Safety and Health Information Management System (SHIMS).
None.
1. Safety and Health Center, OASAM, U.S. Department of Labor, 200
Constitution Avenue, NW, Washington, DC 20210 and
2. DOL regional offices.
3. A copy of the modified CA-1/CA-2 Form used by the Office of Workers'
Compensation Programs (OWCP) may be reproduced and retained in the office of
the supervisor who files the form.
DOL employees and Job Corps students involved in occupationally related
accidents, injuries and illnesses.
Reports of on-the-job accidents, injuries, and illnesses generated as a
result of filing forms CA-1, CA-2, and CA-6.
29 U.S.C. 651 et seq., 29 CFR Part 1960, 5 U.S.C. 7902, DOL
Secretary's Order 5-95, Executive Order 12196.
This system is used (a) to provide an information source for compliance
with the Occupational Safety and Health Act; (b) to provide a documented record
of job related accidents, injuries, and illnesses for the purpose of measuring
safety and health programs' effectiveness; (c) to provide summary data of
accident, injury and illness information to Departmental agencies in a number
of formats for analytical purposes in establishing programs to reduce or
eliminate loss producing hazards or conditions; (d) to provide summary listings
of individual cases to Departmental agencies to ensure that all work-related
injury/illness cases are reported through the SHIMS; and (e) to use as a
reference when adjudicating tort and employee claims.
None, except for those universal routine uses listed in the General
Prefatory Statement to this document.
None.
Records are stored on computer disks, and on hard copies filed in
locked file cabinets.
Records are retrieved by claimant's last name, social security number,
and employee category (DOL employee or Job Corps student.)
Records are maintained in locked storage equipment. Computer files are
accessible only to authorized users through password/user ID system.
Records are maintained for five (5) years after each report is filed
with the agency. Electronic copies are maintained for five (5) years and then
downloaded onto a disk.
Director, Safety and Health Center, OASAM, U.S. Department of Labor,
200 Constitution Avenue, NW, Washington, DC 20210.
Individuals wishing to inquire whether this system of records contains
information about them should contact the systems manager, or the servicing
regional office in which they are employed. Individuals must furnish in writing
the following information for their records to be located and identified:
a. Full name
b. Date of birth
c. Signature
Individuals wishing to request access to records should contact the
appropriate office (national/regional). Individuals must furnish the following
information for their records to be located:
a. Full name
b. Date of birth
c. Signature
Individuals requesting access must also comply with the Privacy Act
Regulations on verification of identity and access to records (5 CFR 297.201
and 297.203).
Individuals wishing to request information about their records should
contact in writing the systems manager. Individual must furnish the following
information for their records to be located:
a. Full name
b. Signature
a. The employee (or someone acting on his/her
behalf).
b. Witness (if any).
c. Employing agency (supervisor or comp
specialist).
d. CA-1, CA-2, CA-6, forms used by OWCP.
None.
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