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OSHA Strategic Partnership Agreement

Between the

Associated Builders & Contractors, Keystone Chapter

The

U.S. Department of Labor
Occupational Safety and Health Administration
Harrisburg Area Office

And the

PA/OSHA Consultation Program at
Indiana University of Pennsylvania

Associated Builders and Contractors, Inc.
Occupational Safety and Health Administration
Back to OSHA Strategic Partnership Program (OSPP) Home

  1. PARTNERS
  2. The partners of the Agreement are:

    • The Associated Builders & Contractors, Keystone Chapter (ABC Keystone)
    • The Harrisburg, Allentown, Philadelphia and Wilkes-Barre Area Offices of the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA)
    • Pennsylvania OSHA Consultation at Indiana University of Pennsylvania (PA OSHA Consultation)
  3. PURPOSE AND SCOPE
  4. The ABC Keystone, OSHA and PA OSHA Consultation, mutually recognize the importance of providing a safe and healthful work environment for those employees working in Pennsylvania. To advance our mutual goal, we strongly agree on the need to develop partnerships that foster mutual trust and respect for the respective roles of each organization in the construction safety process. We recognize and embrace the responsibilities inherent in those roles. We are committed to work as partners to achieve construction workplace safety and health through shared strategies and objectives.

    Implementation of this Agreement is expected to result in an improved awareness of safety hazards and concerns at construction sites and decreased injuries, illnesses and fatalities for partnering employers with a resultant decrease in worker compensation costs as well as other direct or indirect costs of accidents.

    This Agreement incorporates the Safety Training and Evaluation Process (STEP) program, implemented annually by the Associated Builders and Contractors, Inc. (ABC). The STEP program is an objective tool that contractor members can use to evaluate and strengthen their safety programs, policies and procedures.

    The STEP program consists of 20 Key Components, which are centered on the components of OSHA's 1989 Safety and Health Program Management Guidelines. There are several key components which focus on employee (worker) involvement, including but not limited to: “Responsibility for Safety” (Section C – Safety Committee), “Pre-Planning for Jobsite Safety” (Section H.), “Employee Participation” (Section I.), and “New Employee Orientation” (Section J.).

    Through STEP, ABC Keystone recognizes participating employers based on their development and enactment of safety programs, policies and procedures. The six recognition levels are Participant, Bronze, Silver, Gold, Platinum and Diamond. STEP program resources, along with the most current application and instructions for completing it, can be found on ABC's web page at http://www.abc.org/Safety/STEP.aspx.

  5. PARTICIPATION GOALS/STRATEGIES AND PERFORMANCE MEASURES
  6. ABC Keystone, OSHA and PA OSHA Consultation will work in partnership to accomplish the following goals:

    • Reduce the Total Case Incident Rate (TCIR) and the Days Away Restricted or Transfer (DART) rate affecting each participating employer, with an emphasis on reducing injuries and illnesses resulting from falls, struck-by and caught-in/between, and electrocution hazards (OSHA's four focused construction hazards). Upon execution of this Agreement, the most current three year average TCIR and DART rate of participating employers in the partnership will serve as its baseline. Annually, thereafter, each participating employer will provide OSHA its TCIR and DART rates and the number of recordable cases which involve the four focused construction hazards, in order to measure progress toward reaching the partnership's goals.

      • Strategies:

        ABC Keystone, OSHA and PA OSHA Consultation will work together to identify and correct primary causal factors of workers' injuries and illnesses.

        ABC Keystone, OSHA and PA OSHA Consultation will share and disseminate best safety practices in the construction industry.

      • Measures:

        TCIR and DART rates.

        The total number of injuries and illnesses resulting from OSHA's four focused construction hazards.

        NOTE: Although each participating employer will be compared to their specific and most current NAICS rate, as published by the Bureau of Labor Statistics (BLS), the annual report will reflect a compilation of all participating employers' data, which will then be compared to the most recently published BLS data for NAICS code 23 – Construction.

    • Increase the STEP scores for each participating employer.

