Powered by GoogleTranslate

USDOL/OSHA – Allentown Area Office
PA/OSHA Consultation at Indiana University of Pennsylvania
Lehigh Career & Technical Institute
Warehousing, Storage & Transportation Members
And
Temporary Staffing Service Agencies

Warehousing and Materials Logistics
Partnership Agreement

OSHA Logo

LCTI Lehigh Career & Technical Institute

OSHA Logo

PA OSHA CONSULTATION


Agreement Establishing a Warehousing and Materials Logistics Partnership
Between
Occupational Safety and Health Administration
The U.S. Department Of Labor - Allentown Area Office
PA/OSHA Consultation Program at Indiana University of Pennsylvania
The Lehigh Career & Technical Institute – Materials Handling
and Logistics Technology Department
Warehousing, Storage, Distribution and Transportation members
And
Temporary Staffing Service Agencies
  1. IDENTIFICATION OF PARTNERS:
    1. U.S. Department of Labor - Occupational Safety and Health Administration (OSHA) - Allentown Area Office;
    2. Lehigh Career & Technical Institute – Materials Handling/Logistics Technology Department;
    3. PA/OSHA Consultation Program at Indiana University of Pennsylvania;
    4. Participating Employers in the Warehouse, Storage, Distribution and Transportation industries.
    5. Participating Temporary Staffing Service Agencies.
  2. PURPOSE/SCOPE:

    In a cooperative effort to foster safe and healthful worksites and meet OSHA's strategic goal of improving the safety, health and well-being of the nation's workforce, the USDOL/OSHA Allentown Area Office, the PA/OSHA Consultation Program at Indiana University of Pennsylvania, the Lehigh Career & Technical Institute Materials Handling/Logistics Technology Department, and Participating Employers within the jurisdiction of the OSHA Allentown office (see Appendix A) are committed to working together through this Strategic Partnership Agreement.  These Partnership members (hereafter referred to as "Partners") agree to establish a Partnership to reduce the number of injuries and illnesses resulting from events or exposures within the workplace, assure compliance with the most frequently cited OSHA standards for their industry, promote the integration of occupational safety and health training through vocational-technical school instruction, and encourage companies interested in pursuing participation in the Safety and Health Achievement Recognition Program (SHARP) of the PA/OSHA Consultation Program at IUP and/or OSHA's Voluntary Protection Program (VPP).

    The primary purpose of the agreement is to prevent accidents, injuries, and fatalities resulting from work activities within the warehousing storage, distribution and transportation industries.  This Partnership will: (a) develop an initiative to improve safety and health performance by reducing the Total Case Incident Rate (TCIR) and Days Away Restricted and Transferred (DART) rate of Participating Employers over the life of the Partnership, (b) identify the causes of injuries and illnesses within the Participating Employer's worksites and develop a strategy to control or eliminate those hazards, (c) develop positive relationships between temporary staffing agencies and host employers through forums and meetings to ensure that temporary staff employees are provided the safety and health protection afforded to them under the OSH Act, and (d) enhance safety and health knowledge for the participating employers.

    The focused hazards are defined as: contact with objects; overexertion and falls.  These are further clarified as:

    1. contact with objects will include hazards associated with unsafe operation of powered industrial trucks;
    2. overexertion will include the hazards associated with ergonomic issues, including unsafe lifting activities: and,
    3. falls; which can include same level falls and fall hazards to a lower level.

    Over the last several years, there has been and continues to be a tremendous growth in the warehouse, storage, distribution and transportation industry, and as such the Allentown Area Office began reviewing local and national data to identify what issues, if any, were occurring within this industry.  In review of injury and illness data, the Bureau of Labor Statistics (BLS) has identified several "events" or "exposures" which were clearly at the forefront: industrial truck incidents, falls to lower levels and on the same level, overexertion involving ergonomic stressors and hazards primarily attributed to lifting, and finally transportation accidents.

    This Partnership will be available to any employer in the Allentown OSHA Area Office jurisdiction which has a North American Industrial Classification System (NAICS) Code which falls within the major group of 423 – Merchant Wholesaler, 484 - Truck Transportation, 493 – Warehousing and Storage or employers within NAICS Code 561320 – Temporary Staffing Services (collectively "Participating Employers").  

    This Partnership is consistent with OSHA's long-range efforts to develop a business, labor, and government cooperative approach to safety management. It will enable OSHA to leverage its resources more efficiently in promoting safety and health through a cooperative effort involving the Partnership members and consultation services sharing their experiences and successes.  This Partnership will have an increased impact not only on the partners by reaching the Participating Employers and their employees, but should also reach some employers who utilize the services of the temporary staffing services that are participatory members, since discussions, events and activities will enhance their safety and health knowledge which can be communicated to others.  Thus the efforts of this Partnership should achieve improved worker protection through a reduction of job related injuries and illnesses sooner than by traditional (enforcement) means. Finally, this Partnership is aimed at developing and/or improving the Participating Employers' existing safety and health management programs (systems). 

