• SPECIAL PROVISIONS
   
  1. A listing of approved positions is contained in Appendix D: Staffing Chart for this Agreement. Key personnel include the project manager, supervisors, and consultants. Any changes in these positions must be approved in advance by the RA.
      
  2. Computer equipment (hardware and software), regardless of unit cost, requires prior written approval of DCSP in consultation with DAP and must be listed in the Approved Equipment Procurement Listing in Appendix H.
      
  3. Unless a State has made special provisions for such, substantive programmatic work may not be transferred to another agency (sub-recipient) under this agreement.
      
  4. The laboratory designated by OSHA to provide analysis of samples for all projects shall be:

     WISCONSIN OCCUPATIONAL HEALTH LABORATORY
     2601 Agriculture Drive
     Madison, Wisconsin 53718
     Telephone: (608) 224-6216
     Fax: (608) 224-6213
     Contact: Mr. Steve Strebel

  5. The federal cost principles applicable to this project are:
      
     1. Cost Principles for State and Local Governments
        (OMB Circular A 87, relocated to 2 CFR Part 225)
         
     2. Cost Principles for Educational Institutions
        (OMB Circular A 21, relocated to 2 CFR Part 220)
         
  6. Financial reporting forms required of all projects and their frequencies of submission are:
      
     1. The Federal Financial Report (FFR) SF-425 is due 30 days after the end of each Federal fiscal quarter with the close-out report due 90 days after the end of the performance period. All reports will be electronically submitted via the DOL E-Grants System to report the status of all funds awarded. The Region will review the reports once submitted in the DOL E-Grants system.
         
        1. Quarterly Reporting. Recipients, who have accounting systems that prohibit them from meeting the Office of Management and Budget (OMB) requirements on the submission of financial reports, as outlined in this section, must have written approval from the RA to establish an alternative schedule for submission of financial reports. The approved state-specific schedule must also be submitted to the National Office for inclusion in the official file.
            
        2. Close-out Reporting. All agreements must be closed 90 days after the end of the performance period (generally December 31) using the DOL E-Grants system for electronic transmittal.
            
        3. Close-out Extensions. Recipients unable to close out by December 31 are required to request a close-out extension in writing by December 1, providing an explanation of why they cannot close out in a timely manner. An interim (preliminary) Federal Financial Report (covering October - December) is due on January 31, even when a close-out extension has been approved. All close-out extensions must be coordinated in advance with the Regional Office and transmitted to the National Office for inclusion in the official file, and any extensions beyond February 28 must be approved by the National Office.
            
     2. Cooperative Agreement (Form OSHA-110) must accompany the Application for Federal Assistance (SF-424). This is the only time this form is completed.
         
     3. Cooperative Agreement Amendment (Form OSHA-113) may be required to amend the Cooperative Agreement as a result of Congressional action.
         
     4. Other performance reports and copies of forms that may be required for program management purposes will be distributed as necessary.
         
  7. Unless different instructions are provided by the Director of DCSP or through the OSHA Directives system, all reports required under this agreement and all requests for agreement modification shall be delivered (or mailed) to the RA.
      
  8. It is agreed that OSHA may unilaterally modify this agreement whenever necessary to conform to new regulations, new applications, or official interpretations of Department of Labor or Office of Management and Budget regulations.
      
  9. Approval of this agreement is contingent upon Congressional action on the Department of Labor's appropriation for FY 2014.
      
  10. It is hereby certified by the State that matching state funds are or will be available during the tenure of this agreement.
       
  11. In no case shall the State be liable for more than 10 percent of actual expenditures (exclusive of 100 percent Federal funds or any State overmatch funds) under this agreement.
       
  12. Where appropriate, restrictions to the agreement may be added by the Assistant Secretary to ensure that the recipient fully complies with specific terms and condi-tions of the Cooperative Agreement, Department of Labor administrative requirements set forth at 29 CFR Parts 95 (Institutions of Higher Education) and 97 (State and Local Governments), or provisions set forth in 29 CFR 1908. These include the enforcement provisions found in 29 CFR 95.62 and 29 CFR 97.43. When a Cooperative Agreement is approved subject to the inclusion of one or more restrictions, it is hereby understood by the recipient that such approval is granted contingent upon meeting the conditions specified within the prescribed time frame.
       
  13. Recipients shall prepare their agreement packages for the maximum amount they can match within the authorized amount. If a recipient is unable to match the authorized award, the award amount will be reduced to reflect the amount the recipient is able to match. These reductions will carry over into subsequent years. Additionally, any increases/decreases will be based on executed award amounts, not proposed funding levels.
       
  14. OSHA Information System (OIS) - Training. Training for all OIS users is ongoing in FY 2013 and beyond and will eventually be housed at the OSHA Training Institute. Current planning is for each user to be trained on those OIS modules that are relevant to their assigned work. The majority of training will take place via the Internet. States should include funding for the travel associated with such training in their grant applications.
       
  15. Connectivity. As OIS is a web-based system accessible via OSHANet, Non-OSHANet users will access OIS via the OSHA eAuthentication portal. Non-OSHANet users will need access to the Internet, preferably by high-speed connection, e.g., T1 lines, in order to enter and retrieve data interactively. (OIS is expected to have an offline/standalone capability in a later phase, but not as initially deployed.) States not on OSHANet should include plans and appropriate funding in their grant for upgrading their Internet connectivity.
       
  16. To maximize use of the new OIS's features and enhanced capabilities, and to address the increasing role of video, the following is recommended for incorporation into the State's Information Technology (IT) capabilities:
       
      1. Network Bandwidth capacity of at least 1.544 MB (e.g., T-1 Line or higher);
          
      2. Compliance with Federal and Department of Labor IT Security Requirements (e.g., Desktop/Mobile encryption); and
          
      3. Compliance with the OSHA Desktop/Mobile hardware/software configuration.
          
  17. States must continue to designate individual(s) to assist OSHA with OIS training for newly-hired staff and retraining or additional training of existing staff.
       
  18. Marketing the On-site Consultation Program. As marketing the On-site Consultation Program is a requirement, small items used to assist in the marketing of the program may be purchased. Acceptable items include but are not limited to: brochures, CDs, and small items with the individual logo of the On-site Consultation Program (e.g., sticky pads, pens, bookmarks, etc.).
       
  19. State Emergency Response. If a State On-site Consultation Program has an agreement with the Regional Administrator to use On-site Consultation resources to provide assistance during state emergencies outside those activities authorized under this Cooperative Agreement or OSHA Directive "National Emergency Management Plan" (HSO 01-00-001), the State must identify the terms of the agreement (an operational description by strategy, activities, and anticipated outcome) within Appendix E of this agreement. The Regional Administrator's approval is required before On-site Consultation resources are expended in response to state emergencies.
       

OPTIONAL INSERT(S) TO THE COOPERATIVE AGREEMENT

Below are formats for "Additional Special Provisions" which, if appropriate, would be inserted in the Agreement following Section VI.R.

1. Provisions below pertain to Items VI.C-D of the Agreement:
   
   Substantive programmatic work is being transferred to another agency (sub-recipient) under this Agreement, as follows:

   Scope of transfer:
   Agency name:
   Address:
   Telephone number: (     )
   Contact person:

2. For some States, the following provision applies (insert "Safety" or "Health" as appropriate):

   This Agreement covers consultation for _________ only; a separate agreement between OSHA and the state will cover _________.

