<<< Back to Region III |
Printing Instructions |
|
Strategic Partnership Agreement
between the
Occupational Safety and Health Administration
Baltimore/Washington
Area Office
and
Clark/Balfour Beatty Joint Venture
for the
Walter Reed National Military Medical Center Project
Bethesda, Maryland
|
I. Scope/Background
To facilitate OSHA' s goal of reducing occupationally related fatalities by
3% each year, and reducing the total rate of Days Away from Work by 4% each
year, Region III of the Occupational Safety and Health Administration (OSHA)
and the Clark/Balfour Beatty Joint Venture have agreed to the joint
implementation of the partnership during construction of the 641 million
dollar, Walter Reed National Military Medical Center Project. The Project
plans call for the construction of a new,
345-bed medical center with a full range of intensive and complex specialty
and subspecialty medical services, including specialized facilities for
injured soldiers. The realigned Walter Reed National Medical Center will be
on the grounds of the National Naval Medical Center and is expected to
become the U.S. military's premier tertiary referral center for casualty and
beneficiary care. The center will also provide postgraduate education and
other training, and serve as a medical research center.
The scope of work includes the construction of new outpatient and inpatient
facilities, as well as extensive renovations and upgrades to the existing
hospital facilities. The contract calls for design and build of a military
medical center addition, as well as alterations to existing clinical and
administrative facilities, and new patient parking structure. The addition
and alterations include site work, multiple hospital related systems, fire
protection sprinkler and alarm systems, electrical distributions systems,
mechanical systems, plumbing systems, information/communication systems,
security systems, elevators, utility connections, and all required
supporting facilities. Site work and site improvements include demolition of
buildings, major utility work, sediment and erosion control and storm water
management requirements, landscaping, pavement, and sidewalks. Work also
includes upgrades to utility related facilities, boiler plant upgrade,
central chiller plant at building A, and emergency power.
Notice to proceed was given March of 2008. Complete turnover is scheduled
for September 2011.
The goal of this program is to develop a contractor/government partnership
that will encourage construction contractors to improve their safety and
health performance, assist them in doing that, strive for the elimination of
serious accidents in the construction industry, and recognize those
contractors with exemplary safety and health programs. Under the
partnership, OSHA will provide timely responses to requests for information
and requests for clarification of OSHA standards as resources allow.
This agreement between the Clark/Balfour Beatty Joint Venture and OSHA is
expected to result in decreased serious injuries and illnesses and
fatalities for the site and improve existing safety and health programs. It
provides incentives to construction contractors that voluntarily participate
in the Walter Reed National Military Medical Center Project partnership and
demonstrate implementation of effective safety and health programs, for
example opportunities for focused inspections and reductions in penalties.
This agreement will not in any way affect employees’ ability to exercise
rights under the OSHA Act and OSHA regulations, including walk-around
rights.
Therefore, OSHA and the Clark/Balfour Beatty Joint Venture are entering into
this partnership to foster a safe and healthful workplace for employees by
having joint cooperation as prescribed within the terms and conditions set
forth in this agreement.
II. Identification of Partners
The primary participants in this Partnership are,
- Occupational Safety and Health Administration, Baltimore/Washington Area
Office (OSHA)
- Clark/Balfour Beatty Joint Venture
III. Project Overview
Over the life of the project 40 contractors will employ approximately 1200
individual construction tradespersons at peak construction. The complete
work will include: site construction, concrete, excavation work, pile
foundation installation, structural steel and miscellaneous metal work,
pre-cast curtain wall, road work, electrical, masonry, mechanical/plumbing,
rebar installation, caissons, cranes and lifts use and installation and
painting.
IV. Goals, Strategies, Measures
The partnership’s goal is to reduce injuries and illnesses and fatalities
through a cooperative relationship between the Clark/Balfour Beatty Joint
Venture and OSHA. This goal will be accomplished by implementing and
following the plan outlined below and evaluating these actions as indicated:
- Develop, implement and maintain effective and comprehensive safety and
health programs in accordance with OSHA’s 1989 Safety and Health Program
Management Guidelines or its equivalent.
The Clark/Balfour Beatty Joint Venture agrees to complete a self-audit and
an evaluation of Subcontractor’s safety and health programs in accordance
with OSHA’s 1989 Safety and Health Management Guidelines or its equivalent.
