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 Barton Malow Company have agreed to the joint
implementation of this partnership during construction of the 78 million dollar Bayfront Convention
Center (BCC) and Sheraton Headquarters Hotel.
The Convention Center is located on the 15 acre Sassafras Pier site. The Convention Center has
150,000 square feet consisting of meeting rooms, exhibition hall, ballroom, restrooms, concessions,
loading docks, full service kitchen, laundry and offices. Building construction consists of concrete
footings, steel frame, precast and metal siding exterior. One unique feature is that some of the
roof structure over the exhibit hall is cable and mast supported for snow loading. Attached to the
Bayfront Convention Center is an elevator tower which supports a pedestrian walkway attaching to an
identical tower on the opposite side of the basin on West Dobbins Landing, which will provide an all
weather enclosure from the Sheraton Hotel to the BCC. The pedestrian walkway is supported 65 feet
above the water to facilitate sailboats passing beneath the walkway.
The Sheraton Headquarters Hotel project consists of a 2+ acre site with a stair/elevator tower,
attached to a walkway to the 125,000 square foot, 8 stories, 200 rooms, Sheraton Headquarters Hotel.
The hotel consists of main floor mechanical, electrical rooms, full service kitchen, restaurant,
bar, fitness center, restrooms, pool/whirlpool, laundry, offices, and 3 elevators. The building is
concrete caissons, grade beams, structural slab on grade, steel frame, precast concrete plank
flooring on floors 2 thru 8. The building enclosure consists of structural stud framing, exterior
insulation and finish systems (EIFS), masonry, and curtain wall construction. The second floor
contains meeting rooms and guest rooms. Floors 3 thru 7 consist of all guest rooms and some vending
rooms. The eighth floor consists of club level luxury suites with club lounge and pantry.
Also located on the site is a 4 story, 300 space parking structure. The parking structure consists
of caissons, grade beams, structural slab on grade, post tensioned concrete on elevated decks, 2
elevators, electrical room, and emergency generator room to support garage and hotel and provisions
for a future full service restaurant at grade level.
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.
This agreement between Barton Malow Company 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 Bayfront
Convention Center and Sheraton Headquarters Hotel partnership and demonstrate implementation of
effective safety and health programs, for example, limited scope inspections and reductions in
penalties. This agreement will not in any way affect employees’ ability to exercise rights under the
OSH Act and OSHA regulations, including walk-around rights.
The parties to this agreement recognize that it does not include any exemption from OSHA inspections
or penalties. However, the contractors expect that OSHA will acknowledge superior performance by
providing timely responses to requests for information and requests for clarification of OSHA
standards.
Therefore, OSHA and Barton Malow Company 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, Erie Area Office (OSHA)
- Barton Malow Company
- Pennsylvania OSHA Consultation at Indiana University of Pennsylvania (“PA OSHA Consultation”)
- Union and Local Building Trades
III. Project Overview
Over the life of the project (approximately 22 months) contractors will employ approximately 200
individual construction tradespersons at peak construction. The complete work will include: site
construction, concrete, excavation work, structural steel and miscellaneous metal work, track work,
electrical, masonry, mechanical/plumbing, rebar installation, caissons, cranes and lifts use and
installation and painting. At the present time 12 to 14 months of construction remain. Peak
employment in the spring of 2007 will again reach around 200 workers.
IV. Goals, Strategies, Measures
The partnership’s goal is to reduce injuries and illnesses and fatalities through a cooperative
relationship between Barton Malow Company 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.
Barton Malow Company agrees to complete a self-audit and an evaluation of subcontractors’ safety and
health programs in accordance with OSHA’s 1989 Safety and Health Management Guidelines or its
equivalent.
OSHA will evaluate Barton Malow Company and subcontractors’ 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 (cases with days away from work,
job-transfer, or restriction) rate below the national average for the most recent year published for
NAICS 236, which was 2.8 for the year 2005. 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 Barton Malow Company 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
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 Assistance Specialist.
- 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 safety and health specialist to serve as a resource and liaison person
for the partnership.
- Meet with Barton Malow Company quarterly to review partnership issues and to examine updated DART
rates and experience with the focused four hazards--falls, struck-by, caught-in, and electrocution.
OSHA shall provide feedback on any noted incident trends and patterns.
Additionally,
- PA OSHA Consultation will strive to ensure that subcontractors who request services from the OSHA
funded free consultation program through Barton Malow Company will receive priority service. This
service is part of the OSHA’s PA Consultation Program which can be reached at 1-800-382-1241.
Barton Malow Company 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 Bayfront Convention Center and
Sheraton Headquarters Hotel 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 Erie OSHA Area Office on a regular and recurring basis of the names of subcontractors
that have met the partnership criteria and the status of those who have not.
- Act as liaison for contractors with OSHA.
- Offer ongoing information on safety or health topics of importance for contractors, especially on
the focused four construction hazards.
- Provide OSHA's interpretations of standards as well as local issues so that contractors may
better understand and properly comply with standards.
- 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
Barton Malow Company and its contractors and subcontractors agree:
- To apply all relevant components of their respective comprehensive safety and health programs to
the Bayfront Convention Center and Sheraton Headquarters Hotel. 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.
- To comply with all current OSHA standards.
- To implement a 6 foot fall protection policy.
- To 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;
- To report all site injuries and illnesses to Barton Malow Company immediately so that the site
injury and illness log may be accurately maintained.
- To 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
- To submit to OSHA, at least quarterly, records of their site recordable injury and illness rates,
days away from work rates, restricted workdays, and the contractor’s OSHA history.
- To 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.
- To 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
- To 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.
