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VPP
Site-Based Application Instructions
VPP
APPLICATION INSTRUCTIONS for the
SITE-BASED WAY TO PARTICIPATE
What
follows are instructions for applying to the VPP site-based way to
participate. We encourage you to involve employees and managers in
completing your application. After OSHA reviews and accepts your
written submission, we will schedule an onsite evaluation.
If
you are in a state that operates its own OSHA-approved program, check
with your state agency to learn specifics regarding its VPP
application process.
There
is some paperwork required in the application process, but we
encourage you to use as much existing material as possible. Please
provide a list/index of all materials you choose to attach to your
application.
Most worksites have found that, in the process of applying, they
gain a greater understanding of worker protection and discover ways
to improve their safety and health management system.
VPP
reviewers don’t look for a single correct way to meet VPP
requirements. They want to see a system that works for you. Some
successful safety and health management systems involve substantial
written documentation, and others do not. Small businesses, in
particular, often are able to implement excellent safety and health
processes with relatively little documentation.
If
you need more information, you can contact your nearest OSHA VPP
Manager or Coordinator through OSHA’s Regional and Area
Offices. In addition to answering your questions, your Regional VPP
Manager or Coordinator can refer you to VPP participants in your
area. We encourage you to contact participants. They are happy to
share their experience.
We
also encourage you to review the Federal
Register
Notice, 74 FR 927, January 9, 2009, that sets forth the basic
philosophy and requirements of VPP.
OMB
Control Number: 1218-0239 Expires 01-31-2018
Public
reporting burden for this collection of information is estimated to
average 200 hours per response, including time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Directorate of
Cooperative and State Program U.S. Department of Labor, 200
Constitution Ave., Suite N3700 NW, Washington, DC 20210-4537 and
reference the OMB Control Number 1218-0239.
I.. General
Information
A.Applicant
1.Site/Employer
a)Name
b) Address
c) Mailing Address (if
different)
2. Site
Manager
a) Name
b) Title
c) Phone
Number
d) E-Mail
Address
2.VPP
Contact for OSHA correspondence (if different from Site Manager) -
Name
a)Name
b)Title
c)Phone
Number
d)E-Mail
Address
B.Company/Corporation
(if different from Applicant)
1.Name
2.Address
3.VPP
Contact (if applicable)
a)Name
b)Title
c)Phone
Number
d)E-mail
Address
C.Union
Information - Provide information for each union separately
1.Full
Name of Union and Local #
2.Authorized
Bargaining Unit Representative’s Name
3.Address
4.Phone
Number
5.E-mail
Address
D.General
Industry, Maritime and Federal Agency Applicants: Number of
Employees and Applicable Contractor Employees
NOTE:
Federal Agency applicants whose primary site activity is
construction should provide information requested of construction
industry applicants.
1. Total
number of employees working at applicant’s site (include
regular and temporary employees)
2. Number
of temporary employees supervised by applicant
3. Number
of contractor/subcontractor employees who are regularly intermingled
with the owner’s employees and under direct supervision by
management
4. Number
of applicable contractor employees (see Appendix A. Definitions)
E.Construction
Industry Applicants: Number of Employees and
Contractor/Subcontractor Employees
1.Number
of employees working at applicant’s site
2.Number
of temporary employees supervised by applicant
3.Number
of contractor/subcontractor employees
F.Type
of Work Performed, Products Produced, and Typical Hazards
1.Provide
a comprehensive description of the work performed at your site and
the
type of products produced.
2.Provide
a description of the types of hazards typically associated with your
industry and your site.
G.Applicant’s
Industrial Classification Codes
1. Provide
what you believe to be your site’s 6-digit North American
Industry Classification System (NAICS) code and your 4-digit Standard
Industrial Classification (SIC) code. OSHA
will verify the NAICS code for purposes of VPP.
2. Contact
your Regional VPP Manager or Coordinator if you are having difficulty
identifying an appropriate code. You can also find NAICS and SIC
information on the Bureau of Labor Statistics’ website,
www.bls.gov.
H.Injury
and Illness Performance
See Appendix A Definitions for explanation of terms.
