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OSHA Strategic Partnerships Program > Region 4 > #390 Partnership Agreement

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Atlanta Electrical Contractors Association
Atlanta Electrical Joint Apprenticeship Training Committee International Brotherhood of Electrical Workers Georgia Tech Research Institute
Occupational Safety and Health Administration

STRATEGIC PARTNERSHIP
Between
THE OCCUPATIONAL SAFETY and HEALTH ADMINISTRATION (OSHA)
And
ATLANTA ELECTRICAL CONTRACTORS ASSOCIATION,
INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS,
ATLANTA ELECTRICAL JOINT APPRENTICESHIP TRAINING COMMITTEE
AND THE GEORGIA TECH RESEARCH INSTITUTE

Partnership Background

The Occupational Safety and Health Administration (OSHA), as well as the Atlanta Electrical Contractors Association (AECA) as division of the National Electrical Contractors Association (NECA), the International Brotherhood of Electrical Workers (IBEW Local 613), the Atlanta Electrical Joint Apprenticeship Training Committee (AEJATC) and the Georgia Tech Research Institute (GTRI) recognize the important of preventing the four hazards (falls, electrical, caught in/between and struck-by hazards), which account for the majority of fatalities and injuries in the construction industry. Therefore, these groups have joined OSHA in a partnership that will focus on improving the safety and health performance and strive to eliminate electrical hazards in the targeted area.

The specific goals of this agreement include decreasing the injury/illness rates of the total partnership by 3% per annum; establishing an industry standard checklist for use during work on energized circuits; increasing the implementation of comprehensive safety programs; decreasing worker’s compensation costs for participates; and increasing the level of safety training and its availability for workers.

Identification of Partners

This strategic partnership will heighten the visibility of OSHA at IBEW/AECA/AEJATC projects, as well as continue to nurture a cooperative relationship. The partners in this program include:
  • The Occupational Safety and Health Administration (OSHA);
  • International Brotherhood of Electrical Workers (IBEW);
  • Atlanta Electrical Contractors Association (AECA);
  • Atlanta Electrical Joint Apprenticeship Training Committee (AEJATC);
  • Georgia Tech Research Institute (GTRI)
Goals and Measures

Through this agreement OSHA/ IBEW/AECA/AEJATC/GTRI will attempt to achieve several safety and health related goals, which are listed below:
  • Decrease of 3% per annum as a total membership to the participating employers injury/illness rates for the term of the partnership
  • Reduce workers compensation costs as a gross amount for the total membership of participating employers by 3% per annum.
  • Implementation of a standard industry checklist designed to exceed OSHA requirements that will be required to be used when working energized circuits. This policy will be based on the most recent National Fire Protection Association® (NFPA®) 70e Standard for Electrical Safety Requirements for Employee Workplaces.
  • Increase the development and implementation of effective comprehensive safety and health programs among participating worksites based on ANSI A-10 or OSHA 1989 Safety & Health Guidelines.
  • Increased accessibility to quality safety training and education by the AEJATC and the employer, thereby raising safety awareness of both employees and the employer. Ensure that 100% of Apprentice, Journeymen and Intermediate Journeymen are trained in the OSHA 10-Hour Outreach Program.
Partnership Implementation

The OSHA/ IBEW/AECA/AEJATC/GTRI Partnership Steering Committee (referred to hereafter as the Steering Committee) is the governing body and will administer the overall Partnership, including but not limited to the initial evaluation conducted to determine the contractor’s eligibility for participation in the partnership. The Steering Committee will consist of two representatives from each partner, with the exception of GTRI which will provide one member. Steering Committee will consider all pertinent company information during the application process. This information may include the attached appendices as well as the other items addressed in the Qualification Guidelines (i.e., written and implemented safety and health program, training commitments, OSHA citation history, fatalities, injury/illness experience and similar factors). Any and all information garnered by the steering committee will be held with the greatest confidentiality.