      • Strategies:

        Mentor Participant, Bronze, Silver, Gold, Platinum and Diamond STEP award applicants to develop, implement, and maintain effective safety and health programs and move to or maintain the ABC Diamond level.

      • Measures:

        The STEP scores of each participating employer.

        The number of applicants (those employers which previously submitted a STEP application) that increased their STEP score and/or moved to another STEP level.

    • Increase the number of participating employers who actively participate in National Safety Week Events.

      • Strategies:

        OSHA, PA OSHA Consultation and ABC will participate in and share ideas focusing on nationally recognized (or publicized) Safety Week Events, such as but not limited to OSHA’s Fall Prevention Safety Stand Downs.

      • Measures:

        The number of OSHA partners who participate in a nationally recognized safety event.

        Additionally, the number of job-site employees who are directly affected by the event will also be identified. If attainable other data may be collected if relevant to the event (i.e. number of personal fall arrest equipment devices which are taken out of service following a Fall Prevention Stand Down). The Partnership Steering Committee will identify events and related data to be collected.

  7. SAFETY AND HEALTH MANAGEMENT SYSTEMS
  8. One of the main goals of this Partnership is to implement an effective Safety and Health Management System (SHMS). This is achieved through ABC's STEP program.

    The STEP program consists of 20 Key Components, which are centered on the components of OSHA's 1989 Safety and Health Program Management Guidelines. There are several key components which focus on employee (worker) involvement, including but not limited to: “Responsibility for Safety” (Section C – Safety Committee), “Pre-Planning for Jobsite Safety” (Section H.), “Employee Participation” (Section I.), and “New Employee Orientation” (Section J.).

    Through STEP, ABC Keystone recognizes contractor members based on their development and enactment of safety programs, policies and procedures. The six recognition levels are Participant, Bronze, Silver, Gold, Platinum and Diamond. STEP program resources, along with the most current application and instructions for completing it, can be found on ABC's web page at http://www.abc.org/Safety/STEP.aspx.

  9. WORKER INVOLVEMENT
  10. Worker involvement is a fundamental component of an effective SHMS. As noted above, several components of ABC's STEP program focus on worker involvement. Additionally, participating employers will provide the opportunity for worker(s) to participate in the site evaluation.

  11. PARTNER ROLES AND RESPONSIBILITIES
  12. ABC Keystone, OSHA and PA OSHA Consultation agree to work in partnership to improve safety and health performance of participating employers.

    ABC Keystone agrees to:

    • Distribute STEP applications to ABC Keystone members. Collect STEP applications annually from participating employers and share them with OSHA.
    • Distribute information regarding this Partnership, including information on how to participate in this Agreement (Appendix A).
    • Inform OSHA of those participating employers , along with their STEP score and level of recognition (Participant, Bronze, Silver, Gold, Platinum or Diamond) each year.
    • Provide OSHA with a copy of the sign-in sheets and minutes for all Mentoring Events and Chapter Safety Committee meetings. Additionally, ABC Keystone will provide documentation of any participating employers who completes an ABC sponsored safety class.
    • Share baseline and ongoing injury and illness measurement data with OSHA.
    • Provide a summary of ABC Keystone participating employer activities conducted in connection with the National Safety Week Events to OSHA annually.
    • Meet with OSHA quarterly to discuss mutual partnership commitments, mentoring, implementation issues and best practices in construction safety.
    • Share and, when possible, post best practices in construction safety on ABC websites, especially as they relate to correcting the four focused construction hazards and improving STEP award levels.

