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AGREEMENT ESTABLISHING AN ALLIANCE
BETWEEN
<SPECIFY OFFICE(S)>
THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
U.S. DEPARTMENT OF LABOR
AND
<ORGANIZATION NAME(S)>


NOTE The opening paragraph and overall goals may be modified to reflect the specifics of the Alliance but in general should fit this model.

The U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) <Specify Office(s)> and <Organization Name(s)> recognize the value of establishing a collaborative relationship to foster safer and more healthful American workplaces. To that end, OSHA and <Organization Name(s)> hereby form an Alliance to provide <Organization(s)> members and others with information, guidance, and access to training resources that will help them protect the health and safety of workers, particularly by reducing and preventing exposure to <specify> hazards <and/or> addressing <specify> issues, and understand the rights of workers and the responsibilities of employers under the Occupational Safety and Health Act (OSH Act).

This agreement provides a framework and objectives for the Alliance's activities. Alliance participants will summarize specific activities and timeframes for completion in a written work plan.

Through the Alliance, the organizations will use relevant injury, illness and hazard exposure data when appropriate to help identify areas of emphasis for Alliance awareness, outreach, and communication activities. The Alliance will also explore and implement selected options to evaluate the effectiveness of the Alliance and measure the impact of its overall effort on improving workplace safety for employers and workers. In developing this Alliance, OSHA and <Organization Name(s)> recognize that OSHA's State Plan and On-site Consultation Project partners are an integral part of the OSHA national effort, and that information about the products and activities of the Alliance may be shared with these partners for the advancement of common goals.

 

NOTE The goals and objectives listed below are broken out by standard goal types (raising awareness of OSHA's rulemaking and enforcement initiatives; training and education; and outreach and communication). In addition, the goals and objectives may be customized to reflect the projects specified in the work plan or to otherwise fit the circumstances. Delete any that do not apply.
Raising Awareness of OSHA's Rulemaking and Enforcement Initiatives

The Participants intend to work together to achieve the following objective<s> related to raising awareness of OSHA's rulemaking and enforcement initiatives:

NOTE Following are sample objectives for this goal. Delete any that do not apply and add additional objectives consistent with the work plan. To the extent possible, make any applicable objectives listed below more specific by, for example, naming standards or topics/hazards to be addressed or updating the language to reflect specific projects listed in the work plan.
  • To share information on OSHA's National/Regional/Local Emphasis Programs, Regulatory Agenda, and opportunities to participate in the rulemaking process.
  • To share information on occupational safety and health laws and standards, including the rights and responsibilities of workers and employers.
  • To convene or participate in forums, roundtable discussions, or stakeholder meetings on <specify topic/hazard> to help forge innovative solutions in the workplace or to provide input on safety and health issues.
  • To encourage worker participation in workplace safety and health by <specify efforts to be undertaken>.

 

Training and Education

The Participants intend to work together to achieve the following training and education objective<s>:

NOTE Following are sample objectives for this goal. Delete any that do not apply and add additional objectives consistent with the work plan. To the extent possible, make any applicable objectives listed below more specific by, for example, naming the type of course to be developed or the course content or updating the language to reflect specific projects listed in the work plan.
  • To develop effective training and education programs for <specify audience> regarding <specify hazard(s) or issue area(s)>, and to communicate such information to constituent employers and workers.
  • To develop effective training and education programs for <specify audience> to promote understanding of workers' rights, including the use of the OSHA complaint process, and the responsibilities of employers and to communicate such information to workers and employers.
  • To deliver or arrange for the delivery of <specify> courses.

 

Outreach and Communication

The Participants intend to work together to achieve the following outreach and communication objective<s>:

NOTE Following are sample objectives for this goal. Delete any that do not apply and add additional objectives consistent with the work plan. To the extent possible, make any applicable objectives listed below more specific by, for example, naming specific conferences to attend or the audience(s) to be reached or updating the language to reflect specific projected listed in the work plan.
  • To develop information on the recognition and prevention of workplace hazards, and to develop ways of communicating such information (e.g., print and electronic media, electronic assistance tools, and OSHA's and the <Organization's> Web sites) to employers and workers in the industry.
  • To speak, exhibit, or appear at OSHA's or <Organization(s)> conferences, local meetings, or other <specify> events.
  • To share information among OSHA personnel and industry safety and health professionals regarding <specify Organization(s)> good practices or effective approaches through training programs, workshops, seminars, and lectures (or any other applicable forum) developed by the participants.
  • To work with other Alliance participants on specific issues and projects on <specify issue, industry, or audience> that are addressed and developed through the Alliance Program.
  • To develop and disseminate case studies on <Insert topic/hazard> and publicize their results.

OSHA's Alliances provide parties an opportunity to participate in a voluntary cooperative relationship with OSHA for purposes such as raising awareness of OSHA's rulemaking and enforcement initiatives, training and education, and outreach and communication. These Alliances have proved to be valuable tools for both OSHA and its Alliance participants. By entering into an Alliance with a party, OSHA is not endorsing or promoting, nor does it intend to endorse or promote, any of that party's products or services.

An implementation team made up of representatives of each organization will meet to develop a work plan, determine working procedures, and identify the roles and responsibilities of the participants. In addition, they will meet at least two times per year to track and share information on activities and results in achieving the goals of the Alliance. OSHA team members will include representatives of the <list each OSHA Office that is a signatory to the Alliance agreement> and any other appropriate offices. OSHA will encourage State Plan States' and OSHA On-site Consultation Projects' participation on the team.

This agreement will remain in effect for <specify: two years/other period not to exceed two years>. <specify: Either/Any> signatory may terminate it for any reason at any time, provided they give 30 days written notice. This agreement may be modified at any time with the written concurrence of <specify: both/all> signatories.

Signed this <date> day of <month>, <year>.

 


  • <Name>
  • <Title>
  • Occupational Safety and Health Administration

  • <Name>
  • <Title>
  • <Organization Name>
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