Identification of Partners
The United States Department of Labor Occupational Safety and Health
Administration (OSHA) Illinois Area Offices and the Builders Association, Inc.
(formerly the Builders Association of Greater Chicago) mutually recognize the
importance of providing a safe and healthful work environment for employees of
the Nation’s construction workforce. In working together as partners, we are
committed to achieving a reduction of injuries, illnesses and fatalities in the
construction industry through means of open communication, promoting recognition
for construction safety excellence, and sharing knowledge of the best industry
technology, innovations and work practices that improve safety and health
performance.
Purpose/Scope
This partnership represents a voluntary agreement which affords Builders
Association (BA) members with an alternative to traditional OSHA enforcement.
Expected outcomes of this partnership include:
- Reduction of injuries and illnesses in connection with construction
activities in Illinois;
- Expanded contractor awareness of the value of safety and health management
systems;
- Enhanced leveraging of OSHA’s resources;
- Greater compliance with Occupational Safety and Health Standards;
- Increased Occupational Safety and Health training for construction workers;
Goals/Strategies
- Reduce workplace injuries and illnesses by 3 percent annually by developing a
comprehensive safety and health management process approach. This approach
consists of a joint employee and management safety and health committee to
develop and administer the following:
- Principles of Commitment;
- Comprehensive written safety and health program;
- Relevant safety and health training for workers and supervisors;
- Inspections of worksites, documenting hazards and near miss accidents;
- Disciplinary procedure for violation of safety and health rules;
- Reviewing the company program at least annually.
- Promote an exposure and hazard free construction worksite through:
- Conducting frequent and regular inspections and investigations of near miss
accidents;
- Developing and enforcing disciplinary procedures for employees violating
safety rules.
- Increased Occupational Safety and Health training for construction workers:
- Training Workers on relevant safety and health issues in the workplace;
- Participation in Competent Person Training for supervisor and management;
- Regular sponsored “safety talks” on near miss accident and relevant
task/hazard topics.
Performance Measures:
Goal Number 1:
This partnership will attempt to reduce the number of incidents that have
potential to result in worker injury or illness with a goal of zero fatalities
and lost time injuries. In regard to the DART rate, (Incidence rate for
recordable cases involving days away from work, days of restricted work activity
or job transfer) and the TCIR (Total Case Incident Rate), participating
contractors will follow criteria listed below with respect to their Standard
Industrial Classification, (SIC).
Gold Members must exceed the national average by 10 percent.
Sliver Members must exceed the national average by 5 percent.
Bronze Members should not exceed the national average.
Participating Contractors will reduce their incident rates by 3% each year. This
will be done by performing a comparison of the baseline to the annual incident
rate.
Goal Number 2:
Through frequent and regular inspections conducted by a competent person, the
identification and correction of hazards will be tracked on a monthly basis. The
number of near miss accidents will be tracked on a quarterly basis. The tracked
information shall be maintained in a database developed by the Partnership
Committee. A quarterly report will be developed from this database to track
progress.
Goal Number 3:
Within three months of participation in the partnership, contractors must submit
a list of employees who have attended construction safety and health training.
Annually, contractors must submit topics covered under safety talks. This
information will be maintained in the Partnership Committee’s data base.
Annual Evaluation:
Annually each participant will submit to the BA Health and Safety Committee the
following information:
- Documentation of hazards identified and corrected through worksite
inspections;
- Documented near miss accidents;
- Safety and Health training records;
- OSHA form 300A and total man hours worked for the company and those worksites
lasting for longer than one year;
- Best practices or success stories;
- List of topics covered in safety talks and number of employees in attendance.
Periodic Inspections:
Each participating member shall have one of their worksites inspected at least
once per year by an independent third party occupational safety and health firm.
Said firm must have either a Certified Safety Professional or Certified
Industrial Hygienist supervise the inspection1. The results of the inspection
will be factored into the annual evaluation.2 For additional assistance in
performing worksite inspection contractors can request assistance from the
Illinois OnSite Consultation Service.
Criteria for Participation:
In order to qualify for participation, all contractors must comply with the
terms of the partnership criteria.
