What follows are instructions for applying to the VPP corporate way to participate. We encourage you to involve employees and managers in completing your application. After OSHA reviews and accepts your written submission, we will schedule an onsite evaluation.
If you are in a state that operates its own OSHA-approved program, check with your state agency to learn specifics regarding its VPP application process.
There is some paperwork required in the application process, but we encourage you to use as much existing material as possible. Please provide a list/index of all materials you choose to attach to your application. Most worksites have found that, in the process of applying, they gain a greater understanding of worker protection and discover ways to improve their safety and health management system.
VPP reviewers don't look for a single correct way to meet VPP requirements. They want to see a system that works for you. Some successful safety and health management systems involve substantial written documentation, and others do not. Small businesses, in particular, often are able to implement excellent safety and health processes with relatively little documentation.
If you need more information, you can contact your nearest OSHA VPP Manager or Coordinator through OSHA's Regional and Area Offices. In addition to answering your questions, your Regional VPP Manager or Coordinator can refer you to VPP participants in your area. We encourage you to contact participants. They are happy to share their experience.
We also encourage you to review the Federal Register Notice, 74 FR 927, January 9, 2009.
OMB Control Number: 1218-0239 Expires 01-31-2018
Public reporting burden for this collection of information is estimated to average 20 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Directorate of Cooperative and State Program U.S. Department of Labor, 200 Constitution Ave., Suite N3700 NW, Washington, DC 20210-4537 and reference the OMB Control Number 1218-0239.
Provide what you believe to be your corporation's 6-digit North American Industry Classification System (NAICS) code and your 4-digit Standard Industrial Classification (SIC) code.
Terms used in this section are further explained in Appendix A Definitions.
Provide a written corporate philosophy and vision that integrates requirements for the worker safety and health management systems.
Provide policy statements, memorandums, and other forms of communication that recognize the importance of safety and health and specify a corporate commitment to occupational safety and health signed by corporate executives or senior managers.
Describe your performance management system that holds senior leadership and management staff and employees accountable for achieving corporate safety and health goals (e.g., performance plans for executives and senior managers that include safety and health elements). If applicable, describe any uniform, corporate-wide policies for managing the performance appraisal system.
Describe, if applicable, any other types of certifications the corporation maintains that demonstrate excellence in environmental, safety and health (for example: accreditation with ISO, the International Organization for Standardization).
VPP corporate applications must include a signed statement affirming the following:
Applicant will comply with the Occupational Safety and Health Act (OSH Act) and will correct in a timely manner all hazards discovered through self-inspections, employee notification, accident investigations, an OSHA onsite review or enforcement inspection, process hazard reviews, annual evaluations, or any other means. You will provide effective interim protection as necessary to keep employees safe while corrections are being made. Federal applicants also agree to comply with Title 29 of the Code of Federal Regulations (CFR), Part 1960-Basic Program Elements for Federal Employees.
Applicant will correct any safety and health management system deficiencies related to compliance with OSHA requirements and identified during any OSHA onsite review. The correction deadline will depend on the nature of the deficiency, will be determined by the OSHA VPP Team Leader, and in no instance will exceed 90 days.
Applicant will maintain a system for overseeing and monitoring safety and health management system implementation at all corporate sites/projects/DGAs. This system must include oversight of process safety management and other highly hazardous operations.
Applicant will bring no fewer than 10 sites and/or DGAs into VPP within 5 years of corporate approval, and then will continue to bring sites/DGAs into VPP.
All employees at VPP applicant and approved sites, including newly hired employees and contractor/subcontractor employees, will have the VPP explained to them before they perform any work. This orientation will include employee rights under VPP and under the OSH Act or 29 CFR 1960.
Applicant will protect employees engaged in safety and health activities, including those employees specifically given safety and health duties as part of your safety and health management system, from discriminatory actions resulting from their activities/duties, just as Section 11(c) of the OSH Act and 29 CFR 1960.46(a) protect employees who exercise their rights.