    OSHA agrees to:

    • Work cooperatively with ABC Keystone to provide safety and health information, technical assistance, and training to partners and participating employers, in order to facilitate improvements in safety and health management systems.
    • Work with ABC Keystone to recommend program improvements to individual Participant, Bronze, Silver, Gold, Platinum and Diamond STEP applicants.
    • Conduct unannounced onsite non-enforcement verification evaluations/audits of 10% of the participating employers and send summary notifications upon completion of the evaluation/audit.
    • Ensure that the affected OSHA Area Office staff members are familiar with requirements and objectives of this Partnership. Compliance Assistance Specialist (CAS) in Harrisburg will review the Agreement with OSHA's Harrisburg Area Office staff.
    • Participate in ABC Keystone conferences, committee meetings and/or other professional functions, as time and resources permit.
    • Recognize participating employers on OSHA's public website.
    • Post best practices in construction safety on OSHA's public website, especially as they relate to correcting any of OSHA's four focused construction hazards. This information will be provided through the annual report, when such best practices are identified.
    • Contact any participating employer that has missed a number of Mentoring Events and/or other safety event as defined by this agreement and request an explanation or justification for missing the event(s).
    • As there are no enforcement incentives as part of OSHA's Partnership Program, OSHA enforcement staff will continue to conduct investigations resulting from program scheduling, formal complaints, referrals, fatalities, catastrophes, other accidents or significant events.

    PA OSHA Consultation agrees to:

    • As resources permit, meet with ABC Keystone and OSHA at the monthly meetings to review Partnership issues, examine topics related to injury and illness rates and the focused four injury and illness experiences of ABC Keystone Partners.
    • As resources permit, and in cooperation and conjunction with OSHA, assist in conducting the non-enforcement verification visits, as detailed in Section VII (Verification) of this Agreement.
    • PA OSHA Consultation will strive to ensure that eligible[1] contractors who request services from the OSHA funded free consultation program, will receive priority service. This service is part of the PA OSHA Consultation program which can be reached at 1-800-382-1241.

    Participating Employers agree to:

    • Complete and submit the Safety Training and Evaluation Process (STEP) Program Application annually, print a copy for their file and print a copy and provide to ABC Keystone.
    • Complete, sign and submit to the ABC Keystone the Agreement of Participation (Appendix A). This can be accomplished any time during the year.
    • Complete and submit the Focus Four Injury and Training Data Collection Sheet (Appendix B) annually and provide activities conducted in connection with the National Safety Week Events annually.
    • Participate in an onsite non-enforcement verification evaluation/audit if selected.
    • Encourage worker involvement in the development of the company safety and health management system and participation of workers in onsite non-enforcement evaluations.
    • Attend 75% of all quarterly Mentoring Events, annually.
    • The Mentoring Events will focus on the 20 Key Components of STEP and/or other relevant safety and/or health topic deemed necessary by the Partnership Steering Committee. To address the 20 Key Components of STEP, every participating employer will be assigned several components to present and/or facilitate discussion (with other participating employers at a quarterly Mentoring Event or at a scheduled Safety Committee meeting. It is anticipated that all 20 Key Components will be thoroughly covered over the timeframe (five years) of this agreement.
    • Annually, attend at least three other safety events.
    • These events can be attendance at the monthly ABC Keystone Safety Committee (at the ABC Keystone Chapter office) or any ABC sponsored safety class (any topic) during the STEP year. If another ABC Chapter sponsored class is utilized to fulfill this requirement, sufficient documentation must be provided to the ABC Keystone for tracking and reporting.
    • Participating employers will be removed from this agreement if they fail to meet these requirements. This action will occur after consultation with the Partnership Steering Committee.
  13. VERIFICATION PROCEDURES
  14. Annually, OSHA Compliance Assistance Specialist(s) will conduct unannounced onsite non-enforcement verification(s) of 10% of the employers participating in this Partnership. OSHA will evaluate the participating employer's progress toward meeting the goals of this Partnership, implementation of its safety and health management system and observe the site to see if the participating employer is adequately protecting its workers, with emphasis in the top four causes of construction injuries: falls, struck-by and caught-in/between, and electrocution hazards (OSHA's four focused construction hazards). If during the onsite non-enforcement verification audit, the Compliance Assistance Specialist (CAS) identifies serious hazards that the participating employer refuses to correct, the CAS will make a referral for an onsite enforcement inspection.