Note: Certain of these assurances may not be applicable to your project. If you have questions, please contact the awarding agency. Some Federal awarding agencies may require applicants to certify to additional assurances. If this is the case, you will be notified.

As the duly authorized representative of the applicant, I certify that the applicant:

1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non Federal share of project costs) to ensure proper planning, management and completion of the project described in this application.
    
2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accord with generally accepted accounting standards or agency directives.
    
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain.
    
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
    
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728 4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of the Office of Personnel Management's Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F).
    
6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88 352), which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683, and 1685 1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92 255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91 616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd 3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d) and Section 188 of the Workforce Investment Act of 1998 (P.L. 105-220), as it relates to the prohibition against national origin discrimination for persons with limited English proficiency (pursuant to Executive Order 13166 issued August 11, 2000); (j) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (k) the requirements of any other nondiscrimination statute(s) which may apply to the application.
    
7. Will comply with Executive Orders 12876, 12900, 12928, and 13021 by strongly encouraging contractors to provide subcontracting opportunities to Historically Black Colleges and Universities, Hispanic-Serving Institutions, and Tribal Colleges and Universities.
    
8. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91 646), which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally-assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases.
    
9. Will comply with the provisions of the Hatch Act (5 U.S.C. §§ 1501 1508 and 7324 7328), which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds.
    
10. Will comply, as applicable, with the provisions of the Davis Bacon Act (40 U.S.C. §§ 276a to 276a7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. §§ 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327 333), regarding labor standards for federally-assisted construction sub-agreements.
     
11. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234), which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance, if the total cost of insurable construction and acquisition is $10,000 or more.
     
12. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in flood plains in accord with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93 523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93 205).
     
13. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.), related to protecting components or potential components of the national wild and scenic rivers system.
     
14. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a 1 et seq.).
     
15. Will comply with the National Research Act (P.L. 93 348), regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance.
     
16. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89 544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm-blooded animals held for research, teaching, or other activities supported by this award of assistance.
     
17. Will comply with the Lead Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.), which prohibits the use of lead-based paint in construction or rehabilitation of residence structures.
     
18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984 (P.L. 98-502), the Single Audit Act Amendments of 1996, and OMB Circular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations."
     
19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program.
     
20. Will comply with the requirements for Federal Funding Accountability and Transparency Act (2 CFR Part 170) and the Universal Identifier and Central Contractor Registration (2 CFR Subtitle A, Chapter I and Part 25).
     
21. In accord with Section 516 of the 1989 Department of Labor Appropriation Act, the grantee agrees that when issuing statements, press releases, requests for proposals, bid solicitations or other documents describing the grant project or program, the grantee shall clearly state the percentage of the total costs of the program or project which will be or is being financed with Federal money.
     
22. In accord with the Drug Free Workplace Act of 1988, the grantee certifies that it will provide a drug free workplace by:
     
    1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition;
        
    2. Establishing a drug free awareness program to inform employees about:
        
       1. The dangers of drug abuse in the workplace;
       2. The grantee's policy of maintaining a drug free workplace;
       3. Any available drug counseling, rehabilitation, and employee assistance programs; and
       4. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
           
    3. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a);
        
    4. Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will:
        
       1. Abide by the terms of the statement; and
       2. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction;
           
    5. Notifying the agency within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction;
        
    6. Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted:
        
       1. Taking appropriate personnel action against such an employee, up to and including termination; or
       2. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
           
    7. Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f).
        

23. The undersigned certifies, to the best of his or her knowledge and belief, that:
     
    1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or an employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal award, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal award, grant, loan, or cooperative agreement.
        
    2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activity," in accord with its instructions.
        
    3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants) and that all sub-recipients shall certify and disclose accordingly.
       
       This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each failure.
        
    4. Section 18 of the "Lobbying Disclosure Act of 1995," signed by the President on December 19, 1995, requires that any organization described in Section 501(c)(4) of the Internal Revenue Code of 1986 which engages in lobbying activities shall not be eligible for the receipt of Federal funds constituting an award, grant or loan.
        
       1. This is to certify that we are_____/are not_____ an IRS 501(c)(4) entity.
       2. As an IRS (501(c)(4) entity, we have______/have not_____ engaged in lobbying activities.

As the duly authorized representative of the applicant, I certify that the applicant:

1. Takes responsibility for encouraging employers to request consultative assistance and shall publicize the availability of its consultative service and the scope of the service that will be provided.
    
2. Explains to employers that the employer receiving On-site Consultation services remains under statutory obligation to provide safe and healthful working conditions to their employees.
    
3. Explains to employers that no referrals will be made to OSHA enforcement unless the employer fails to eliminate a serious hazard identified by a consultant.
    
4. Explains to the employer the requirements for participation in the Safety and Health Achievement Recognition Program (SHARP).
    
5. Explains to employers requirements for attainment of Pre-SHARP status.
    
6. Assigns priority in scheduling to requests from businesses with the most hazardous operations, with primary attention to smaller businesses. Preference is given to the smaller businesses that are in high-hazard industries or that have the most hazardous conditions at issue in the request.
    
7. Prepares appropriately for visits, including making the appropriate provisions for the personal safety and health of the consultant(s) conducting the visit or activity.
    
8. Conducts an initial on-site visit consisting of an opening conference, an examination of those aspects of the employer's safety and health program that relate to the scope of the visit, a hazard survey, and a closing conference.
    
9. Retains the right to confer with employees during an on-site visit.
    
10. During the opening conference, explains the relationship between On-site Consultation and enforcement and also explains the employer's obligation to protect employees if certain hazardous conditions are identified.
     
11. Focuses on-site activity primarily on those areas, conditions, or hazards within the requested scope of the visit.
     
12. During on-site activity, advises the employer of the employer's obligations and responsibilities under applicable Federal or State law and implementing regulations.
     
13. When identifying hazards, indicates to the employer, using the consultant's best judgment, whether the situation would be classified as a serious or other-than-serious hazard.
     
14. 14. Informs the employer that the employer is obligated to take immediate action to eliminate hazards that pose an imminent danger.
     
15. Establishes a time frame for the correction of each hazard identified during on-site activity, and provides the employer with a "List of Hazards," and advises the employer to post the "List" until the hazard is corrected or for three days, whichever is longer.
     
16. Ensures that employers who have been granted extensions for the correction of serious hazards demonstrate having made a good faith effort to correct the hazard within the established time frame; show evidence that correction has not been completed because of factors beyond the employer's control; and show evidence that the employer is taking all available interim steps to safeguard the employees against the hazard(s) during the correction period. All assurances regarding the correction of serious hazards must be in writing.
     
17. Informs the employer that the employer's failure to correct an identified serious hazard within the established time frame (or extension of the time frame) results in notification of the appropriate OSHA enforcement authority.
     
18. Ensures that the appropriate OSHA enforcement authority is notified if an employer fails to take the action necessary to correct a serious hazard within the established time frame or any extensions granted.
     
19. Prepares and sends to the employer a Written Report containing substantive findings or recommendations.
     
20. Preserves the confidentiality of information which identifies employers who have requested the services of the On-site Consultation Program as well as information pertaining to and/or obtained during an on-site visit, such as the employer's written report.
     
21. Preserves the confidentiality of information pertaining to commercial or trade secrets that may have been obtained during an on-site visit.
     
