safety and occupational health program evaluation tool(3!9!10)

8/9/2019 Safety and Occupational Health Program Evaluation Tool(3!9!10)

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Safety and Occupational Health Program Evaluation Tool

_________________________________________________ BUREAU

_________________________________________________ COMPONENT/OPERATION

_________________________________________________

ESTABLISHMENT/INSTALLATION

_________________________________________________

EVALUATOR(S)

_________________________________________________

DATE

March 2010 Edition


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Instruction to Users

!or Occu"#tion#$ He#$t% #n& S#'et (OHS) Pror#* E+#$u#tions to ,e success'u$- t%e

sco"e o' t%e e+#$u#tion- in'or*#tion co$$ecte&- #n& "rocesses re+ie.e& nee& to ,eest#,$is%e& T%is is essenti#$ in'or*#tion 'or t%e re+ie.ers #n& t%ose ,ein re+ie.e&

T%is e+#$u#tion too$ i&enti'ies t%e se0uencin- sco"e- #n& in'or*#tion t%#t *ust ,e

#t%ere& 'or # success'u$ "ror#* re+ie. #n& e+#$u#tion It is i*"ort#nt- #s "#rt o' t%ee+#$u#tion "rocess- to co$$ect o,1ecti+e e+i&ence t%#t &e*onstr#tes con'or*#nce .it%

OHS "o$ic #n& #""$ic#,$e st#nr&s #n& reu$#tions

T%is Too$ consists o' OHS "ror#* e$e*ents $iste& #s re+ie. sections .it% corres"on&int"es o' o,1ecti+e e+i&ence t%#t s%ou$& ,e use& in con&uctin t%e OHS "ror#*

e+#$u#tion T%e &eree o' &et#i$ s%o.n .it%in e#c% section *# not ,e nee&e& 'or e+er

,ure#u or o''ice- ,ut t%e section (ie- e$e*ent) s%ou$& ,e "#rt o' #n or#ni2#tion3s OHS

"ror#*

Ti"s on %o. to re#& t%e #tt#c%e& e+#$u#tion re+ie.

4 OHS Co*"onent T%ese #re #""$ic#,$e OHS "ror#* e$e*ents t%#t #re in t%e

sco"e o' t%is re+ie.

5 Assesse& E$e*ent Su,c#teor o' t%e OHS Co*"onent

6 OHS Section 7o#$ Out$ine o' #c%ie+e*ents t%#t in&ic#te success in *eetin t%ee$e*ents o' t%e o#$

8 Reco**en&e& Per'or*#nce Metrics Le#&in in&ic#tors o' # s#'et #n&occu"#tion#$ %e#$t% "ror#*s success

9 Inter+ie.ees T%is inc$u&es *#n#e*ent #n& ot%er e*"$oees .it% OHS &uties#n& res"onsi,i$ities- #n& e*"$oees 'ro* +#rious $e+e$s o' t%e ,ure#u3s ener#$

"o"u$#tion- .%o #re #$$ in+o$+e& in so*e #s"ect o' t%e OHS "ror#*

: Docu*ents Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erinits OHS "ror#*

; Recor&s S"eci'ic recor&s suc% #s SMIS- SHARE o#$ r#tes- etc- t%#t c#n ,e use&to e+#$u#te con'or*#nce to OHS reu$#tions- *#ntes- DOI o#$s #n& t%e

,ure#u3s OHS "ror#* #n& its e''ecti+eness


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> Processes/E+#$u#tion Criteri# Criteri# t%#t su**#ri2e t%e section #n& &escri,e #n

e''ecti+e OHS "ror#* e$e*ent 'or e#c% c#teor

4? OHS Section R#n=in A nu*eric#$ st#tus o' t%e ,ure#u3s "ror#* in e#c%

c#teor 'ro* 4 ("oor) to 9 (e@ce$$ent)

T%e E+#$u#tion Too$ is &esine& to %e$" &eter*ine t%e ,ure#u or o''ice3s co*"$i#nce .it%

$#.s- reu$#tions- DOI "o$ic- #n& ot%er #""$ic#,$e st#nr&s T%e too$ $e#&s e+#$u#tion

te#* *e*,ers t%rou% t.o ,#sic ste"s

4 T%e in0uir "rocess , "ro+i&in 'or*#$ 0uestions #n& #ssistin .it% in'or*#$ #n&

'o$$o.u" 0uestions

5 T%e co$$ection #n& e@#*in#tion o' "%sic#$ e+i&ence to su""ort e+#$u#tion

&eter*in#tions

Once in'or*#tion %#s ,een co$$ecte& #,out t%e ,ure#u/o''ice s#'et #n& %e#$t% "ror#*-t%e 'in&ins *ust ,e e+#$u#te& T%e in'or*#tion *ust ,e re+ie.e& in ter*s o' t%e

"ror#* o#$s to &eter*ine ,ot% .%et%er "ror#* o,1ecti+es #re ,ein *et #n& to "resent sini'ic#nce o' #u&it 'in&ins A$t%ou% e+#$u#tors usu#$$ *#=e "re$i*in#r

e+#$u#tions o' t%eir o,ser+#tions t%rou%out t%e #u&it- t%e te#* s%ou$& &e+ote ti*e #t t%e

en& o' t%e e+#$u#tion to 1oint$ &iscuss- e+#$u#te- #n#$2e- #n& 1oint$ 'in#$i2e t%ee+#$u#tion 'in&ins


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SAFETY AND OCCPAT!ONA" HEA"TH P#O$#A% E&A"AT!ON C#!TE#!A

OHS Component' a( "eader)hip and %anagement

A))e))ed Element' *i+ Commitment, !nvolvement and Communication

OHS Section $oal*)+' Le#&ers%i" #n& *#n#e*ent &e*onstr#te +isi,$e su""ort- co**it*ent #n& "ro+i&e # *oti+#tin 'orce 'or #n e''ecti+e s#'et #n& %e#$t%

"ror#* Le#&ers%i" #n& *#n#e*ent co**unic#te s#'et #n& %e#$t% +#$ues t%rou%out t%e Bure#u

#ecommended Performance %etric*)+' S#'et to"ics #t senior *#n#e*ent *eetins Current s#'et #n& %e#$t% "o$ic E''ecti+e co**unic#tion too$s

!ntervie-ee)' DASHO- *i& #n& %i%er $e+e$ *#n#ers- Su"er+isors- E*"$oees #n& Personne$ #ssine& to i*"$e*ent #n& *#int#in OHS "ror#*

Document).#ecord)' Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erin its OHS "ror#* S"eci'ic recor&s use& to e+#$u#te con'or*#nce toOHS reu$#tions- *#ntes- DOI o#$s #n& t%e ,ure#u3s OHS "ror#* #n& its e''ecti+eness- *#n#er "er'or*#nce e$e*ents

O/)ervation) or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut #$so o"er#tions .%ere s#'e #n& e''icient or uns#'e #n& ine''icient #cti+ities c#n

,e .itnesse&

SMIS In1ur/I$$ness recor&s/#n#$sis OHS "o$ic &ocu*ents SHARE o#$ &ocu*ents S#'et #n& %e#$t% "er'or*#nce e$e*ents

OHS #.#r&s "ror#*s SHARE recor&s or=ers3 co*" cost in'or*#tion #n& returnto.or= "ror#*s

Senior *#n#ers/s#'et co**ittee *e*,ers tr#inin #n& e&uc#tion recor&s Too$ Bo@ s#'et ,rie'ins *inutes

VPP #""$ic#tions Recor&s "ro*otin t%e OHS "ror#*

Proce))e).Evaluation Criteria *#an0 123+

4 Does *#n#e*ent "#rtici"#te in t%e "ror#* _____

5 Are s#'et #n& %e#$t% issues reu$#r$ inc$u&e& on #ens o' *#n#e*ent #n& o"er#tion#$ *eetins 44444

6 Does *#n#e*ent 'o$$o. #$$ s#'et #n& %e#$t% ru$es 44444

8 Do $e#&ers #n& *#n#ers i+e +isi,$e su""ort to t%e s#'et #n& %e#$t% e''orts o' ot%ers _____

9 Does *#n#e*ent "#rtici"#te in sini'ic#nt #s"ects o' t%e s#'et #n& %e#$t% "ror#*- suc% #s site ins"ections- #cci&ents- "ror#* re+ie.s _____

: Is s#'et #n& %e#$t% # "er'or*#nce st#nr& 'or *#n#ers #n& su"er+isors _____

; Are *#n#ers #n& su"er+isors %e$& #ccount#,$e 'or t%e s#'et #n& occu"#tion#$ %e#$t% o' t%eir e*"$oees _____ Ho.