    Annually, all participating employers will be placed in a pool for random selection. If a selected participating employer had received an OSHA onsite non-enforcement verification audit in the preceding year, the employer's name will be withdrawn and a new employer will be selected. No participating employer will be selected for an OSHA verification audit in two consecutive years. The annual report will serve as a means of tracking which participating employers will be ineligible for a non-enforcement verification audit, because they received one the previous year.

  15. INCENTIVES
  16. OSHA will offer the following incentives to participating employers:

    • Conduct unannounced onsite non-enforcement verification evaluations/audits (as described above and below) for participating employers and send summary notifications upon completion of the evaluation/audit.
    • Outreach, technical assistance and training, to include:
      1. Being available for a variety of onsite and offsite activities such as review of the safety and health management system and assistance to develop or improve the system, and guidance in conducting audits and evaluations.
      2. Seminars, workshops and other speaking events.
      3. Informational materials such as safety and health brochures, pamphlets, and electronic tools.
    • With assistance from ABC Keystone, award a certificate of “participation” to participating employers who support occupational safety and health and sign the Agreement of Participation (Appendix A). The certificate will be co-signed by the President of the ABC Keystone Chapter and the Area Director of OSHA's Harrisburg Area Office (managing office of this Agreement). The certificate of participation to be awarded at the annual STEP Awards Recognition Ceremony.
  17. PARTNERSHIP MANAGEMENT AND OPERATION
  18. A Partnership Steering Committee comprised of representatives from the ABC Keystone Safety Committee, OSHA's Harrisburg Area Office, and as resources permit PA OSHA Consultation, will meet quarterly (at a minimum) and oversee the activities of this Partnership:

      NOTE: OSHA's Harrisburg Area Office (HAO) will oversee the management of this OSHA partnership agreement. The HAO point of contact will forward all participating employer names to the Regional Office to coordinate recognition of participants on OSHA's public website. This will be conducted through the submission of the annual partnership report.

    • ABC Keystone will forward the participating employers' STEP applications, STEP award levels, each year.
    • ABC Keystone will forward to OSHA a completed and signed Agreement of Participation (Appendix A) from each participating employer.
    • Participating members will provide ABC Keystone with the Focus Four Injury and Training Data Collection Sheet, Appendix B, and activities conducted in connection with the National Safety Week to OSHA, each year.
    • ABC Keystone will share with OSHA the data required to calculate the TCIR and DART rates for the baseline years and each subsequent year for the annual evaluation of this Partnership, including data on the four focused construction hazards (falls, struck-by and caught-in mishaps, and electrocution). Activities conducted in connection with the National Safety Week will also be shared, each year.
    • The Partnership Steering Committee will meet quarterly (at a minimum) to review Partnership issues, including review of each participating employer's commitment to meeting the goals and requirements of this agreement, mentoring activities, and to examine updated TCIR and DART rates and the injury and illness experience of participating employers. This will allow each participating employer to make corrections and adjustments as needed, in order to facilitate excellence in their occupational safety and health programs.
  19. WORKER AND EMPLOYER RIGHTS
  20. 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 the Act.

  21. TERM OF PARTNERSHIP
  22. This agreement will terminate five years from the date the Partnership is signed. If either OSHA or ABC Keystone wishes to withdraw their participation prior to the established termination date, the Agreement will terminate upon receiving a written notice of the intent to withdraw from either signatory.

    Participating employers may withdraw from this Agreement at any time upon submission and receipt of a written notice of intent to withdraw from this Partnership agreement. Submission of withdrawal must be sent to the ABC Keystone Chapter and the Harrisburg Area Office.

  23. EVALUATION
  24. The Partnership Steering Committee will prepare an annual evaluation of the Partnership using Appendix C. The evaluation will review the implementation of the Agreement and will include a discussion of how the goals were met and any changes that need to be made to achieve its stated goals and objectives.