The Steering Committee will meet quarterly or more often and be responsible for collecting data from applicants applying for all levels of membership in the partnership at all levels including:
  • Total Case Incidence Rate per 100 full-time employees
     
    (TCIR) = # IR Cases X 200 000
    Hours Worked
  • Days Away, Restricted, and/or Transfer Case Incidence Rate per 100 full-time employees
     
    (DART) = # IR Cases X 200 000
    Hours Worked
  • Total Lost Days Away from Work (# 7day /week- max.180 / incident)
     
    (LWD) =  # Lost Work Days
  • This data should be at least 10 percent below the BLS national average for the electrical industry NAICS* code. (BLS 2002: CIR 6.4/ DART 3.1/ LWD 2.4)
    *North American Industry Classification System (NAICS) = 238210 (Formally SIC 1731)

  • Both DART and TCIR should display a continual 3% annual Reduction of Injuries, Illnesses and Fatalities.

  • The company will submit statistics and OSHA 300 logs for the past three years, and will be evaluated on a three-year average.

  • If an employer applying for membership fulfills all other requirements, but does not have a qualifying TCIR and DART rates and/or the 3% continual reduction, it may appeal for inclusion in the partnership. The steering committee will review these appeals on a case-by-case basis, and may allow the company to participate if the employer can demonstrate an effective plan to achieve this requirement.

  • A second committee within the partnership will be formed consisting of the safety professionals / specialists employed by the members. This Partnership Safety Resource Panel (referred to hereafter as the Safety Resource Panel) will meet monthly to resolve issues and concerns, such as cases where the guidelines of the partnership may be perceived as unworkable. The next levels of guidance or assistance should come from within the partnership by referral to the AEJATC and GTRI. If they are unable to assist the OSHA Compliance Assistant Specialist will be consulted for advice.
There are three levels of participation (Candidate, Associate Member & Full Member) within the partnership based on the potential member’s eligibility. Employers interested in participating in this partnership must also comply with the following eligibility requirements:

Candidate for Membership
  • Those companies that recognize the value of an effective safety and health management system, but are not quite ready to be a Member.
  • Candidate Members must submit an application and be willing to submit documents to the steering committee for review by OSHA (such as the OSHA 300 Logs and the company’s safety program).
  • Candidate Members must implement and control the OSHA focused areas of fall protection, electrical hazards, caught between and struck by. This must include implementation of a 100 percent fall protection policy, either conventional or a system, when working at heights above six feet regardless of the operation. In cases where these rules may be perceived as unworkable, the employer will initially contact the *Partnership Safety Resource Panel (referred to hereafter as the Safety Resource Panel), and then if they are unable to assist the OSHA Compliance Assistant Specialist will be consulted for abatement advice.
  • The employer’s corporate OSHA history cannot include willful and repeat violations, or serious violations directly related to the cause of a fatality or catastrophe, in the last three years.
  • All new field employees must receive site-specific training, in a language that they understand, before beginning work, in addition to a new hire safety orientation within the first week of hire. Topics for the orientation must include the OSHA focused areas of fall protection, electrical hazards, caught between and struck by, plus personal protective equipment.
  • Within 12 months, all field employees must attend an OSHA 10-Hour Training Course. Field employees must receive refresher training in the 10-Hour Course every three years.
  • Within 12 months, all field supervisors must attend an OSHA 30-Hour Training Course. Field supervisors must receive refresher training in the 30-Hour Course every three years. Note: The Field Supervisor is defined as the highest level of field personnel responsible on multi crew projects, performing activities to direct/control work.
  • Must show evidence in writing that employees and supervisors are held accountable for safety.
  • Allow OSHA access to the site for inspection, if the employer has the authority to allow an inspection of the site. OSHA will follow the guidelines for inspections as outlined in the Field Inspection Reference Manual (FIRM).
  • Must be a member of good standing of the National Electrical Contractors Association.
  • Partnerships at this level are subject to traditional OSHA compliance inspections.
  • To join all employers must participate in at least one random on-site audit per annum conducted by the Georgia Tech. Research Institute or other pre approved acceptable independent 3rd party. The audit must include an action plan to prevent future hazards, as well as feasible methods to abate identified hazards.
Associate Member
  • Members that have developed a basic safety and health management system and are committed to a path of continuous improvement by networking and utilization of the partnership resources.
  • Members must submit an application and be willing to submit documents to the steering committee for review by OSHA (such as the OSHA 300 Logs and a copy of the company’s safety program).
  • Members must implement and control the OSHA focused areas of fall protection, electrical hazards, caught between and struck by. This must include implementation of a 100 percent fall protection policy, either conventional or a system, when working at heights above six feet regardless of the operation. In cases where these rules may be perceived as unworkable, the employer will initially contact the Partnership Safety Resource Panel (referred to hereafter as the Safety Resource Panel), and then if they are unable to assist the OSHA Compliance Assistant Specialist will be consulted for abatement advice.
  • The employer’s corporate OSHA history cannot include willful and repeat violations, or serious violations directly related to the cause of a fatality or catastrophe, in the last three years.
  • All new field employees must receive site-specific training, in a language that they understand, before beginning work, in addition to a new hire safety orientation within the first week of hire. Topics for the orientation must include the OSHA focused areas of fall protection, electrical hazards, caught between and struck by, plus personal protective equipment.
  • Within 12 months, all field employees must attend an OSHA 10-Hour Training Course. Field employees must receive refresher training in the 10-Hour Course every three years.
  • Within 12 months, all field supervisors must attend an OSHA 30-Hour Training Course. Field supervisors must receive refresher training in the 30-Hour Course every three years. Note: The Field Supervisor is defined as the highest level of field personnel responsible on multi crew projects, performing activities to direct/control work.
  • Must show evidence in writing that both employees and supervisors are held accountable for safety.
  • Allow OSHA access to the site for inspection, if the employer has the authority to allow an inspection of the site. OSHA will follow the guidelines for inspections as outlined in the Field Inspection Reference Manual (FIRM).
  • Must be a member of good standing with the National Electrical Contractors Association.
  • Partnerships at this level are subject to traditional OSHA compliance inspections.
  • To join all employers must participate in at least one random on-site audit per annum conducted by the Georgia Tech. Research Institute or other pre approved acceptable independent 3rd party. The audit must include an action plan to prevent future hazards, as well as feasible methods to abate identified hazards.
Full Member
  • Members have implemented an effective safety and health program, as demonstrated by management commitment and full employee involvement.
  • Members must submit an application and be willing to submit documents to the steering committee for review by OSHA (such as the OSHA 300 Logs and the company’s safety program).
  • Members must implement and control the OSHA focused areas of fall protection, electrical hazards, caught between and struck by. This must include implementation of a 100 percent fall protection policy, either conventional or a system, when working at heights above six feet regardless of the operation.
  • The employer’s corporate OSHA history cannot include willful and repeat violations, nor serious violations directly related to the cause of a fatality or catastrophe, in the last three years
  • All new field employees must receive site-specific training, in a language that they understand, before beginning work, in addition to a new hire safety orientation within the first week of hire. Topics for the orientation must include the OSHA focused areas of fall protection, electrical hazards, caught between and struck by, plus personal protective equipment.
  • Within 12 months, all field employees must have OSHA 10-Hour Training Course. Field employees must receive refresher training in the 10-Hour Course every three years.
  • Within 12 months, all field supervisors must attend an OSHA 30-Hour Training Course. Field supervisors must receive refresher training in the 30-Hour Course every three years. Note: The Field Supervisor is defined as the highest level of field personnel responsible on multi crew projects, performing activities to direct/control work.
  • The employer must have any effective written system that holds both employees and supervisors accountable for safety.
  • Allow OSHA access to the site for inspection, if the employer has the authority to allow an inspection of the site. OSHA will follow the guidelines for inspections as outlined in the Field Inspection Reference Manual (FIRM).
  • Must be a member of good standing with the National Electrical Contractors Association.
  • To join all employers must participate in at least one random on-site audit per annum conducted by the Georgia Tech. Research Institute or other pre approved acceptable independent 3rd party. The audit must include an action plan to prevent future hazards, as well as feasible methods to abate identified hazards.
  • To remain in the partnership all Full Members will be subject to an on-site verification inspection conducted by OSHA. Once the employer has received a successful on-site verification inspection the company will obtain a 12-month deferral from programmed OSHA inspections. (Only the specific Full Member will receive the 12-month deferral from programmed OSHA inspections.)
Note: * The safety resource panel will consist of the full-time safety representatives from the contractors, as well as one representative form GTRI and AEJATC. There is not an OSHA representative on the safety resource panel to minimize the impact on agency resources.