Employees will have access to the results of self-inspections, accident investigations, and other safety and health management system data upon request. For a unionized workforce, this requirement may be met through employee representative access to these results.
To enable OSHA to determine initial and continued VPP approval, you will maintain and make available for OSHA review the following information:
Applicant will make available to OSHA any data not listed above that is necessary to evaluate identified deficiencies.
Each year by February 15, you will submit data (see Appendix D) to your designated OSHA VPP Contact that will enable OSHA to evaluate your overall VPP performance and compare that performance to your organization's non-participating sites. This data will include:
Whenever significant organizational or ownership changes occur at the corporate level, you will provide OSHA within 60 days a new Statement of Commitment signed by management and, when applicable, any authorized collective bargaining agents.
Describe any uniform, corporate-wide policies that prescribe how employees should be meaningfully involved in safety and health management systems at your sites/DGAs.
Describe any uniform, corporate-wide policies that prescribe how employee notification takes place or will be conducted at your sites/DGAs.
Describe your written safety and health management system (see definition of this term in Appendix A), including safety and health policies, procedures, and systems that are consistently and uniformly implemented throughout the Corporation (all sites/DGAs).
Program descriptions must contain pertinent information that clearly explains the management and administration of the program, such as responsibilities and types of documentation maintained.
Include those systems applicable to operations considered highly hazardous (e.g., LOTO, Confined Space, PSM) and those considered non-routine.
Please provide a list/index of any supporting documentation you choose to attach with the written description of the program.
For each element listed in this section, describe any corporate policies or procedures which pertain to or prescribe the way the element should be conducted across your corporation's sites/DGAs. Indicate if you do not have a corporate-wide policy for any particular element.
Applicants and participants must be in compliance with any hazard control program required by an OSHA standard, such as PPE, Respiratory Protection, Lockout/Tagout, Confined Space Entry, Process Safety Management (PSM), Bloodborne Pathogens, etc. VPP applicants and participants must periodically review these programs (most OSHA standards require an annual review) to ensure they are up-to-date.
For each element listed in this section, describe any corporate policies or procedures which pertain to or prescribe the way the element should be conducted across your corporation's sites/DGAs. If you do not have a corporate-level policy regarding an element, indicate that there is no corporate-wide policy for the element.
Participants who are covered by the PSM standard must additionally submit answers to all applicable questions found in the VPP PSM Application Supplement A. (Other Supplements will be used during annual self-evaluations and OSHA onsite approval/reapproval visits.)
1-Year Conditional Goal. A target for correcting deficiencies in safety and health management system elements or sub-elements identified by OSHA during the onsite evaluation of a Star participant. Such deficiencies, which indicate that a site no longer fully meets Star requirements, must be corrected within 90 days, and the participant must then operate at the Star level for 1 year for the participant's conditional status to be lifted. Failure to meet this requirement will result in termination from VPP.
2-Year Rate Reduction Plan. A strategy employed whenever a Star participant's 3-year rates rise above the national average and call into question the participant's continuing VPP qualification. The plan is developed jointly by the participant and OSHA and must be approved by the Regional Administrator. It must identify and address any safety and health management system deficiencies related to the high rates, correction methods, and timeframes, and must include quarterly participant progress reports.
90-Day Items. Compliance-related issues that must be corrected within a maximum of 90 days, with effective protection provided to employees in the interim.
Annual Self-Evaluation. A participant's yearly self-assessment to gauge the effectiveness of all required VPP elements and any other elements of the participant's safety and health management system.
Annual Submission. A document written by a participant and submitted to OSHA by February 15th each year, consisting of the following information: Updated names and addresses; the participant's and applicable contractors' injury and illness case numbers and rates, average annual employment and hours worked for the previous calendar year; a copy of the most recent annual self-evaluation of the participant's safety and health management system; descriptions of significant changes or events; progress made on the previous year's recommendations; Merit or 1-Year Conditional goals (if applicable); any success stories; and any other information required by OSHA. In addition, participants covered by the Process Safety Management Standard (PSM) are required to respond to applicable questions from the annual VPP PSM questionnaire. Participants who have been approved within a Designated Geographic Area (DGA) must submit a list, including addresses, of all active worksites plus a second list of any work projects scheduled or projected to begin during the upcoming year.