  25. PAPERWORK REDUCTION ACT
  26. OSHA Strategic Partnerships are part of OSHA's available voluntary cooperative programs. As per the Paperwork Reduction Act of 1995 (PRA OMB CONTROL NO. 1218-0244, expires December 31, 2015), the public reporting burden for this partnership's collection of information is estimated at 22 hours per participant, per year. If you have any comments regarding this collection of information, including suggestions for reducing the burden or revising the burden estimate, please direct them to:

    Occupational Safety and Health Administration

    Attention: Director, Office of Partnerships and Recognition

    Directorate of Cooperative and State Programs

    200 Constitution Avenue, NW - Room N3700

    Washington, DC 20210

  27. Primary Partnership Contacts:
  28. OSHA – Harrisburg: Dale Glacken, 43 Kline Village, Harrisburg, PA 17104, office: (717) 782-3902, glacken.dale@dol.gov

    ABC Keystone Chapter: G. David Sload, Vice President, Education & Workforce Development, 135 Shellyland Road, Manheim, PA 17545, 717-653-8106 (tel) 717-653-6431 (fax), dave@abckeystone.org

    PA/OSHA Consultation Program at Indiana University of PA:
    Bryan Seal, Bryan.Seal@iup.edu, Health Consultant and Mark McGahen Mark.McGahen@iup.edu, Safety Consultant, (800) 382-1241 or (724) 357-4095.


[1] Eligible means that the contractor or subcontractor is a signatory participant of this Agreement and meets the criteria defined by CSP 02-00-003 - Consultation Policies & Procedures Manual, dated November 19, 2015.


Signature Page
for the Partnership Agreement between the OSHA Harrisburg, Allentown, Philadelphia and Wilkes-Barre Area Offices, the ABC Keystone and the PA OSHA Consultation
Program.


All undersigned Parties mutually agree to the terms and conditions of this document and commencement of this Partnership Agreement on this 20 day of October 2016


 


David Olah
Acting Area Director
USDOL/OSHA
Harrisburg Area Office (Lead Office)

 


M. Kate McCaslin,
President & CEO
Associated Builders and Contractors,
Keystone Chapter

 


Jean Kulp
Area Director
USDOL/OSHA
Allentown Area Office

 


David A. Nace, Wickersham Construction and Engineering, Inc.,
Chairman of the Board
Associated Builders and Contractors,
Keystone Chapter

 


Nicholas DeJesse
Area Director
USDOL/OSHA
Philadelphia Area Office


Mark Stelmack
Area Director
USDOL/OSHA
Wilkes-Barre Area Office

 


Samuel Gualardo
Director
PA/OSHA Consultation Program
Indiana University of Pennsylvania


APPENDIX A
AGREEMENT OF PARTICIPIATION
IN THE PARTNERSHIP BETWEEN


Associated Builders & Contractors, Keystone Chapter
The
U.S. Department of Labor
Occupational Safety and Health Administration
Harrisburg Area Office
And the
PA/OSHA Consultation Program at the
Indiana University of Pennsylvania


The United States Department of Labor Occupational Safety and Health Administration (OSHA), PA OSHA Consultation Program at Indiana University of PA (PA OSHA Consultation) and the Associated Builders and Contractors, Keystone Chapter (ABC Keystone) each recognize the importance of providing a safe and healthful work environment for Pennsylvania's workforce. To advance our goal, we strongly agree on the need to develop a working relationship that fosters trust and respect for each organization's respective role in the safety process. We recognize and embrace the responsibilities inherent in those roles. We are committed to work as partners to achieve workplace safety.

The undersigned employer and ABC Keystone mutually recognize the importance of providing a safe and healthful work environment for their employees. To advance our goals, said member agrees with the criteria of the Partnership between OSHA's Harrisburg, Allentown, Philadelphia and Wilkes-Barre Area Offices, PA OSHA Consultation and ABC Keystone.

Said member has read this partnership agreement in its entirety. In signing this agreement, said member agrees to all the conditions and terms of the partnership. Said member also agrees to the following:

  1. Cooperate in the development and continuous improvement of safety training programs for their employees.
  2. Ensure that safety policies and practices are effective and consistent.
  3. Review members' injury and illness experience, including TCIR and DART rates, and the focused four construction hazards, and activities conducted in support of the national safety week with the Partnership Steering Committee.
  4. If selected for an onsite non-enforcement verification audit, will provide the opportunity for worker(s) to participate in the site evaluation.
  5. Either party to the partnership may withdraw from the agreement at any time after submitting written notification of intent to the other partner.