22. Conducts consultative activity independently of any OSHA enforcement activity.
     
23. Does not provide to OSHA the identity of, or files pertaining to, employers requesting On-site Consultation Program services for any compliance inspection or scheduling activity, except in cases where the employer has failed to eliminate an imminent danger, failed to correct or eliminate a serious hazard, or where the employer has elected to participate in SHARP or a cooperative program that permits an exemption or deferral from enforcement inspections.
     
24. Assures that On-site Consultation visits already in progress have priority over OSHA compliance inspections except in the case of imminent danger, fatality/catastrophe investigations, complaint investigations, referrals, or other investigations deemed critical by the Assistant Secretary.
     
25. Terminates on-site visits in response to imminent danger, fatality/catastrophe investigations, complaint investigations or other investigations deemed critical by the Assistant Secretary.
     
26. Does not conduct On-site Consultation visits while OSHA enforcement inspections are "in Progress." On-site consultations shall only take place with regard to those citation items which have become final orders.
     
27. Explains to the employer that requirements pertaining to serious hazards apply equally to other-than-serious hazards for participation in SHARP.
     
28. Uses consultants who are employees of the State and are qualified under State requirements for employment in the field of occupational safety and health.
     
29. Applies minimum requirements for consultants that include the ability to recognize hazards and assess employee exposure and risk, knowledge of OSHA standards, knowledge of hazard correction techniques and practices, knowledge of workplace safety and health program requirements, skill in effective written and oral communication, and any additional degrees or experience required by the Assistant Secretary.
     
30. Maintains an organized system for monitoring the performance of consultants.
     
31. Organizes and compiles information relating to the training conducted by consultants, including the type of training, the identity of individuals conducting such training, how often such training is offered, and makes such information available to the Regional Administrator upon request. This should include information related to both training visits and compliance assistance.
     
32. Submits narrative reports and compiles and submits data, such as Integrated Management Information System (IMIS) data, or data from its successor the OSHA Information System (OIS), that is needed for monitoring and evaluation purposes, as required, to the Regional Administrator.
     
33. Agrees to pay OSHA for mainframe processing services, telecommunications and other services provided through IMIS, or its successor, the OIS, based on quarterly bills. The fourth quarter payment will be based on an estimated bill. All bills must be paid upon receipt but no later than September 15th. Any adjustments between actual charges and estimates will be made in the first quarter of the following fiscal year, as necessary.
     
34. Agrees to adhere to all requirements for OSHANet participation (including hardware and software specifications) and to pay OSHA for requested services provided, including telecommunications charges, an annual service fee for operation and maintenance costs, software licenses, set-up of sites, servers, inappropriate use investigations, retrieval of information related to e-discovery requirements, and annual user fees for remote access. States must maintain an appropriate maintenance and repair contract for their OSHANet network equipment (server/backup unit/router/power supply) after the initial warranty period expires. (For items billed quarterly, the fourth quarter payment will be based on an estimated bill. All bills must be paid upon receipt but no later than September 15th. Any adjustments between actual charges and estimates will be made in the first quarter of the following fiscal year, as necessary.)
     
35. Consults with the Directorate of Administrative Programs and any other designated official prior to expending Federal or State matching funds for the purchase of any data processing/computer equipment or software that will be used to connect to OSHA systems (locally or remotely) or otherwise provide information to OSHA to assure that equipment and software meet the current requirements necessary to run or operate OSHA applications even if not participating in OSHANet. All State recipient representatives must complete, sign and submit a Hardware/Software Purchases Rules of Behavior form to the Director, Directorate of Administrative Programs in accord with IT guidelines. Desktop or laptop computers and software that will be used to access OSHA systems, including the CSHO and On-site Consultation PC Applications, Whistleblower application, and new web-based and other applications as deployed, etc., must meet the minimum OSHA specifications. Current hardware and software specifications are posted on the IT Help Desk page on the OSHA Intranet/Limited Access Page and are available in Appendix P.
     
36. Agrees that all new desktop and laptop computers conform with the Directorate of Administrative Programs standard desktop/laptop configurations, operating system and Microsoft products (currently MS XP with current patches and Windows 7 ready).
     
37. Agrees that all desktops and laptops that connect to the OSHANet must be configured with the OSHA image. Software that is not part of the OSHA standard image must be approved by the Directorate of Administrative Programs prior to purchase and once received must be approved for installation.
     
38. If not participating in OSHANet, assures, in order to protect sensitive information, including Personally Identifiable Information, and meet Office of Management and Budget (OMB) and Department of Labor requirements, that encryption software meeting the requirements of the NIST Federal Information Processing Standards (FIPS) 140-2 has been installed on all computers/devices that access OSHA systems, and its use required by all users. This must include full disk encryption of all mobile computers and file-level encryption of data downloaded from OSHA information systems to portable storage devices.
     
39. If participating in OSHANet submits a consolidated monthly report of staff separations and hires from each State IT person or other designated staff by the 15th of each month for the previous month to OSHA HIRETERM@DOL.GOV. This will allow the Directorate of Administrative Programs to perform the required audit of new and deleted accounts from the system and ensure all required account request documentation has been received. State recipients that participate in the OSHA IMIS system or the OIS are also required to provide the same monthly reports.
     
40. If participating in OSHANet and the OSHA IMIS system or the OIS submits an account request form with the signed security training form if a new account is requested. Upon separation, an account deletion form is required to be submitted the same day of departure. The form should clearly mark all account(s) to be deleted (i.e., Citrix, OSHANet, IMIS, OIS, etc.) and faxed to the OSHA IT Help Desk at 202-693-1617 (fax).
     
41. Agrees that all system users (OSHANet and other OSHA applications) must adhere to Federal, Department of Labor (DOL), and OSHA computer security and inventory of Federal Government assets issued (i.e., tokens) policies and procedures.
     
42. Agrees that all OSHA system users will complete the DOL Information System Security Awareness (ISSA) Training and any other federally mandated or DOL-required computer security training to be specified, within the time frame prescribed by the Directorate of Administrative Programs.
     
43. Agrees that all users of the OSHANet and other OSHA applications will sign all annual Rules of Behavior, an example of which can be found at Appendix P.
     
44. Agrees to all agency requirements for use of Extranet accounts, including assignment of an approving official in each state for all new accounts, review by the approving officials to ensure the validity of all accounts every 6 months, and requirements for passwords for individual accounts.
     
45. Understands that all desktops, laptops and servers connected to the OSHANet are subject to an annual software audit to ensure compliance with Executive Order 13103, "Computer Software Piracy," the U.S. Copyright Act, Title 17 U.S.C., Department of Labor software management and acceptable use policy, and vendor software license agreements. If an audit is run, all supporting documentation and required corrections must be provided to close all audit findings within the specified time frame.
     
46. Understands that no Section 21(d) or matching state funds may be expended for the purchase of internal peripherals or other modifications, except replacement parts, in conjunction with the NCR equipment, without prior approval from the Directorate of Administrative Programs. States must maintain an appropriate maintenance and repair contract for their NCR equipment, until OIS is fully implemented.
     
47. Will not expend any 21(d) or matching state funds from this agreement to fund activities or provide services to farms with ten or fewer employees where there has been no temporary labor camp in the previous twelve months. (Only State Plan states may conduct visits on these farms, provided that 100 percent state funds are used, and the state has an accounting system in place to assure that no Section 21(d) or matching funds are expended on these activities.)
     
48. Will not expend any 21(d) or matching state funds from this agreement to fund the purchase of equipment and/or to support programmatic efforts under the jurisdiction of and/or funded by another Federal agency.
     