Applicable Contractor. An employer who has contracted with a General Industry, Maritime, or Federal Agency (non-construction) site-based applicant/participant to provide specified services and whose employees:
The concept of applicable contractor does not include temporary employees or other contractor employees who are regularly intermingled with a site-based applicant/participant's employees and under direct supervision by management. Moreover, construction applicants/participants do not break out this category of employee. Therefore, applicable contractor reporting requirements do not apply to applicants/participants whose main activity is construction, regardless of the chosen way to participate.
Accepted Application. An application that has been reviewed by the Regional Office -- or the National Office for certain corporate and Demonstration Program applications -- and found to be complete. Also referred to as a completed application.
Backup Team Leader. A member of an onsite evaluation team who provides assistance to the team leader and can assume his/her duties when necessary.
Combined Workforce. An applicant/participant's regular workforce employees, including temporary employees, plus all contractor/subcontractor employees. Mobile workforce applicants/participants and all construction applicants/participants must use combined workforce data when calculating and reporting injury and illness rates.
Compliance Officer. A Federal compliance safety or health officer (CSHO).
Compressed Approved Process. A VPP onsite evaluation procedure that OSHA may choose to employ for site-based Star participants seeking reapproval and meeting specified criteria. A CAP evaluation examines all the VPP elements assessed during a standard onsite evaluation but places particular attention on changes since the last evaluation and the most recent annual self-evaluation.
Contract Employees. Those individuals who are employed by a company that provides services under contract to the VPP applicant/participant, usually at the VPP applicant/participant's worksite.
Corporate Participation. See Way to Participate, below. A category of participation available to large corporations that provides streamlined application and approval procedures. To qualify, the corporation must (1) commit to bringing into VPP multiple site-based facilities and/or worksites within Designated Geographic Areas (DGAs); (2) utilize a standardized safety and health management system organization-wide; and (3) employ pre-screening processes at all applicant facilities/DGAs before applying for VPP approval and ongoing oversight once approved.
Days Away, Restricted, and/or Transfer Case Incidence Rate (DART rate). The rate of all injuries and illnesses resulting in days away from work, restricted work activity, and/or job transfer. This rate is calculated for an individual worksite, all worksites within an applicant/participant's Designated Geographic Area (DGA), or all worksites of an employer for a specified period of time (usually 1 or 3 years).
Directorate of Cooperative and State Programs (DCSP). The OSHA Directorate responsible for coordinating and overseeing OSHA's VPP and other cooperative programs, located in OSHA's National Office.
DCSP Regional Coordinator. A DCSP VPP staff member who is assigned to coordinate VPP-related regional activities, including the review and processing of reports and resolution of policy issues.
Demonstration Program. The program within VPP that enables employers with VPP-quality safety and health protection to test alternatives to current VPP eligibility and performance requirements. If a Demonstration Program is judged successful, its alternative ways to achieve safety and health excellence may lead to changes in VPP criteria.
Federal Register. The official Federal government publication, issued by the Government Printing Office (GPO), in which OSHA announces the philosophy and criteria for VPP approval and participation in a public notice commonly referred to as the VPP Federal Register Notice or the Federal Register Notice.
General Contractor. A construction site owner or site manager who controls construction operations and has contractual responsibility for assuring safe and healthful working conditions at a worksite.
Injury/Illness Rates. Numerical rates that:
Mentoring. The assistance that a VPP participant provides to another employer to prepare that employer for VPP application and/or to improve that employer's safety and health management system.
Merit Goal. A target for improving one or more deficient safety and health management system elements for a participant approved to the Merit program. A Merit goal must be met in order for a participant to achieve Star status.