OSHA will evaluate the Clark/Balfour Beatty Joint Venture and
subcontractor’s safety and health programs prior to and during the OSHA
verification inspection using Appendix B (or equivalent) and will observe
whether the safety and health management systems in place are adequately
protecting employees.
- Achieve participant recordable illness and injury rates below the
national average for the construction industry. A partnership goal is to
keep the DART rate (cases with days away from work, job-transfer, or
restriction) below the national average for the most recent year published
for NAICS* 236220 (SIC 1542), which was 2.7 for the year 2006. The
partnership goal is to further reduce this level of recordable injuries
annually by at least 4% for the duration of the partnership.
Identify and correct primary causal factors in worker injuries and
illnesses.
Establish systems to identify and correct accidents and nears misses.
OSHA will meet at least quarterly with the Clark/Balfour Beatty Joint
Venture to examine the injury and illness experience of the partnership’s
participants and to make corrections and adjustments as needed.
DART rates and injury and illness experience will be evaluated through
review of OSHA 300 logs and any other relevant accident reports.
V. Statement of Agreement
OSHA agrees to:
- Help identify programmatic needs at this site by reviewing the documented
safety and health management system and providing practical guidance for
implementation. The review will be performed by the project Safety and
Health Manager and an OSHA Compliance Specialist (CAS or CSHO).
- Help identify, through the review of OSHA 300 logs, accident or near miss
reports, primary causal factors in injuries and illnesses and recommend the
appropriate corrective actions.
- Provide information on training resources including available OSHA
Training Institute courses and information on other available sources of
training.
- Assist partners in assessing OSHA interpretations and clarifications as
to the meaning and application of OSHA standards and policy.
- Participate in training sessions and meetings as resources permit.
- Designate an experienced Compliance Specialist (CAS or CSHO) to serve as
a resource and liaison person for the partnership.
- Meet with the Clark/Balfour Beatty Joint Venture quarterly to review
partnership issues and to examine updated DART rates and the injury and
illness experiences of its contractors at this site. OSHA shall provide
feedback on any noted incident trends and patterns.
The Clark/Balfour Beatty Joint Venture agrees to:
- Serve as a safety resource in support of all of the project’s contractors
and subcontractors.
- Provide notice to all contractors and subcontractors that the Walter Reed
National Military Medical Center Project is subject to this strategic
partnership with OSHA. All employees will be informed of the partnership and
provided a fact sheet during orientation. (Appendix A).
- Administer the overall partnership program including, but not limited to,
the initial contact and evaluation of subcontractor applications to
determine whether the subcontractor meets the criteria specified within this
partnership initiative under Section VI, Contractor Eligibility.
- Notify the Baltimore/Washington OSHA Area Office on a regular and
recurring basis of the names of subcontractors that have met the partnership
criteria.
- Maintain a dedicated competent Site Safety and Health Coordinator
available to assist contractors and subcontractors with all safety and
health issues.
- Act as liaison for contractors with OSHA.
- Offer on-going information on safety or health topics of importance for
contractors, especially on the focused four construction hazards.
- Maintain a site injury and illness log of all injuries and illnesses
reported by all contractors and tier subcontractors.
- Meet with OSHA quarterly to examine the injury and illness experience of
the partnership’s participants and to make corrections and adjustments as
needed.
- Manage the following site safety or health issues common to all areas of
the site and be accessible to all contractors and subcontractors to reduce
the potential for injury or illness in accordance with this partnership
agreement:
- emergency action plan
- hazard communication plan and inventory of site chemicals reported by
contractors and tier subcontractors
- fall protection plan and perimeter guards
- personal protective equipment, including equipment specified by NFPA 70 E,
where applicable
The Clark/Balfour Beatty Joint Venture and its contractors and
subcontractors agree to:
- Apply all relevant components of their respective comprehensive safety
and health programs to the Walter Reed National Military Medical Center
Project. These programs shall include:
- Analysis of all new and acquired work, materials, chemicals, and
equipment before construction activity begins to determine potential hazards
and to plan for their prevention or control.
- Routine examination and analysis of hazards associated with individual
jobs, processes, or phases of construction.
- Routine self-inspections and hazard abatement.
- A system for project workers to notify management, without fear of
retaliation, about conditions that appear hazardous.