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A))e))ed Element' *ii+ #e)pon)i/ility and Accounta/ility

OHS Section $oal' To" *#n#e*ent s%#$$ "ro+i&e $e#&ers%i" #n& #ssu*e o+er#$$ res"onsi,i$ities 'or (#) I*"$e*entin- *#int#inin- #n& *onitorin

"er'or*#nce o' t%e OHSMSF (,) Pro+i&in #""ro"ri#te 'in#nci#$- %u*#n- #n& or#ni2#tion#$ resources to "$#n- i*"$e*ent- o"er#te- c%ec=- correct- #n& re+ie. t%e

OHSMSF (c) De'inin ro$es- #ssinin res"onsi,i$ities- est#,$is%in #ccount#,i$it- #n& &e$e#tin #ut%orit to i*"$e*ent #n e''ecti+e OHSMS 'or continu#$

i*"ro+e*entF #n& (&) Inter#tin t%e OHSMS into t%e or#ni2#tion3s ot%er ,usiness sste*s #n& "rocesses E*"$oees s%#$$ #ssu*e res"onsi,i$it 'or #s"ects

o' %e#$t% #n& s#'et o+er .%ic% t%e %#+e contro$- inc$u&in #&%erence to t%e or#ni2#tion3s %e#$t% #n& s#'et ru$es #n& re0uire*ents

#ecommended Performance %etric*)+' ritten "o$icies #re in "$#ce #n& i*"$e*ente&

!ntervie-ee)' M#n#ers- Su"er+isors- E*"$oees #n& OHS st#''

Document).#ecord)' Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erin its OHS "ror#* S"eci'ic recor&s use& to e+#$u#te con'or*#nce


,e .itnesse&

Docu*ents &esin#tin +#rious "ositions .it% SGH &uties #n& res"onsi,i$ities OHS "ror#*/ *#nu#$ u#$i'ic#tions 'or OHS st#''

Or#ni2#tion c%#rt- ,u&ets- #n& 1o, &escri"tions M#n#er- Su"er+isor- OHS st#'' #n& Co**ittee tr#inin recor&s

OHS e@cer"ts 'ro* e@ecuti+e *eetin *inutes- OHS co**ittee *eetins *inutes

Meetins Veri'ic#tion o' SGH #ut%orit #t #""ro"ri#te $e+e$sProce))e).Evaluation Criteria *#an0 123+

4 H#s t%e Secret#r/Director #""ointe& # Desin#te& Aenc S#'et #n& He#$t% O''ici#$ (DASHO) .it% su''icient #ut%orit #n& res"onsi,i$it to re"resent t%e

Bure#u interest #n& su""ort o' t%e #enc3s occu"#tion#$ s#'et #n& %e#$t% "ror#* _____

5 Do Bure#u/o''ices s#'et #n& %e#$t% %e#&0u#rters st#'' re"ort &irect$ to- or %#+e #""ro"ri#te #ccess to- t%e Desin#te& Aenc S#'et #n& He#$t% O''ici#$- in

or&er to c#rr out t%e res"onsi,i$ities un&er t%is "#rt _____

6 Does t%e Bure#u "ro+i&e #&e0u#te ,u&ets #n& st#''s to i*"$e*ent t%e occu"#tion#$ s#'et #n& %e#$t% "ror#* #t #$$ o"er#tion#$ $e+e$s _____

8 Are *#n#ers #n& su"er+isors &e$e#te& #t e#c% #""ro"ri#te $e+e$ .it% su''icient #ut%orit #n& res"onsi,i$it to "$#n 'or #n& #ssure 'un&s 'or necess#r s#'et

#n& %e#$t% st#''- e0ui"*ent- *#teri#$s- #n& tr#inin re0uire& to ensure #n e''ecti+e occu"#tion#$ s#'et #n& %e#$t% "ror#* _____

9 Does ,ure#u *#n#e*ent #ssin o+er#$$ res"onsi,i$it 'or i*"$e*entin site s#'et #n& %e#$t% "ror#*s to $ine *#n#ers _____

: Do $ine *#n#ers %#+e #ut%orit to &irect #,#te*ent o' %#2#r&s t%#t c#n ,e correcte& .it%out *#1or c#"it#$ e@"en&iture

; Do *#n#e*ent re"resent#ti+es %#+e so*e e@"ertise in %#2#r& reconition #n& #""$ic#,$e OSHA re0uire*ents _____


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A))e))ed Element' *iii+ Financial #e)ource)

OHS Section $oal*)+' E*"$oee s#'et #n& %e#$t% is #&e0u#te$ resource&

#ecommended Performance %etric*)+' S#'et #n& %e#$t% in"ut in Bu&et 'or*u$#tionF A&e0u#c o' Resources to i*"$e*ent #n& #&*inister t%e Pror#*


Document).#ecord)' Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erin its OHS "ror#* S"eci'ic recor&s use& to e+#$u#te con'or*#nce to

OHS reu$#tions- *#ntes- DOI o#$s #n& t%e ,ure#u3s OHS "ror#* #n& its e''ecti+eness


,e .itnesse&F Bu&et #n& E@"ense Re"ortsF 7reen Boo= Su,*itt#$sF A,#te*ent Costs

Proce))e).Evaluation Criteria' *#an0 123+

4 Does t%e Secret#r/Director ensure t%#t t%e #enc ,u&et su,*ission inc$u&es #""ro"ri#te 'un&s 'or e''ecti+e i*"$e*ent #n& #&*inister t%e #encs

occu"#tion#$ s#'et #n& %e#$t% "ror#* _____

5 Does t%e 'in#$ ,u&et #ctu#$$ re'$ect "ror#* re0uire*ents _____

6 Do $ine *#n#ers %#+e #ut%orit to or&er/"urc%#se s#'et #n& %e#$t% e0ui"*ent 44444

8 Are s#'et o''ices "ro+i&e& t%e resources oo&s #n& ser+ices (ie- S#'et #n& %e#$t% s#*"$in- testin- #n& &i#nostic #n& #n#$tic#$ too$s #n& e0ui"*ent-

inc$u&in $#,or#tor #n#$ses- etc) _____

OHS Section #an0ing 4444

9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


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A))e))ed Element' *iv+ Per)onnel #e)ource) *Si5e and Technical S0ill of Staff+

OHS Section $oal' St#''in is su''icient 'or *ission

#ecommended A))ociated Performance %etric*)+' Personne$ r#tios "er nu*,ers o' e*"$oees- "ro'ession#$ st#'' cre&enti#$in




O/)ervation) or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut #$so o"er#tions .%ere s#'ee''icient/uns#'eine''icient #cti+ities #re .itnesse&


4 Is "ro'ession#$ st#'' cre&enti#$e& _____

5 Are Co$$#ter#$ Dut S#'et O''icers (CDSO) #&e0u#te$ tr#ine& in # ti*e$ *#nner _____

6 Is t%ere succession "$#nnin in t%e s#'et "ror#* _____

8 Su''icient "ersonne$ to i*"$e*ent #n& #&*inister t%e "ror#* #t #$$ $e+e$s _____

9 H#+e ot%er resources ,een use& (!OH- NIOSH- Contr#ctors3- etc) _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


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A))e))ed Element' *v+ Policy

OHS Section $oal*)+' S#'et #n& %e#$t% "o$ic est#,$is%es #n o+er#$$ sense o' &irection- sets t%e "rinci"$es o' #ction 'or t%e ,ure#u #n& o''ices

#ecommended Performance %etric*)+' Po$ic is in "$#ce- current- #n& e''ecti+e$ co**unic#te&

!ntervie-ee)' Bure#u *#n#ers- Su"er+isors- OHS st#''- OHS co**ittee *e*,ers- E*"$oees #n& Union re"resent#ti+es



O/)ervation) or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut #$so o"er#tions .%ere s#'e #n& e''icient or uns#'e #n& ine''icient #cti+ities c#n ,e .itnesse&

ritten "o$icies Noti'ic#tions OSHA recor&s #s re0uire& OHS intr#net site

E*#i$s- *e*os- #rtic$es- "osters Au&io+isu#$ "resent#tions Po$ic "ostins Po$ic (issue& in $#st t%ree e#rs)

Bu$$etin ,o#r&s Posters e,site re+ie. E&uc#tion/tr#inin &ocu*ents

Recor&s t%#t &e*onstr#te t%#t s#'et #n& %e#$t% "o$icies %#+e ,een co**unic#te& to e*"$oees Aenc or reion s#'et #n& %e#$t% internet sites


4 Is t%e s#'et #n& %e#$t% "o$ic is current _____

5 Is t%e s#'et #n& %e#$t% "o$ic co*"re%ensi+e _____

6 Does t%e s#'et #n& %e#$t% "o$ic #&&ress %#2#r&s i&enti'ic#tion/e''ecti+e ris= *#n#e*ent "r#ctices _____

8 Is t%e s#'et #n& %e#$t% "o$ic success'u$$ co**unic#te& in ter*s o' &esire& sco"e- &et#i$ #n& e@"ecte& outco*es _____

9 Does t%e Bure#u DASHO e''ecti+e$ co**unic#te "o$ic nee&s to Bure#u $e#&ers%i" _____

: Does t%e Bure#u DASHO in concert .it% Bure#u $e#&ers%i" c#rr out "o$ic re0uire*ents _____

; Does t%e "o$ic st#te*ent incor"or#te t%e %e#$t% #n& .e$$ ,ein o' ,ot% e*"$oees #n& t%e "u,$icF .it% e*"%#sis "$#ce& on e''icient o"er#tions .it% #

*ini*u* o' #cci&ents #n& $ossesF #n& $oss contro$ is inter#te& into #$$ o"er#tions _____


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A))e))ed Element' *vi+ Program Promotion and #ecognition

OHS Section $oal' Est#,$is%*ent o' # s#'et #n& %e#$t% #.#r&s #n& reconition "rocess t%#t in+o$+es senior *#n#ers #n& "ro*otes &esir#,$e "er'or*#nce #n&

s#'e ,e%#+iors #t #$$ or#ni2#tion#$ $e+e$s

#ecommended Performance %etric*)+' Bure#u %#s # "er'or*#nce ,#se& #.#r&s "ror#* .it% set criteri#

!ntervie-ee)' Co**ittee Re"resent#ti+es- Bure#u *#n#ers- Su"er+isors- E*"$oees #n& Union re"resent#ti+es