  3. GOALS/STRATEGIES/MEASURES:
    1. Reduce the total number of injuries and illnesses and in particular, those injuries and illnesses resulting from the "focused hazards" within this industry group.
      1. The number of all OSHA recordable cases (used to calculate the Total Recordable Incident Rate – TCIR), the number of OSHA cases which involves Days Away, Restricted or Transferred (DART) and the number of injuries and illnesses occurring within the workplace which fall into the "focused hazards" categories, for each Participating Employer will be reviewed annually to determine reduction from their baseline.
        1. Upon entry into this Partnership, and annually thereafter, each Participating Employers will provide their OSHA 300A forms, which will be used to assess TCIR and DART rates.
        2. Additionally, each Participating Employer will provide the number of OSHA recordable injuries and illnesses which involve "contacts with objects" (including hazards associated with unsafe operation of powered industrial trucks), "overexertion" (hazards associated with ergonomic issues, including unsafe lifting activities), and from "falls" (same level falls and fall hazards to a lower level), by using Appendix B – Focused Hazard and Training Data Collection Form (or anything equivalent) for warehousing, storage, distribution and transportation employers and for Temporary Staffing Service Agencies, Appendix C – Incident and Training Data Collection Form (or anything equivalent).

        Note 1: 2015 data will be collected and used to establish a baseline for each Participating Employer and to measure annual progress toward reaching the Partnership's goals.

        Note 2: In keeping with the requirements of the Recordkeeping Regulations (29 CFR Part 1904), two (2) charts will be used within the annual report to track and delineate the Warehousing and Storage, Transportation and Merchant Wholesalers employers from the Temporary Staffing Service employers.  For the Temporary Staffing Service Agencies, the data will be considered "pilot data" for analytical purposes. 

    2. Identify and correct hazards which have resulted in or had the potential for serious injuries, illnesses and/or fatalities.
      1. This goal will be measured by the utilization of hazard identification checklists or any other workplace inspection resource (tool) used by the Partners.
        1. Partners will share information on any hazards (or near miss events) identified (and corrective action taken) through their routine and frequent inspections, at each Partnership meeting. This data will be collected and compiled for submission within the annual reports. 
    3. Provide safety and health training and technical assistance on existing and new OSHA regulations emphasis on accident root cause(s) of injury within the industry.
      1. This goal will be measured by the number of meetings, presentations, speeches and/or training sessions provided to/by the Participating Employers. Information such as the topics, the number of attendees and the number of affected employees will also be gathered for tracking and submission in the annual reports.
  4. SAFETY AND HEALTH MANAGEMENT SYSTEM (SHMS):

    Effective workplace SHMS are self-sustaining systems that encompass management, worker involvement, worksite analysis, hazard prevention and control, safety and health training and evaluations.

    1. Participating Employers will work to develop, implement, communicate and/or enhance an effective comprehensive safety and health programs (where relevant specific to the warehouse, storage and distribution industry).
    2. Participating Employers must have now or agree to implement in the near future effective site-based SHMS (although Temporary Staffing Service Agencies need only develop those elements which they can control). These programs should be based on OSHA's 1989 Safety and Health Program Management Guidelines whenever feasible.

    NOTE: To aid in the assessment (or development) of the safety and health system Participating Employers may wish to utilize such tools at the OSHA Challenge Program Stages for General Industry (Appendix D) and/or the OSHA-33 Form (Safety and Health Program Assessment Worksheet – Appendix E).  

  5. WORKER INVOLVEMENT:
    1. Experience has shown that worker involvement is an essential component of any effective SHMS. A Participating Employer must commit to worker involvement in their SHMS. Worker involvement may include, but is not limited to:
      1. Conducting worksite inspections, safety and health audits, job hazard analyses, and other types of hazard identification.
      2. Developing and using a system for reporting hazards.
      3. Developing and revising the worksite's safety and health rules and safe work practices.
      4. Participating on workplace teams charged with identifying root causes of accidents, incidents, or breakdowns.
      5. Implementing controls to eliminate or reduce hazard exposure.
      6. Assisting in job hazard analyses.
      7. Making presentations at safety and health meetings.
      8. Participating on safety and health committees, joint labor-management committees, and other advisory or specific-purpose committees, if otherwise lawful and appropriate.
      9. Delivering safety and health training to current and newly-hired workers.
      10. Participating in safety and health program reviews.
  6. EVALUATION:
    1. Annually, OSHA will conduct an offsite review of the written program elements of this agreement to ensure that Participating Employers are carrying out their commitments under the Partnership.  The review may include documents such as the most current annual report, OSHA Form 300 data or its equivalent, safety and health training programs (Injury and Training Data Collection Forms (Appendix B or C)), completed hazard identification checklists and abatement efforts.
    2. In cooperation with its Partners, OSHA will prepare the required annual evaluation of this Partnership using Appendix F - OSHA Strategic Partnership Program (OSPP) Annual Partnership Activities Report and Evaluation.  The evaluation will review the implementation of the agreement, lessons learned, and changes that need to be made to meet the goals of the agreement.
  7. VERIFICATION PROCEDURES:

    1. OSHA will verify that Partners are upholding their responsibilities under this agreement through an Off-Site Verification process.