INFORMATION AND SIGNATURE PAGE
FOR
PARTICIPATION AGREEMENT


Agreed to this day, _______________________________, 201____

Employer Information:

Employer Name: _________________________________________________________

Address: ________________________________________________________________

City: __________________________________State: ______ Zip Code: _____________

Office Phone Number: ___________________________

Office Fax Number: _____________________________

Employer's Primary Safety Contact: ___________________________________________________

Email: _____________________________________________________

Employer's Secondary Safety Contact: __________________________________________________

Email: _____________________________________________________

Employer Representative (if different than above):

________________________________________________________________________

Signature: _______________________________________________________________


APPENDIX B
ABC Keystone / OSHA Partnership
Focus Four Injury and Training Data Collection

Employer: ______________________________________________________________

Please list the number of OSHA 300 recordable injuries for Calendar Year 201____ in each category (if none – please indicate 0):

Falls: __________ Caught-in: _________

Struck-by: _________ Electrical: _________

***********************************************************************

Safety/Health Training (classroom, computer and/or toolbox topics) Information for Calendar Year 201_____:

Approx. Employee Safety Training Hours: _____________

Approx. Supervisor/Manager Safety Training Hours: _____________

Topics of Training:


Person Reporting Information/Data:



Name

Position

Please email or fax this information to:
OSHA – glacken.dale@dol.gov, fax (717) 782-3746, Attn: Dale Glacken
ABC Keystone Chapter – dave@abckeystone.org, fax 717-653-6431, Attn: G. David Sload


Appendix C
OSHA Strategic Partnership Program (OSPP)
Annual Partnership Activities Report and Evaluation
Month/Day/Year – Month/Day/Year


OSHA Strategic Partnership (OSP) Name

 

Purpose of OSP

 

Partnership Goals

Goal

Strategy

Measure

 

 

 

 

 

 

 

 

 

 

 

 

Anticipated Outcomes

 

Strategic Plan Target Areas (check one)

 

Construction

 

Non-Construction

Areas of Emphasis (check all applicable)

 

Amputations (Construction or General Industry)

 

Recordkeeping

 

Combustible Dust

 

Ship/Boat Building and Repair

 

Ergonomics/Musculoskeletal Disorders

 

Silica

 

Hazardous Chemicals Exposures (Chromium, Lead)

 

Agriculture/Migrant Workers

 

Healthcare Industry Hazards

 

Diverse Workforce/Limited English Proficiency

 

Oil and Gas Field Services

 

Temporary Service Workers

 

Public Warehousing and Storage

 

Youth Workers

 

Federal Agency

 

Process Safety Management

 

Trenching/Excavation

 

 

Section 1 General Partnership Information

Date of Evaluation Report

 

Evaluation Period:

Start Date

 

End Date

 

Evaluation OSHA 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 provided for by the OSP and whether it was performed

 

Required

Performed

a. Training

Yes/No

Yes/No

b. Consultation Visits

 

 

c. Safety and Health Management Systems Reviewed/Developed

 

 

d. Technical Assistance

 

 

e. OSHA Enforcement Verification (OSHA will provide)

 

 

f. Off-site Verifications

 

 

g. On-site Non-Enforcement Verification

 

 

h. Participant Self-Inspections

 

 

i. Field Sampling: Industrial Hygiene Monitoring

 

 

j. Other Activities

 

 

2a. Training (if performed, provide the totals)

Training session conducted by OSHA staff

 

Training session conducted by non-OSHA staff

 

Workers trained

 

Training hours provided to workers

 

Supervisors/managers trained

 

Training hours provided to supervisors/managers

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2b. Consultation Visits (if performed, provide the following total)

Consultation visits to partner sites (OSHA Consultation Programs only)

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2c. Safety and Health Management Systems (if performed, provide the following total)