- A system for investigating accidents and near-misses, including
procedures for guidance, reports of findings and the tracking of hazard
correction to completion.
- A system to analyze trends through a review of site injury and illness
data, and the hazards identified through inspections so that patterns of
common causes can be identified and eliminated.
- Comply with all current OSHA standards.
- Implement and enforce a 6 foot fall protection policy.
- Have supervisors provide visible leadership in implementing the safety
and health program. This includes:
- Supervisors establishing clear lines of communication with
project workers.
- Supervisors setting an example of safe and healthful behavior.
- Creating an environment that allows project workers access to their top
management and for contractor management to have access to the prime
contractor’s management, and;
- Report all site injuries and illnesses to the Clark/Balfour Beatty Joint
Venture immediately so that the site injury and illness log may be
accurately maintained.
- Report all program deficiencies or damage to protective equipment,
specifically site fall protection, immediately upon discovery and to take
appropriate interim protective measures for protection of their employees.
Additionally,
- Contractors and subcontractors will submit to OSHA initial and updated
records of their site recordable injury and illness rates, days away from
work rates, restricted workdays, and the contractor’s OSHA history.
- All contractors and subcontractors must have a person on site that is
responsible for, possesses the authority over, and is capable of effectively
implementing the overall site safety and health program.
- All contractors and subcontractors must complete a successful assessment
of their site safety and health program. This assessment shall consider:
- the comprehensiveness of the program
- the degree to which it has been implemented
- the presence of competent persons as required by relevant standards
- the means by which the program is enforced
- Verify that a comprehensive written safety and health program exists or
that it will be implemented prior to starting work, which is at least
equivalent to the criteria referenced herein, including the contractor’s or
subcontractor’s implementation of policies and procedures to ensure that
safety rules and procedures are enforced at the site.
- Certify that their policy and procedures hold supervisors and workers
accountable for following established safety and health rules and OSHA
regulations.
- Ensure that employee training covers applicable site hazards and the
means to correct them, as well as pertinent standards and regulations.
Provide appropriate safety information and training to non-English speaking
employees in their native language.
- Ensure that within one year after obtaining acceptance into this
partnership program that a designated safety representative or other person
serving in the capacity as a competent person on the project will have
completed the OSHA 10-hour course for the construction industry (or its
equivalent).
- Provide safety related data or statistics, as requested, concerning such
issues as man-hours worked, lost work day injuries, accident records and OSHA inspection results and provide a summary of and analysis of pertinent
safety and health related information for review by OSHA. The purpose of
such summary information will assist in preparing an annual report necessary
for evaluating the merits of the program and making recommendations for
continuous improvement.
VI. Contractor Eligibility
Subcontractors wishing to take advantage of this opportunity to partner with
OSHA must:
- Sign a letter of agreement, Appendix C, with the Clark/Balfour Beatty
Joint Venture
indicating their intent to participate in this partnership initiative and to
take steps to adopt into their safety program all of the provisions of the
partnership agreement.
- Verify that a comprehensive written safety and health program exists or
will be implemented within 30 days of signing which is based on the OSHA
1989 Safety
and Health Program Management Guidelines (or their equivalent), and has site
specific safety plans for all of the contractor’s work sites.
- Certify that their policy and procedures hold supervisors and workers
accountable for established safety rules and OSHA regulations.
- Provide the level of training required by OSHA regulations to their
workers either through their own training personnel or other consultants or
trainers.
- Ensure that as soon as possible, but not longer than one year after
obtaining acceptance into this partnership program, all supervisory
personnel or other personnel serving in the capacity of competent person
will have completed the OSHA 10-hour course for the construction industry
(or its equivalent). Records of training certification will be provided to
the Clark/Balfour Beatty Joint Venture and made available for review.
- Provide periodic safety-related statistics (man hours worked, lost
workday injuries, accident records and OSHA inspection results). The
Clark/Balfour Beatty Joint Venture is to provide a summary and analysis for
review by OSHA to track
the progress of the partnership in meeting its goals to reduce injury and
illness
rates and to prepare an annual report to evaluate the merits of the
partnership.