Eligibility Requirements of the Multi-step Partnership: Bronze, Silver and Gold
- The BA Partnership will be implemented in three levels: BRONZE, SILVER and
GOLD. Contractors, who are accepted into the Bronze, Silver and Gold levels,
will receive incentives from OSHA, as listed in section IX of this document.
Entry into the Bronze, Silver and Gold Levels will be based on answering “yes”
to all questions on the self audit evaluation (attached as Appendix A)
administered by the BA. To determine which level a contractor can become a
participant of: the contractor must provide the Safety Committee with evidence
of each requirement for each level. The Safety Committee will then determine the
contractor’s eligible level of participation.
- Initially, and at the end of every calendar year, all applicants will:
1) Complete the two-part BA application form.
- The first part of the form will request data from the summary of the
contractor’s OSHA 300 forms.
- The second part of the form will be self-audit evaluation checklist, which
will require applicants to answer a series of questions related to their safety
program.
2) The BA Safety Committee will oversee the self-audit evaluation of the BA
Partnership. The Safety Committee is mainly comprised of representatives from
the BA member companies. The Committee will approve or reject the application.
OSHA’s Chicago North Area Office will serve in an advisory capacity to the
Safety Committee.
3) Once a partnership had been established between the BA and the Illinois OSHA
Area Offices, the Safety Committee will inform members who have successfully
completed the application process and are eligible for the program.
4) The top level, GOLD, will be open to those companies whose achievements and
commitments in the area of worksite safety and health are outstanding.
Acceptance into the Gold level will require additional validation of safety and
health program effectiveness through an onsite monitoring inspection.
5) A qualified independent third party safety and health professional chosen by
the applicant on one active job site will conduct the verification inspection
and provide a written report to the Safety Committee. Additionally, the
companies also will be subject to an onsite monitoring inspection by OSHA after
acceptance at the Gold level.
- BRONZE: Applicants seeking Bronze status must meet the following
requirements:
1) Develop and implement a written safety and health program.
2) Conduct weekly employee safety meeting.
3) Conduct and document self-audits as prescribed.
- SILVER: Applicant seeking Silver status must meet the following requirements:
1) Implement a comprehensive written safety and health program based on the ANSI
A10.38-2000 Guidelines or OSHA’s 1989 Safety and Health Program Management
Guidelines.
2) Assign at least one trained employee or individual with responsibility for
employee safety to administer the firm’s safety and health program and to
conduct documented safety inspections of ongoing work. Training equivalent to
the AGC Safety Management Course will be deemed satisfactory.
3) Conduct an orientation of all new employees in the safety and health program
of the company, and show evidence of effective employee training for avoidance
of hazards specific to the contractor’s worksite(s).
4) Conduct weekly employee safety meetings.
5) Conduct and document self-audits as prescribed.
6) Show evidence of employee involvement in the safety and health program; for
example participating in self-audits, site inspections, job hazard analysis,
safety and health program reviews, safety training and mishap investigations.
7) Develop and maintain a Substance Abuse Program.
8) Provide all field construction supervisory personnel with proper training.
9) Maintain an injury/illness rate 5% less than the rate published by the Bureau
of Labor Statistics (BLS).
- GOLD: Applicant seeking Gold status must meet the following requirements:
1) Implement a comprehensive written safety and health program based on the ANSI
A10.38-2000 Guidelines or OSHA’s 1989 Safety and Health Program Management
Guidelines;
2) Select and perform one of the following (a or b)
- Serve as a mentor for contractors on their project who have yet to attain
the same level of recognition within the partnership. These mentors could serve
as a source of support for those contractors in need of improvement in their
safety program. Gold contractors can agree to serve in an educational role by
attempting to transfer their knowledge and understanding of safe work practices
and safety program implementation to other contractors on their projects,
enabling them to make permanent improvements to their safety programs. The
services provided to any one contractor will depend on its particular needs. The
Gold level contractor and other contractors will jointly identify those needs.
The Gold level contractor’s experience can be expected to:
- Identify weaknesses in the other contractor’s safety programs and develop strategies for addressing
these issues.
- Assist other contractors in developing methods for identifying areas on non-compliance.