- To certify that their policy and procedures hold supervisors and workers accountable for
following established safety and health rules and OSHA regulations.
- To 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.
- To strive to 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).
- To 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. Barton Malow Company
will provide a summary 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.
PA OSHA Consultation agrees to:
- Meet with Barton Malow Company quarterly, as resources permit, to review partnership issues and
to examine updated DART rates and the focused four injury and illness experiences of Barton Malow
Company 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 subcontractors who request services from the OSHA
funded free consultation program through their prime contractor, Barton Malow Company, 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
Subcontractors wishing to take advantage of this opportunity to partner with OSHA must:
- Sign a letter of agreement with Barton Malow Company 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. Appendix C.
- 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.
- Strive to 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 Barton Malow
Company and made available for review.
- Provide periodic safety-related statistics (man hours worked, lost workday injuries, accident
records and OSHA inspection results). Barton Malow Company 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, a verification inspection
consisting of a review of the written program elements outlined herein and a focused inspection of
site construction hazards by a Compliance Safety and Health Officer will be conducted after the
signing of this agreement, and annually thereafter. The timing of the inspection will be intended to
evaluate employee exposure to the four focused hazards: falls, struck-by, caught-in, and
electrocution. After the initial verification inspection, annual inspections will focus on the most
serious hazards that have been previously identified pursuant to the procedure herein.
The top causes of injuries and illnesses will be determined by all parties prior to and during the
initial OSHA verification inspection, and may be adjusted based on experience. Additionally,
corrections will be identified by all parties and implemented by Barton Malow Company. Injury and
illness incidence in targeted areas will be evaluated through the OSHA 300 log and any other
relevant accident reports.
OSHA will meet with Barton Malow Company quarterly to review partnership issues and to examine
updated DART rates and the injury and illness experience of Barton Malow Company and its contractors
at this site. OSHA shall provide feedback on any noted incident trends and patterns.
- Benefits
Subcontractors, if participating in this partnership, will be granted a twelve-month inspection
deferral from programmed inspections, following a successful onsite verification inspection.
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
- Complaint Investigations
This partnership provides for the immediate response to each allegation of a safety or health hazard
brought to an employer’s attention by any person. Upon finding that an allegation is valid, the
employer shall promptly abate the hazard. 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 Bayfront
Convention Center and Sheraton Headquarters Hotel site office. In accordance with applicable law,
the identity of a complainant requesting confidentiality will not be revealed. Barton Malow Company
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.
- Other Investigations
OSHA personnel will continue to conduct investigations under local and national emphasis programs,
workplace complaints, referrals, fatalities, catastrophes, other accidents or significant events,
and will 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 Barton Malow Company 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 fourteen (14) months from the date of the signing or upon completion
of the Bayfront Convention Center and Sheraton Headquarters Hotel. If either OSHA or Barton Malow
Company 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 the participating employer is issued a citation related to
workplace hazards which resulted in a fatality.
XIII. Partnership Contacts:
OSHA: Joeseph Chmielewski U.S. Department of Labor-OSHA. 1128 State St. Suite 200 Erie, PA. 16501.
814-461-1492 x 107 phone, 814-461-1498 fax
Barton Malow Company: Mark S. Klimbal, CSP, ARM. Corporate Safety Director. 26500 American Drive
Southfield MI. 48034. 248-436-5486 phone, 248-436-5487 fax
Signature Page
Strategic Partnership Agreement between OSHA and Barton Malow Company.
| All undersigned Parties mutually agree to the terms and conditions of this
document and commencement of this Partnership Agreement. |
Edward Selker
Area Director
Erie Area Office
USDOL/OSHA |
Douglas L. Maibach P.E.
Vice President
Barton Malow Company |
Date: _______________________________ |
Date: _______________________________ |
John Engler
Project Director
Pennsylvania OSHA Consultation Program |
Dale Niemenski,
President
Building Trades Council |
Date: _______________________________ |
Date: _______________________________ |
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 Erie Area Office (OSHA),
and Barton Malow Company. 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 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.
Edward Selker
Area Director
Erie Area Office
USDOL/OSHA |
Douglas L. Maibach P.E.
Vice President
Barton Malow Company |
Date: _______________________________ |
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 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 Morrisville Train Yard Project #483 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, focused enforcement efforts by OSHA and consideration for additional good
faith penalty reductions.
Based upon the mutual interest to protect construction workers in the , we agree to the terms of the OSHA Partnering Agreement.
Signed this ___ day of
_______________________________
Appendix D
OSHA Strategic Partnership Program
Annual Partnership Evaluation Report
Cover Sheet |
| Goals of Partnership |
| Goal |
Strategy |
Measure |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| Strategic Management Plan Target
Areas (check one) |
| |
Construction |
|
Manufacturing Amputations |
| |
Non-Construction |
|
|
| 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
required 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 Inspections |
|
|
| 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) |
| Number of 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 |
| 2007 |
|
|
|
|
|
| 2008 |
|
|
|
|
|
| Total |
|
|
|
|
|
| Three-Year Rate (2007-2008) |
|
|
|
|
BLS National Average for 2005 |
|
|
2.8 |
| Baseline |
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2.8 |
*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 |
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| 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 |
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| Partnership Benefits (check all
applicable) |
| Increased safety and health awareness |
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| Improved relationship with OSHA |
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| Improved relationship with employers |
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| Improved relationship with employees or unions |
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| Increased number of participants |
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| Other (specify) |
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| Comments |
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| Status Recommendation |
| Partnership Completed |
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| Continue/Renew |
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| Continue with the following provisions: |
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| Terminate (provide explanation) |
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Printing
Instructions
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