VII. On-Site Verification Inspection and Benefits
- Verification
In order to assist in measuring the success of this partnership, an initial
onsite non- enforcement verification inspection will be conducted by OSHA
after the signing of this agreement and annually thereafter in accordance
with OSHA’s Directive for the Strategic Partnership Program, OSHA
Instruction CSP 03-02-002. The onsite non-enforcement verifications will
consist of a review of written program elements and an inspection of site
construction hazards. If OSHA identifies serious hazards that the
Clark/Balfour Beatty Joint Venture refuses to correct, OSHA will make a
referral for an enforcement inspection.
Annual verifications will be timed and conducted to adequately evaluate
employee exposure to hazards.
Employees and/or employee representatives will be provided the opportunity
to be involved in all onsite non-enforcement verification inspections. If
employee and/or employee representatives cannot actively participate in the
site verification inspection, then employee interviews conducted during the
non-enforcement verification audits will be utilized to determine the sites
progress in meeting the goals and objectives stipulated within this
agreement.
The top causes of injuries and illnesses will be determined by all parties
prior to and during the initial OSHA verification inspection. Corrections
will be identified by all parties and implemented by the Clark/Balfour
Beatty Joint Venture. Injury and illness incidence in targeted areas will be
evaluated through the OSHA 300 log and any other relevant accident reports.
Additionally, OSHA will meet with the Clark/Balfour Beatty Joint Venture
quarterly to review partnership issues and to examine updated DART rates and
the injury and illness experience of the Clark/Balfour Beatty Joint Venture
and its contractors at this site. OSHA shall provide feedback on any noted
incident trends and patterns.
- Benefits
OSHA will not issue penalties to participating contractors for
other-than-serious violations, provided the violations are immediately
abated. OSHA reserves the right to issue penalties for regulatory violations
for which mandatory penalties are established pursuant to the policy set
forth in the Field Inspection Reference Manual (FIRM).
When calculating initial penalty reductions, OSHA may provide an additional
10% penalty reduction for good faith to participating contractors provided
they have taken steps to adopt into their safety program all of the
provisions of the partnership agreement. This additional reduction will not
apply to high gravity serious, willful, failure to abate or repeat
citations. In cases where a contractor’s total penalty reduction is 100
percent or more, the minimum penalty provisions of OSHA’s FIRM will apply.
VIII. OSHA Inspections
This partnership provides for the immediate response to each allegation of a
safety or health hazard brought to its attention by any person. Upon a
finding that an allegation is valid, the employer shall promptly abate the
hazard.
- Non-formal Complaints:
OSHA agrees that a copy of each non-formal complaint related to the work at
the site and filed with OSHA will be forwarded by fax or mail to the Walter
Reed National Military Medical Center site office. In accordance with
applicable law, the identity of a complainant requesting confidentiality
will not be revealed. The Clark/Balfour Beatty Joint Venture agrees to
investigate these complaints, regardless of the employer involved and
provide OSHA with a written response as follows:
- non-formal complaints/referrals alleging a hazard: 24 hours
Failure to meet this time frame, or providing a response determined by OSHA
to be inadequate, will place the complaint/referral outside the scope of
this partnership and OSHA will respond as it would to any complaint of a
similar nature.
- Formal Complaints and Other Investigations:
OSHA personnel will continue to conduct investigations resulting from
program scheduling, formal complaints, referrals, fatalities, catastrophes,
other accidents or significant events. OSHA will also investigate
contractors whose employees are exposed to or are creating plain view
hazards at partnering worksites. These investigations will be conducted
outside of this partnership agreement in accordance with established OSHA
enforcement policy. Violations documented during such investigations may
result in the issuance of citations and penalties.
IX. Employee Rights
This Partnership does not preclude employees and/or employers from
exercising any right provided under the OSH Act (or, for federal employees,
29 CFR 1960), nor does it abrogate any responsibility to comply with rules
and regulations adopted pursuant to the OSH Act.
X. Leveraging
This partnership seeks to leverage the resources of both, the Clark/Balfour
Beatty Joint Venture and OSHA, by encouraging contractors to develop safety
and health programs, implement them in an effective manner, complete self
inspections, and evaluate worksite conditions and near misses to prevent
accidents. By combining resources, OSHA expects to have a greater and more
positive impact on safe working conditions at this site than could be
achieved otherwise.
XI. Evaluation
A joint evaluation of the partnership will be prepared annually by the
partners using Appendix D. The evaluation will review the success of the
partnership, lessons learned, and changes that will be made to meet the
goals of the partnership.