49. Will ensure that any funding provided by another Federal agency related to safety and health training and/or equipment will not undermine 21(d) On-site Consultation activity.
     
50. States are encouraged to promote safety or health professional certification of their employees by a nationally recognized accrediting organization. Cooperative Agreement funds may be used to pay for the costs associated with a professional certification preparation course and the examination, including travel and per diem. No Section 21(d) or matching state funds may be expended for costs associated with a second or subsequent attempt to obtain certification by employees who fail on their first attempt, except for the cost of the examination itself and related travel and/or per diem for a second attempt only. Certification costs cannot exceed the percentage of time for which an employee is dedicated to the cooperative agreement.
     
51. Will not expend 21(d) or matching state funds for annual fees associated with maintaining professional certifications.
     
52. Agrees to pay OSHA for costs associated with the conduct of OSHA Training Institute (OTI) training courses conducted for the State at the State's request. The State will pay for travel and per diem for OTI instructors, shipping charges, consultant trainer fees, equipment rental and training facility rental. All bills must be paid upon receipt but no later than September 15th. Any adjustments between actual charges and estimates will be made in the first quarter of the following fiscal year, as necessary.
     
53. Agrees to allow and require their consultants to attend mandated training, including training which may only be offered out-of-state.
     
54. Agrees to comply with monitoring requirements contained in 29 CFR 1908, the Consultation Policies and Procedures Manual, or in the Cooperative Agreement (including Mandated Activities Report for Consultation (MARC) requirements) and understands that failure to do so may result in noncompliance with the OSHA cooperative agreement.
     

Mandatory Forms (must be electronically completed in Grants.gov)

☐ Application for Federal Assistance, (SF-424)
☐ Budget Information - Non-Construction Programs, (SF-424A)

Mandatory Attachments (may be scanned into one Adobe Acrobat file or submitted individually).

(OSHA prefers the entire application be submitted as a single document, but if that is not possible, please note that there is a 15 attachment limit per application.)
The Consultation Annual Project Plan (CAPP):

☐ Overview of the On-site Consultation Project

☐ Organizational Chart
☐ Staffing Chart
☐ Changes in Project's Status (if any)

☐ Operational Description by Annual Performance Goal

☐ Projected Program Activities

☐ Strategy and Targets for Safety and Health Achievement Recognition Program

☐ Changes to the Internal Quality Assurance Program

The Cooperative Agreement for OSHA On-site Consultation:

Cooperative Agreement for OSHA On-site Consultation under Sections 21(c) and 21(d) of the Occupational Safety and Health Act of 1970, including:

☐ Assurances and Certifications Non-Construction Programs
☐ Lobbying Certifications
☐ OSHA Restrictions and Conditions
☐ Equipment Inventory
☐ Approved On-site Consultation Equipment Procurement Listing
☐ Training Plan
☐ Accompanied Visit Plan

Other Financial Forms:

☐ Cooperative Agreement, (Form OSHA-110)
☐ Supporting Details of Anticipated Costs

☐ Consultation
☐ Administration

4. Emphasis Industries
    
   1. NAICS 623110, 623210 and 623311 Nursing and Residential Care Facilities
      
      OSHA Instruction, National Emphasis Program for Programmed Inspections of Nursing and Residential Care Facilities, NAICS 623110, 623210 and 623311 (formerly SIC codes 8051-Skilled Nursing Care Facilities, 8052-Intermediate Care Facilities, and 8059-Nursing and Residential Care Facilities, Not Elsewhere Classified), (CPL 03-00-016) issued April 5, 2012, sets forth policy and procedures for targeting and conducting programmed inspections in this industry. The specific hazards being addressed include ergonomic stressors in patient lifting, bloodborne pathogens, tuberculosis, workplace violence, and slips, trips and falls.
       
   2. NAICS 23611 Residential Building Construction
      
      This industry comprises establishments primarily responsible for the construction or remodeling and renovation of single-family and multifamily residential buildings. Included in this industry are residential housing general contractors (i.e., new construction, remodeling or renovating existing residential structures), operative builders and remodelers of residential structures, residential project construction management firms, and residential design-build firms. Operations related to jobs that fall into other industry classifications, such as sub-contractors and construction services listed in the table "NAICS codes applying to residential, commercial and highway/street/bridge construction" at the end of this section.
      
      Cross-References. Establishments primarily engaged in –
      • Performing specialized construction work on houses and other residential buildings, generally on a subcontract basis -- are classified in Subsector 238, Specialty Trade Contractors;
      • Performing manufactured (mobile) home setup and tie-down work -- are classified in Industry 238990 All Other Specialty Trade Contractors; and
      • Constructing and leasing residential buildings on their own account -- are classified in Industry 531110 Lessors of Residential Buildings and Dwellings.
         
      The following link has more information on Residential Construction http://www.census.gov/cgi-bin/sssd/naics/naicsrch?code=23611&search=2007.
       
   3. NAICS 23622 Commercial and Institutional Building Construction
      
      This industry comprises establishments primarily responsible for the construction (including new work, additions, alterations, maintenance, and repairs) of commercial and institutional buildings and related structures, such as stadiums, grain elevators, and indoor swimming pools. This industry includes establishments responsible for the on-site assembly of modular or prefabricated commercial and institutional buildings. Included in this industry are commercial and institutional building general contractors, commercial and institutional building operative builders, commercial and institutional building design-build firms, and commercial and institutional building project construction management firms. Operations related to jobs that fall into other industry classifications, such as sub-contractors and construction services listed in the table "NAICS codes applying to residential, commercial and highway/street/bridge construction" at the end of this section.
      
      Cross-References. Establishments primarily engaged in –
      • Constructing structures that are integral parts of utility systems (e.g., storage tanks, pumping stations) or are used to produce products for these systems (e.g., power plants, refineries) -- are classified in Industry Group 2371 Utility System Construction, based on type of construction project;
      • Performing specialized construction work on commercial and institutional buildings generally on a subcontract basis -- are classified in Subsector 238, Specialty Trade Contractors; and
      • Constructing buildings on their own account for rent or lease -- are classified in Industry Group 5311 Lessors of Real Estate.
      
      The following link has more information on Commercial and Institutional Building Construction https://www.census.gov/cgi-bin/sssd/naics/naicsrch?code=23622&search=2007.
       
   4. NAICS 237310 Highway, Street, and Bridge Construction
      
      This industry comprises establishments primarily engaged in the construction of highways (including elevated), streets, roads, airport runways, public sidewalks, or bridges. The work performed may include new work, reconstruction, rehabilitation, and repairs. Specialty trade contractors are included in this group if they are engaged in activities primarily related to highway, street, and bridge construction (e.g., installing guardrails on highways). Operations related to jobs that fall into other industry classifications such as sub-contractors and construction services listed in the table "NAICS codes applying to residential, commercial, and highway/street/bridge construction" at the end of this section.
      
      Cross-References. Establishments primarily engaged in —
      • Constructing tunnels -- are classified in Industry 237990 Other Heavy and Civil Engineering Construction;
      • Highway lighting and signal installation -- are classified in Industry 238210 Electrical Contractors;
      • Painting bridges -- are classified in Industry 238320 Painting and Wall Covering Contractors; and
      • Constructing parking lots and private driveways and sidewalks, or erecting billboards -- are classified in Industry 238990 All Other Specialty Trade Contractors.
      
      The following link has more information on Highway, Street, and Bridge Construction https://www.census.gov/cgi-bin/sssd/naics/naicsrch?code=237310&search=2007.

