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 Sands Bethworks Gaming LLC (Sands) have agreed to implement an OSHA
Strategic Partnership (OSP) during construction of the Sands Bethworks
Project. OSHA and the Sands are entering into this Partnership to foster a
safe and healthful workplace for employees through labor, management and
government cooperation as prescribed within the terms and conditions
outlined in this agreement.
The Sands is building a state of the art facility which will include a
300-room hotel, 200,000 square feet of retail space, 3,000 slot machines, a
multi-purpose meeting and convention area, and a variety of dining, shopping
and entertainment options.
Sands Casino Resort Bethlehem will be a mix of old and new. It is being
built on the site of the historic Bethlehem Steel, and will incorporate many
of the remaining historical elements of the famed plant. For example, the
massive ore crane will be part of the casino design and will serve as a
reminder of the "old days" when visitors drive under it as they approach the
brick, steel, and glass porte cochere. Design elements such as exposed
steel, back-lit perforated metal screens and a soaring, transparent glass
atrium will be featured within a number of existing buildings.
The goal of this program is to develop a contractor/government partnership
that will encourage contractors to improve their safety and health
performance, assist them in doing that, strive for the elimination of
serious accidents and recognize those contractors with exemplary safety and
health programs. Under the Partnership, the contractors expect that OSHA
will acknowledge superior performance by providing timely responses to
requests for information and requests for clarification of OSHA standards as
resources allow.
This agreement between the Sands 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 contractors
that voluntarily participate in the Sands Bethworks Project Partnership and
demonstrate implementation of effective safety and health programs, for
example, technical assistance from OSHA and opportunities for penalty
reductions. This agreement will not in any way affect employees’ ability to
exercise rights under the OSH Act and OSHA regulations, including
walk-around rights.
II. Identification of Partners
The primary participants in this Partnership are,
- Sands Bethworks Gaming LLC (Sands)
- Occupational Safety and Health Administration, Allentown Area Office
("OSHA")
- Pennsylvania OSHA Consultation at Indiana University of Pennsylvania ("PA OSHA Consultation")
III. Project Overview
Over the life of the project contractors and subcontractors will employ
approximately 1200 or more individual construction tradespersons at peak
construction. The complete work will include, but not be limited to: 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 painting.
IV. Goals, Strategies, Measures
The partnership’s goal is to reduce injuries and illnesses and fatalities
through a cooperative relationship between the Sands 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.
Sands agrees to complete a self-audit and an evaluation of contractors and
subcontractors’ safety and health programs using Appendix B (or equivalent).
OSHA will evaluate Sands, contractors and subcontractors safety and health
programs prior to and during the OSHA non-enforcement verification
inspection using Appendix B (or equivalent) and will observe whether the
safety and health management systems in place are adequately protecting
employees, and being implemented in accordance with this Partnership
agreement.
- Strive to 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(1) 236, which is 2.6 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 Sands 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 the OSHA 300 log(s) and any other relevant accident/incident
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, in particular the
four top hazards at this site, 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 OSHA Compliance Specialist (CAS or CSHO) to
serve as a resource and liaison person for the partnership.
- Meet with Sands quarterly to review partnership issues and to examine
updated DART rates and the focused four injury and illness experiences of
Sands and its contractors at this site. OSHA shall provide feedback on any
noted incident trends and patterns.
Sands 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 Sands Bethworks 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 contractor and subcontractor
applications to determine whether the contractor meets the criteria
specified within this Partnership initiative under Section VI, Contractor
Eligibility.
- Notify the Allentown OSHA Area Office on a regular and recurring basis of
the names of the contractors and subcontractors that have pledged to
participate in the OSHA-Sands Bethworks Project Partnership agreement.
- 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 and subcontractors with OSHA.
- Offer on-going information on safety or health topics of importance for
contractors and subcontractors, especially on the focused four construction
hazards.
- Maintain a site injury and illness log of all injuries and illnesses
reported by all contractors and 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 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, crane(s) inspections and operator training/certification,
fall protection plan and perimeter guards,
personal protective equipment, including equipment specified by NFPA 70 E,
where applicable.
Sands and its contractors and subcontractors agree to:
- Apply all relevant components of their respective comprehensive safety
and health programs to the Sands Bethworks Project. These programs shall
include:
- Analysis of new and acquired work, materials, chemicals, and equipment
before major 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.
- Strive for compliance with all current OSHA standards by constant
monitoring of the site.
- Implement and enforce a 6 foot fall protection policy.