XII. Termination
This agreement will terminate three years from the date of the signing or
upon completion of the Walter Reed National Military Medical Center Project.
If either OSHA or the Clark/Balfour Beatty Joint Venture wishes to withdraw
its participation prior to the established termination date, the agreement
will terminate upon receiving a written notice of the intent to withdraw
from either signatory.
OSHA will terminate the partnership if any employer on site is issued a
citation
related to workplace hazards which resulted in a fatality.
XIII. Paperwork Reduction Act:
Paperwork Reduction Act Notice
Form Approved
OMB# 1218-0244 Expires 01-31-2009
Public reporting burden for the time needed to develop
the Partnership requirements, craft agreement language,
and conduct an internal review process is estimated to
be an average of 11 burden hours per respondent.
XIV. Partnership Contacts:
OSHA: Michael Walterschied, Area Director, Baltimore/Washington OSHA Office,
410-865-2055
Clark: |
1. Jamie Kaiser
Mid-Atlantic Regional Safety Director
(202)-345-3541
2. Jack Duly
Maryland Area Safety Manager
301-807-4157
3. William Bready
Site Senior Safety Manager
240-882-4172
|
Signature Page: Walter Reed National Military Medical Center Project
Strategic Partnership Agreement between OSHA and the Clark/Balfour Beatty
Joint Venture.
All undersigned Parties mutually agree to the terms and
conditions of this document and commencement of this Partnership
Agreement on this day of September 29, 2008. |
Edwin G. Foulke, Jr.
Assistant Secretary of Labor for
Occupational Safety and Health |
|
Gregory Colevas
Division President
Clark/Balfour Beatty, JV |
|
Michael Walterschied
Area Director
Baltimore/Washington Area Office
US/DOL/OSHA |
|
David Laib
Senior Vice President
Clark/Balfour Beatty, JV |
|
|
|
Joe Hogan,
Vice President, Project Director
Clark/Balfour Beatty, JV |
|
|
|
John Strong,
Vice President, Construction Executive
Clark/Balfour Beatty, JV |
|
|
|
Richard Ryan
Project Executive, Construction Manager
Clark/Balfour Beatty, JV |
|
|
|
William Bready
Site Safety Health Officer
Clark/Balfour Beatty, JV |
|
|
|
Jamie Kaiser
Regional Safety Director
Clark Construction Group, LLC
|
|
|
|
Charlie Bird
Director of Loss Prevention
Balfour Beatty Construction, LLC
|
|
|
* NAICS refers to the
North American Industry Classification System which has replaced the U.S.
Standard Industrial Classification (SIC) System.
APPENDIX A
Partnership Fact Sheet
A strategic partnership agreement has been developed jointly by the United
States Department of Labor, Occupational Safety and Health Administration
Baltimore/Washington Area Office (OSHA), and the Clark/Balfour Beatty Joint
Venture. The common objective and goal of the program is to develop a
contractor/government partnership that encourages all construction contractors
to improve their safety and health performance, assist them in doing that,
strive for the elimination of serious accidents in the construction industry,
and to recognize those contractors with exemplary safety and health programs.
The specific impetus behind the agreement is to provide a safe and healthful
work environment for workers engaged in construction activities for the project.
Expected outcomes of this partnership include: developing criteria for a model
multi-employer worksite safety and health program which specifically identifies
the responsibilities of each subcontractor; making safety and health materials
available to all subcontractors onsite; planning for safety and health in all
aspects of the project; providing visible safety and health leadership;
achieving participant recordable illness and injury rates below the national
average for the construction industry; and focusing OSHA enforcement activity on
those contractors and subcontractors who have little or no regard for the safety
and health of their workers.
The agreement provides incentives to contractors and subcontractors who
voluntarily improve their safety and health performance. Incentives will include
special recognition from OSHA and opportunities for focused enforcement efforts
by OSHA and consideration for additional good faith penalty reductions.
This agreement is consistent with OSHA’s long-range effort to develop a
contractor/government partnership approach to safety management. It allows for
better use of OSHA resources and for innovation in safety management, and it
encourages more participation in the safety process by each stakeholder.