- Identify areas of non-compliance
- Identify professional development opportunities for other contractor’s personnel.
- Contractors will establish an effective policy for dealing with non-complying
sub-contractors. The general contractor will document hazards with videos or
still cameras and keep track of dates, times, the names of exposed employees,
what they did to get the non-complying subcontractors to comply, and the name(s)
of management persons spoken to.
Partnership companies will agree to maintain a copy of the subcontractor’s
safety and health program, hazard communication program, fall protection plan or
the general contractor can require all subcontractors to follow their program in
lieu of a subcontractor’s individual plan.
3) Assign a minimum of one employee or individual who will administer the firm’s
safety and health program. This person must have attended the AGC Safety
Management Training Course or equivalent in the previous three years.
4) Ensure designated personnel at each site conduct documented safety
inspections of the Gold participant’s work. Personnel, through training
experience, must be able to recognize hazards and will have the authority to
take prompt corrective action. Training curriculum equivalent to the OSHA
30-Hour Construction Course will be deemed satisfactory.
5) Train all field construction supervisory personnel in the minimum safety
requirements equal to the requirements of the OSHA 10-Hour Construction Course.
Additional training will be provided for competent persons, as defined by OSHA.
6) Provide a safety and health program orientation for all new employees and
show evidence of effective employee training for avoidance of hazards specific
to the contractor’s worksite(s).
7) Conduct weekly employee safety meetings.
8) Conduct and document self-audits as prescribed.
9) Implement a 6-foot fall protection policy.
10) Maintain an injury/illness rate 10% less than the rate published by the BLS.
11) Have no willful and repeated serious violations in the last three years, and
no fatalities or catastrophes within the last three years that resulted in
serious or willful citations.
-
Contractors will be required to develop and implement a safety and health
program which includes the following elements:
- Management Commitment and Leadership – Provides the motivating force and the
resources (time, expertise, financial) for organizing and controlling activities
within an organization. In an effective program, management regards worker
safety and health as a fundamental value of the organization and applies its
commitment to safety and health protection with as much vigor as to other
organizational purposes. Management serves as a role model in safety and health
matters for employees to emulate. Management commitment requires a leadership
role when it comes to such matters as planning, written programs, authority and
resources, line accountability and contract worker coverage.
- Employee Involvement – Provides the means through which workers develop
and/or express their own commitment to safety and health protection, for
themselves and for their fellow worker. Employee involvement must be meaningful
and without the fear of reprisals. Examples of employee involvement include, but
are not limited to:
- Conducting site inspections, safety and health audits, job hazard analyzes,
and other types of hazard identification.
- Developing and using a system of reporting hazards.
- Developing and revising the site’s safety and health rules and safe work
practices.
- Participating on workplace teams charged with identifying root causes of
accidents, incidents, or breakdowns.
- Participating on safety and health committees or joint labor-management
committees.
- Participation in safety and health reviews.
- Worksite Analysis – Involves a variety of worksite examinations to identify
not only existing hazards but also conditions and operations in which changes
might occur to create hazards. Worksite analyses can include, but are not
limited to the following: physical inspections of the workplace to observe
existing and potential hazards, conducting accident and near-miss investigations
of the workplace to determine existing and potential hazards, evaluating trends
in injuries and illnesses, and conducting medical symptom surveys of employees.
- Hazard Prevention and Control – Triggered by a determination that a hazard or
potential hazard exits, the hazards are eliminated, where feasible, by effective
design of the job site or task. Where it is not feasible to eliminate them, they
are controlled to prevent unsafe and unhealthful exposure to workers.
- Safety and Health Training – Providing all employees with hazard recognition
skills, along with the means and methods necessary to protect themselves from
potential hazards.
-
The effectiveness of the safety and health program will be confirmed through
a site visit evaluation, performed by the contractors hired independent third
party occupational safety and health firm, and consisting of the following
elements:
- Comprehensive on-site safety and health inspection (Gold Members);
- Review of written Safety and Health Program and site specific plan
- Review of Training records;
- Review of OSHA 300 logs
Any deficiencies noted in the evaluation that constitutes an OSHA defined
serious hazard must be corrected in 30 days and documented by the contractor.