Safety and Health Program

All applicants will be required to have implemented an effective written safety and health program, which includes full employee involvement and is, based ANSI A-10 or OSHA’s 1989 Safety and Health Guidelines.

Additionally, all work on energized circuits will be performed under an industry standard permit policy to be developed and built in accordance with the current National Fire Protection Association publication 70E. An example of this program is attached to the agreement as Appendix A.

Employee Involvement and Employee Right

Employee participation is an integral part of an effective safety and health program and their ability to fully exercise their rights under the OSH Act shall not be infringed by the implementation of this agreement.

Routine employee involvement in the day-to-day implementation of the worksite safety and health program is expected to be assured, including employee participation in employer self-audits, site inspections, job hazard analysis, safety and health program reviews and near miss investigations.

Incentives and Benefits

Upon acceptance into the partnership, all participating levels of membership will receive the following incentives and benefits for participation in the program:

Candidate for Membership
  • Compliance assistance such as appropriate safety and health training
  • Improved safety and health programs combined with networking and resource assistance
  • Quarterly meetings with the Steering Committee
  • Meeting with OSHA Area Director to discuss the role of participating employers in the partnership
  • The steering committee will be informed by OSHA of all implemented Local Emphasis Programs (LEP) and National Emphasis Programs (NEP) and this information will be shared with all participating employers.
Associate Member (Candidate Membership benefits as well as):
  • Participants will be strongly considered for maximum allowable penalty reductions for violations abated in a timely manner, as prescribed by OSHA’s Field Inspection Manual (FIRM)
Full Member (Associate Member benefits as well as):
  • Focused OSHA compliance inspections, which can be expanded if conditions dictate
  • Once an Associate Member level employer has received a successful on-site verification inspection from OSHA the company will be raised to Full Member status and obtain a 12-month deferral from future programmed OSHA inspections.
(NOTE: Only the specific Full Member level employer will receive the 12-month deferral from programmed OSHA inspections.)

Verification and OSHA Inspections


OSHA inspection of work sites participating in the partnership will proceed in accordance with the procedures outlined below:

To join all participating employers must participate in a detailed initial program assessment consisting of a review of the written program elements outlined herein, as well as a random on-site audit per annum conducted by the Georgia Tech. Research Institute. The audit must include an action plan to abate identified hazards and prevent future hazards.

To attain Full Member status, employers must be subject to an on-site verification inspection conducted by OSHA. These verification inspections will be conducted by a Compliance Safety and Health Officer (CSHO) and will focus on falls, struck-by, caught-in, and electrocution, as well as the most serious hazards which have been previously identified pursuant to the procedure herein. No penalties will be assessed for non-serious violations provided that they are immediately abated. Prompt abatement of other violations will lead to a consideration of the maximum good faith reduction. If OSHA determines that any site does not meet the requirements set forth in this partnership agreement, the OSHA inspection may precede in accordance with the traditional OSHA protocol for comprehensive inspections.

Once a Full Member employer has received a successful on-site verification inspection the company will obtain a 12-month deferral from programmed OSHA inspections. (Only Full Member level employers that have received the successful on-site verifications inspections will receive 12-month deferral from programmed OSHA inspections.)

When a Full Member’s 12-month deferral expires, the employer will revert back to an Associate Member status until being inspected by OSHA again. After this subsequent successful inspection the employer will retain its Full Member status for 12-month.

As a Full Member unprogrammed inspections will only occur in response to fatalities/catastrophes, acts of imminent danger, referrals or complaints alleging serious violations. OSHA will encourage investigations of complaints alleging other-than-serious conditions using the phone/fax process, which is officially known as the "Expedited Complaint Procedure". Investigations of complaints alleging serious hazards may also be handled by the Expedited Complaint Procedure. When complaints result in site inspections, the OSHA Compliance Officer will only address the complaint items and potential hazards in plain view.