      OSHA's Off-Site verification activities will include review of the annual Partnership data (including OSHA 300A forms, Appendix B – Focused Hazard and Training Data, Appendix C - Incident and Training Data Collection Form, and any workplace inspections collected or discussed) and from information obtained from the monthly meeting minutes.

  8. INCENTIVES:

    OSHA will offer the following incentives to Participating Employers (as resources permit):

    1. Provide outreach, technical assistance and training to include:
      1. Being available for a variety of 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.
    2. Award a certificate of participation.
    3. PA/OSHA Consultation Program will give Participating Employers a higher priority consideration for requests for consultation services as outlined in Section IX.
  9. PARTNERSHIP MANAGEMENT AND OPERATION:

    The management of this Partnership will be through the commitment and roles outlined below: 

    Lehigh Career & Technical Institute's Commitment/Role:

    1. LCTI will provide safety and health technical assistance in the area of powered industrial truck and materials logistics safety through instruction and information sharing.
    2. LCTI agrees to occasionally facilitate, broker and/or host technical safety and health meetings and training sessions at their site if space is available and there are no conflicts with school activities.

    PA/OSHA Consultation Program Commitment/Role:

    1. The PA/OSHA Consultation Program will give Participating Employers a higher priority for scheduling on-site consultation visits.  Where an employer requests an onsite visit, the Consultation Program will explain the benefits of the Safety and Health Achievement Recognition Program (SHARP) and encourage employers to also request program assistance, which includes an evaluation of the requesting employer's SHMS. They will also provide the employer with a report summarizing their findings and will assess the impact on workplace safety and health.
    2. The PA/OSHA Consultation Program will provide resources to assist in the training and education of Participating Employers and their employees as resources permit.

    OSHA's Commitment/Role:

    1. Help identify (offsite), through the collection of OSHA 300 data, the primary causal factors in injuries and illnesses, including the top hazards within this industrial group and develop feasible and useful countermeasures for correcting those hazards.   Individual Participating Employers are not required, by virtue of this Partnership, to adopt or implement such countermeasures.
    2. Provide information on training resources including attendance at available OSHA Training Institute courses, offered locally, and information on other available sources of training.
    3. Provide technical assistance such as but not limited to, interpretation or clarification as to the meaning and application of OSHA standards and policy.  Also OSHA will provide training, under the terms of this agreement, to help participants understand, find and fix hazards at their worksites and improve their safety and health management systems. 
    4. Assure OSHA's participation in the Partnership's meetings and/or training sessions conducted every month, as resources allow.
    5. Designate an experienced Compliance Assistance Specialist(CAS) to serve as a resource and liaison for Partners.

    Participating Employers' Commitment/Role:

    1. Complete and sign Letter of Intent to Participate (Pledge) Form (Appendix A). 
    2. Attend and actively participate in monthly meetings.
    3. Provide information on worksite self-inspections and OSHA recordable injury and illness data.
    4. Complete the Focused Hazard and Training Data Collection Form (Appendix B for warehousing related employers, and Appendix C for temporary staffing service agencies) and provide to OSHA on an annual basis.
    5. Commit to implementing or maintaining an effective SHMS.
    6. Commit to soliciting worker engagement in their SHMS as outlined in Section V (Worker Involvement) of this Agreement. 

    Annually, on or around the anniversary signing date of this Partnership, new companies can be added as signatories to this agreement (completing Appendix A – Letter of Intent to Participate).  Interested companies are encouraged to attend Partnership meetings in the interim.

  10. WORKER AND EMPLOYEE RIGHTS:

    This Partnership does not preclude employees and/or Participating Employers from exercising any right provided under the OSH Act, nor does it abrogate any responsibility to comply with rules and regulations adopted pursuant to the Act.

    All Partners remain subject to normal OSHA inspection procedures.  The provisions of this agreement identified herein shall not modify any legal or contractual rights and remedies. OSHA's Partnerships provide groups of Partnership members, employees and employee representatives an opportunity to participate in an extended, voluntary, cooperative relationship with OSHA in order to encourage, assist, and recognize their efforts to eliminate serious hazards and achieve a high level of worker safety and health.   Partnerships have proven to be valuable tools for both OSHA and for participants.  By entering into a Partnership with a party, OSHA is not endorsing any of that party's products or services; nor does the Agency enter into a Partnership with the purpose of promoting a particular party's products or services.