5. Primary Metals
   
   OSHA issued a National Emphasis Program to reduce or eliminate worker exposures in facilities under the Primary Metal Industries, a group of establishments engaged in the smelting and refining of both ferrous and non-ferrous metals on May 19, 2011. This emphasis area heightens health and safety awareness within the affected industries of the potential for worker exposure to harmful chemical and physical hazards. For more information related to this emphasis area, please review CPL-03-00-013.
    
6. PSM Covered Chemical Facilities
   
   OSHA issued a National Emphasis Program (NEP) for inspecting facilities with highly hazardous chemicals (HHCs) in amounts at or greater than the threshold quantities listed in 29 CFR 1910.119 on November 29, 2011. Programmed inspections will be conducted in facilities that are known to OSHA as having a risk of catastrophic releases. Unprogrammed inspections will take place in PSM-covered facilities as described in this Instruction. This NEP does not apply to Petroleum refineries (NAICS 32411).
    
7. Shipbreaking
   
   OSHA issued a National Emphasis Program to direct Inspections of Shipbreaking operations related to 20 identified hazards and workplace activities on November 4, 2010. The applicable OSHA standards and Shipyard Employment eTool on Shipbreaking are referenced in the Directive to assist the Consultants. In addition, Consultants may use Appendix A, in the Shipyard "Tool Bag" directive, to cross-reference and apply a 29 CFR Part 1910 standard when a 29 CFR Part 1915 standard does not address a recognized hazard in shipyard employment. For more information related to this emphasis area, please review CPL 03-00-012.

5. Occupational safety and health hazard abatement emphasis areas
    
   1. Lead: OSHA issued a National Emphasis Program for Lead (CPL 03-00-009) on August 14, 2008, to reduce occupational illnesses and employee exposures to lead.
      
      Industries in the Lead National Emphasis Program

      SIC	Industry	NAICS
      1521	GC Single Family Residential Construction	236115, 236118
      1522	GC Other Residential Construction	236116
      1541	GC Non Residential Construction	236210, 236220
      1622	Bridge Tunnel Construction	237310
      1629	Heavy Construction, NEC	237990
      1721	Painting & Paper Hanging	238320
      1791	Steel Erection	238120
      1795	Wrecking and Demolition Work	238910
      1799	Special Trade Contractors NEC	237990, 238190, 238390, 238990
      2816	Manufacturing: Inorganic Pigments	325130, 325180
      2819	Manufacturing: Inorganic Chemicals NEC	325130, 325180, 325998
      2821	Plastics Materials, Synthetic Resins, & Non-Vulcanizable Elastomers	325211
      2851	Mfr of Paints, Varnishes, Lacquers, Enamels	325510
      3053	Mfr of Gaskets, Packing and Sealing Devices	339991
      3211	Manufacturing: Flat Glass	327211
      3229	Manufacturing: Pressed & Blown Glass Products	327212
      3231	Mfr of Glass Products Made of Purchased Glass	327215
      3312	Steel Works-Blast Furnaces	331110
      3331	Primary Smelting of Copper	331410
      3339	Primary Smelting of Non-Ferrous Metals	331410
      3341	Secondary Smelting of Non-Ferrous Metals	331314, 331420, 331492
      3351	Rolling, Drawing, Extruding of Copper	331420
      3356	Rolling of Non-Ferrous Metals Except Cu and AL	331491
      3366	Copper Foundries	331529
      3369	Non-Ferrous Foundries Except Cu and AL	331529
      3399	Primary Metal Products, NEC	331110, 331221, 331314, 331420
      3489	Ordinance & Accessories, NEC	332994
      3491	Manufacture of Industrial Valves	332911
      3492	Manufacture of Fluid Power Valves	332912
      3568	Mechanical Power Transmission Equipment	333613
      3675	Manufacture of Electronic Capacitors	334416
      3691	Storage Batteries	335911
      3692	Primary Batteries	335912
      3713	Manufacture of Truck/Bus Bodies	336211
      3715	Manufacture of Truck Trailers	336212
      5093	Scrap and Waste Materials	423930, 425110, 424120
      7532	Automotive Repair & Painting.	811121
      7539	Automotive Repair Shops NEC	811118, 811198
      7997	Membership Sports & Recreation Clubs	713910, 713940
      7999	Misc. Sports, Recreation & Amusement, NEC	713990

   2. Crystalline Silica: OSHA issued a Crystalline Silica National Emphasis Program (CPL 03-00-007) on January 24, 2008, to significantly reduce or eliminate employee overexposures to crystalline silica and control the health hazards associated with such exposures.
      
      Industries in the Crystalline Silica National Emphasis Program

      SIC	Industry	NAICS
      1521	General Contractors-Single-Family Houses	236115, 236118
      1522	General Contractors-Residential Buildings Other Than Single-Family	236115, 236118
      1541	General Contractors-Industrial Buildings and Warehouses	236210, 236220
      1611	Highway and Street Construction, Except Elevated Highways	237310
      1622	Bridge, Tunnel, and Elevated Highway Construction	237310, 237990
      1623	Water, Sewer, Pipeline, and Communications and Power Line Construction	237110, 237120, 237130
      1629	Heavy Construction, NEC	236210, 237110, 237120, 237130, 237990
      1721	Painting and Paper Hanging	237310, 238320
      1741	Masonry, Stone Setting, and Other Stone Work	238140
      1742	Plastering, Drywall, Acoustical, and Insulation Work	238310
      1761	Roofing, Siding, and Sheet Metal Work	238160, 238170, 238390
      1771	Concrete Work	238110, 238140, 238990
      1794	Excavation Work	238910
      1795	Wrecking and Demolition Work	238910
      1799	Special Trade Contractors, NEC	236220, 237990, 238150, 238190, 238290
      3251	Brick and Structural Clay Tile	327121, 327331
      3253	Ceramic Wall and Floor Tile	327122
      3255	Clay Refractories	327124
      3261	Vitreous China Plumbing Fixtures and China and Earthenware Fittings and Bathroom Accessories	327111
      3262	Vitreous China Table and Kitchen Articles	327112
      3264	Porcelain Electrical Supplies	327113
      3269	Pottery Products, NEC	327112
      3271	Concrete Block and Brick	327331
      3272	Concrete Products, Except Block and Bricks	327332, 327390,
      3273	Ready-Mixed Concrete	327320
      3281	Cut Stone and Stone Products	327991
      3291	Abrasive Products	327910, 332999
      3299	Nonmetallic Mineral Products, NEC	327112, 327420, 327999
      3312	Steel Works, Blast Furnaces (Including Coke Ovens), and Rolling Mills	324199, 331111, 331221
      3321	Gray and Ductile Iron Foundries	331511
      3322	Malleable Iron Foundries	331511
      3325	Steel Foundries, NEC	331513
      3334	Primary Production of Aluminum	331312
      3365	Aluminum Foundries	331524
      3366	Copper Foundries	331525
      3369	Nonferrous Foundries, Except Aluminum and Copper	331528
      3431	Enameled Iron and Metal Sanitary Ware	332998
      3441	Fabricated and Structural Metal	332312
      3443	Fabricated Plate Work (Boiler Shops)	332313, 332410, 332420
      3444	Sheet Metal Work	332321, 332322, 332439, 333415
      3471	Electroplating, Polishing, Anodizing, and Coloring	332813
      3479	Coating, Engraving, and Allied Services, NEC	332812, 339911, 339912, 339914
      3531	Construction Machinery and Equipment	333120, 333923, 336510
      3599	Industrial and Commercial Machinery and Equipment	332710, 332813, 332999, 333319, 333999, 334519, 336399
      3715	Truck Trailers	336212
      5032	Brick, Stone, and Related Construction Materials	423320, 425110, 425120, 444190
      7532	Top, Body, and Upholstery Repair Shops and Paint Shops	811121