All levels of participating member employers will not be cited for other-than-serious items that are corrected immediately (while the on site inspection is in progress).

Partnership Status Progression

Candidate for membership:

The employer completes the application and submits it to the Steering Committee.
The application is reviewed by the Steering Committee and is then forwarded to GTRI for an independent evaluation.
GTRI reviews the applicant’s written program and conducts a random on-site audit. This audit will result in a recommendation and an action plan to prevent future hazards, as well as feasible methods to abate identified hazards.
The action plan / report of the applicant generated by GTRI and must be shared with the Steering Committee.
The employer will endeavor to meet all recommendations of both the Steering Committee and GTRI.
The employer is now a Candidate for Membership.
The Steering Committee will advise OSHA of this status.
Inspections consisting of 10% of the candidates will be done by OSHA for the purpose of monitoring the partnership program.
The remaining candidates are exempted from programmed OSHA inspections during the candidate status period.
The candidate company will have 12 months or sooner to become a member.
The employer will set on a course of self improvement to meet the qualities of the partnership agreement, and be encouraged to utilize the Safety Resource Panel and the AEJATC to assist their safety system and programs progress to the next level.
If the candidate is not able to become a member within this time frame, the said company will be removed from the partnership program, but may re-apply in 6 months.

Associate Member:

When an employer has completed all the obligations under the partnership agreement the Steering Committee will determine that an Associate Member level has been achieved.
The Steering Committee will advise OSHA of this status.
OSHA will now carryout a verification inspection (similar to a focused inspection)

Full Member:

When OSHA verifies that the an Associate Member has completed the membership requirements and has received an OSHA verification inspection without any serious violations, This Company is deferred from programmed OSHA inspection for next 12-month and the employer will attain Full Member status.
OSHA will advise the Steering Committee of the status and the dates of the deferral period.
When the 12-month deferral period expires OSHA will be advised so that they may re-verify the member’s status. OSHA may at any time seek to program an inspection of the employer or it may decide to utilize any other alternative multi employer site inspection for the next verification inspection, at its discretion. The exemption will be suspended until the employer receives another verification inspection. The employer should remind the OSHA compliance officer of the membership status and the expired period when it become aware of OSHA’s attendance. Assuming another successful verification occurs without any serious violations, OSHA will update its records to display the new deferral period and advise the Steering Committee.

The goal of this partnership is to have all its members obtain Full Member status.

Program Evaluation

This partnership will be evaluated annually by OSHA with the assistance of the steering committee. In addition to the elements required by CSP 03-02-001, Strategic Partnerships for Worker Safety and Health, this evaluation will address the participant’s injury and illness rates, safety and health program implementation, and implementation of NFPA 70e checklist, increase in safety and health training, as well as worker compensation cost.

The steering committee is responsible for data collection for the partnership and will develop a comparison of the participating employers TCIR and DART rates with the latest available data from the BLS for the appropriate NAICS code, and other approved safety metrics.

Leveraging

The steering committee will administer this agreement as outlined herein and will serve as the primary safety resource, supporting the participating employers and employees. The steering committee will consist of two representatives from each partner, with the exception of GTRI which provides one member. The steering committee will provide the following services:
  • Act as a liaison for the IBEW/AECA/AEJATC/GTRI members with OSHA by providing members with assistance addressing technical safety and health concerns and OSHA related issues.
  • In concert with the AEJATC and GRTI, offer ongoing, quality training on topics of importance for members – specifically the OSHA focused areas of fall protection, electrical hazards, caught between and struck by.
  • Provide up-to-date informational materials and brochures to IBEW/AECA/AEJATC Partnership members (from OSHA, GTRI’s Technical On-Site Consultation Service, the Georgia Workers’ Compensation Board and other appropriate organizations).
  • Organize and provide to participating employers OSHA’s interpretations of major standards, as well as local inspection perspectives.
  • Develop and build written safety and health policies and programs for participating employers, including emphasis on employer/employee responsibilities.
  • Notify OSHA on a quarterly basis with the name(s) of contractors that have met the partnership criteria.
  • Conduct annual audits to determine the impact and effectiveness of this partnership with OSHA.
Termination

Any participating employer may withdraw from this Partnership by providing written notification to the steering committee or the other parties. Termination will be effective 30 days after receipt of said notification. The OSHA/ IBEW/AECA/AEJATC/GTRI Partnership Steering Committee and the OSHA Area Director have the discretion to deny employers participation in this partnership, for just cause by providing written notification to the party.