    Participation in this Partnership does not obligate an employer to implement any work practice, install or modify any equipment, or hire any individual as an employee or consultant.  Actions taken by an employer with respect to its local workplace and operations, in furtherance of its participation in this Partnership, shall not necessarily be binding on or required by that employer at workplaces and/or operations maintained elsewhere by that employer. 

  11. STRATEGIC PARTNERSHIP TERM:

    This agreement will terminate five years from the date it is signed.  Any Partner or Participant Employers may withdraw from the Partnership by submitting a written notice to all signatories. Submission of withdrawal must be sent to the Allentown Area Office.

  12. PAPERWORK REDUCTION ACT NOTICE:

    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

  13. PRIMARY PARTNERSHIP CONTACTS:

    USDOL/OSHA - Allentown:  Scott G. Shimandle, Stabler Corporate Center, 3477 Corporate Parkway, Suite 120, Center Valley, Pa 18034, (267) 429-7542, shimandle.scott@dol.gov

    LCTI:  Carl J. Cencetti, Sr., Trainer, 4500 Education Park Drive, Schnecksville, Pa 18078,  (215) 859-2194, cencettic@lcti.org

    PA/OSHA Consultation Program at Indiana University of PA: Cynthia J. Mellen, CSP, Safety and Health Consultant, (610) 799-3068, cmellen@iup.edu

Signature Page for
Warehousing and Materials Logistics
Strategic Partnership Agreement
between
OSHA, LCTI and the PA/OSHA Consultation

All undersigned Parties mutually agree to the terms and conditions of this document and commencement of this Partnership Agreement.


Jean G. Kulp
Area Director
USDOL/OSHA – Allentown Area Office


Date


Dr. Thomas J. Rushton
Executive Director
Lehigh Career and Technical Institute


Date


Samuel Gualardo
Director
PA OSHA Consultation Program
Indiana University of Pennsylvania


Date

Appendix A

Letter of Intent to participate (PLEDGE)
Warehousing and Materials Logistics Partnership

Name of Employer:


Address of Employer:



We have read the requirements to participate in the OSHA Warehousing and Materials Logistics Partnership Agreement and agree with all aspects of the program, including the submission of the required information. 
Based upon the mutual interest to protect our employees we agree to the terms of the OSHA Warehousing and Materials Logistics Partnership Agreement.

Signed this _____ day of ___________________ Year ____________

Name (Print):


Job Title:


Signature:


Email:


Phone:


Appendix B

Focused Hazard and Training Data Collection Form
Warehouse/Distribution Center Partners

Employer:


Please list the number of OSHA 300 recordable injuries and/or illnesses for Calendar Year 20___ in each category (if none – please indicate 0):

OSHA 300 Form Injury and Illness Information:

Total No. of Employees: _____________  Hours Worked: _______________   

Total No. of Cases: ________________    DART Cases: _______________

Total number of injury/illness cases which involve:

Contact with Objects: __________    Overexertion: _________   Falls: _________                            

Safety/Health Training (classroom and/or computer based) Information for Calendar Year 20____:

Employee Hours: _____________

Supervisor/Manager Hours: _____________

Topics of Training (please provide examples of safety/health training topics):




Contact person reporting information:


Name

Job Title/Position


Phone Number

Email

Appendix C

Incident and Training Data Collection Form (Pilot data)
Temporary Staffing Service Agency Partners

Employer:


Please list the total number of incidents (reported events and medical events (medical events are those reported events that require treatment beyond first aid and/or resulted in days away from work, restricted work or job transfers)) at warehouse/distribution center locations within Lehigh, Northampton, Bucks and Montgomery, Pennsylvania counties for Calendar Year 20____.

Events:

NOTE: if you have no temporary staff at any of the warehouse locations during the reporting period – indicate N/A):

@ Warehouse Partner locations:

Total No. of Employees: _____________  Hours Worked: _______________   

Total No. of Incidents: _____________    Total No. of Medical: _______________

Total number of incidents/events which involve:

Contact with Objects: __________    Overexertion: _________   Falls: _________    

 

@ Non-Partner Warehouse locations:

Total No. of Employees: _____________  Hours Worked: _______________

Total No. of Incidents: _____________    Total No. of Medical: _______________ 

Total number of incidents/events which involve:

Contact with Objects: __________    Overexertion: _________   Falls: _________

Training:

Safety/Health Training (classroom and/or computer based) provided by you, prior to temporary work assignments (@ warehouse/distribution center locations), for Calendar Year 20_____:

Employee training hours: _____________

Topics of Training (please provide examples of safety/health training topics):




Contact person reporting information:


Name

Job Title/Position


Phone Number

Email

Appendix D

Challenge Stages at a Glance

1. Management Leadership

Element

Stage I

Stage II

Stage III

1.1 Management Commitment

Mission and Policy Statements

Develop S&H Mission Statement, with input from employees, and a S&H Policy Statement.