Merit Program. The program within VPP designed for employers that have demonstrated the potential and commitment to achieve Star quality, but that need to further improve their safety and health management system and/or injury and illness performance. OSHA gives a Merit Program participant specified Merit goals that it must meet in order to achieve Star status and continue within VPP.
Mobile Workforce Participation. See Way to Participate, below. A category of participation available to employers whose work is characterized by short-term operations and employees who move physically from one work project to another; or resident contractor operations performed at two or more fixed worksites. Distinguishing features of mobile workforce participation include a Participation Plan unique to the applicant/participant and a Designated Geographic Area (DGA).
Onsite Assistance Visit. A visit to an applicant/participant by an OSHA VPP Manager, Compliance Assistance Specialist, or other non-enforcement personnel, to offer assistance including, for example, help with the VPP application, a records review, and/or general observations about the employer's safety and health management system.
Onsite Evaluation. A visit to an applicant/participant worksite or headquarters by an OSHA onsite evaluation team to determine whether the applicant/participant qualifies for initial approval, continued participation, or advancement within VPP.
Onsite Evaluation Report. A document written by the OSHA onsite evaluation team and consisting of the site report and site worksheet. This document contains the team's assessment of an applicant/participant's safety and health management system and its implementation, a review of injury and illness rates, and the team's recommendation regarding approval of the applicant or reapproval of the participant to VPP.
Onsite Evaluation Team. An interdisciplinary group of OSHA professionals and sometimes other government employees who conduct onsite evaluations. The team normally consists of a team leader, a backup team leader, safety and health specialists, and other specialists as appropriate.
Outreach. Assistance and information a VPP participant provides to prospective VPP applicants, other employers, employer and employee organizations, and the general public, for the purpose of promoting safety and health principles and practices and VPP. Outreach activities include, but are not limited to:
Participation Plan. A unique, written strategy submitted to OSHA by a mobile workforce applicant as part of its VPP application. A participation plan:
A Sample Participation Plan is included in the Mobile Workforce Application Instructions on OSHA's VPP website.
Pre-screening. An internal process, applicable to the mobile workforce and corporate ways to participate, to ensure and verify that sites/DGAs:
Often used in conjunction with the term "oversight,", as in "pre-screening and oversight," to indicate the continuing need, following VPP approval, for corporate/DGA monitoring of participating sites to ensure they maintain and improve their safety and health management systems.
Process Hazard Analysis (PHA). For the purpose of VPP, a PHA is an organized and systemic effort to identify and analyze the significance of potential hazards associated with the processing or handling of highly hazardous chemicals.
Process Safety Management (PSM). A reference to OSHA standard 29 CFR 1910.119 and 1926.64, which covers all employers who either use or produce highly hazardous chemicals exceeding specified limits.
PSM Level 1 Auditor.
Recommendations. Suggested improvements noted by the onsite evaluation team that are not requirements for VPP participation but that would enhance the effectiveness of the applicant/participant's safety and health management system. (Compliance with OSHA standards is a requirement, not a recommendation.)
Resident Contractor. For the purpose of VPP, resident contractor refers to a company that:
Safety and Health Management System. For the purposes of VPP, a method of preventing employee fatalities, injuries and illnesses through the ongoing planning, implementation, integration, and control of four interdependent elements: Management Leadership and Employee Involvement; Worksite Analysis; Hazard Prevention and Control; and Safety and Health Training.
Site-Based Participation. See Way to Participate, below. A category of VPP participation characterized by fixed, ongoing or long-term work operations at a single facility. It is available to employers of private-sector fixed worksites in general industry and the maritime industry; Federal-sector fixed worksites; and certain long-term construction worksites. These employers must control site operations and have ultimate responsibility for assuring safe and healthful working conditions. Site-based participation also is available to resident contractors at site-based VPP participants; and to resident contractors who are part of a larger organization approved under the corporate way to participate and who operate at a non-participating fixed worksite.