- Evaluate and inspect all cranes on site in accordance with OSHA
standards, manufacturer and design specifications.
- 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 Sands immediately so that the
site injury and illness log may be accurately maintained.
- Report to the Sands Project Safety and Health Manager 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.
- Contractors and subcontractors will submit to Sands initial and updated
records of their site recordable injuries and illnesses, first-aid incidents
and Root Cause investigation findings.
- In accordance with the Sands Bethworks Gaming and Retail Complex Safety
Plan (Section 1.0 - Contractor Safety Responsibilities) contractors and
subcontractors must have a person on site that is responsible for, possesses
the authority over, and is capable of effectively implementing the site
safety and health program.
- In accordance with the Sands Bethworks Gaming and Retail Complex Safety
Plan (Section 1.0 - Contractor Safety Responsibilities) all contractors and
subcontractors must submit a site-specific safety plan that is specific to
the hazards their employees will potentially be exposed to while conducting
work on the project. The Sands Safety Manager will conduct an assessment of
the plans with consideration for the following:
- 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
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.
- 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. Sands will 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 the evaluating the merits of the program and making
recommendations for continuous improvement.
PA OSHA Consultation agrees to:
- As resources permit, meet with Sands and OSHA, quarterly, to review
partnership issues and to examine updated DART rates and the focused four
injury and illness experiences of Sands and its contractors at this site. PA
OSHA Consultation shall provide feedback on any noted incident trends and
patterns.
- PA OSHA Consultation will strive to ensure that eligible
(2) contractors and
subcontractors who request services from the OSHA funded free consultation
program through their prime contractor, Sands, will receive priority
service. This service is part of the PA OSHA Consultation program which can
be reached at 1-800-382-1241.
VI. Contractor Eligibility
Contractors and subcontractors wishing to take advantage of this opportunity
to partner with OSHA must:
- Sign a Support and Cooperation Pledge Agreement (Appendix C) with Sands
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
Sands Bethworks Gaming and Retail Complex Safety Plan and this Partnership
agreement.
VII. On-Site Verification Inspection and Benefits
- Non-enforcement 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 verification will consist of a review
of written program elements and an inspection of the work site to assess the
implementation of the partnership agreement. If OSHA identifies serious
hazards that the Sands refuses to correct, OSHA will make a referral for an
enforcement inspection.
Verifications will be timed and conducted to adequately evaluate employee
exposure to worksite 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 and their corrections will be
determined by OSHA and the Sands Project Safety and Health Manager prior to
and during the initial OSHA non-enforcement verification inspection.
Corrections will be implemented by Sands. 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 Sands quarterly to review partnership
issues and to examine updated DART rates and the injury and illness
experience of Sands 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 Sands
Bethworks Project site office. In accordance with applicable law, the
identity of a complainant requesting confidentiality will not be revealed.
Sands 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 this site. 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 Sands 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, Sands and OSHA expect 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 Sands Bethworks Project. If either OSHA or Sands
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.
XIII. Primary Contacts
OSHA:
- Scott G. Shimandle, Compliance Assistance Specialist, USDOL/OSHA
- Allentown Area Office, 850 N. 5th Street, Allentown, PA 18102-1731,
Phone (610) 776-0592, Fax (610) 776-1913.
Sands:
- Joseph Kock, Safety Manager, Sands Bethworks Gaming LLC, Sands Bethworks,
925 East Second Street, Bethlehem, PA 18015, Phone (484) 892-2281, Fax
(610) 866-6217.
PA OSHA Consultation Program:
- David Rhodes, Program Director, Pennsylvania OSHA
Consultation Program, Indiana University of Pennsylvania, Walsh Hall, Room
210, 302 East Walk, Indiana, PA 15705-1066, Phone (800) 382-1241
(toll-free in Pennsylvania, Phone (724) 357-2561, Fax (724) 357-2385,
website
Signature Page Sands Bethworks Project
Strategic Partnership Agreement between OSHA and Sands
All undersigned Parties mutually agree to the terms and conditions of this
document and commencement of this Partnership Agreement on this day of
February 4, 2009. |
Jean G. Kulp
Area Director
Allentown OSHA Area Office
|
Date |
Matthew Harris
Director of Construction
Sands Bethworks Gaming LLC
|
Date |
David Rhodes
Program Manager
PA OSHA Consultation Program |
Date |
Joseph Koch
Safety Manager
Sands Bethworks Gaming LLC |
Date |
(1) NAICS refers to the North American Industry Classification System which has
replaced the U.S. Standard Industrial Classification (SIC) System.