,e .itnesse&Proce))e).Evaluation Criteria' #an0 123+

4 H#s t%e Bure#u/O''ices est#,$is%e& #n #.#r&s "ror#* ____

5 H#s t%e Bure#u/O''ices est#,$is%e& criteri# 'or t%e #.#r&s "ror#* ____

6 H#s t%e Bure#u/O''ices i*"$e*ente& its #.#r& "ror#* ____

8 Does t%e Bure#u/O''ices reconi2e #n& "ro*ote s#'et #n& %e#$t% "er'or*#nce ____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


10/34

OHS Component' /( Employee Participation

A))e))ed Element' *i+ Safety Committee)

OHS Section $oal' E*"$oees/e*"$oee re"resent#ti+es #re in+o$+e& in t%e &e+e$o"*ent #n& i*"$e*ent#tion o' Pror#* #cti+ities #s &e*onstr#te& , (#)

e*"$oee "#rtici"#tion on s#'et co**itteesF (,) co**ittee c%#rters inc$u&e- co**unic#tion .it% or#ni2#tion#$ *#n#e*entF (c) in+o$+e*ent in %#2#r&

*iti#tionF (&) "ro*ote s#'et #n& %e#$t% #cti+ities #n& (e) "ro+i&in reco**ention 'or "ror#* i*"ro+e*ents

#ecommended Performance %etric*)+' %ere co**ittees e@ist- 'unctionin #""ro"ri#te$ #n& contri,utin to t%e *ission

!ntervie-ee)' Co**ittee Re"resent#ti+es- Bure#u *#n#ers- Su"er+isors- E*"$oees #n& Union re"resent#ti+es



Bure#u OHS "roce&ures Hu*#n resource "o$icies In1ur re"ortin "roce&ures Union #ree*ents

OHS *eetins Jo, ,rie'ins OHS co**ittee *eetins O"er#tions ins"ections

or="$#ce recor&s E*"$oee suestions


,e .itnesse&

OHS co**ittee rosters #n& *eetin *inutes E*"$oee notices o' uns#'e #n& un%e#$t%'u$ con&itions B#r#inin unit recor&s SMIS recor&sBure#u or

reion#$ *eetinsProcesses/E+#$u#tion Criteri# *#an0 123+

4 Does t%e co**ittee %#+e # c%#rter #n& 'unctionin to t%e c%#rter _____

5 Are occu"#tion#$ s#'et #n& %e#$t% co**ittees est#,$is%e& to *onitor #n& #ssist t%e Bure#us s#'et #n& %e#$t% "ror#* #n& *#int#in o"en c%#nne$ o'

co**unic#tion ,et.een e*"$oees #n& *#n#e*ent concernin s#'et #n& %e#$t% *#tters in ,ure#u .or="$#ces _____

6 Are co**ittees 'or*e& #t t%e #""ro"ri#te $e+e$ _____

8 Do co**ittees %#+e #""ro"ri#te re"resent#tion o' *#n#e*ent #n& non*#n#e*ent e*"$oees- .%o #re *e*,ers o' recor& _____

9 %ere so*e e*"$oees o' #n est#,$is%*ent #re co+ere& un&er co$$ecti+e ,#r#inin #rr#ne*ents #n& ot%ers #re not- #re *e*,ers re"resent#ti+e o' ,ot%

rou"s _____

: Are co**ittee *e*,ers rot#te& "erio&ic#$$ _____

; Do Co**ittees est#,$is% # reu$#r sc%e&u$e o' *eetins #n& s"eci#$ *eetins %e$& #s necess#r _____


11/34

OHS Component' /( Employee Participation

A))e))ed Element' *ii+ Program !nvolvement

OHS Section $oal' A &e*onstr#te& "rocess t%#t #) #&+ises #$$ e*"$oees o' t%eir SGH ri%tsF ,) "ro*otes t%eir in+o$+e*ent in t%e s#'et #n& %e#$t% "ror#*

#n& in re"ortin %#2#r&sF c) "ro%i,its- , "o$ic #n& #ctions- su"er+isor or e*"$oee re"ris#$s 'or %#2#r& re"ortinF #n& &) ensures #n e''ecti+e *e#ns to res"on&

to- #ction- #n& *iti#te .or="$#ce %#2#r&s

#ecommended Performance %etric*)+' Re0uire& #ttennce o' ne. e*"$oee orient#tion .it%in >? s


Document).#ecord)' Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erin its OHS "ror#* S"eci'ic recor&s use& to e+#$u#te con'or*#nce toOHS reu$#tions- *#ntes- DOI o#$s #n& t%e ,ure#u3s OHS "ror#* #n& its e''ecti+eness


,e .itnesse&Proce))e).Evaluation Criteria' *#an0 123+

4 Are e*"$oees #ut%ori2e& o''ici#$ ti*e to "#rtici"#te in t%e OSH "ror#* #cti+ities _____

5 Is t%ere ne. e*"$oee orient#tion co+erin t%e Bure#u3s occu"#tion#$ s#'et #n& %e#$t% "ror#* _____

6 Is ne. e*"$oee orient#tion "ro+i&e& .it%in >? s _____

8 Does ne. e*"$oee orient#tion *eet OSHA #n& Bure#u re0uire*ents _____

9 %#t #re t%e Bure#u3s "roce&ures 'or re"ortin uns#'e or un%e#$t%'u$ .or=in con&itions- "roce&ures 'or re"ortin #non*ous$ , e*"$oees _____

: %#t #re t%e Bure#u3s "roce&ures 'or e*"$oees re"ortin #$$e#tions o' re"ris#$ &ue to "#rtici"#tion in s#'et #n&/or %e#$t% #cti+ities _____

; Is s#'et #n& %e#$t% in'or*#tion re#&i$ #+#i$#,$e to t%e e*"$oees _____


12/34

OHS Component c( Ha5ard #ecognition and Prevention

A))e))ed Element' *i+ !n)pection, !dentification and Prioriti5ation of Deficiencie)

OHS Section $oal' An e''ecti+e- "ro#cti+e s#'et #n& %e#$t% "ror#* .i$$ see= to i&enti' ne. %#2#r&s #n& '#i$ures in %#2#r& contro$s- #n#$2e 'in&ins- #n&

i&enti' 'e#si,$e #,#te*ent *et%o&s A sste* .i$$ ,e use& to tr#c= resu$ts

#ecommended Performance %etric*)+' Incre#se S#'et Pror#* Au&it Co*"$i#nce .it% no RAC 4 or 5

!ntervie-ee)' Bure#u *#n#ers- Su"er+isors- E*"$oees- OSH st#''- Union re"resent#ti+es #n& L#. En'orce*ent st#''


OHS reu$#tions- *#ntes- DOI o#$s #n& t%e ,ure#u3s OHS "ror#* #n& its e''ecti+enessRecor&=ee"in $os CA4- CA5 Ins"ection "ror#* &ocu*ents H#2#r& notices

Ins"ection recor&s A,#te*ent recor&s A,#te*ent "$#ns SMIS re"orts

or=ers3 Co*"ens#tion "ror#* re"orts E*"$oee re"orts o' uns#'e #n& un%e#$t%'u$


,e .itnesse&

Correcte& %#2#r&s O+er#$$ con&ition o' '#ci$it or .or=sites OSHA "ostersProce))e).Evaluation Criteria *#an0 123+

4 Are t%e OSHA re0uire& ins"ections con&ucte& #n& &ocu*ente& _____

5 Does t%e ,ure#u ener#$$ co*"$ .it% DOI/OSHA st#nr&s (Ho. &o &e'iciencies re$#te to t%e s#'et #n& %e#$t% "ror#* $#c= o' ins"ections- tr#inin-

'un&s- etc) _____

6 Does t%e ,ure#u uti$i2e #s ins"ectors K"ersonne$ .it% e0ui"*ent #n& co*"etence to reconi2e %#2#r&s _____

8 In #&&ition to t%e #nnu#$ ins"ections- #re *ore 're0uent ins"ections con&ucte& in #$$ .or="$#ces .%ere t%ere is #n incre#se& ris= o' #cci&ent- in1ur- or i$$ness

&ue to t%e n#ture o' t%e .or= "er'or*e& _____

9 Are e*"$oee re"resent#ti+es "ro+i&e& t%e o""ortunit to "#rtici"#te &urin t%e ins"ections _____

: %#t is t%e "rocess to res"on& to t%e #,#te*ent o' t%e uns#'e or un%e#$t%'u$ .or=in con&ition _____

; Are correcti+e #ctions &ocu*ente& _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


13/34

OHS Component' c( Ha5ard #ecognition and Prevention

A))e))ed Element' *ii+ Ha5ard Control and A/atement

OHS Section $oal' An e''ecti+e tr#c=in sste* is in "$#ce t%#t (#) i&enti'ies #n& #ssess %#2#r&sF (,) &ocu*ents interi* #n& 'in#$ #,#te*ent #ctions #n& (c)

"ro*otes t%e use o' enineerin- .or= "r#ctice #n& #&*inistr#ti+e contro$s #n& "erson#$ "rotecti+e e0ui"*ent (PPE) #s #""$ic#,$e to "re+ent #n&/or contro$

.or='orce e@"osure(s) to suc% %#2#r&s

#ecommended Performance %etric*)+' Ris= #ssess*ents co*"$ete&F %ier#rc% o' contro$s in "$#ceF "rioriti2#tion o' correcti+e #ctions

!ntervie-ee)' !ie$& st#'' !#ci$ities st#''- L#. En'orce*ent- M#n#ers- Su"er+isors- OHS st#''- E*"$oees #n& Union re"resent#ti+es