Small Business. A company having no more than 250 employees at any one facility, and no more than 500 employees nationwide.
Special Government Employee (SGE). An employee volunteer from a VPP participant or corporation who is knowledgeable in safety and health management system assessment, formally trained by OSHA in the policies and procedures of the VPP, and determined by OSHA to be qualified to perform VPP onsite evaluations. An SGE may participate as a team member on VPP onsite evaluations. The OSHA directive governing the VPP Special Government Employee Program is CSP 03-01-001, Policies and Procedures Manual for Special Government Employee (SGE) activity conducted under the auspices of the Occupational Safety and Health Administration's (OSHA) Voluntary Protection Program, Jan. 4, 2002.
Star Program. The program within VPP designed for participants whose safety and health management systems operate in a highly effective, self-sufficient manner and meet all VPP requirements. Star is the highest level of VPP participation.
State Plan. state-operated occupational safety and health program that has received approval and partial funding from Federal OSHA. The states that operate approved State Plans are commonly referred to as State Plan states.
Team Leader. The OSHA staff person who coordinates the OSHA onsite evaluation team and ensures the performance of all evaluation activities.
Temporary Employees. Employees hired on a non-permanent basis by the applicant/participant. Temporary employees are grouped with regular hires for purposes of calculating employer injury and illness rates.
Termination. OSHA's formal removal of a VPP participant from the program. Alternatively, the act of ending a Demonstration Program.
Total Case Incidence Rate (TCIR). A number that represents the total nonfatal recordable injuries and illnesses per 100 full-time employees. This rate is calculated for an individual worksite, all worksites within an applicant/participant's Designated Geographic Area (DGA), or all worksites of an employer for a specified period of time (usually 1 or 3 years).
VPP Activity Log. The monthly log of VPP activity that is submitted to DCSP by the Regional Offices.
VPP Annual Data Spreadsheet. The yearly report prepared by the Regional VPP Manager and submitted electronically to DCSP that provides information on the annual TCIR and DART rates of participants.
VPP Application Status Report. A monthly report prepared by the Regional VPP Manager and submitted to DCSP that provides information on VPP applications, including the number of applications pending in the Region and the number of applicants whose onsite evaluation has not yet begun.
VPP Approval Ceremony. An event planned by the approved participant and normally held at the participant's approved work location or headquarters, where a representative from OSHA recognizes the participant's achievement and, for initial program approvals, presents the VPP plaque and VPP flag.
VPP Automated Data System (VADS). A database that includes information on approved VPP participants (under Federal or State Plan jurisdiction) and VPP applicants (under Federal jurisdiction).
VPP Manager. The OSHA employee directly responsible for the day-to-day operations of the VPP in a particular OSHA Region.
VPP Participant Representative. The applicant/participant employee designated as the primary contact with OSHA for matters concerning VPP.
Way to Participate. One of three primary ways an employer may seek VPP approval. These are: site-based, mobile workforce, and corporate. The principles and features of VPP-quality safety and health management systems are generally consistent for all three ways to participate. There are some differences, however, in the VPP requirements for system details and implementation and the manner in which OSHA evaluates applicants/participants.
Withdrawal. Decision by an applicant/participant to discontinue its VPP application process or its approved participation.
Worksite. For VPP purposes, a worksite is a location where work is performed by employees of an employer.
This appendix provides the process used by one multi-facility corporation (referred to as XYZ Corporation) in preparing its sites for VPP application. This corporation also uses comprehensive checklists to evaluate sites' implementation of the corporate-wide safety and health management system. Sample checklists also are provided.
To provide a step-by-step procedure for XYZ Corporation sites to certify and maintain their VPP certifications.
The VPP process begins with the decision by the site management and employees/union to pursue VPP certification. This pursuit includes a thorough review of the programs, physical site, and management systems, and may entail substantial upgrading of any one or all of these. It will ultimately result in the preparation and submission of a VPP application. The Corporate VPP Managers in the Corporate Safety Office or the nearest OSHA Regional (or State) Office can assist the XYZ site with questions about the application guidelines.