Communicate statements; incorporate into new employee/contractor orientation.

Take proactive steps to ensure understanding by all employees and contract workers and that they become a routine part of regular communication.

Leadership by Example

Begins to participate in S&H activities and follow S&H rules.

Continue; increase frequency of manager participation in S&H activities.

Continue; ensure total involvement of all executives, managers, & supervisors

Resources

Commit initial resources to control identified hazards. Begin integrating S&H into other aspects of management planning.

Provide additional resources for S&H activities, including access to certified S&H and licensed health care professionals, and improve integration of S&H into other planning processes.

Continue committing and ensuring the utilization of adequate resources. Ensure integration of S&H into all planning processes in the site.

Goals and Objectives

Establish & communicate annual S&H goals & objectives based on findings from baseline hazard and trend analyses; and assessment of the site's safety and health practices.

Review the site's progress towards achievement of S&H goals & objectives; establish & communicate new goals, as appropriate.

Review, revise, and continue communicating S&H goals and objectives. Ensure S&H goals and objectives are routinely considered in site's activities and programs.

Responsibility, Authority, and Accountability

Develop a safety and health accountability plan for managers, supervisors, and non-supervisory employees.

Enforce accountability plan.

Fully implement accountability system for all workers, including incorporation of S&H responsibilities into job descriptions and performance plans. Assign additional responsibilities to non-supervisory employees as appropriate.

Communication

Establish clear lines of communication with employees & provide reasonable access to top management re: S&H issues.

Maintain clear lines of communication with employees re: S&H issues

Encourage open dialogue between management staff and employees.

Disciplinary Plan

No action required

Develop & begin implementing disciplinary plan for managers and employees.

Ensure discipline is equability enforced, ensure higher levels of compliance.

Annual Self-Evaluation

No action required

No action required

Develop system and written procedures to annually evaluate the total site's S&H management system. Complete at least one annual self-evaluation of the site's safety and health management system.

1.2 Employee Involvement

Employee S&H Perception Survey

Conduct baseline employee S&H practices perception survey.

No action required

Conduct follow-up employee S& H perception survey.

S&H Practices Change
Plan

Develop an action plan to address findings from the baseline employee S&H practices perception survey.

Implement steps defined in the site's action plan to improve S&H culture.

Continue; ensure significant improvement in S&H culture

Employee Notification

Notify all employees of their S&H rights, the site's participation in Challenge, & VPP principles.

Notify new employees of their S&H rights, site participation in Challenge, & VPP principles. Incorporate into new employee/contractor orientation.

Continue for new employees. At least annually, re-enforce for all employees. Encourage freely reporting workplace hazards without reprisal.

Meaningful Employee Involvement

Establish a few key S&H teams; begin involving employees in S&H activities.

Increase participation on teams, and/or form additional teams. Involve employees in safety and health activities (e.g., accident/near-miss investigations).

All needed teams are functioning and meaningfully contributing to S&H. Ensure regular teams are routinely conducting audits, accident/incident investigations, self-inspections, and job hazard analyses. Improve and continue the site's hazard reporting system.

1.3 Contract Worker Coverage

Adherence to Rules

Require contractors and their employees to comply with OSHA and site S&H rules.

Improve and continue to enforce policy for S&H violations.

Improve and continue- enforce policy for safety and health violations.

Contractor Selection

No action required

Consider contractors' safety and health performance in the bidding process, including a review of injury/illness rates.

Fully establish and use selection criteria. Encourage contractors to develop their own S&H management systems & decrease high rates.

Contractor Hazards

Contractor ensures correction of any hazards in their work areas.

Develop & implement a formalized method including assignment of responsibility to identify, correct, & track hazards in contractors' work areas.

Include responsibility for hazard correction in writing, in the contracts.

Removal Policy

No action required

Develop & implement contractor policy for S&H violations, including removal and other penalties.

Penalty policy is understood by all contractors, described in their contracts, and adhered to.

 

2. Worksite Analysis

Element

Stage I

Stage II

Stage III

Baseline Safety and IH Hazard Analysis

Conduct the baseline analysis (may use outside sources), including a chemical inventory and evaluation of typical safety and health hazards.

No action required

Re-do baseline survey, if warranted by significant changes in tasks, equipment, or processes.

Hazard Analysis of Routine Jobs, Tasks, And Processes

No action required

Conduct hazard analysis and recommend controls for routine jobs, tasks, & processes that have had associated injuries/illnesses or significant incidents or near-misses; are perceived as high-hazard; or are required by a regulation or standard; observe guidelines.

Conduct hazard analysis and recommend controls for routine jobs, tasks, and processes that have written procedures, have been recommended for more in-depth analysis, or are determined by the Challenge participant to warrant hazard analysis

Hazard Analysis of Significant Changes

No action required

No action required

Conduct hazard analysis for significant changes (e.g., non-routine tasks or new processes, materials, equipment and facilities) and recommend controls prior to the activity or use.