The steering committee and OSHA may terminate an individual employer from the partnership if the employer fails to meet the qualifications or otherwise violates the terms and conditions of this Partnership. Any party may propose modification or amendment to this agreement subject to concurrence by the members of the partnership.

Partnership Agreement

This agreement will terminate on January 13, 2009, which is 4 years from the date of the signing. If any one of the partner signatories of this agreement wishes to terminate their participation prior to the established termination date, written notice of the intent to withdraw must be provided to all other signatories.

Any partner signatory may propose modifications or amendments to this agreement at anytime subject to the unanimous approval of all other parties.

If OSHA chooses to withdraw its participation in the partnership, the entire agreement is terminated.

Signatures

 


 
Gei Thae Breezley
Atlanta-East Area Director
Occupational Safety and Health Administration


 
Date


 
Andre Richards
Area Director Atlanta-West
Occupational Safety and Health Administration


 
Date


 
David M. Sokolow
Executive Vice President
Atlanta Electrical Contractors Association


 
Date


 
Daniel J. Ortiz, CSP
Safety and Health Consultation Program Manager
Associate Division Chief
Safety, Health, and Environmental Technology Division
Georgia Tech Research Institute


 
Date


 
Lonnie Plott
Business Agent,
International Brotherhood of Electrical Workers


 
Date


 
Russell Smith
Training Director,
Atlanta Electrical Joint Apprentice Training Committee


 
Date

Appendix A - An Example Electrical Safety Program based on NFPA 70e:
  1. Typical Electrical Safety Program Principles. Electrical safety program principles are to emphasize working de energized as the method of choice, together with a Lock out Tag out Procedure. When a LOTO procedure is not utilized, it must be questioned, why? Electrical safety program should include, but is not limited to, the following:
    • Inspect/evaluate the electrical equipment
    • Maintain the electrical equipment’s insulation and enclosure integrity
    • Plan every job and document first-time procedure
    • De-energize as the method of choice. (Refer to NFPA 70E 2-1.1.3)
    • Anticipate unexpected events
    • Identify and minimize the hazard
    • Protect the employee from shock, burn, and blast, and other hazards that are due to the working environment
    • Use the right tools for the job & personal protective equipment
    • Assess people’s abilities
    • Audit these principles
  2. Typical Electrical Safety Program Controls. Electrical safety program controls can include, but are not limited to, the following:
    • Every electrical conductor or circuit part is considered energized until proven otherwise.
    • No bare-hand contact is to be made with exposed energized electrical conductors or circuit parts above 50 volts to ground.
    • De-energizing an electrical conductor or circuit part and making it safe to work on is in itself a potentially hazardous task. Employer develops programs, including training, and employees apply them.
    • Use procedures as "tools" to identify the hazards and develop plans to eliminate/control the hazards.
    • Train employees to quality them for working in an environment influenced by the presence of electrical energy.
    • Identify/categorize tasks to be preformed on or near exposed energized electrical conductors and circuit parts.
    • Use a logical approach to determine potential hazard of task.
    • Identify and use precautions appropriate to the working environment.
  3. Typical Electrical Safety Program Procedures. Electrical safety program procedures can include, but are not limited to, the following:
    • Purpose of task
    • Qualifications and number of employees to be involved
    • Hazardous nature and extent of task
    • Limits of approach
    • Safe work practices to be utilized
    • Personal protection equipment involved
    • Insulating materials and tools involved
    • Special precautionary techniques
    • Electrical diagrams
    • Equipment details
    • Sketches/pictures of unique features
    • Reference data
    • Test Equipment
 