The site should contact the appropriate VPP manager and their divisional HR Director/VP to obtain the proper authorization to pursue VPP and ensure the proper resources are allocated.
Once the VPP application is completed, and prior to submission to the nearest OSHA Region (or State Plan) Office, it must be reviewed by the appropriate Corporate VPP Manager to ensure that it is ready for OSHA's review. This is to ensure, as well, that all appropriate documents, exhibits, and/or attachments are properly included.
Upon final review by the appropriate VPP Manager, two (2) copies of the VPP application should be prepared and submitted to the nearest OSHA Region (or State Plan) Office. This review process could take up to forty-five (45) days.
General recommendations may be made regarding enhancements/improvements in the safety and health management systems.
Sample XYZ Corporation Checklists
___ Location is following current federal guidelines for OSHA Recordkeeping.
___ OSHA 300 is posted from February 1 - April 30.
___ OSHA 300/200 entries are consistent with medical, first aid, accident investigations, & medical reports.
___ OSHA Form 301/101 or equivalent form is on file for each entry on the log.
___ OSHA poster is displayed in a readily accessible area of the site.
___ Location has written Accident Investigation Procedure with assigned responsibilities.
___ Recordable, first aid, property damage and near miss injuries/events are all investigated.
___ Root causes are identified in each accident investigation report.
___ Corrective actions to eliminate root causes are identified in each accident investigation report.
___ Accountability is assigned for implementing each corrective action, with timetables.
___ Tracking system exists to ensure that corrective actions are made in timely manner.
___ Individuals involved in accident investigation are trained.
___ Investigation report indicates when corrective measures were taken and by whom.
___ Location has a current Safety Action Plan (SAP).
___ Management has set goals and activities to improve safety & health performance.
___ Above goals and activities are reviewed quarterly and updated annually.
___ Trends of injuries & illnesses by dept., job title, nature of injury, etc., have been analyzed.
___ A site-specific action plan is being followed to reduce injuries & illnesses where trends are high.
___ Site has written procedures for doing JHAs and SOPs with assigned responsibilities.
___ Job hazard analyses (JHAs) have been conducted for the most hazardous jobs.
___ Written safe operating procedures (SOPs) based on JHAs are in place.
___ JHAs and SOPs are reviewed when accidents occur and revisions made if determined to be necessary.
___ Individuals involved in writing/reviewing JHAs/SOPs have been trained.
___ Site has written procedures for inspections with assigned responsibilities.
___ Individuals involved in inspections have been trained in inspection techniques.
___ Supervisors are personally involved in periodic self-inspections.
___ Routine self-inspections with written reports are conducted at least monthly.
___ Tracking system exists to ensure findings from JHAs and inspections are adequately addressed to conclusion.
___ Site has written procedures for pre-use analysis of new equipment and chemicals.
___ Evaluation of equipment and processes (new) prior to use is documented.
___ Top management periodically participates in safety meetings and inspections.
___ Top management reviews accident reports and safety committee minutes.
___ Production meetings are opened with discussion of safety performance and activities.
___ Crew safety meetings are held regularly for all departments, with written minutes kept.
___ Safety and health rules specific to the location are written, posted and communicated to all employees.
___ Specific safety & health responsibilities have been assigned for all levels of management.
___ Annual evaluations (all management levels) are based upon performance of these specific responsibilities.
___ Disciplinary action is taken for safety and health infractions and this is documented.
___ Location has joint management-employee safety committee that meets regularly.
___ Written minutes of safety committee meetings are kept and action items tracked for follow-up until completed.
___ Safety committee members are trained in all safety and health functions they are expected to perform.
___ Safety committee members participate in walk-around inspections, JHA/SOP completion/review and accident investigations.
