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ANNUAL ALLIANCE REPORT

The Occupational Safety and Health Administration (OSHA)
And the
<Alliance Participant>

<Date>


  1. Alliance Background

    1. Date Signed:

      <Date>

    2. Evaluation Period

      <Opening date – Closing date>

    3. Overview:

      <Brief summary of the purpose and scope of the Alliance – from the Alliance agreement.>

    4. Implementation Team Members

      OSHA

      <List OSHA members and titles/offices>

      Alliance participant

      <List Alliance participant members and titles/offices>

  2. Implementation Team Meetings

    • <Date>
    • <Date>

    In addition to these formal meetings, the Alliance coordinators from both groups maintained regular contact throughout the reporting period to monitor the Alliance's progress and results.

  3. Results

    The following table summarizes the Alliance's activities in support of the goals in the Alliance agreement.

    NOTE The activities below are broken out by standard goal types and objectives specified in the Alliance agreement and work plan. There may be more than one objective under a goal. Only include those goals and objectives that apply to the particular Alliance. If no activities occurred under a particular goal/objective during the reporting period, enter "No Activities."

    These tables are best viewed on tablets, notebooks, or desktop computer screens.

    Raising Awareness of OSHA's Rulemaking and Enforcement Initiatives: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
    Alliance Product <Product name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Dissemination <Summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Event <Event name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Exhibit <Exhibit name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    OSHA Product Review <Product name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Speech/Presentation <Speech name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Training <Training name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
    Other <Activity name and summary> <Heat, Falls, Temporary Workers, etc.> <Number if available>
     
    Raising Awareness of OSHA's Rulemaking and Enforcement Initiatives: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
           
           
           
           
     
    Training and Education: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
           
           
           
           
     
    Training and Education: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
           
           
           
           
     
    Outreach and Communication: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
           
           
           
           
           
     
    Outreach and Communication: <Write out specific objective>
    Activity Type Activity Name/Summary OSHA Areas of Emphasis Supported Number Reached
           
           
           
           
           
     
    TOTAL     <Total>
  4. Evaluations

    <Summarize any evaluations conducted on the Alliance's activities.>

  5. Upcoming Milestones

    <List major planned activities, products, and issues that the Alliance plans to work on during the next reporting period, including plans for renewal or conclusion.>

 

Activity Types

  • Alliance Product: Products (e.g., fact sheets, videos, toolbox talks) developed by Alliance participants as part of the Alliance. These are not OSHA products.
  • Dissemination: An Alliance participant sends OSHA information, Alliance products, or other safety and health information to its stakeholders. This includes information sent by email or social media (Facebook, Twitter), and information included in newsletters and other publications. It also includes hits on the Alliance participant’s or OSHA’s Web page.
  • Evaluation: Any efforts by the Alliance participant to evaluate the effectiveness of an Alliance activity or the Alliance as a whole.
  • Event: Participation in events such as the Construction Roundtable and NAOSH Week.
  • Exhibit: OSHA exhibits at events sponsored by the Alliance participant.
  • OSHA Product Review: Review of an OSHA product by an Alliance participant. For example, an Alliance participant may provide technical comments on an OSHA eTool or publication. The review itself is considered the Alliance activity.
  • Speech/Presentation: Speeches or presentation by OSHA staff at events sponsored by the Alliance participant.
  • Training: This includes best practice seminars or other training that Alliance participants provide for OSHA staff. It also includes training for workers/employers/others by Alliance participants.
  • Other: Use this if an activity does not fit into one of the other categories.

OSHA Areas of Emphasis:

  • Agriculture
  • Asian American/Pacific Islander Workers
  • Construction
  • Ergonomics
  • Fall Prevention
  • Hazard Communication/Chemicals
  • Health Care
  • Heat Illness Prevention
  • Hispanic/Latino Workers
  • Maritime
  • Oil and Gas
  • Small Business
  • Temporary Workers
  • Transportation
  • Young Workers

Report prepared by: <Alliance Coordinator, title, Office, date>.

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