Pre-use Analysis

No action required

No action required

Conduct pre-use hazard analysis of new equipment, chemicals, facilities, or significantly different operations or procedures. and recommend controls prior to the activity or use.

IH Program

No action required (See Baseline Hazard Analysis).

Follow up on results of baseline IH study. Conduct more in-depth analysis if warranted to determine actual employee exposures. Establish, document, & implement future sampling schedule, strategy, and rationale.

Continue to follow the written IH program; take proactive steps to improve control of health hazards to prevent occupational disease.

Routine Self-inspections

No action required

Develop a documented system for routinely scheduled self-inspections of the workplace; conduct inspections with S&H staff; covering entire worksite, at least semi-annually.

Continue to conduct routine self-inspections. Increase frequency to at least monthly, with the entire worksite covered at least quarterly.

Employee Hazard Reporting System

No action required

Develop & begin implementing hazard-reporting system for employees (maybe anonymous),

Encourage more active reporting; ensure regular feedback, using different media, to all employees on status of hazards reported.

Investigation of Accidents and Near-Misses

Develop and implement system to report and investigate accidents. Determine root causes and track correction to completion.

Expand system to include reporting and investigation of near misses. Continue investigating accidents, begin investigating near-misses, and making corrective actions.

Thoroughly report and investigate all accidents and near-misses.

Trend Analysis

Conduct trend analysis of injury & illness history (previous 3 years of OSHA 200/300 logs) and begin developing a plan for conducting analysis of other S&H-related information

Conduct trend analysis of other S&H information not yet studied; conduct one of injury & illness history if a year has gone by since initial analysis.

Trend analysis takes place regularly (at least annually) for all types of S&H information, and is utilized in setting future goals to address identified trends.

 

3. Hazard Prevention & Control

Element

Stage I

Stage II

Stage III

Certified Professional
Resources

(see Management Commitment)

(see Management Commitment)

(see Management Commitment)

Hazard Elimination & Control Methods

Develop an action plan to prioritize and implement controls for hazards identified, through the baseline S&IH study, trend analysis of OSHA logs and accident investigations.
Implement controls or (interim protection if long-term abatement) for top priority hazards before moving onto Stage II.

Complete long term abatement projects from Stage I.
Develop an action plan to prioritize and implement controls for hazards identified through self-inspections,
employee reports of hazards, and near miss investigations.
Implement hazard controls (or interim protection) for top priority hazards before moving onto Stage III.

Complete long term abatement projects from Stage II.
Continue to pro-actively identify, prioritize, and implement controls for hazards identified through all means (hazard analysis, trend analysis, accident and near miss investigation, self-inspections, employee reports of hazards, pre-use analysis, etc) so that there is a continuous loop of hazard id and control.

Hazard Control Programs

Inventory existing hazard control programs required by OSHA standards. Develop missing programs or modify existing programs.

Implement hazard control programs developed or modified in Stage I and train all workers on these programs.

Review hazard control programs annually and updated as new processes, jobs, and tasks are begun.

Documented System for Hazard Correction
Tracking

Develop and begin implementing a hazard tracking system for hazards identified through the baseline hazard analysis, trend analysis of OSHA logs, and accident investigations.

Expand tracking system to include hazards identified through hazard analysis of routine jobs; self-inspections; employee reports of hazards; and near miss investigations.

Tracking system is fully functioning and includes hazards identified through all methods.

Preventive Maintenance

Conduct an inventory of equipment and machinery requiring preventive maintenance.

Review equipment inventory. Establish and implement preventive maintenance schedule.

Ensure schedule is routinely observed and preventive maintenance is regularly conducted.

Occupational Health Care Program

Conduct records review of previous three years OSHA 200/300 logs. Compare with insurance claims forms and ensure records are in order. Provide physician services for emergencies (see below).

Continue to provide access to licensed health care providers, health services, physician care, and emergency medical care. Arrange for services based on the outcomes of the baseline safety and health analysis.

Continue providing services listed in Stage I and II. In addition- Health Care providers visit the site, and assist in identifying causes and symptoms of injury/illness. Care provided in within the scope of licensure.

Emergency Preparedness and Response

Establish & communicate written procedures for responding to all types of emergencies; Make emergency services available on all shifts including: ambulances, EMT's, emergency clinics, or hospital emergency rooms.
Provide at least one employee trained in first aid & CPR for each shift or an equally effective alternative.
Conduct at least one evacuation drill & assess its effectiveness.

Continue providing emergency medical services.
Establish an Emergency Response Team including first aid and CPR trained employees. Conduct at least one drill and assess it's effectiveness and follow-up on recommendations to improve emergency evacuation drills.