___ Location has system for employees to notify management of hazards with adequate, timely and documented response.
___ Tracking system exists to ensure adequate and timely responses to employee safety concerns.
___ Location has an annual schedule for training that ensures all OSHA-required topics are covered.
___ Training pertinent to the location as identified in APM #383 is provided.
___ New employee orientation is conducted and documented.
___ Tracking system exists to ensure all supervisors and employees get pertinent training.
___ Documented training is provided on all specific topics, substances, etc. upon transfer to a new position.
___ Make-up sessions are held for employees who miss scheduled OSHA-required training.
___ Documentation exists for class content (lesson plans or minutes) & understanding (tests, observation).
___ Record of employee attendance at training is maintained with signatures (sign-off forms, rosters). Tracking system exists to ensure all supervisors and employees get pertinent training.
___ Employee feedback about the training is obtained using evaluations or other methods.
___ The training program is evaluated and updated at least annually based on employee feedback, observation of training effectiveness and new or revised regulations.
___ Location has a written certified hazard assessment that identifies the PPE required for each job, task, or area.
___ The hazard assessment identifies the location, date, and signature of the certifying person.
___ Each employee (new, transferred, when PPE requirements change, or at least annually) who is required to wear PPE is trained in the limitations, use, care and disposal of the PPE.
___ Written certification is maintained that the employee understood the training, which identifies the subject of the training, the date conducted, trainer's signature, and the names of the employees trained.
___ Location has an inspection system that ensures that all defective PPE is removed from service.
The checklist below serves a dual purpose:
For elements below, provide detailed, specific information that clearly explains how the requirements are being satisfied. Include information such as responsibilities, tracking, reporting, and recordkeeping. Submit with the application sample documents such as memorandums, charts, brief reports, or any other forms of written communication that demonstrate corporate fulfillment of requirements for these elements.
In most cases, listing of key elements and a brief description of each or including a table of contents is adequate. Do not submit lengthy written programs or procedures. OSHA may review the complete written policy/plan/program/procedure during the Agency's evaluation of the applicant/participant's standardized safety and health management system. This evaluation normally takes place at corporate headquarters, where safety and health records are maintained.
These tables are best viewed on tablets, notebooks, or desktop computer screens.
|Commitment to VPP||Describe policy. Attach a list of sites/DGAs and a schedule (timetable) for achieving VPP approval|
|Pre-screening Processes (Site/DGA and Application)||Attach process description and table of contents or outline main sections|
|Outreach/Mentoring||Attach a list of current and/or planned outreach and mentoring activities.|
|Special Government Employee (SGE) Participation||Attach a list of current and/or planned SGE participation.|
|Corporate Commitment to Safety and Health|
|Philosophy||Provide written philosophy.|
|Communication||Provide examples of written communication that describes corporate commitment to worker safety and health.|
|Knowledge of Safety and Health Performance||Summarize policy for reporting safety and health performance to senior managers. Attach table of contents of reports and other types of information.|
|Responsibility/Organization||Provide organization chart/list/policy that establishes responsibilities for safety and health.|
|Accountability||Define responsibilities of managers and employees and provide examples of performance standards.|
|Resource Management||Describe policy and process for planning allocation of budget.|
|Corporate Goals and Performance Report||Attach table of contents from report such as strategic plan, annual report, etc.|
|Corporate Environmental, Safety and Health Certifications and Awards||List all relevant certifications and awards.|
|Employee Involvement and Contractor Safety and Health|
|Employee Involvement||Summarize policy and provide examples.|
|Notification: VPP Orientation Protection Against Discrimination Records Access||Summarize policy. Attach any examples of notification documents.|
|Contractor Safety and Health||Summarize policy, responsibilities. List specific rules/regulations.|
|Hazard Analysis of Routine Jobs, Tasks, and Processes||Describe responsibilities, frequency, documentation, corrective actions, inspection forms, tracking.|
|Hazard Analysis of Significant Changes||Describe responsibilities, frequency, documentation, corrective actions, inspection forms, tracking.|
|Routine Self-Inspections||Describe responsibilities, frequency, documentation, corrective actions, inspection forms, tracking.|