Jo, %#2#r& #n#$ses (JHA)- 'o$$o.u"- #n& correcti+e #ction recor&s !#ci$ities .or= or&ers Enineerin "ro1ect $os E*"$oee

suestions

Erono*ic e+#$u#tions Purc%#se or&ers (s#'et "ror#* re$#te&)

O/)ervation)' or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut # $so o"er#tions .%ere s#'e #n& e''icient or uns#'e #n& ine''icient #cti+ities c#n

,e .itnesse&

PPE Pror#*Tour '#ci$it i&enti' PPE use

Tour '#ci$ities to re+ie. enineerin contro$s #n& .#rnins Tour '#ci$ities to re+ie. #&*inistr#ti+e contro$s-

Tour '#ci$ities to re+ie. %#2#r&s i&enti'ie& #n& contro$ str#teies On site &ocu*ent re+ie.sProce))e).Evaluation Criteria *#an0 123+

4 Are e*"$oees "ro+i&e& "$#ce o' e*"$o*ent- 'ree 'ro* uncontro$$e& %#2#r&s _____

5 Does t%e Bure#u ensure t%e #,#te*ent o' uns#'e #n& un%e#$t%'u$ con&itions 'o$$o.in t%e DOI Ris= Assess*ent Co&e _____

6 Are su''icient un#nnounce& ins"ections #n& un#nnounce& 'o$$o.u" ins"ections con&ucte& to ensure t%e i&enti'ic#tion #n& #,#te*ent o' %#2#r&ous con&itions

"ro*ote& _____

8 Does t%e res"onsi,$e *#n#er/su"er+isor "ro*"t$ "re"#re #n #,#te*ent "$#n .%en t%e %#2#r& c#nnot ,e correcte& .it%in 6? c#$enr s _____

9 %en # %#2#r& c#nnot ,e #,#te& .it%in t%e #ut%orit #n& resources o' t%e $oc#$ est#,$is%*ent- is #ssist#nce re0ueste& 'ro* %i%er #ut%orit _____

: Ho. e''ecti+e is t%e Bure#u3s sste* 'or tr#c=in #,#te*ent _____

; Are RAC 4 #n& 5 con&itions #,#te& i**e&i#te$ _____


14/34

OHS Component' c( Ha5ard #ecognition and Prevention

A))e))ed Element' *iii+ #eport) of n)afe.nhealthful Condition)

OHS Section $oal' An e''ecti+e "rocess to re"ort uns#'e or un%e#$t%'u$ .or=in con&itions

#ecommended Performance %etric*)+ o' uns#'e/un%e#$t%'u$ con&itions re"orte& , e*"$oees #n& correcte&

!ntervie-ee)' !ie$& st#''- !#ci$ities st#''- L#. En'orce*ent- M#n#ers- Su"er+isors- OHS st#''- E*"$oees #n& Union re"resent#ti+es- Document).#ecord)'

Docu*ente& "rocesses t%#t # ,ure#u %#s i*"$e*ente& in 'urt%erin its OHS "ror#* S"eci'ic recor&s use& to e+#$u#te con'or*#nce to OHS reu$#tions-

*#ntes- DOI o#$s #n& t%e ,ure#u3s OHS "ror#* #n& its e''ecti+eness

Uns#'e/Un%e#$t%'u$ Con&ition Re"orts- 'o$$o.u"- #n& correcti+e #ction recor&s !#ci$ities .or= or&ers

Enineerin "ro1ect $os E*"$oee suestions

Erono*ic e+#$u#tions Purc%#se or&ers (s#'et "ror#* re$#te&)


,e .itnesse&


4 Are e*"$oees #.#re o' t%eir ri%t #n& t%e Bure#u "rocess use& to re"ort uns#'e #n& un%e#$t%'u$ .or=in con&itions to #""ro"ri#te o''ici#$s _____ 5

H#s t%e Bure#u i*"$e*ente& #n e''ecti+e "ror#* 'or e*"$oees or re"resent#ti+es o' e*"$oees to re"ort uns#'e or un%e#$t%'u$ .or=in con&itions _____ 6

Are co*"$#int ins"ections con&ucte& .it%in 58 %ours 'or e*"$oee re"orts o' i**inent ner con&itions- .it%in t%ree .or=in s 'or "otenti#$$ serious

con&itions- #n& .it%in 5? .or=in s 'or ot%er t%#n serious s#'et #n& %e#$t% con&itions- un$ess t%e %#2#r&ous con&ition(s) i&enti'ie& #re #,#te& i**e&i#te$

_____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met 4

Not Present


15/34

OHS Component c( Ha5ard #ecognition and PreventionA))e))ed Element' *iv+ Proce)).Operational Ha5ard Analy)i), %anagement of Change

OHS Section $oal' Jo, H#2#r& An#$sis #n& ris= #ssess*ents #re con&ucte& #n& u"te& #s ne. "rocesses- 1o,s- #n& t#s=s #re ,eun Reco**en&e& contro$s

t%#t *ini*i2e or e$i*in#te .or=er e@"osure to t%e %#2#r&(s) #re i*"$e*ente&

#ecommended Performance %etric*)+' Jo, H#2#r& An#$sis #n& ris= #ssess*ents 'or #$$ reconi2e& %#2#r&ous o"er#tions

!ntervie-ee)' !ie$& st#''- !#ci$ities st#''- L#. En'orce*ent- M#n#ers- Su"er+isors- OHS st#''- E*"$oees #n& Union re"resent#ti+es




,e .itnesse&

Jo, H#2#r& An#$sis (JHA)- 'o$$o.u"- #n& correcti+e #ction recor&s !#ci$ities .or= or&ers Enineerin "ro1ect $os

E*"$oee suestions Erono*ic e+#$u#tions Purc%#se or&ers (s#'et "ror#* re$#te&)

PPE Pror#*Proce))e).Evaluation Criteria' *#an0 123+

4 Are Jo, H#2#r& An#$sis (JHA) or ris= #ssess*ents co*"$ete& 'or #$$ %#2#r&ous 1o,s- or e+#$u#te& #n& consi&ere& .%ere #n in1ur or i$$ness %#s ,een

recor&e& _____

5 Is %#2#r& #n#$sis inter#te& into &esin- &e+e$o"*ent- i*"$e*ent#tion- #n& c%#nin o' #$$ "rocesses #n& .or= "r#ctice _____

6 Do =no.$e&e#,$e "ersons re+ie. #$$ "$#nne&/c%#ne&/ne. '#ci$ities- "rocesses- *#teri#$s #n& e0ui"*ent ,e'ore t%e #re "rocure& _____ 8 Are re0uests 'or &e+i#tions/+#ri#nces re+ie.e& , s#'et #n& %e#$t% o''ici#$s #n& #""ro+e& , *#n#e*ent _____

9 Are JHA contro$s continu#$$ i*"ro+e& ,#se& on .or="$#ce e@"erience #n& ener#$ =no.$e&e _____

: Does t%e Bure#u co$$ect #n& co*"i$e occu"#tion#$ s#'et #n& %e#$t% e@"osure t# 'or t%e "ro"er e+#$u#tion o' .or=site %#2#r&s #n& necess#r correcti+e

#ction- #s .e$$ #s *#int#inin "ror#* OSH st#tistics _____

; Does t%e Bure#u use %ier#rc% o' contro$s to "rotect e*"$oees _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met


16/34

4Not Present

OHS Component d( Evaluation and Analy)i)A))e))ed Element' *i+ Program Evaluation) and A))e))ment)

OHS Section $oal' Intern#$ s#'et #n& %e#$t% "ror#* e+#$u#tions #re con&ucte& #t #""ro"ri#te or#ni2#tion#$ $e+e$s to #ssess #n& +#$ite e''ecti+eness o' t%e

,ure#u/o''ice3s s#'et #n& %e#$t% "ror#*s- i&enti' #n& #&&ress "ror#* .e#=nesses #n& ensure continuous i*"ro+e*ent

#ecommended Performance %etric*)) Assess*ents sc%e&u$e& #n& con&ucte& Resu$ts use& 'or continuous "ror#* i*"ro+e*ent

!ntervie-ee)' Bure#u *#n#ers- Su"er+isors- E*"$oees- Union re"resent#ti+es- S#'et #n& %e#$t% st#''- or=ers3 Co*"ens#tion *#n#ers #n& A&*inistr#ti+e

o''icers



S#'e O"er#tin Proce&ure(s) S#'et "ror#* e+#$u#tions- #u&its #n& u"tes In1ur or i$$ness tren& re"orts Acci&ent Re+ie. Bo#r&s

SHARE o#$s st#tus re"orts Ins"ections o' in1ur "ro&ucin o"er#tions/ Proce&ures 'or s#'et #n& %e#$t% "ror#* re+ie.s #n& e+#$u#tions

Annu#$ OSHA re"ort Lists o' OHS issues Jo, H#2#r& An#$ses E@"osure t#

In1ur/i$$ness t# #n#$sis Or#ni2#tion c%#rt- 1o, &escri"tions Pror#* re+ie. recor&s Inci&ent in+esti#tion recor&s

H#2#r& #,#te*ent recor&s Ins"ection/Monitorin t#/correcti+e #ction OSH "ror#* co*"$i#nce re+ie.