-
The contractors will have the following “enhanced” safety and health
requirements as well as all other provisions of this agreement:
- A permit requirement and prior approval from the Employer’s “Competent
Person” for confined space work, hot work, and excavation work. (Gold Members)
- Require the use of fall protection when performing work that is in excess of
6 feet above a lower level3. (Gold Members)
- Mandatory use of Ground Fault Circuit Interrupters (GFCIs).
- Loads shall not be lifted over the heads of employees.
- Employees exposed to vehicular traffic shall wear reflective material.
- Appropriate protection shall be provided for all trench and excavation work.
- All scaffolding will have guardrails and cross braces.
- All machines will have proper safety guards.
- Partners will make a commitment to see that all employees, wear any and all
necessary (task appropriate) personnel protective equipment (PPE). Employees and
management will wear said PPE while accessing, egressing and working on
jobsites.
- Hard hats are required on all construction jobs.
- Provide hand washing or lotion facilities, where feasible, within close
proximity to the restroom facilities. The restroom facilities will be clean, in
good repair, appropriately supplied, and have a workable inside lock.
-
Contractors will have Competent Personnel on each project that are
responsible for, possess the authority to, and are capable of effectively
implementing the overall Project-specific safety and health program as well as
their employer’s safety and health program.
-
Contractors will designate a Project Safety Representative who has completed
OSHA 30-hour or equivalent.
By February 1st of each year, contractors will submit to the OSHA Partnership
Committee their summary injury/illness data and records,4 which document their
DART (Incidence rate for recordable cases involving days away from work, days of
restricted work activity or job transfer) and TCIR (Total case incidence rate)
rates for all work for the previous year.
Benefits
Upon acceptance as a partnership participant, the OSHA Area Offices will provide
the following incentives to the participants:
BRONZE participants:
- Will not be issued citations for non-serious violations, provided the
violations are abated immediately.
SILVER participants:
- Will be given special recognition from OSHA and the BA designating the
contractor as a participant in the BA Partnership, such as a certificate of
recognition.
- Will not be issued citations for non-serious violations, provided the
violations are abated immediately.
- Will be given the maximum good faith penalty reductions currently available.
GOLD Participants:
- Will be given the highest recognition from OSHA and the BA designating the
contractor as a participant in the BA Partnership, such as a plaque recognizing
Gold level performance.
- GOLD participant job sites within the Area Office’s jurisdiction will be
exempt from programmed inspections within the next 12 months after an OSHA
verification inspection is complete.
- OSHA will not issue citations for non-serious violations provided the
violations are abated immediately or in the presence of the compliance officer.
- If cited by OSHA, BA Participating firms may receive the maximum allowable
good faith reduction of 35%, in addition to any other penalty factors that may
be available.
OSHA Verification (Monitoring)
Participants randomly selected from the partnership member list will have the
effectiveness of their safety and health programs verified through an
unannounced onsite inspection by OSHA5. The number of OSHA onsite monitoring
inspections will be a minimum of 5% and a maximum of 10% of the participants
annually, at the Area Director’s discretion, providing there are at least 10
partners. At a minimum, there will be one OSHA onsite monitoring inspection
annually. In addition, any OSHA inspections of a participant’s job site can
serve as a monitoring inspection. During the opening conference, the selected
inspection sites will be evaluated for a focused or non-focused inspection. It
is anticipated that sites qualifying for participation in this program would
qualify for a focused inspection6. Inspections shall be conducted in accordance
with all current guidelines and National/Regional Office policy.
OSP Management and Operation
This partnership shall be administered by the Builders Association, Inc. Each
partner shall designate a representative to sit on the OSHA Partnership
Committee. This OSHA Partnership Committee shall be responsible for
administration of the partnership, application review, and approval, as well as
any resolution of any issues which may arise with the partnership in effect. The
Chicago North OSHA area office shall serve as an advisor to the OSHA Partnership
Committee.