(2) Eligible means that the contractor or subcontractor is a signatory
participant of this agreement and meets the criteria defined by CSP 02-00-002 -
Consultation Policies and Procedures Manual, dated January 18, 2008.
APPENDIX A
Sands Bethworks Project Partnership Fact Sheet
A strategic partnership agreement has been developed jointly by the United
States Department of Labor, Occupational Safety and Health Administration
Allentown Area Office ("OSHA"), and Sands Bethworks Gaming LLC ("Sands"). 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 technical assistance from OSHA and opportunities for 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.
Jean G. Kulp
Area Director
Allentown OSHA Area Office
|
Date |
Matthew Harris
Director of Construction
Sands Bethworks Gaming LLC
|
Date |
David Rhodes
Program Manager
PA OSHA Consultation Program |
Date |
Joseph Koch
Safety Manager
Sands Bethworks Gaming LLC |
Date |
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 fall protection plan (where applicable)
or contractor requires specialty contractor to follow participant’s plan.
- 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 involves employees in safety and health program such as, 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
PLEDGE TO PARTICIPATE
SANDS BETHWORKS PROJECT
SAFETY PARTNERSHIP
Region III of the Occupational Safety and Health Administration (OSHA) and the
Sands Bethworks Gaming LLC (Sands) have agreed to the joint implementation of
a strategic Partnership Agreement (Partnership) during the construction of the
Sands Bethworks Project.
The goal of this Partnership is to encourage cooperation between OSHA, the
Sands and contractors to foster a safe work environment for all project
employees.
This Partnership will not relieve any contractors from or lessen their safety
responsibilities nor change any contractual obligations between the Sands, or
trade contractor, nor does it lessen any/all affirmative defenses, legal
rights or due process afforded with respect to OSHA enforcement action.
This Partnership will not in any way affect employees’ ability to exercise
rights under the OSH Act and OSHA regulation.
This agreement is consistent with OSHA’s long-term 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.
We understand the agreement provides incentives to participating contractors
who undertake these actions to voluntarily improve their safety and health
performance. Incentives will include technical assistance from OSHA and
opportunities for penalty reductions.
Based upon the mutual interest to protect construction workers, the below
party pledges both support and cooperation to the OSHA/Sands Bethworks Project
Partnership Agreement by agreeing to implement an effective safety and health
management system in accordance with the OSHA 1989 Safety and Health Program
Management Guidelines (or its equivalent) and utilizing the Sands Bethworks
Gaming and Retail Complex Safety Plan outlined in Attachment 1.
_______________________________
Authorized Representative (print/type)
_______________________________
Signature
_______________________________
Title (print/type)
_______________________________
Company Name (print/type)
|
Appendix D
OSHA STRATEGIC PARTNERSHIP PROGRAM
ANNUAL PARTNERSHIP EVALUATION REPORT
| 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 |
|
|
|
|
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 |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
|
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) |
|
|
Section 3 |
Illness and Injury Information* |
| Year |
Hours |
Total Cases |
TCIR |
# of Days Away from Work Restricted and
Transferred Activity Cases |
DART |
| 2009 |
|
|
|
|
|
| 2010 |
|
|
|
|
|
| 2011 |
|
|
|
|
|
| Total |
|
|
|
|
|
| Three-Year Rate (2009-2011) |
|
|
|
|
BLS National Average for 2006 |
|
|
2.6 |
| Baseline |
|
|
|
|
2.6 |
*Sample Chart – not required format
|
|
Section 4 |
Partnership Plans, Benefits, and Recommendations |
| Changes and Challenges
(check all applicable) |
| |
Changes |
Challenges |
| Management Structure |
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| Participants |
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| Data Collection |
|
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| Employee Involvement |
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| OSHA Enforcement Inspections |
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| Partnership Outreach |
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| Training |
|
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| Other (specify) |
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| Comments |
|
| Plans to Improve
(check all applicable) |
| |
Improvements |
N/A |
| Meet more often |
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| Improve data collection |
|
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| Conduct more training |
|
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| Change goals |
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| Comments |
|
| Partnership Benefits (check all
applicable) |
| Increased safety and health awareness |
|
| Improved relationship with OSHA |
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| Improved relationship with employers |
|
| Improved relationship with employees or unions |
|
| Increased number of participants |
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| Other (specify) |
|
| Comments |
|
| Status Recommendation
(Check one) |
| Partnership Completed |
|
| Continue/Renew |
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| Continue with the following provisions: |
|
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| Terminate (provide explanation) |
|
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