|Hazard Reporting System for Employees||Summarize process, attach sample forms if used.|
|Investigation of Accidents and Near-Misses||Describe responsibilities, procedure and investigation guidelines, investigation forms, follow-up. Attach sample forms if used.|
|Trend/ Pattern Analysis||Summarize process. Attach sample analysis report or outline of key sections.|
|Hazard Prevention and Control|
|Engineering Controls||Describe policy. List/describe key elements.|
|Administrative Controls||Describe policy. List/describe key elements.|
|Work Practice Controls and Hazard Control Programs||Describe program and responsibilities. List/describe key elements.|
|Personal Protective Equipment (PPE)||Describe program and responsibilities. List/describe key elements.|
|Safety and Health Rules||Describe awareness, enforcement, disciplinary procedures.|
|Preventive/Predictive Maintenance||Describe program and responsibilities. Attach table of contents. List/describe key elements.|
|Occupational Health Care Program||Describe program and responsibilities. Attach table of contents. List/describe key elements.|
|Emergency Preparedness||Describe program and responsibilities. List/describe elements of Emergency Action Plans. List/describe elements of Emergency Evacuation Procedures.|
|Safety and Health Written Programs|
|Recordkeeping and Posting||Describe policy and responsibilities. List records maintained and posting requirements.|
|Hazard Communication||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Bloodborne Pathogens||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Employee Exposure Assessment/Industrial Hygiene||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Confined Space Entry||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Trenching and Excavation||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Elevated Work and Fall Protection||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Mobile Equipment and Material Handling||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Respiratory Protection||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Hearing Conservation||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Personal Protective Equipment||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Asbestos and Lead Management||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Fire Prevention and Protection||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Hot Work Permitting||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Electrical Safe Work Practices||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Spill Release and Prevention||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Emergency Evacuation Plan||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Ergonomic Awareness and Injury Prevention Program||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Process Safety Management||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Lockout/Tagout||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|Fleet Safety||Describe policy and responsibilities. Attach table of contents. List/describe key elements.|
|List any others below:|
|Safety and Health Training|
|Safety and Health Training||Describe policy. Attach list of all required training.|
|Supervisors||Describe policy. Attach list of all required training.|
|Employees and Contractors/ Subcontractors||Describe policy. Attach list of all required training.|
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Number and list of applications submitted during the most recent calendar year:
Number and list of projected applications for this calendar year:
Number and List of sites/DGAs approved through the VPP Corporate Way to Participate during the most recent calendar year:
TCIR/DART Rates for all VPP sites/DGAs combined for the most recent calendar year:
TCIR/DART Rates for all non-VPP sites/DGAs combined for the most recent calendar year:
TCIR/DART Rate: Percentages above/below the BLS average for your dominant NAICS code:
Number and percentage of US-based sites/DGAs in VPP:
Number and percentage of US-based employees covered by VPP:
Cost savings that can be ascribed to VPP participation (formula is as follows):
(C / 200,000) x H = n where:
H = total hours worked at VPP sites/DGAs
C = Collective DART rate for non-VPP sites/DGAs
n = Number of expected DART cases for VPP sites/DGAs
(n - a) x $39,000 = x where:
n = Number of expected DART cases for VPP sites/DGAs
a = Actual DART cases for VPP sites/DGAs
x = Total $ saved in DART injuries at VPP sites/DGAs
Please cite any Corporate-level S&H policy/procedural changes (including to VPP ):
Were there any major changes in Corporate Management/Structure? If yes, please describe:
Please list any/all SGE and/or mentoring activities performed during the most recent calendar year:
Please list any Corporate-wide success stories or best practices:
Please describe how VPP Corporate participation is benefiting your organization (include any time/cost savings, increased S&H awareness, etc.):
Please provide any feedback that you have regarding how OSHA could improve the VPP Corporate experience:
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