!o$$o.u" correcti+e #ction re"orts Annu#$ OSH re"ort to OSHA


,e .itnesse&

Tour '#ci$ities- co*"#re to OHS issues $ist- inci&ent in+esti#tion correcti+e #ctions- OHS ins"ections reco**entionsProce))e).Evaluation Criteria4 Are t%ere e''ecti+e "$#ns #n& "roce&ures 'or e+#$u#tin t%e Bure#u3s intern#$ occu"#tion#$ s#'et #n& %e#$t% "ror#* _____

5 Are t%e resu$ts re+ie.e& #t t%e DASHO $e+e$ _____

6 Do intern#$ e+#$u#tions *eet reu$#tor re0uire*ents _____

8 Does t%e e+#$u#tion te#* "ro+i&e 'ee&,#c= on "er'or*#nce _____

9 H#s t%e Bure#u "er'or*e& # ,#se$ine e+#$u#tion #n& is t%is ,#se$ine use& 'or continuous i*"ro+e*ent _____

: Are "ror#* re+ie. te#*s "ro"er$ tr#ine& to con&uct "ror#* e+#$u#tions _____

; H#s t%e Bure#u &e+e$o"e& "er'or*#nce *e#sures or in&ic#tors #n& #re t%e use& in e+#$u#tions to i&enti' o""ortunities 'or "ror#* i*"ro+e*ent _____


9Outst#n&in

8E@cee&s


17/34

6Met

5P#rti#$$ Met

4Not Present

OHS Component' d( Evaluation and Analy)i)

A))e))ed Element' *ii+ Accident Analy)i) and PreventionOHS Section $oal' Assess in1ur #n& i$$ness recor&s to est#,$is% #n& i*"$e*ent # "rocess to "rioriti2e t%e OHS issues

#ecommended Performance %etric*)+' Acci&ent t# is #n#$2e& #n& co**unic#te& 'or "re+ention "ur"oses

!ntervie-ee)' Se$ecte& *onitorin t#s= o.ners- M#n#ers- Su"er+isors- E*"$oees- Union re"resent#ti+es #n& OHS st#''



OHS "ror#* *onitorin &ocu*ents Me&ic#$ "ror#* &ocu*ents Assess*ents

M#n#e*ent &ecision &ocu*ents List o' "#r#*eters to *onitor (e- SHARE) Se$ecte& *onitorin t# (e- in1/i$$ r#tes)

Re$#te& #ction "$#ns- o#$s- o,1ecti+es OHS issues $ist SMIS re"orts

E*"$oee re"orts o' uns#'e/un%e#$t%'u$ con&itions JHA Me&ic#$ "ror#* recor&s

O/)ervation)' or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut #$so o"er#tions .%ere s#'e #n& e''icient or uns#'e #n& ine''icient #cti+ities c#n

,e .itnesse&

Monitorin sste*(s) .or= "ro&ucts/ t# re"orts OHS issues $ist M#n#e*ent o' correcti+e #ctions or re.#r&sProce))e).Evaluation Criteria' *#an0 123+

4 Does t%e Bure#u %#+e recor&in #n& re"ortin re0uire*ents t%#t #re in co*"$i#nce .it% 5> C!R P#rt 4>?8 'or &eter*inin .%ic% in1uries #n& i$$nesses #reentere& into t%e recor&s #n& %o. t%e #re entere&- #n& "ro+i&e in1ur #n& i$$ness in'or*#tion re0uire& , 5> C!R P#rt 4>?8 _____

5 Is t%e OSHA 6?? Lo *#int#ine& #n& is t%e OSHA 6??A "oste& #s re0uire& _____

6 Does t%e Bure#u- reion #n& $oc#$ or#ni2#tion re+ie. in1ur/i$$ness st#tistics #n& "ro+i&e #n#$sis #n& 'ee&,#c= to res"ecti+e *#n#e*ent _____

8 Are in1ur/i$$ness re"orts co*"#re& to OCP c$#i*s to i&enti' tren&s #n& sources o' in1uries _____

9 Are su"er+isors con&uctin #cci&ent in+esti#tions _____

: Do *#n#ers use t%e #cci&ent t# "ro+i&e& to t%e* to i&enti' %i% ris=s 1o,s #n& i*"$e*ent "re+ention *e#sures _____

; Are e@"osure recor&s #n& #n#$sis *#int#ine& #n& #+#i$#,$e to s#'et "ersonne$ _____


18/34

6Met

5P#rti#$$ Met

4Not Present

OHS Component' d( Evaluation and Analy)i)

A))e))ed Element' *iii+ Data Analy)i), Performance %etric), %anagement #evie-.Follo-2upOHS Section $oal' T%e e''ecti+e s#'et #n& %e#$t% "ror#* %#s set o,1ecti+es #n& &e+e$o"e& 0u#nti'ie& "er'or*#nce in&ic#tors ,#se& on issues t%#t o''er t%e

re#test o""ortunit 'or "ror#* i*"ro+e*ent #n& ris= re&uction

#ecommended Performance %etric*)+' E+i&ence o' #n #nnu#$ s#'et "ror#* #ction "$#n .it% *e#sur#,$e o,1ecti+es- 0u#nti'i#,$e "er'or*#nce in&ic#tors-

re"orts to *#n#ers #n& e*"$oees on #cco*"$is%*ent o' o,1ecti+es- #n& re+ise& o,1ecti+es .%en #""ro"ri#te

!ntervie-ee)' Bure#u *#n#ers- Su"er+isors- OHS st#''- E*"$oees #n& Union re"resent#ti+es



S#'e O"er#tin Proce&ures OHS (SHARE) o,1ecti+es HARE o#$ *onitorin Action "$#ns

S#'et #n& %e#$t% "ror#* o,1ecti+e recor&s O,1ecti+e i*"$e*ent#tion "$#ns OHS corres"on&ence D#t# #n#$sis

Brie'ins #n& #ction "$#ns

O/)ervation)' or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur ,ut #$so o"er#tions .%ere s#'e #n& e''icient or uns#'e #n& ine''icient #cti+ities c#n

,e .itnesse&

Veri'ic#tion o' OHS o,1ecti+e i*"$e*ent#tion (#s #""$ic#,$e)


4 H#s t%e Desin#te& Aenc S#'et #n& He#$t% O''ici#$ "ro+i&e& #ssist#nce to t%e Director in est#,$is%in 7o#$s #n& o,1ecti+es 'or re&ucin #n& e$i*in#tin

occu"#tion#$ #cci&ents- in1uries- #n& i$$nesses _____

5 Does t%e ,ure#u %#+e c$e#r- *e#sur#,$e- o#$s #n& o,1ecti+es _____6 Are t%e o#$s #n& o,1ecti+es co**unic#te& t%rou%out t%e or#ni2#tion _____

8 Is e*"%#ses "$#ce& on t%e critic#$ 'e. o,1ecti+es t%#t .i$$ "ro+i&e t%e re#test i*"ro+e*ent in e*"$oee s#'et #n& %e#$t% #n& ris= re&uction _____

9 Are *#n#ers/e*"$oees #.#re o' t%eir res"onsi,i$ities #n& o#$s un&er t%e SHARE or ot%er n#tion#$ initi#ti+es _____

: Does t%e ,ure#u e+#$u#te success in #c%ie+in est#,$is%e& o#$s #n& o,1ecti+es _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


19/34

OHS Component' e( Safety and Occupational Health Training

A))e))ed Element' *i+ %andatory Safety and Occupational Health Training(

OHS Section $oal*)+' A$$ e*"$oees #re "ro+i&e& #""ro"ri#te s#'et #n& %e#$t% tr#inin to con&uct t%eir .or= in # s#'e *#nner

#ecommended Performance %etric*)+' E+i&ence t%#t tr#inin is #+#i$#,$e #n& &e$i+ere& t%#t #&&ress %#2#r&s #''ectin e*"$oees

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 46 S#'et #n& He#$t%

Tr#inin

!ntervie-ee)' M#n#ers- Su"er+isors- OHS S#'et co**ittee *e*,ers- OHS st#''- E*"$oees #n& Union re"resent#ti+es



E&uc#tion #n& tr#inin "$#ns Bu&ets #n& st#''in 'or tr#inin ne. e*"$oees/ne. su"er+isors

Tr#inin "ror#* 'or e*"$oees .it% s#'et #n& %e#$t% res"onsi,i$it Tr#inin recor&s

E&uc#tion/tr#inin "$#ns %o re0uires tr#inin +s .%o recei+e&


,e .itnesse& P%sic#$ o,ser+#tions to +eri' i' OHS "r#ctices #re 'o$$o.e& (#s #""$ic#,$e)Proce))e).Evaluation Criteria *#an0 123+

4 A$$ e*"$oees- inc$u&in ne. e*"$oees recei+e ,#sic s#'et #n& %e#$t% tr#inin t%#t inc$u&es e*"$oee ri%ts #n& res"onsi,i$ities- #n& t%e ,#sic s#'et #n&

%e#$t% %#2#r&s in t%e .or="$#ce _____

5 Is s#'et #n& %e#$t% tr#inin inter#te& into 1o, s"eci'ic tr#inin #n& #re tr#inin recor&s *#int#ine& _____

6 Does t%e Bure#u "ro+i&e to" *#n#e*ent o''ici#$s .it% s#'et #n& %e#$t% orient#tion #n& #""ro"ri#te tr#inin _____

8 Does t%e Bure#u "ro+i&e s#'et #n& %e#$t% tr#inin 'or su"er+isor e*"$oees _____

9 Are re"resent#ti+es o' e*"$oee rou"s "ro+i&e& .it% s#'et #n& %e#$t% tr#inin _____

: Is # retrie+#,$e recor& =ee"in sste* est#,$is%e& t%#t "ro+i&es 'or #""ro"ri#te retr#inin- *#=eu" tr#inin- #n& *o&i'ic#tions to tr#inin _____

