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 |
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| Employee Involvement |
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| OSHA Enforcement Inspections |
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| Partnership Outreach |
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| Training |
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| Other (specify) |
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| Comments |
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| Plans to Improve
(check all applicable) |
| |
Improvements |
N/A |
| Meet more often |
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| Improve data collection |
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| Conduct more training |
|
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| Change goals |
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| Comments |
|
| Partnership Benefits (check all
applicable) |
| Increased safety and health awareness |
|
| Improved relationship with OSHA |
|
| Improved relationship with employers |
|
| Improved relationship with employees or unions |
|
| Increased number of participants |
|
| Other (specify) |
|
| Comments |
|
| Status Recommendation |
| Partnership Completed |
|
| Continue/Renew |
|
| Continue with the following provisions: |
|
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| Terminate (provide explanation) |
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|
Printing
Instructions
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