Continue providing emergency medical services.
Establish a Haz. Mat. Team if necessary.
Consult with local fire department to ensure adequate coverage for fire, explosion, or chemical release.
Conduct evacuation drills at least annually and assess their effectiveness.
Provide AED and training on its use for those on the Emergency Response Team.

 

4. Safety and Health Training

Element

Stage I

Stage II

Stage III

General guidelines

Observe OSHA guidelines in providing training for required programs.

Continue observing OSHA VPP guidelines in providing training.

Continue observing OSHA VPP guidelines in providing training.

Training for all workers

Provide training to all workers on their S&H rights, Challenge, VPP fundamental principles, hazards in the workplace, PPE, emergency evacuation procedures, and individual emergency responsibilities.

Continue providing training to all workers, including new workers, on their S&H rights, Challenge, VPP fundamental principles, hazards in the workplace, PPE, emergency evacuation procedures, and individual emergency responsibilities.

Take proactive steps to improve & continue providing training to all workers, including new workers, on their S&H rights, Challenge, VPP fundamental principles, hazards in the workplace, PPE, emergency evacuation procedures, and individual emergency responsibilities

Training for specific groups of workers

Provide specific training to managers and supervisors, to designated S&H staff and others with S&H responsibilities, and to contract workers to equip them with knowledge & skills needed to perform their S&H responsibilities in Stage I (i.e., hazard recognition, accident investigation and root cause analysis, hazard controls, OSHA standards, and VPP requirements).

Provide specific training to managers and supervisors, to designated S&H staff and others with S&H responsibilities, and to contract workers to equip them with knowledge & skills needed to perform their S&H responsibilities in Stage II.

Take proactive steps to provide specific training to all employees and contract workers to equip them with the knowledge & skills they need to perform their S&H responsibilities in Stage III.

Appendix E

Safety and Health Program Assessment Worksheet
Blank Form 33

Request Number

 

Visit Number

 

Visit Date

 

Employer

 

Site Location

 

Legend: 0 = No; 1 = No, Needs major improvement; 2 = Yes, Needs minor improvement; 3 = Yes; NA = Not Applicable; NE = Not Evaluated
* = Stretch Items Attribute of Excellence

 

 

 

 

 

 

 

Synthesis Item Score

 

0

1

2

3

 

 

With the total knowledge you now have of this organization (whether or not such knowledge has been captured by attribute ratings), use your professional judgment to assign an overall score for the organization's safety and health system.

 

 

 

 

 

 

 

Hazard Anticipation and Detection

 

0

1

2

3

NA

NE

1. A comprehensive, baseline hazard survey has been conducted within the past five (5) years.

 

 

 

 

 

 

Comments:

2. Effective safety and health self-inspections are performed regularly.

 

 

 

 

 

 

Comments:

3. Effective surveillance of established hazard controls is conducted.

 

 

 

 

 

 

Comments:

4. An effective hazard reporting system exists.

 

 

 

 

 

 

Comments:

5. Change analysis is performed whenever a change in facilities, equipment, materials, or processes occurs.

 

 

 

 

 

 

Comments:

6. Accidents are investigated for root causes.

 

 

 

 

 

 

Comments:

7. Material Safety Data Sheets are used to reveal potential hazards associated with chemical products in the workplace.

 

 

 

 

 

 

Comments:

8. Effective job hazard analysis is performed.

 

 

 

 

 

 

Comments:

9. Expert hazard analysis is performed.

 

 

 

 

 

 

Comments:

10. *Incidents are investigated for root causes.

 

 

 

 

 

 

Comments:

 

Hazard Prevention and Control

 

0

1

2

3

NA

NE

11. Feasible engineering controls are in place.

 

 

 

 

 

 

Comments:

12. Effective safety and health rules and work practices are in place.

 

 

 

 

 

 

Comments:

13. Applicable OSHA-mandated programs are effectively in place.

 

 

 

 

 

 

Comments:

14. Personal protective equipment is effectively used.

 

 

 

 

 

 

Comments:

15. Housekeeping is properly maintained.

 

 

 

 

 

 

Comments:

16. The organization is properly prepared for emergency situations.

 

 

 

 

 

 

Comments:

17. The organization has an effective plan for providing competent emergency medical care to employees and others present at the site.

 

 

 

 

 

 

Comments:

18. *Effective preventive maintenance is performed.

 

 

 

 

 

 

Comments:

19. An effective procedure for tracking hazard correction is in place.

 

 

 

 

 

 

Comments:

 

Planning and Evaluation

 

0

1

2

3

NA

NE

20. Workplace injury/illness data are effectively analyzed.

 

 

 

 

 

 

Comments:

21. Hazard incidence data are effectively analyzed.

 

 

 

 

 

 

Comments:

22. A safety and health goal and supporting objectives exist.

 

 

 

 

 

 

Comments:

23. An action plan designed to accomplish the organizations safety and health objectives is in place.

 

 

 

 

 

 

Comments:

24. A review of in-place OSHA-mandated programs is conducted at least annually.

 

 

 

 

 

 

Comments:

25. *A review of the overall safety and health management system is conducted at least annually.