The OSHA Partnership Committee will hold quarterly conference calls/meetings to
track analyze, and share information on partnership activities and results. At
least annually, the OSHA Partnership Committee will meet to evaluate the
effectiveness of the Agreement. These meetings will include agenda items, such
as:
- Evaluating data and partnership impact
- Identifying BA members with outstanding safety and health excellence
- Share information on best practices that improve safety and health performance
The Occupational Safety and Health Administration agrees to:
- Work with the BA and/or its members to provide free safety and health
information, training, and training materials.
- Provide training materials, through the BA, to help employers understand and
comply with OSHA regulations and to implement effective safety and health
management systems.
- Ensure that CSHOs are knowledgeable of partnership requirements and
objectives, and encourage them to provide assistance as requested by the BA
and/or its members.
- Not issue penalties for other than serious violations, provided the abatement
of violations is observed by the compliance officer.
- Conduct unprogrammed inspections only in response to reports of imminent
danger, fatalities/catastrophes and formal complaints. OSHA will use telephone
or fax to handle all other complaints, except those cases involving serious
injuries. In the event of a serious injury, an inspection may be conducted. When
an inspection of a non-formal complaint is deemed necessary, a copy of the
complaint will be provided to the participant’s safety director or other
designated representative at the time of inspection.
- Exempt Gold members from inspections if they have successfully concluded a
monitoring inspection and still meet the Gold Level criteria for the elements of
their safety and health program. However, the Gold member may be inspected if
the compliance officer documents that the Gold member was responsible for any
employee exposures to serious hazards such as, falls, struck by, caught
in/between or electrocutions.
- Track, analyze, and share information on activities such as:
- Current relevant OSHA inspection findings.
- Relevant regulatory interpretations.
- Current industry statistics.
BA agrees to:
- Host committee meeting, quarterly and annually.
- Administer the program by providing staff support and facility usage.
- Promote program through monthly newsletter, and other BA sanctioned
activities.
- Act as first point of contact for prospective contractors.
- Recruit and retain program participants.
- Provide resources to support program participants and prospective
participants.
Employee and Employer Rights
This partnership does not preclude employees and/or employers from exercising
any right provided under the OSHA Act, nor does it abrogate any responsibility
to comply with rules and regulations adopted pursuant to the Act.
Terms of OSP
This agreement will expire on __December 18__ of 2012. Should either party
choose to withdraw prior to that date, 30 days written notice will be given,
either party may also propose modification or amendment of the agreement.
Participation will be terminated if one or more of the following occurs:
- A site inspection reveals eligibility requirements are not being met.
- A participant has falsified information on the application or supporting
records
- The participant takes other such actions that may be determined to be grounds
for termination by the Area Director.
Signed this 18th day of December, 2009:
Diane Turek
Area Director
Department of Labor/OSHA
Chicago North Area Office |
Albert Leitschuh
President
Builders Association, Inc. |
| |
|
Gary Anderson
Area Director
Calumet City Area Office |
Paul Flentge
Safety Committee Chair
Builders Association, Inc. |
| |
|
Kathy Webb
Area Director
North Aurora Area Office |
|
| |
|
Nick Walters
Area Director
Peoria Area Office |
|
Appendix A
Evaluation for BA Partnership
Eligibility: In order to determine which level a contractor can become a
signatory to the BA Partnership; the contractor must provide the BA Safety
Committee or their designated representative with evidence of each requirement
below for each level.
|
BRONZE LEVEL |
YES |
NO |
|
1. Contractor has implemented a written safety and health program. |
|
|
|
2. Contractor conducts weekly employees safety meetings. |
|
|
|
3. Contractor conducts and documents self-audits. |
|
|
If the contractor has answered “no” to any of these questions, then the
contractor is not eligible to become a signatory to the BA Partnership. If the
contractor has answered “yes” to all of the questions, then the contractor is
eligible to become a signatory member at the Bronze Level for the term of one
year.