      
       
   3. Combustible Dust: OSHA reissued a Combustible Dust National Emphasis Program (03-00-008) on March 11, 2008, to inspect facilities that generate or handle combustible dusts which pose a deflagration/explosion or other fire hazard. Some industries that handle combustible dusts include agriculture, chemicals, textiles, forest and furniture products, wastewater treatment, metal processing, paper products, pharmaceuticals, and recycling operations (metal, paper, flour, sugar, and plastic). The NEP expanded on an earlier Combustible Dust National Emphasis Program to focus on industries with more frequent and high-consequence dust incidents. The revised NEP focuses on 64 industries, shown in the two tables below. OSHA has determined that all sugar refineries (beet and sugarcane) in the Federal jurisdiction shall be inspected under this NEP.
      
      Industries in the Combustible Dust National Emphasis Program with More Frequent and/or High Consequence Combustible Dust Explosions/Fires

      SIC	Industry	NAICS
      2046	Wet Corn Milling	311221
      4911	Electric Services -- Establishments engaged in the generation, transmission, and/or distribution of electric energy for sale	221112
      2041	Flour and Other Grain Mill Products	311211
      2493	Reconstituted Wood Products	321219
      2899	Chemicals and Chemical Preparations, Not Elsewhere Classified	325510, 325998
      2099	Prepared foods and miscellaneous food specialties, not elsewhere classified	311212
      3471	Electroplating, Plating, Polishing, Anodizing, and Coloring	332813
      3341	Secondary Smelting and Refining of Nonferrous Metals	331314
      2834	Pharmaceutical Preparations	325412
      2499	Wood Products, Not Elsewhere Classified	321920, 321219
      2421	Sawmills and Planing Mills, General	321113
      2062	Cane Sugar Refining	311312
      2063	Beet Sugar (Establishments primarily engaged in manufacturing sugar from sugar beets)	311313
      3061	Molded, Extruded, and Lathe-Cut Mechanical Rubber Goods	326291
      3714	Motor Vehicle Parts and Accessories	336322
      3365	Aluminum Foundries	331524
      0723	Crop Preparation Services for Market, Except Cotton Ginning	115114, 115111
      2052	Fresh cookies, crackers, pretzels, and similar "dry" bakery products	311821
      2087	Flavoring extracts, syrups, powders, and related products, not elsewhere classified	311930
      2221	Broadwoven Fabric Mills, Manmade Fiber and Silk	313210
      2262	Finishers of Broadwoven Fabrics of Manmade Fiber and Silk	313311
      2299	Textile Goods, Not Elsewhere Classified	313111
      2431	Millwork	321911
      2434	Wood Kitchen Cabinets	337110
      2439	Structural Wood Members, Not Elsewhere Classified	321213, 321214
      2452	Prefabricated Wood Buildings and Components	321992
      2511	Wood Household Furniture, Except Upholstered	337122
      2591	Drapery Hardware and Window Blinds and Shades	337920
      2819	Industrial Inorganic Chemicals, Not Elsewhere Classified	325188, 325998, 331311
      2821	Plastic Materials, Synthetic Resins, and Nonvulcanizable Elastomers	325211
      2823	Cellulosic Manmade Fibers	325221
      2841	Soap and Other Detergents, Except Specialty Cleaners	325611
      2851	Paints, Varnishes, Lacquers, Enamels, and Allied Products	325510
      2861	Gum and Wood Chemicals	325191
      3011	Tires and Inner Tubes	326211
      3069	Fabricated Rubber Products, Not Elsewhere Classified	326299
      3081	Unsupported Plastics Film and Sheet	326113
      3082	Unsupported Plastics Profile Shapes	326121
      3086	Plastics Foam Products	326140, 326150
      3087	Custom Compounding of Purchased Plastics Resins	325991
      3089	Plastics Products, Not Elsewhere Classified	326199
      3291	Abrasive Products	327910
      3313	Alumina and Aluminum Production and Processing	331312
      3334	Primary Production of Aluminum	331312
      3354	Aluminum Extruded Products	331316
      3363	Aluminum Die-Castings	331521
      3369	Nonferrous Foundries, Except Aluminum and Copper	331528
      3398	Metal Heat Treating	332811
      3441	Metal Cans	332431
      3469	Metal Stampings, Not Elsewhere Classified	332116
      3479	Coating, Engraving, and Allied Services, Not Elsewhere Classified	332812
      3496	Miscellaneous Fabricated Wire Products	332618
      3499	Fabricated Metal Products, Not Elsewhere Classified	332999
      3548	Electric and Gas Welding and Soldering Equipment	335129
      3644	Noncurrent-Carrying Wiring Devices	335932
      3761	Guided Missiles and Space Vehicles	336414
      3799	Transportation Equipment, Not Elsewhere Classified	333924
      3995	Burial Caskets	339995
      3999	Manufacturing Industries, Not Elsewhere Classified	321999, 325998, 326199
      4221	Farm product warehousing and storage	493130
      4952	Sanitary treatment facilities.	221320
      4953	Refuse Systems	562920
      5093	Scrap and waste materials	423930
      5162	Plastics materials and basic forms and shapes	424610

      
       
   4. Hexavalent Chromium: OSHA issued the National Emphasis Program - Hexavalent Chromium directive (CPL 02-02-076) on February 23, 2010, to identify and reduce or eliminate the health hazards associated with occupational exposure to hexavalent chromium and other toxic substances often found in conjunction with hexavalent chromium.
       
   5. Trenching: Activities where trenching exists.
       
   6. Isocyanates: This instruction combines enforcement and outreach efforts to raise awareness of employers, workers, and safety and health professionals to identify and reduce or eliminate the incidence of adverse health effects associated with occupational exposure to Isocyanates.
       
   7. Manufacturing Amputations: Activities in the following SICs only, where there is a potential exposure to an amputation hazard from working with power presses, saws, slicers, or shears.
       