_______________________________
Michael Walterschied,
Area Director
Baltimore/Washington Area Office
US/DOL/OSHA |
___________________________
Gregory Colevas
Division President
Clark/Balfour Beatty, JV |
Appendix B
Safety and Health Program Evaluation
- Contractor has implemented a comprehensive written safety and health program
based on ANSI A10.38-1991 or the OSHA 1989 Safety and Health Program Management
Guidelines, and has site specific safety plans for all of the contractor’s work
sites.
- Contractor maintains a copy of its specialty contractor’s safety and health
plan, hazard communication plan, and enforces a fall protection policy that is
consistent with this Agreement.
- Contractor has designated safety personnel at each site who conduct
documented safety inspections of all work on the contractor’s projects, and
through training and experience, can recognize hazards and have authority to
take prompt corrective action. Training equivalent to the OSHA 10-Hour
Construction Outreach Course is satisfactory.
- Contractor has trained all field supervisory personnel and has provided
additional training for competent persons in such areas as scaffolding,
excavation, fall protection, crane operations, etc. (This additional training
will be dictated by the type and scope of the work the contractor routinely
conducts).
- Contractor provides a safety and health program orientation for all new
employees and trains employees for hazard recognition specific to the
contractor’s work sites.
- Contractor has evidence of employee involvement including, but not limited
to, participation in self-audits, site inspections, job hazard analyses, safety
and health program reviews, safety training and mishap investigations.
- Contractor conducts and documents weekly employee safety meetings.
- Contractor conducts and documents self-audits.
- Contractor uses a six-foot fall protection policy.
- Contractor has a written enforcement program.
Appendix C
LETTER OF INTENT TO PARTICIPATE
SAFETY PARTNERSHIP
Name of Subcontractor:
__________________________________________________________
Subcontractor Site Representative:
____________________________________________________
Anticipated Number of Workers:
___________________________________________________
We have read the requirements to participate in the Walter Reed National
Military Medical Center Safety Partnership and agree with all aspects of the
program, including the submission of the required information. Specifically, we
recognize the need to meet the following requirements:
- Establishment of a written safety and health program including the following
elements: management leadership, worker involvement, worksite analysis, hazard
prevention and control, and safety and health training.
- Compliance with all current OSHA standards.
- Provision of visible leadership by supervisors in implementing the safety and
health program including, but not limited to, having a representative complete
the OSHA 10 hour construction training program.
- Planning for safety and health as part of the overall management planning
process, including appropriate job hazard analyses.
- Establishment and communication of all safety and health program
responsibilities to all project workers.
- Evaluation of safety and health programs at least annually.
- Reporting all site injuries and illnesses so that a site log may be
maintained.
- Reporting all deficiencies or damage to site wide programs or protective
measures, specifically site fall protection, immediately upon discovery and
taking appropriate interim protective measures for protection of their
employees.
We understand the agreement provides incentives to participating subcontractors
who undertake these actions to voluntarily improve their safety and health
performance. Incentives will include special recognition from OSHA,
opportunities for focused enforcement efforts by OSHA and consideration for
additional good faith penalty reductions.
Based upon the mutual interest to protect construction workers at the Walter
Reed National Military Medical Center Project, we agree to the terms of the OSHA
Partnering Agreement.
Signed this ___ day of _______________________________
|
Appendix D
OSHA STRATEGIC PARTNERSHIP PROGRAM
ANNUAL PARTNERSHIP EVALUATION REPORT
Partnership Name |
Walter Reed National Military Medical Center Project
|
Goals of Partnership |
Goal |
Strategy |
Measure |
|
|
|
|
|
|
|
|
|
|
|
|
Strategic Management Plan Target
Areas (check one) |
Construction |
|
Amputations in Manufacturing |
|
General Industry |
|
|
|
Strategic
Management Plan Areas of Emphasis (check all applicable) |
Amputations in Construction |
|
Oil and Gas Field Services |
|
Blast Furnaces and Basic Steel Products |
|
Preserve Fruits and Vegetables |
|
Blood Lead Levels |
|
Public Warehousing and Storage |
|
Concrete, Gypsum and Plaster Products |
|
Ship/Boat Building and Repair |
|
Ergo/Musculoskeletal |
|
Silica-Related Disease |
|
Landscaping/Horticultural Services |
|
|
|
2.