|
SILVER LEVEL |
YES |
NO |
|
1. Contractor has implemented a comprehensive written safety and health program.
|
|
|
|
2. One trained employee or individual administers the firm’s safety and health
program and conducts documented safety inspections of all work. |
|
|
|
3. Contractor conducts new employee orientation of the firm’s safety and health
program and trains employees for hazard recognition specific to the contractor’s
work sites. |
|
|
|
4. Contractor conducts weekly employee safety meetings. |
|
|
|
5. Contractor conducts and documents self-audits. |
|
|
|
6. Contractor has evidence of employee involvement such as, but not limited to,
participation in self-audits, site inspections, and job hazard analyses, safety
and health program reviews safety training and mishap investigations. |
|
|
|
7. Contractor maintains a substance abuse program. |
|
|
|
8. Contractor provides all field construction supervisory personnel with proper
training. |
|
|
|
9. Contractor maintains an injury/illness rate 5% less than the rate published
by the BLS. |
|
|
If the contractor has answered “no” to any of these questions, then the
contractor is not eligible to become a signatory at the Silver Level. If the
contractor has answered “yes” to all of the questions, then the contractor is
eligible to become a signatory member at the Silver Level for the term of one
year.
|
GOLD LEVEL |
YES |
NO |
|
1. Contractor has implemented a comprehensive written safety and health program
for all of the Gold participant’s work. |
|
|
|
2. Contractor maintains a copy of its specialty contractor’s safety and health
plan, hazard communications plan, and fall protection plan (where applicable) or
contractor requires specialty contractor to follow Gold participants plan. |
|
|
|
3. One trained employee or individual administers the firm’s safety and health
program and conducts documented safety inspections of all work. The employee
must have completed the AGC Safety Management Course or equivalent in the
previous three years. |
|
|
|
4. Contractor has designated personnel at each site who conduct documented
safety inspections of the Gold participant’s work, and has authority to take
prompt corrective action. |
|
|
|
5. Contractor has trained all field supervisory personnel. In addition to a
supervisory training course, additional training has been provided for competent
persons. |
|
|
|
6. Contractor conducts new employee orientation of the firm’s safety and health
program and trains employees for hazard recognition specific to the contractors
work site(s). |
|
|
|
7. Contractor conducts weekly employee safety meetings. |
|
|
|
8. Contractor conducts and documents self-audits. |
|
|
|
9. A six-foot Fall Protection Policy is used. |
|
|
|
10. Contractor maintains an injury/illness rate 10% less than the rate
published by the BLS. |
|
|
| 11. Contractor has not had any
willful violations in the last three years. |
|
|
|
12. Contractor has not had any repeated serious violations in the last three
years. |
|
|
|
13. Contractor has not had any fatalities or catastrophes within the last three
years that resulted in serious or willful citations related to the incident.
|
|
|
|
14. Contractor maintains a substance abuse program. |
|
|
|
15. Contractor has evidence of employee involvement such as, but not limited to,
participation in self-audits, site inspections, and job hazard analyses, safety
and health program review, safety training and mishap investigations. |
|
|
If the contractor has answered “no” to any of these questions, then the
contractor is not eligible to become a signatory at the Gold Level. If the
contractor has answered “yes” to all of the questions, then the contractor is
eligible to become a signatory member at the Gold Level for the term of one
year.
Reviewed by (print name)
(Principal) |
|
Date
|
| |
|
|
Signature
(Principal) |
|
|
Builders Association/OSHA Partnership
2007 Application
Calendar Year: 2006 from OSHA 300 Logs
New Applicants: Company safety manual needs to accompany your application to be
considered for review.
Current Partner Members: If there are substantial changes in your safety
manual, please forward with your application.