      Industries That May Have Potential for Manufacturing Amputations

      SIC	Industry	NAICS
      2011	Meat Packing Plants	311611
      2013	Sausages and Other Prepared Meat Products	311612, 311613
      2015	Poultry Slaughtering and Processing	311615
      2022	Natural, Processed, and Imitation Cheese	311513
      2051	Bread and Other Bakery Products, Except Cookies and Crackers	311812
      2099	Food Preparations, NEC	311999
      2299	Textile Goods, NEC	313110, 313210, 313220, 313230, 313310, 314999
      2411	Logging	113310
      2421	Sawmills and Planing Mills, General	321113, 321912
      2426	Hardwood Dimension and Flooring Mills	321918
      2431	Millwork	321911, 321918
      2434	Wood Kitchen Cabinets	337110
      2448	Wood Pallets and Skids	321920
      2511	Wood Household Furniture, Except Upholstered	337122, 337215
      2621	Paper Mills	322121, 322122
      2653	Corrugated and Solid Fiber Boxes	322211
      2671	Packaging Paper and Plastics Film, Coated and Laminated	322220, 326112
      2673	Plastics, Foil, and Coated Paper Bags	326111
      2752	Commercial Printing, Lithographic	323111
      3089	Plastics Products, NEC	326199
      3272	Concrete Products, Except Block and Brick	327332, 327390
      3315	Steel Wiredrawing and Steel Nails and Spikes	331222, 332618
      3316	Cold-Rolled Steel Sheet, Strip, and Bars	331221
      3317	Steel Pipe and Tubes	331210
      3325	Steel Foundries, NEC	331513
      3423	Hand and Edge Tools, Except Machine Tools and Handsaws	332216
      3441	Fabricated Structural Metal	332312
      3443	Fabricated Plate Work (Boiler Shops)	332313, 332410
      3444	Sheet Metal Work	332322
      3446	Architectural and Ornamental Metal Work	332323
      3462	Iron and Steel Forgings	332111
      3465	Automotive Stampings	336370
      3469	Metal Stampings, NEC	332119
      3496	Miscellaneous Fabricated Wire Products	332618
      3499	Fabricated Metal Products, NEC	332999
      3544	Special Dies and Tools, Die Sets, Jigs, and Fixtures, and Industrial Molds	333511, 333514
      3564	Industrial and Commercial Fans and Blowers and Air Purification Equipment	333413
      3585	Air-Conditioning and Warm Air Heating Equipment and Commercial and Industrial Refrigeration Equipment	333415
      3599	Industrial and Commercial Machinery and Equipment, NEC	333318, 333999
      3714	Motor Vehicle Parts and Accessories	336211, 336310, 336320, 336330, 336340, 336350, 336390

      
       
6. Agency Measures:
   1. and b. Fatality measures
      • Fatalities in the construction industry associated with the four leading causes of workplace death â¿¿ falls, electrocutions, caught in or between, and struck by.
      • Fatalities in general industry associated with the four leading causes of workplace death â¿¿ falls, electrocutions, caught in or between, and struck by.
         
      Falls: Activities where a potential injury from a fall from elevation exists. For performance measurement, fatalities with event code 05 (fall (from elevation)) on the OSHA-170 are counted as fall fatalities. Falls from elevation are injuries produced by impact between the injured person and the source of injury, when the motion-producing contact was generated by gravity, and the point of contact with the source of injury was lower than the surface supporting the person at the inception of the fall. The following are examples of falls that would be recorded:
      • Falls from elevation to lower levels.
      • Falls from ground level to a lower level (into storm drains, excavations, etc.).
      • Falls through existing floor or roof openings (skylights, etc.).
      • Falls through the floor or roof surface (floor or roof collapses).
      • Jumps from structures and equipment.
      
      Electrocutions: Activities where a potential injury from an electrical hazard exists. For performance measurement, fatalities with nature code 10 (electric shock) on the OSHA-170 are counted as electrocution fatalities. Electrocutions are injuries resulting from contact with electricity, including lightning. Contact may be made directly from the power source to the person or indirectly, such as when a pipe being held contacts a power-line. In instances where an electric shock initiates a chain of events which results in an impact injury, the resulting accident event should be used. For example, if an electric shock knocks a worker from a ladder, the event should be coded as a Fall. Examples that would be recorded as Electrocutions include:
      • Contact with overhead power-lines;
      • Contact with electrical wiring, transformers, equipment, etc;
      • Contact with buried power-lines.
         
      Caught in/between: Activities where a potential injury from a caught in or between hazard exists. For performance measurement, fatalities with event code 02 (caught in or between) on the OSHA-170 are counted as caught in/between fatalities. Caught in/between injuries result from a person being squeezed, caught, crushed, pinched or compressed between two or more objects, or between parts of an object. This includes individuals who get caught or crushed in operating equipment, between other meshing objects, between a moving and stationary object, or between two or more moving objects. It also includes injuries from people trying to free themselves after being caught in an object or machine and from strangulation occurring when clothing is caught in running equipment. The key factor in making a determination between a Caught in/between event and a Struck by event is whether the impact of the object alone caused the injury. When the impact alone creates the injury, the event should be recorded as Struck by. Also, when the source of injury is free-flying or falling, or collapsing material, the event should be recorded as Struck by. When the injury is created more as a result of crushing injuries between objects, the event should be recorded as Caught in/between. Examples of events that should be classified as Caught in/between include:
      • Being pulled into or caught in machinery and equipment (this includes strangulation as the result of clothing caught in running machinery and equipment).
      • Being compressed or crushed between rolling, sliding, or shifting objects such as semi-trailers and a dock wall, or between a truck frame and a hydraulic bed that is lowering.
         
      Struck by: Activities where a potential injury from being struck by exists. For performance measurement, fatalities with event code 01 (struck by) on the OSHA-170 are counted as struck by fatalities. Struck-by injuries are produced by forcible contact or impact between the injured person and an object, piece of equipment, or falling material, when the motion producing the contact is primarily that of the object, equipment, or falling material, rather than the person. When the motion producing the contact is primarily that of the injured person, the event should be recorded as Struck against. Examples of accidents that should be recorded as Struck by include:
       
      • Struck by moving vehicle, machinery or equipment.
      • Struck by materials that are falling, flying, swinging, slipping, etc.
    
   3. Hearing loss in manufacturing and construction: Violations of 1910.95, 1926.52, 1926.101
       
   4. Illnesses in general industry and construction: Violations of
      
      PART 1910â¿¿OCCUPATIONAL SAFETY AND HEALTH STANDARDS
      
      Subpart G—Occupational Health and Environmental Control
      1910.94 Ventilation.
      1910.97 Non-ionizing radiation.
      
      Subpart Hâ¿¿Hazardous Materials
      1910.120 Hazardous waste operations and emergency response.
      
      Subpart Iâ¿¿Personal Protective Equipment
      1910.132 General requirements.
      1910.134 Respiratory protection.
      1910.138 Hand protection.
      
      Subpart Zâ¿¿Toxic and Hazardous Substances
      1910.1000 Air contaminants.
      1910.1001 Asbestos.
      1910.1002 Coal tar pitch volatiles; interpretation of term.
      1910.1003 13 Carcinogens (4-Nitrobiphenyl, etc.).
      1910.1004 alpha-Naphthylamine.
      1910.1006 Methyl chloromethyl ether.
      1910.1007 3,2â¿¿Dichlorobenzidine (and its salts).
      1910.1008 bis-Chloromethyl ether.
      1910.1009 beta-Naphthylamine.
      1910.1010 Benzidine.
      1910.1011 4-Aminodiphenyl.
      1910.1012 Ethyleneimine.
      1910.1013 beta-Propiolactone.
      1910.1014 2-Acetylaminofluorene.
      1910.1015 4-Dimethylaminoazobenzene.
      1910.1016 N-Nitrosodimethylamine.
      1910.1017 Vinyl chloride.
      1910.1018 Inorganic arsenic.
      1910.1025 Lead.
      1910.1026 Chromium (VI).
      1910.1027 Cadmium.
      1910.1028 Benzene.
      1910.1029 Coke oven emissions.
      1910.1030 Bloodborne pathogens.
      1910.1043 Cotton dust.
      1910.1044 1,2-dibromo-3-chloropropane.
      1910.1045 Acrylonitrile.
      1910.1047 Ethylene oxide.
      1910.1048 Formaldehyde.
      1910.1050 Methylenedianiline.
      1910.1051 1,3â¿¿Butadiene.
      1910.1052 Methylene Chloride.
      1910.1096 Ionizing radiation.
      1910.1200 Hazard communication.
      1910.1450 Occupational exposure to hazardous chemicals in laboratories.
      