; Is #$$ *#ntor tr#inin i&enti'ie&- "ro+i&e& #n& current _____


20/34

OHS Component' e( Training and A-arene))

A))e))ed Element' *ii+ Training for Safety and Occupational Health Profe))ional)

OHS Section $oal' Bure#us %#+e .e$$ &e+e$o"e& 'u$$ ti*e s#'et "ro'ession#$ st#''

#ecommended Performance %etric*)+' Reco**en&e& DOI Core Co*"etencies Tr#inin "ro+i&e&

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?F C%#"ter 45 St#''in S#'et #n&

He#$t% PositionsF C%#"ter 45 Pro'ession#$ De+e$o"*ent

!ntervie-ee)' Le#&ers%i" *#n#e*ent #n& s#'et #n& %e#$t% st#''



O/)ervation) or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occurF O"er#tions .%ere s#'ee''icient/uns#'eine''icient #cti+ities c#n ,e .itnesse&Proce))e).Evaluation Criteria *#an0 123+

4 Does "ro'ession#$ &e+e$o"*ent encour#e certi'ic#tion _____

5 Does t%e Bure#u "ro+i&e s"eci#$i2e& tr#inin 'or s#'et #n& %e#$t% "ro'ession#$s _____

6 Are s#'et #n& %e#$t% ins"ectors tr#ine& co**ensur#te .it% #ssin*ents _____

8 Are s#'et #n& occu"#tion#$ %e#$t% "ro'ession#$ tr#ine& to o"er#te e+#$u#tion e0ui"*ent _____

9 Does t%e Bure#u i*"$e*ent c#reer &e+e$o"*ent "ror#*s to *eet "resent #n& 'uture "ror#* st#''in nee&s o' t%e #enc _____

: Is c#reer &e+e$o"*ent "ro+i&e& 'or "ro'ession#$ s#'et #n& %e#$t% st#'' _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


21/34

OHS Component e( Training and A-arene))A))e))ed Element' *iii+ Training for Collateral Duty Safety and Health Officer) and Safety Committee mem/er)(

OHS Section $oal' Bure#us %#+e .e$$ &e+e$o"e& CDSHO st#'' #n& s#'et co**ittee *e*,ers

#ecommended Performance %etric*)+' Reco**en&e& DOI Core Co*"etencies Tr#inin "ro+i&e&

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?F C%#"ter 45 St#''in S#'et #n&

He#$t% PositionsF C%#"ter 45 Pro'ession#$ De+e$o"*entF C%#"ter 5< Co$$#ter#$ Dut S#'et/He#$t% O''icers

!ntervie-ee)' Le#&ers%i" *#n#e*ent #n& s#'et #n& %e#$t% st#''



O/)ervation) or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occurF O"er#tions .%ere s#'ee''icient/uns#'eine''icient #cti+ities c#n ,e .itnesse&

Proce))e).Evaluation Criteria

4 it%in si@ *ont%s o' #n #""oint*ent to # co$$#ter#$ &ut s#'et #n& %e#$t% "osition or to # s#'et co**ittee- &oes t%e Bure#u "ro+i&e tr#inin co**ensur#te

.it% t%e sco"e o' t%eir #ssine& res"onsi,i$ities _____

5 Does t%e Bure#u "ro+i&e s"eci#$i2e& tr#inin 'or CDSHO or co**ittee *e*,ers _____


9Outst#n&in

8E@cee&s

6Met5P#rti#$$ Met

4Not Present


22/34

OHS Component' e( Training and A-arene))

A))e))ed Element' *iv+ Promotional and A-arene)) Program)(

OHS Section $oal' E''ecti+e *e#ns #re est#,$is%e& to in'or* #$$ e*"$oees o' s#'et #n& %e#$t% in'or*#tion #n& "ro*ote s#'et #n& %e#$t% "ror#* #.#reness

#ecommended Performance %etric*)+' Assess*ent in&ic#tes #&e0u#te s#'et #.#reness

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 4 Aut%orit- Pur"ose-

Po$ic6 C%#"ter 5 Res"onsi,i$itiesF C%#"ter 8 S#'et #n& He#$t% St#nr&s- Proce&ures #n& 7ui&e$ines

!ntervie-ee)' M#n#ers- Su"er+isors- OHS S#'et co**ittee *e*,ers- OHS st#''- E*"$oees #n& Union re"resent#ti+es





4 Does t%e Bure#u "ro+i&e s#'et #n& %e#$t% re$#te& "u,$ic#tions- "osters- ne.s$etters- or ot%er *e&i# _____

5 Does t%e Bure#u "ro+i&e tec%nic#$ in'or*#tion- &ocu*ents- ,oo=s- st#nr&s- co&es- "erio&ic#$s- #n& "u,$ic#tions _____

6 H#s t%e Bure#u con&ucte& #n s"eci#$ #cti+ities ,#se& on in1ur/i$$ness c#us#$ '#ctors _____

8 Are e*"$oees in+o$+e& t%rou% t%e use o' incenti+e or ot%er "ro*otion#$ "ror#*s _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


23/34

OHS Component' f( Program !mplementation and Operation

A))e))ed Element' *i+ Accident #eporting and !nve)tigation

OHS Section $oal' An e''ecti+e "ror#* t%#t .i$$ "ro+i&e 'or "ro*"t re"ortin #n& in+esti#tion o' #cci&ents #n& ne#r *iss inci&ents- so t%#t t%eir c#uses-

#n& t%e *e#ns 'or t%eir "re+ention- #re i&enti'ie&

#ecommended Performance %etric*)+' Re&uce To" Lost Ti*e In1ur #n& I$$ness R#tes 'or .or= $oc#tions .it% t%e %i%est $ost ti*e r#tes

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter ; Inci&ent/Acci&ent

Re"ortin/Serious Acci&ent In+esti#tion

!ntervie-ee) Se$ecte& *#n#ers #n& su"er+isors- OHS st#''- E*"$oees #n& Union re"resent#ti+es




,e .itnesse&

S#'e O"er#tin Proce&ures 'or Inci&ent In+esti#tion #n& #cci&ent re+ie. ,o#r&s Inci&ent in+esti#tion re"orts

Acci&ent Re+ie. Bo#r&s L#st 6 e#rs OSHA $os

SMIS re"orts Tour '#ci$ities/co*"#re con&itions to inci&ent in+esti#tion #ction ite*sProce))e).Evaluation Criteria' *#an0 123+

4 Are #cci&ents- ne#r *iss or ot%er inci&ents ti*e$ entere& into t%e S#'et M#n#e*ent In'or*#tion Sste* (SMIS) _____

5 Are re"orts sste*#tic#$$ re+ie.e& , tr#ine& s#'et "ersonne$ _____

6 Does t%e Bure#u %#+e # "rotoco$ 'or re"ortin serious #cci&ents #n& '#t#$ities to OSHA .it%in < %ours _____

8 Are #$$ #cci&ents in+esti#te& , t%e res"onsi,$e su"er+isor _____

9 Are root c#uses i&enti'ie& #s #""ro"ri#te #n& correcti+e *e#sures to "re+ent recurrence i*"$e*ente& _____

: Does t%e Bure#u in+esti#te #cci&ents in+o$+in "ro"ert *#e on$ _____

; Is # serious #cci&ent in+esti#tion te#* con+ene& 'or #$$ serious #cci&ents- or inci&ents- #n& #re serious #cci&ent in+esti#tion "roce&ures 'o$$o.e& _____

Does t%e Bure#u "ro+i&e t%e DOI DASHO .it% # su**#r re"ort o' e#c% '#t#$ #n& c#t#stro"%ic #cci&ent in+esti#tion _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met


24/34

4Not Present

OHS Component' f( Program !mplementation and OperationA))e))ed Element' *ii+ !ndu)trial Hygiene and Occupational %edicine

OHS Section $oal*)+' An occu"#tion#$ %e#$t% "ror#* is #""ro"ri#te 'or t%e n#ture o' t%e .or= #n& its %#2#r&s Po$icies #n& "roce&ures #re #+#i$#,$e to #$$

e*"$oees

#ecommended Performance %etric*)+' E@"osure #ssess*ents #re con&ucte& #n& correcti+e #ctions #re i*"$e*ente&

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 4; In&ustri#$ Hiene

Pror#*F C%#"ter 4< Occu"#tion#$ Me&icine Pror#*F C%#"ter 5? Person#$ Protecti+e E0ui"*entF DOI Occu"#tion#$ Me&icine H#n&,oo=

!ntervie-ee)' M#n#ers- Su"er+isors- OHS st#'' #n& E*"$oees



List o' e*"$oees in *e&ic#$ sur+ei$$#nce "ror#*s M#n#e*ent st#te*ents o' "ror#* &esin

Lists o' e*"$oees in *e&ic#$ sur+ei$$#nce "ror#*s or="$#ce *onitorin recor&s

E@"osure #ssess*ent in'or*#tion in JHAs H#2#r&ous *#teri#$s $ists

O/)ervation)' or="$#ces .%ere "%sic#$ ins"ections o' '#ci$ities *# occur #n& o"er#tions .%ere s#'ee''icient/uns#'eine''icient #cti+ities #re .itnesse&

Tour '#ci$ities 'or e@istence o' %e#$t% %#2#r&s- c%e*ic#$ use- noise sources- etc #n& co*"#re to e@"osure #ssess*ents