Appendix B Atlanta Partnership Candidate for Membership Guidelines

COMPANY NAME: _____________________________________________________________________________________________

ADDRESS : _____________________________________________________________________________________________

_____________________________________________________________________________________________


ALL PARTNERS MUST :

Submit a copy of your written safety and health program?
The program must meet OSHA’s guidelines and their areas of focus currently fall protection,
electrical hazards, caught between and struck by.
It must include a "No Hot / Energized Work" Policy and Checklist following OSHA and NFPA 70E guidelines.
It must have a Management Statement or Policy.
It must hold employees accountable for safety and allow employee input.
It must hold supervisors accountable for safety.
It must state how you enforcement and control this program (it’s everyone’s responsibility)
It must state hazard recognition, abatement and training

 
Will the contractor permit access to job site to OSHA for onsite inspections (for any reason without warrants), and Georgia Tech to conduct an annual site audit, which will submit to the Partnership Committee? _________
   
Has your company been cited by any OSHA office nationwide in the past 3 years for a willful or repeat violation?   If Yes? Give status on a separate sheet. _________
   
Has your company been cited by any OSHA office nationwide in the past 3 years for any violations that resulted from a fatality or catastrophe?   If Yes? Give status on a separate sheet. _________

Report your Illness and Injury (combined) Rate Calculations. Past 3 years. Submit your OSHA 300 logs to the Partnership Committee for annual review on February 1st each calendar year.
 
  Total Case Incidence Rate (TCIR).
Total number of recordable injuries and illness cases per 100 full-time employees =

# IR Cases X 200 000
Hours Worked
     
  Days Away, Restricted, and/or Transfer (DART) Case Incidence Rate.
Number of recordable injuries and illness cases per 100 full-time employees resulting in days away from work, restricted work activity, and/or job transfer =


# IR Cases X 200 000
Hours Worked
     
  Total Lost Work days (LWD) = Total number of days lost with employees away from work. (7day /week- max.180 / incident)
 
  TCIR DART rate Total LW days Fatalities E.M.R. Man Hours
BLS for NAICS            
3 Yr. Average            
2003            
2002            
2001            
* North American Industry Classification System (NAICS) = 238210 (Formally SIC 1731)
 
Does your three year average qualify within the goals of 10% less than TCIR and DART rates of the national average BLS statistics for your NAICS or a continual 3% annual Reduction of Injuries, Illnesses and fatalities? _________

Describe your formal safety orientation for all employees within their first week of hire?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Describe your site-specific training for all new site employees before they begin work.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Explain how your Supervisors are trained in this "No Hot/Energized Work" Policy.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Explain how you train or if you utilize a written "Supervisor Training Program," does it include education on the economic consequences of poor safety and its effects on competitiveness within the construction industry?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Are internal inspections performed by a Safety Professional / Designated Full Time Safety Person? This may include your Insurance Loss Control Representative. Give name and title.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Identify names and titles of Safety Resources or Safety Personnel within your company.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

 
Will you allow one of these Safety Resources listed to participate on the Partnership Resource Panel?
to assist with interpretations for other contractors?
_________
   
Within 12 months of entering this partnership, what percentage of all field supervisors will attend?
The OSHA 30-hour Outreach course? Or equivalent repeated each 3 years.
_________
   
Within 12 months of entering this partnership, what percentage of all field employees will attend?
the OSHA 10-hour Outreach course? Or equivalent repeated each 3 years.
_________

Describe your company’s Substance Abuse Program and the random testing process?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Describe your utilization of safety rewards or incentive programs.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Describe your utilization of any internal safety committee(s) at your company.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Describe your process of documented Weekly / Daily Safety Training Lessons (or Tool Box Lessons)
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Describe how you train and discuss specific Task Hazard Analysis with site crews when dealing with more difficult or dangerous activities such as Confined Spaces, Excavations, Alternative types of Fall Protection, Initial Energization of new or repaired equipment, Working in the proximity of Hazardous Chemicals or Materials.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

 
Is your company in good standing with both AECA and the IBEW? _________

SUBMITTED BY:

 

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  Page last updated: 01/17/2007