Section 1 |
General Partnership Information |
Date of Evaluation Report |
|
Evaluation Period |
Start Date |
|
End Date |
|
Evaluation Contact Person |
|
Originating Office |
|
Partnership Coverage |
# Active Employers |
|
# Active Employees |
|
Industry Coverage (note range or
specific SIC and NAICS for each partner) |
Partner |
SIC |
NAICS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3.
Section 2 |
Activities Performed |
Note whether an activity was provided for by the OSP and whether it was
performed |
|
Required |
Performed |
a. Training |
|
|
b. Consultation Visits |
|
|
c. Safety and Health Management Systems
Reviewed/Developed |
|
|
d. Technical Assistance |
|
|
e. VPP-Focused Activities |
|
|
f. OSHA Enforcement
Inspection |
|
|
g. Offsite Verifications |
|
|
h. Onsite Non-Enforcement Interactions |
|
|
i. Participant Self-Inspections |
|
|
j. Other Activities |
|
|
2a. Training (if performed,
provide the following totals) |
Training sessions conducted by OSHA staff |
|
Training sessions conducted by non-OSHA staff |
|
Employees trained |
|
Training hours provided to employees |
|
Supervisors/managers trained |
|
Training hours provided to supervisors/managers |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2b.
Consultation Visits (if performed, provide the following total) |
Consultation visits to partner sites |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2c. Safety and Health Management
Systems (if performed, provide the following total) |
Systems implemented or improved using the
1989 Guidelines as a model |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2d. Technical Assistance (if
performed, note type and by whom) |
|
Provided by OSHA Staff |
Provided by Partners |
Provided by Other Party |
Conference/Seminar Participation |
|
|
|
Interpretation/Explanation of Standards or OSHA Policy |
|
|
|
Abatement Assistance |
|
|
|
Speeches |
|
|
|
Other (please specify) |
|
|
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2e. VPP-Focused Activities (if
performed, provide the following totals) |
Partners/participants actively seeking VPP participation |
|
Applications submitted |
|
VPP participants |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2f. OSHA Enforcement Activity (if
performed, provide the following totals for any programmed, unprogrammed, and verification-related
inspections) |
OSHA enforcement inspections conducted |
|
OSHA enforcement inspections in compliance |
|
OSHA enforcement inspections with violations cited |
|
Average number of citations classified as Serious, Repeat, and
Willful |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2g. Offsite Verification (if
performed provide the following total) |
Offsite verifications performed |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2h. Onsite Non-Enforcement
Verification (if performed provide the following total) |
Onsite non-enforcement verifications performed |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2i. Participant Self-Inspections
(if performed provide the following totals) |
Self-inspections performed |
|
Hazards and/or violations identified and corrected/abated |
|
Comments/Explanations (briefly
describe activities, or explain if activity required but not performed) |
|
2j. Other Activities (briefly describe other
activities performed) |
|
4.
Section 3 |
Illness and Injury Information* |
Year |
Hours |
Total Cases |
TCIR |
# of Days Away from Work Restricted and
Transferred Activity Cases |
DART |
2008 |
|
|
|
|
|
2009 |
|
|
|
|
|
2010 |
|
|
|
|
|
Total |
|
|
|
|
|
Three-Year Rate (2008-2010) |
|
|
|
BLS National Average for 2006 |
|
|
2.7 |
Baseline |
|
|
|
|
2.7 |
*Sample Chart – not required format
|
5.
Section 4 |
Partnership Plans, Benefits, and Recommendations |
Changes and Challenges
(check all applicable) |
|
Changes |
Challenges |
Management Structure |
|
|
Participants |
|
|
Data Collection |
|
|
Employee Involvement |
|
|
OSHA Enforcement Inspections |
|
|
Partnership Outreach |
|
|
Training |
|
|
Other (specify) |
|
|
Comments |
|
Plans to Improve
(check all applicable) |
|
Improvements |
N/A |
Meet more often |
|
|
Improve data collection |
|
|
Conduct more training |
|
|
Change goals |
|
|
Comments |
|
Partnership Benefits (check all
applicable) |
Increased safety and health awareness |
|
Improved relationship with OSHA |
|
Improved relationship with employers |
|
Improved relationship with employees or unions |
|
Increased number of participants |
|
Other (specify) |
|
Comments |
|
Status Recommendation
(Check one) |
Partnership Completed |
|
Continue/Renew |
|
Continue with the following provisions: |
|
|
Terminate (provide explanation) |
|
|
| |