4 Is t%ere &ocu*ente& e@"ect#tions 'or *onitorin o' %e#$t% %#2#r&s _____

5 Are ,ure#u *#n#ers #.#re o' #n& res"onsi+e to occu"#tion#$ %e#$t% nee&s _____ 6 Does t%e Bure#u %#+e conso$ite& *onitorin t# on .%ic% t%e ,#se occu"#tion#$ %e#$t% &ecisions _____

8 Is t%e *onitorin t# co$$ecte& on # sust#ine& ,#sis- #n& is st#tistic#$ #n#$sis on t%e t# "er'or*e& _____

9 Is t%ere #n occu"#tion#$ *e&ic#$ sur+ei$$#nce "ror#* _____

: Are re0uire& *e&ic#$ sur+ei$$#nce "ror#* e$e*ents ,#se& on e*"$oee e@"osure _____

; Are e*"$oees encour#e& to re"ort e#r$ sins or s*"to*s o' "ercei+e& 1o,re$#te& i$$ness _____


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met


25/34

4Not Present


A))e))ed Element' *iii+ Fire Protection and Prevention

OHS Section $oal*)+' ritten "roce&ures #re est#,$is%e& #n& co**unic#te& to e*"$oees 'or t%eir "rotection

#ecommended Performance %etric*)+' E@istence o' 'ire "rotection #n& "re+ention "$#ns #n& e+i&ence o' &ri$$s #n& ot%er co**unic#tions #n& tr#inin 'or #$$

#''ecte& e*"$oees

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 4> !ire S#'et

!ntervie-ee)' M#n#ers- Su"er+isors- EMS st#''- AED/CPR res"on&ers- !irst Ai& res"on&ers- Pror#* *#n#ers #n& OHS st#''- E*"$oees- E*erenc

M#n#e*ent st#'' #n& L#. En'orce*ent



S#'e O"er#tin Proce&ures E*erenc Action P$#ns Aut%orit &e$e#tion

Dri$$s re"orts Site ins"ection re"orts SMIS t#


,e .itnesse&

Dri$$s- sin#e- *#"s- e@it *#r=in- &esin#te& s%e$ters- #sse*,$ #re#s S%e$ter in "$#ce sin#e #n& su""$ies

Poste& "$#ns

Proce))e).Evaluation Criteria' *#an0 123+4 H#s # 'ire %#2#r& #n#$sis ,een con&ucte& o' t%e '#ci$ities #n& o"er#tions un&er Bure#u contro$ _____

5 Is 'ire "re+ention #n& "rotection inc$u&e& in # co*"re%ensi+e '#ci$ities ins"ection _____

6 Are t%e N#tion#$ !ire Co&es incor"or#te& into ne. &esins 'or construction _____

8 Are e@istin '#ci$ities *#int#ine& #n& in con'or*#nce .it% t%e N#tion#$ !ire Co&es _____

9 H#+e 'ire e*erenc res"onse "$#ns- "ri*#ri$ concerne& .it% t%e s#'et o' e*"$oees #n& t%e "u,$ic ,een &e+e$o"e& _____

: Are 'ire e+#cu#tion &ri$$s con&ucte& #s re0uire& _____

; Is t%ere # Bure#u "o$ic 'or coor&in#tion .it% t%e $oc#$ 'ire res"on&er


26/34

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


A))e))ed Element' *iv+ Occupant Emergency Planning *Other than fire+

OHS Section $oal*)+' ritten "roce&ures #re est#,$is%e& #n& co**unic#te& to e*"$oees 'or t%eir "rotection #n& e+#cu#tion in t%e e+ent o' # une@"ecte& or

&is#strous e+ent- inc$usi+e o' tr#inin #n& con&uctin &ri$$s #nnu#$$

#ecommended Performance %etric*)+' E@istence o' E*"$oee E*erenc Action "$#ns #n& e+i&ence o' &ri$$s #n& ot%er co**unic#tions #n& tr#inin 'or #$$

#''ecte& e*"$oees

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 4> !ire S#'et

!ntervie-ee)' M#n#ers- Su"er+isors- EMS st#''- AED/CPR res"on&ers- !irst Ai& res"on&ers- Pror#* *#n#ers #n& OHS st#''- E*"$oees- E*erenc

M#n#e*ent st#'' #n& L#. En'orce*ent



S#'e O"er#tin Proce&ures E*erenc Action P$#ns Aut%orit &e$e#tion

Dri$$s re"orts Site ins"ection re"orts SMIS t#


,e .itnesse&

Dri$$s- sin#e- *#"s- e@it *#r=in- &esin#te& s%e$ters- #sse*,$ #re#s S%e$ter in "$#ce sin#e #n& su""$ies

Poste& "$#ns


4 Are t%e t"es o' %#2#r&s t%#t cou$& #''ect ,ure#u o"er#tions i&enti'ie& _____

5 Durin t%e e*erenc e+ent- *#n#e*ent %#s consi&ere& o"tions 'or "rotectin e*"$oees #n& "ro"ert _____

6 H#+e s#'et res"onsi,i$ities ,een i&enti'ie& in t%e Inci&ent Co**#n& Sste* _____

8 H#+e e*erenc &ri$$s ,een con&ucte& #s re0uire& _____

9 Are e*erenc res"onse "$#ns #n& &ri$$ "er'or*#nce re+ie.e& , 0u#$i'ie& "ro'ession#$s _____

: Are e*"$oees tr#ine& in e*erenc "roce&ures- to *#n#e t%eir o.n s#'et &urin #n e*erenc e+ent _____

; Are t%ere "roce&ures 'or #ccountin 'or #$$ e*"$oees #n& +isitors _____


27/34


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present

OHS Component' f( Program !mplementation and Operation)

A))e))ed Element' *iv+ %otor &ehicle) and %otori5ed E7uipment

OHS Section $oal' Ensure Motor Ve%ic$es #n& Motori2e& E0ui"*ent is o"er#te& s#'e$

#ecommended Performance %etric*)+' Re&uce *otor +e%ic$e #cci&ents

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- DM C%#"ter 4:

!ntervie-ee)' M#n#ers- Su"er+isors- OHS st#'' #n& e*"$oees





4 Does t%e Bure#u re0uire t%e e*"$oee to "ossess # +#$i& St#te &ri+er3s $icense 'or t%e c$#ss +e%ic$e to ,e o"er#te& _____

5 Are e*"$oee &ri+er recor&s +eri'ie& #t $e#st #nnu#$$ _____

6 Do "ersonne$ o"er#tin s"eci#$i2es +e%ic$es (ie 'or=$i'ts- &ri$$ ris- 8@8 +e%ic$es- #$$ terr#in +e%ic$es (ATVs)- sno.*o,i$es- +e%ic$es .it% re#ter t%#n 4ton

c#"#cit- or to.in +e%ic$es) %#+e t%e s=i$$s- =no.$e&e- #n& o,t#in su"er+isor #ut%ori2#tion 'or +e%ic$e use _____

8 Does t%e Bure#u %#+e # "o$ic re0uirin *#ntor use o' se#t ,e$ts- #n& is t%e "o$ic en'orce& _____

9 Do e*"$oees .e#r #""ro"ri#te PPE .%en o"er#tin s"eci#$i2e& +e%ic$es _____

: Does t%e Bure#u %#+e "o$ic re#r&in t%e use o' ce$$u$#r "%ones .%i$e t%e +e%ic$e is in *otion _____

; Do #$$ e*"$oees .%o o"er#te # *otor +e%ic$e recei+e &e'ensi+e &ri+in tr#inin _____


28/34

5P#rti#$$ Met

4Not Present


A))e))ed Element' *v+ Contractor Safety

OHS Section $oal*)+' Contr#ctors #n& t%eir e*"$oees #re %e$& res"onsi,$e 'or co*"$in .it% OSHA #n& ot%er #""$ic#,$e s#'et "o$icies #n& reu$#tions

#ecommended Performance %etric*)+' E+i&ence o' s#'et re0uire*ents #n& o+ersi%t in contr#ctin &ocu*ents #n& "rocesses

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- - C%#"ter 58 Contr#ctor S#'et,

C%#"ter 59 Concession#ire S#'et

!ntervie-ee)' Se$ecte& Contr#ctin O''icers- M#n#ers- Su"er+isors- OHS st#''- COTRs #n& A.#r&in O''ici#$s



S#'e O"er#tin Proce&ures Contr#ctor OHS "ror#*s Contr#ctor DART R#tes

Se$ecte& contr#ctor #ssess*ents- #n& e+#$u#tions Se$ecte& contr#ct re+ie.s Corres"on&ence .it% custo*ers #n& ot%er contr#ctors

Contr#ctor .or= re$#te& in1ur/i$$ness t#- #cci&ent recor&sRe$e+#nt inci&ent in+esti#tion re"orts


,e .itnesse&Contr#ctor .or= "$#cesProce))e).Evaluation Criteria' *#an0 123+

4 Is s#'et #n& %e#$t% "er'or*#nce consi&ere& in t%e "rocure*ent "rocess _____

5 Is t%e contr#ctor re0uire& to &e+e$o" #n& 'urnis% # site s"eci'ic s#'et #n& %e#$t% "$#n _____

6 Are %ost #n& contr#ctor s#'et "$#n/#cti+ities coor&in#te& _____

8 Does t%e Bure#u %#+e # "o$ic to re0uire contr#ctors to con'or* to OSHA reu$#tions #n& ot%er $e#$ re0uire*ents _____

9 Are contr#ctor s#'et "er'or*#nce #n& "r#ctices *onitore& , t%e COTR _____

: H#+e COs- CORs #n& COTRs recei+e& #""ro"ri#te s#'et #n& %e#$t% tr#inin _____

; Does t%e COTR- t%rou% t%e CO- %#+e #ut%orit to sto" contr#ctor "r#ctices t%#t e@"ose ,ure#u or contr#ctor e*"$oees to %#2#r&s _____