Current Partner Member : Yes No
If “Yes” what level: Bronze Silver Gold
This application is intended for the following level (please check one):
Bronze Silver Gold
Company: ______________________________________________________________
Address: _______________________________________________________________
Phone: ____________________________________Fax: _________________________
Company Contact: ________________________________Title:___________________
Classification of Contractor: General Contractor Sub/Specialty Contractor
(list below)
Type of Specialties: _______________________________________________________
Trades Employed: ________________________________________________________
Construction SIC Code (4 Digit) : _________
Average # of Employees (Prior Year): _________
Average # of Supervisors (Prior Year): _________
Annual Work Hours: _________
Does the company have a safety department? Yes No
Does the company budget for safety? Yes No
Name of company safety director : _________________________________________
Number of full-time safety employees : ________
Date of last OSHA inspection: ______________
Date of any willful OSHA violation in the last three years : _________________
From what OSHA office : _____________________
Date of any repeat serious violation in the last three years : _________________
From what OSHA office : _____________________
Date of any fatalities or catastrophes within the last three years that have
resulted in serious or willful citations related to the incident :
_____________________________
From what OSHA office : _____________________
Does the company maintain a total case injury/illness incidence rate that is
less than the most current BLS national rate for the construction industry :
Yes No (please see enclosed incidence rates of nonfatal occupational injuries
and illnesses by industry and case types, 2004)
If “Yes” what is it: __________
(Please Choose One)
Silver Level – 5% less:  Yes  No Gold Level – 10% less:  Yes  No
Note : An incidence rate of injuries and illnesses may be computed from
the following formula:
(Number of injuries and illnesses X 200,000) / Employee hours worked = Incidence
Rate
Does the company currently have a comprehensive safety & health program : Yes
No
Does the company perform drug testing: Yes No
If “Yes” is it for: Post Offer Random Post Accident Probable Cause
For the previous reporting year, please provide the following information:
|
Number of Fatalities: |
|
Lost Workday Frequency Rate: |
|
|
Number of Restricted Workdays: |
|
Recordable Case Frequency Rate: |
|
|
Number of Medical Only Cases: |
|
Number of Lost Work Days: |
|
It is understood that the Safety Committee may determine that another level is
more appropriate. If this is the case, it is possible to move up in levels after
one year.
Please read and sign the disclosure and return it along with your application,
evaluation form and safety manual or if a current partner member, any
substantial changes to your safety manual to:
Builders Association
9550 West Higgins Road
Suite 380
Rosemont, Ill. 60018
Attn : Denise Capasso
Reminder: The following items need to be sent together before the Safety
Committee will review : 1) Signed disclosure form 2) Application 3) Signed
evaluation form 4) Safety manual
Disclosure
The Builders Association Safety Committee will review this application and the
eligibility requirements spelled out in the attached evaluation guidelines to
determine your eligiblilty for the program and the level at which you should be
recommended to Illinois OSHA for participation (Bronze, Silver, or Gold).
The Safety Committee will perform this evaluation solely to determine whether
your company is eligible to participate in the program, and, if so, the level
that would be appropriate. This evaluation is not intended to be, and should not
be considered, a determination that your company’s safety program does or does
not meet any applicable legal standards, such as federal safety or health
statutes. In addition, the Committee will not attempt to determine whether or
not your company is exercising a “reasonable standard of care” or whether its
safety program ensures a “safe and healthful working environment” for either
your own or any other company’s employees. The Builders Association and the
Safety Committee disclaim, and do not undertake, any liability or other
responsibility for any claim that may arise out of your company’s performance of
its obligations either to its employees or others.
It is understood that by signing this application form for the Builders
Association/OSHA Comprehensive Partnership, you and your company acknowledge and
accept the limited scope and purpose of the evaluation that the Chapter’s Safety
Committee will perform.
I hereby certify that all information contained herein is accurate :
Name : ____________________________________________
(please print)
Title : ____________________________________________
Signature : _____________________________________________
Date : _____________________________________________
Company : ______________________________________________
Reviewed by: _______________________________________________
(Principal, please print)
Signature: _______________________________________________
(Principal)
1Criteria for selecting periodic inspection will be based on active construction sites, only when contractor
representatives are available & coordinated and scheduled with the contractor.
2For a detailed reference on the elements contained in the periodic inspections, please reference the Criteria section in this document.
3BA and OSHA recognize the difficulty to contractor compliance with this rule in residential construction. BA and OSHA will work cooperatively to
develop approved alternative applications to the strict adherence to this rule.
4These forms shall be made available through the BA Safety & Health Committee.
5 Regulations prohibit the Area office of OSHA to conduct announced inspections.
6Focused Inspections recognize the efforts of responsible contractors and therefore will limit,
(“Focus”) inspections on the leading hazards responsible for 90% of accidents. These areas include: falls;
struck by; caught in/between; and electrical. (reference Construction Focused Inspections Initiative, January 6, 1995)
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