Number of systems implemented or improved using OSHA's 1989 Guidelines for Safety and Health Management Programs as a model

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2d. Technical Assistance (if performed, provide total for each type, and provider)

 

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 (specify)

 

 

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2e. OSHA Enforcement Activity (if performed, provide the totals for any programmed, unprogrammed, and verification-related inspections)

OSHA enforcement inspections conducted

 

OSHA enforcement inspections in compliance

 

OSHA enforcement inspection with violations cited

 

Number of citations classified as Serious, Repeat, and/or Willful

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2f. Off-site Verification (if performed, provide the total)

Off-site verifications performed

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2g. On-site Non-Enforcement Verification (if performed, provide the total)

Onsite non-enforcement verifications performed

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2h. Participant Self-Inspections (if performed, provide the totals)

Self-inspections performed

 

Hazards and/or violations identified and corrected/abated

 

Comments/Explanations (briefly describe activities, or explain if activity is required but not performed)

 

2i. Other Activities (briefly describe other activities performed)

 

Section 3 Illness and Injury Information

Year and

Average STEP

Score

Hours

Falls

Struck-by

Caught-in

Electrical

Total Cases

TCIR

# of Days Away from Work Restricted and Transferred Activity Cases

DART

2016/

 

 

 

 

 

 

 

 

 

2017/

 

 

 

 

 

 

 

 

 

2018/

 

 

 

 

 

 

 

 

 

2019/

 

 

 

 

 

 

 

 

 

2020/

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

Five Year Rate (2016-2020)

 

 

 

 

 

 

 

BLS National Average for – CY (most current) NAICS 23

 

 

 

 

 

 

 

Baseline

Data (Partners)

2013-2015

 

 

 

 

 

 

 

 

Comments

 

Section 4 Partnership Evaluation and Recommendations

In the section below please provide narrative regarding each question. 

1. Changes and Challenges: During the evaluation period what observations were made regarding the issues faced by the partnership that need to be further evaluated to determine if changes to the structure, implementation or operation of the OSP are necessary going into the next evaluation period? Please address any areas where changes were made to the OSP or where challenges or impediments to reaching the goals were observed. The following is a list of information to be considered for this question: management structure, participants, data collection, worker involvement, OSHA enforcement inspections, OSP outreach, and training. Please do not limit your responses to those items if other areas need to be addressed. 

Comments

 

2. Plans to Improve: During the evaluation period what observations were made regarding areas in which the OSP needs to improve in order to increase the chances of reaching and/or exceeding the OSP goals?  The following is a list of information to be considered for this question: need to meet more often, need to improve data collection, need to conduct more training, and need to change the OSP goals. Please do not limit your responses to those items if other areas need to be addressed. 

Comments

 

3. During the evaluation period what observations were made regarding how the partners are benefiting from their participation in the OSP? Additionally, how does OSHA's participation enhance the ability of the partners to reach the OSP goals? The following is a list of information to be considered for this question: increased safety and health awareness, improved relationship with OSHA, improved relationship with employers, and improved relationship with the workers or unions. Please do not limit your responses to those items if other areas need to be addressed. 

Comments

 

Status Recommendations (check one)

Partnership Completed

 

Continue/Renew

 

Continue with the following provisions:

 

 

Terminate (provide explanation)

 

 

Illness and Injury Information
For Each Partnering Employer

Employer: ___________________________________________________________

Year and

Average STEP

Score

Hours

Falls

Struck-by

Caught-in

Electrical

Total Cases

TCIR

# of Days Away from Work Restricted and Transferred Activity Cases

DART

2016/

 

 

 

 

 

 

 

 

 

2017/

 

 

 

 

 

 

 

 

 

2018/

 

 

 

 

 

 

 

 

 

2019/

 

 

 

 

 

 

 

 

 

2020/

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

Five Year Rate (2016-2020)

 

 

 

 

 

 

 

BLS National Average for – CY (most current)

NAICS 23xxxx

 

 

 

 

 

 

 

Baseline

Data (Partner)

2013-2015

 

 

 

 

 

 

 

 

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