Is s#'et #n& %e#$t% consi&ere& .it% ser+ice contr#cts _____


29/34


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


A))e))ed Element' *vi+ Procurement and De)ign #evie-)

OHS Section $oal' Est#,$is% re0uire*ents 'or t%e re+ie. o' su""$ies- oo&s #n& e0ui"*ent 'or "otenti#$ ris= e@"osure "rior to "rocure*ent

#ecommended Performance %etric*)+' Or#ni2#tion e@#*ines #n& e+#$u#tes s#'et #n& in'or*#tion su""$ies- oo&s #n& e0ui"*ent "rior to "urc%#se

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- C%#"ter 58 Contr#ctor S#'et,

C%#"ter 59 Concession#ire S#'et

!ntervie-ee)' Se$ecte& Contr#ctin O''icers- M#n#ers- Su"er+isors- OHS st#''- COTRs #n& A.#r&in O''ici#$s



S#'e O"er#tin Proce&ures Contr#ctor OHS "ror#*s

Contr#ctor DART R#tes Se$ecte& contr#ctor #ssess*ents/e+#$s

Corres"on&ence ./custo*ers- ot%er contr#ctors

Contr#ctor .or= re$#te& in1ur/i$$ness t#- #cci&ent recor&s

Re$e+#nt inci&ent in+esti#tion re"orts

Se$ecte& contr#ct re+ie.s


,e .itnesse&

Se$ecte& "urc%#se& Pro&ucts Se$ecte& st#''in contr#cts Se$ecte& ser+ice contr#cts


4 Does t%e Bure#u use M#teri#$ S#'et D#t# S%eets (MSDS) .%en "urc%#sin %#2#r&ous *#teri#$s _____

5 Does t%e Bure#u re+ie. ne. or *o&i'ie& e0ui"*ent- '#ci$ities or "rocesses 'or s#'et #n& %e#$t% %#2#r&s "rior to e@"osin e*"$oees to t%eir o"er#tion ____

6 Are "rocure& "ro&ucts $iste& or $#,e$e& , # N#tion#$ Testin L#,or#tor _____

8 Are .ritten st#nr&s &e+e$o"e& to %e$" ui&e t%e "rocure*ent o''ice (8


30/34


9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


A))e))ed Element' *vii+ Speciali5ed Program).High Ha5ard Activitie)

OHS Section $oal*)+' Po$icies #re &e+e$o"e& #n& net.or=in is est#,$is%e& t%#t inter#tes s#'et "rocesses into #$$ %i% %#2#r& #n& s"eci#$i2e& s#'et "ror#*

#cti+ities

#ecommended Performance %etric*)+' ritten "ror#*s 'or t%e s"eci#$i2e& "ror#*s %#+e ,een &e+e$o"e& #n& i*"$e*ente&

OSHA.Department %anual #eference*)+' OSHA Instruction !AP 54B JUN 4> 4>F t%e ActF EO 454>:F 5> C!R P#rt 4>:?- DM C%#"ter 49 A+i#tion S#'et-

C%#"ter 55 #tercr#'t S#'et- C%#"ter 5; Un&er.#ter Di+in S#'et- 696 DM 45

!ntervie-ee)' M#n#ers- Su"er+isors- OHS st#'' #n& e*"$oees





8ATE#C#AFT *D% Chapter 99+'

4 Does t%e Bure#u %#+e # .#tercr#'t "ror#* _____

5 Are "erio&ic e+#$u#tions con&ucte& _____

6 Does t%e Bure#u re0uire '$o#t "$#ns _____

8 Are Jo, H#2#r& An#$sis con&ucte& _____

9 Are o"er#tors o' .#tercr#'t #re #&e0u#te$ tr#ine&- "ro"er$ teste& #n& certi'ie& _____

: Are #$$ "ersons re0uire& to .e#r # US Co#st 7u#r&#""ro+e& "erson#$ '$ot#tion &e+ice (P!D) _____

; Do #$$ e*"$oees .%o o"er#te or .or= in .#tercr#'t *#int#in certi'ic#tion in A*eric#n Re& Cross St#nr& !irst Ai&- or e0ui+#$ent- #n& CPR_____

A&!AT!ON *D% Chapter 13+'

4 Are #$$ #ircr#'t ser+ices "rocure& t%rou% t%e N#tion#$ Business Center- Di+ision o' A+i#tion M#n#e*ent (DAM) _____

5 Are su"er+isors #n& e*"$oees in #+i#tion *#n#e*ent "ro+i&e& #+i#tion user s#'et tr#inin _____

6 H#+e #$$ "ersons .%o '$ *issions or su"er+ise #+i#tion #cti+ities un&er o"er#tion#$ contro$ o' t%e ,ure#u recei+e& t%e re0uire& #+i#tion user s#'et tr#inin


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_____

8 Prior to e#c% contr#ct '$i%t- &o "ersonne$ +isu#$$ ins"ect t%e "i$ot 0u#$i'ic#tion #n& #ircr#'t t# c#r&s 'or current #ut%ori2#tion , DAM _____

9 Are #$$ #ircr#'t #cci&ents or inci&ents t%#t &on3t .#rr#nt in+esti#tion , NTSB in+esti#te& usin t%e SAIT "rocess _____

NDE#8ATE# D!&!N$ *D% Chapter 9:+'

4 Does t%e Bure#u %#+e # un&er.#ter &i+in "ror#* _____

5 Does t%e Bure#u %#+e # &i+in s#'e "r#ctices *#nu#$ _____

6 Are #$$ e*"$oees .%o "er'or* un&er.#ter &i+in #cti+ities #&e0u#te$ tr#ine& #n& "%sic#$$ 0u#$i'ie& _____

8 Is # Di+e P$#n #n& Di+e H#2#r& An#$sis con&ucte& 'or e#c% &i+e _____

9 Do &i+ers recei+e !irst Ai&- CPR #n& o@en 'irst #i& _____

: Are recor&s *#int#ine& #s *#nte& _____

F!#EA#%S *D% Propo)ed Chapter+'OHS Section #an0ing 4444

9Outst#n&in

8E@cee&s

6Met

5P#rti#$$ Met

4Not Present


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Once t%e .or= on t%e E+#$u#tion Too$ is co*"$ete&- t%e re+ie.er .i$$ su**#ri2e t%eir

scores in t%e Assess*ent R#tin T#,$e (,e$o.)

Evaluation #ating Ta/le For Thi) Tool'

Organi5ational Component and A))e))ment Element) #ating

a( "eader)hip and %anagement *1+

(i) Co**it*ent- In+o$+e*ent #n& Co**unic#tion

(ii) Res"onsi,i$it #n& Account#,i$it

(iii) !in#nci#$ Resources

(i+) Personne$ Resources

(+) Po$ic

(+ii) Pror#* Pro*otion #n& Reconition

/( Employee !nvolvement

(i) S#'et Co**ittees

(ii) Pror#* In+o$+e*ent

c( Ha5ard #ecognition and Prevention

(i) Ins"ection- I&enti'ic#tion #n& Prioriti2#tion o' De'iciencies (ii) H#2#r& Contro$ #n& A,#te*ent

(iii) Uns#'e #n& Un%e#$t%'u$ Con&ition Re"ortin

(i+) Process/O"er#tion#$ H#2#r& An#$sis- M#n#e*ent o' C%#ne

d( Evaluation and Analy)i)

(i) Pror#* E+#$u#tions #n& Assess*ents

(ii) Acci&ent An#$sis #n& Pre+ention

(iii) D#t# An#$sis- Per'or*#nce Metrics- M#n#e*ent Re+ie./!o$$o. u"

d( Training and A-arene))

(i) M#ntor S#'et #n& Occu"#tion#$ He#t% Tr#inin

(ii) Tr#inin 'or S#'et #n& Occu"#tion#$ He#$t% Pro'ession#$s

(i+) Pro*otion G A.#reness Pror#*se( Program !mplementation and Operation

(i) Acci&ent Re"ortin #n& In+esti#tion

(ii) In&ustri#$ Hiene G Occu"#tion#$ Me&icine

(iii) !ire Protection #n& Pre+ention

(iii) Motor Ve%ic$es G Motori2e& E0ui"*ent

(i+) Contr#ctor S#'et

(+) Procure*ent #n& Desin Re+ie.s

(+ii) S"eci#$i2e& Pror#*s #n& Hi% H#2#r& O"er#tions

Compo)ite Safety and Occupational Health Program #ating *9+

E+#$u#tion R#tin T#,$e Notes (4) Co*"osite r#tin 'or t%e c#teor

(5) Co*"osite r#tin 'or t%e Assess*ent

Once t%e 'ie$& .or= on t%e E+#$u#tion Too$ is co*"$ete&- t%e Te#* .i$$ *eet #n& "re"#re

# 'in&ins &ocu*ent .%ic% .i$$ inc$u&e # Su**#r Assess*ent R#tin T#,$e t%#t .i$$ ,e

"resente& to t%e %e#& o' t%e ,ure#u or o''ice #t t%e c$osin con'erence


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safety and occupational health program evaluation tool(3!9!10)

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