 

 

 

 

 

 

Comments:

 

Administration and Supervision

 

0

1

2

3

NA

NE

26. Safety and health program tasks are each specifically assigned to a person or position for performance or coordination.

 

 

 

 

 

 

Comments:

27. Each assignment of safety and health responsibility is clearly communicated.

 

 

 

 

 

 

Comments:

28. *An accountability mechanism is included with each assignment of safety and health responsibility.

 

 

 

 

 

 

Comments:

29. Individuals with assigned safety and health responsibilities have the necessary knowledge, skills, and timely information to perform their duties.

 

 

 

 

 

 

Comments:

30. Individuals with assigned safety and health responsibilities have the authority to perform their duties.

 

 

 

 

 

 

Comments:

31. Individuals with assigned safety and health responsibilities have the resources to perform their duties.

 

 

 

 

 

 

Comments:

32. Organizational policies promote the performance of safety and health responsibilities.

 

 

 

 

 

 

Comments:

33. Organizational policies result in correction of non-performance of safety and health responsibilities.

 

 

 

 

 

 

Comments:

 

Safety and Health Training

 

0

1

2

3

NA

NE

34. Employees receive appropriate safety and health training.

 

 

 

 

 

 

Comments:

35. New employee orientation includes applicable safety and health information.

 

 

 

 

 

 

Comments:

36. Supervisors receive appropriate safety and health training.

 

 

 

 

 

 

Comments:

37. *Supervisors receive training that covers the supervisory aspects of their safety and health responsibilities.

 

 

 

 

 

 

Comments:

38. Safety and health training is provided to managers.

 

 

 

 

 

 

Comments:

39. *Relevant safety and health aspects are integrated into management training.

 

 

 

 

 

 

Comments:

 

Management Leadership

 

0

1

2

3

NA

NE

40. Top management policy establishes clear priority for safety and health.

 

 

 

 

 

 

Comments:

41. Top management considers safety and health to be a line rather than a staff function.

 

 

 

 

 

 

Comments:

42. *Top management provides competent safety and health staff support to line managers and supervisors.

 

 

 

 

 

 

Comments:

43. Managers personally follow safety and health rules.

 

 

 

 

 

 

Comments:

44. Managers delegate the authority necessary for personnel to carry out their assigned safety and health responsibilities effectively.

 

 

 

 

 

 

Comments:

45. Managers allocate the resources needed to properly support the organizations safety and health system.

 

 

 

 

 

 

Comments:

46. Managers assure that appropriate safety and health training is provided.

 

 

 

 

 

 

Comments:

47. Managers support fair and effective policies that promote safety and health performance.

 

 

 

 

 

 

Comments:

48. Top management is involved in the planning and evaluation of safety and health performance.

 

 

 

 

 

 

Comments:

49. Top management values employee involvement and participation in safety and health issues.

 

 

 

 

 

 

Comments:

 

Employee Participation

 

0

1

2

3

NA

NE

50. There is an effective process to involve employees in safety and health issues.

 

 

 

 

 

 

Comments:

51. Employees are involved in organizational decision making in regard to safety and health policy.

 

 

 

 

 

 

Comments:

52. Employees are involved in organizational decision making in regard to the allocation of safety and health resources.

 

 

 

 

 

 

Comments:

53. Employees are involved in organizational decision making in regard to safety and health training.

 

 

 

 

 

 

Comments:

54. Employees participate in hazard detection activities.

 

 

 

 

 

 

Comments:

55. Employees participate in hazard prevention and control activities.

 

 

 

 

 

 

Comments:

56. *Employees participate in the safety and health training of co-workers.

 

 

 

 

 

 

Comments:

57. Employees participate in safety and health planning activities.

 

 

 

 

 

 

Comments:

58. Employees participate in the evaluation of safety and health performance.

 

 

 

 

 

 

Comments:

Revised Form 33, October, 2000

Appendix F

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

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

OSHA Strategic Partnership (OSP) Name
 
 
 
Purpose of OSP
 
 
 
Partnership Goals
GoalStrategyMeasure
   
   
   
   
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  
VIII. 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)
PartnerSICNAICS
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
Section 2 Activities Performed
Note whether an activity was provided for by the OSP and whether it was performed
 RequiredPerformed
a. TrainingYes/NoYes/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 StaffProvided by PartnersProvided 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

Table 1 – Warehousing Partners

YearHours Contact with Objects Over-Exertion FallsTotal CasesTCIR# 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
       
Baseline Data
(Warehouse Partners)
2015        

Table 2 – Staffing Agency Partners

YearHours Contact with Objects Over-Exertion FallsTotal CasesTCIR# 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
       
Baseline Data
(Staffing Agencies)
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)  
 
 
 
Back to Top

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.

Close