      PART 1926—SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION
      
      Subpart C—General Safety and Health Provisions
      1926.28 Personal protective equipment.
      
      Subpart D—Occupational Health and Environmental Controls
      1926.53 Ionizing radiation.
      1926.54 Non-ionizing radiation.
      1926.55 Gases, vapors, fumes, dusts, and mists.
      1926.57 Ventilation.
      1926.59 Hazard communication.
      1926.60 Methylenedianiline.
      1926.62 Lead.
      1926.65 Hazardous waste operations and emergency response.
      
      Subpart E—Personal Protective and Life Saving Equipment
      1926.101 Hearing protection.
      1926.103 Respiratory protection.
      
      Subpart Z—Toxic and Hazardous Substances
      1926.1101 Asbestos.
      1926.1102 Coal tar pitch volatiles; interpretation of term.
      1926.1103 13 carcinogens (4-Nitrobiphenyl, etc.).
      1926.1104 alpha-Naphthylamine.
      1926.1106 Methyl chloromethyl ether.
      1926.1107 3,3-Dichlorobenzidiene (and its salts).
      1926.1108 bis-Chloromethyl ether.
      1926.1109 beta-Naphthylamine.
      1926.1110 Benzidine.
      1926.1111 4-Aminodiphenyl.
      1926.1112 Ethyleneimine.
      1926.1113 beta-Propiolactone.
      1926.1114 2-Acetylaminofluorene.
      1926.1115 4-Dimethylaminoazobenzene.
      1926.1116 N-Nitrosodimethylamine.
      1926.1117 Vinyl chloride.
      1926.1118 Inorganic arsenic.
      1926.1126 Chromium (VI).
      1926.1127 Cadmium.
      1926.1128 Benzene.
      1926.1129 Coke oven emissions.
      1926.1144 1,2-dibromo-3-chloropropane.
      1926.1145 Acrylonitrile.
      1926.1147 Ethylene oxide.
      1926.1148 Formaldehyde.
      1926.1152 Methylene chloride.
       
   5. Workplace amputations: Violations of
      
      1910.147, The Control of Hazardous Energy (LO/TO)
      1910.212, General Requirements for all Machines
      1910.213, Woodworking Machinery
      1910.217, Mechanical Power Presses
      1910.219, Mechanical Power-transmission Apparatus
       
   6. Employees Removed from Risk:
      This number represents the total of employees exposed to hazards for each particular hazard instance. It is the equivalent of totaling all instances of Field 7 on the OSHA Form 40 as long as all hazards are corrected.

A complete and current equipment inventory is required of each On-site Consultation Project. For this inventory, all capital equipment, general equipment (excluding furniture or office supplies), and special purpose equipment (as defined by OMB Circular A-87, Attachment B) must be included. Therefore, the inventory should include all sampling equipment (pumps, dosimeters, sound level meters, octave band analyzers, etc.), computers (hardware and software), vehicles, etc. Do not include furniture or office supplies in the inventory. The inventory should include information regarding the description, manufacturer, model number, serial number (if applicable), location, condition, acquisition date and acquisition cost of each item of equipment.

The table below provides a sample format for the equipment inventory. Projects can submit their inventories in a different format as long as the information requested is provided.

List all non-expendable, personal property having a useful life of more than one year and a unit acquisition cost of $5,000 or more, and all computer-related equipment the grantee requests to purchase this grant year. Ref: 29 CFR 97.32(g) & OMB Circular A-87, Attachment B, C.1.

NOTE: List equipment by category: technical, office/administrative. Equipment which was requested and approved - but not procured in the previous award year - should be clearly identified.

*

Recognition and Evaluation of Occupational Hazards Evaluate Safety and Health Management Systems Provide Occupational Safety and Health Training Manage Program Processes and Reports

Provide Hazard Prevention and Control Assistance Provide Off-site Technical Support Promote OSHA Consultation Services OSHA Consultant Professionalism Other (specify)

NOTES:

• Funds sufficient to cover travel requirements to conduct proposed training should be budgeted in Part A: Consultation and Part B: Administration. These costs must be specific to the activities identified as determined by the location and duration of the training. The Annual Training Plan should only list training and out-of-state travel that is eligible for 100% federal funding and is subject to approval by the Director of the Office of Small Business Assistance. The total amount on this form must agree with the amount reported on the OSHA 110 – Line 2.
• Deviations from this plan involving out-of-state travel to courses and/or locations other than those proposed must be approved in writing by the Regional Administrator prior to the actual travel.
• See Informal Training Requirements Memo, issued June 9, 2010, and 21(d) On-site Consultation Training Policy and FY 2011 One-time Only Monies issued November 29, 2010 for additional information on training requirements.
• Travel for staff members attending the Annual On-site Consultation Training Conference should be included on this form.

The plan for accompanied visits should state the policies which will govern activity for the fiscal year, rather than who will be accompanied by whom on specific visits.

Funds sufficient to cover travel for these activities should be budgeted in Part B: Administration, under Item c.2, Travel, unless the project indicates that travel is local and the costs are nominal in amount.

     (1)								       Page 1 of 1
    
             Region:  ________________________________
    
              State:  ________________________________
    
            Grantee:  ________________________________
    
       Grant Number:  CS_______________________
    
      Starting Date:  October 1, 2013
        Ending Date:  September 30, 2014
    

    (2)   Recipient
    
    Name:
    
    Address:
    
    
    
    _________________________________________
    Recipient Liaison Representative
    
    _________________________________________
    Area Code and Telephone Number
    

    (3)    U.S. Department of Labor
    
    
    
    
    
    
    
    _________________________________________
    OSHA Liaison Representative
    
    _________________________________________
    Area Code and Telephone Number
    

Forms SF-424 and SF-424A are available on Grants.gov. The links listed below are provided for informational purposes only to assist in preparing the application online. The actual application submitted to Grants.gov must use the mandatory forms found in the Funding Opportunity posted in Grants.gov:
 

https://apply07.grants.gov/apply/forms/sample/SF424_2_1-V2.1.pdf
http://apply07.grants.gov/apply/forms/sample/SF424A-V1.0.pdf

__________________________________

¹S—TS—S/S—H—TH—H/S—SEC For definitions, see Appendix A-Cooperative Agreement-3

²Encumbered/Vacant

³Previously Approved/New

__________________________________

¹S—TS—S/S—H—TH—H/S—SEC For definitions, see Appendix A-Cooperative Agreement-3

²Encumbered/Vacant

³Previously Approved/New

For specific procedures on purchasing hardware and software, as well as OSHANet Rules of Behavior, please see the Help Desk page on the OSHA Intranet Page.

Before requesting permission to purchase any IT equipment, determine if the item you wish to purchase is listed on the approved OSHA Supported Hardware and/or OSHA Standard Image Software and Other Software webpages. These lists can be found on the OSHA IT HELPDESK Intranet webpage.

Requests for purchasing software, hardware, or both, within the initial Annual On-site Consultation Cooperative Agreement Application must be noted in Appendix H, of the grant application.

Requests to purchasing software, hardware, or both, after the initial grant has been awarded or as part of a one-time only funding process require an amended, Annual On-site Consultation Cooperative Agreement, Appendix H, "Equipment Procurement Request," and must be sent to the National Office when the IT equipment request is made.
 

As required by the Annual On-site Consultation Cooperative Agreement Application, States must identify all projected technical equipment purchases during the grant year within Appendix H, "Equipment Procurement Request," of the application.