1.Using
information from your OSHA injury and illness logs (OSHA-300),
complete and submit the appropriate rate table in Section IV below.
a)Non-construction
applicants should submit Table 1.
b)If
you employ applicable contractors, have Table 2 (one table for each
applicable contractor) ready for review by the VPP Onsite Evaluation
Team.
c)Construction
applicants should submit Table 3.
2.Provide
your site’s 3-year Total Case Incidence Rate (TCIR)
for
recordable nonfatal injuries and illnesses.
3.Provide
your site’s 3-year incidence rate for recordable nonfatal
injuries and illnesses involving Days Away from Work, Restricted
Activity, or Job Transfer (DART rate).
II.Employee
Support for VPP Participation
A.Your
application for VPP participation must reflect the support of your
employees.
B.Unionized
Workforce
If,
at the time of application, any of your employees are organized into
one or more collective bargaining units, the authorized
representative for each unit must either:
1.Sign
the application or
2.Submit a signed
statement indicating that the collective bargaining agent supports or
is not opposed to VPP participation.
3.Without such
concurrence from all authorized agents, OSHA will not accept the
application.
C.Non-union
Sites
At
non-union sites, OSHA will verify employee support during the onsite
evaluation when the OSHA VPP team interviews employees.
III.Assurances
VPP
applications must include a signed statement affirming the following:
A.Compliance
Applicant
will comply with the Occupational Safety and Health Act (OSH Act) and
will correct in a timely manner all hazards discovered through
self-inspections, employee notification, accident investigations,
OSHA onsite reviews or enforcement inspections, process hazard
reviews, annual evaluations, or any other means. You will provide
effective interim protection, as necessary to keep employees safe
while corrections are being made. Federal applicants also agree to
comply with Title 29 of the Code of Federal Regulations (CFR), Part
1960—Basic Program Elements for Federal Employees.
B.Correction of
Deficiencies
You
will correct any site deficiencies related to compliance with OSHA
requirements and identified during any OSHA onsite review. You
understand that the correction period will be determined by the VPP
Team Leader and will not exceed 90 days.
C.VPP Elements
1.Following
approval, you will continue to meet and maintain the requirements of
the VPP elements.
2.If your primary
activity is construction, you will continue to meet and maintain the
construction requirements of the elements.
D.VPP
Orientation
All
employees, including newly hired employees, temporary employees, and
contractor/subcontractor employees when they reach the site, will
have the VPP explained to them, including employee rights under the
program and under the OSH Act or 29 CFR 1960.
E.Protection from
Discrimination
You
will protect employees engaged in safety and health activities,
including those employees specifically given safety and health duties
as part of your safety and health management system, from
discriminatory actions resulting from their activities/duties, just
as Section 11(c) of the OSH Act and 29 CFR 1960.46(a) protect
employees who exercise their rights.
F.Employee
Access to Information
1.Employees will
have access to the results of self-inspections, accident
investigations, and other safety and health management system data
upon request.
2.At unionized
sites, this requirement may be met through employee representative
access to these results.
G.Documentation
To
enable OSHA to determine initial and continued VPP approval, you will
maintain and make available for OSHA review the following
information:
1.Your written
safety and health management system.
2.All
documentation enumerated under Section VI.B.6.d of the January 9,
2009 VPP Federal Register Notice.
3.Any agreements
between management and the collective bargaining agent(s) concerning
safety and health.
H.Merit
or 1-Year Conditional Goals
You
will make available to OSHA any data necessary to evaluate the
achievement of individual Merit or 1-Year Conditional goals.
I.Annual
Submission
Each
year by February 15, you will submit the following information to
your designated OSHA VPP contact person:
1.General
Industry, Maritime, and Federal Agency Participants. Data reflecting
all regular site employees, including temporary and contractor
employees who are regularly intermingled with owner’s employees
and under direct supervision by management. The data will consist
of:
a)For the previous calendar year, the site’s
TCIR rate for all employees.
b)For the previous calendar year, the site’s
DART rate for all employees.
c)The total number of cases for each of the above two
rates.
d)Hours worked and estimated average employment for
the past full calendar year.
2.General
Industry, Maritime and Federal Agencies Participants’
Applicable Contractor Injury and Illness Rates. General industry,
maritime and federal agency participants will submit data on each
applicable contractor. See Appendix A for definition. The data will
consist of:
a)For
the previous calendar year, the site’s TCIR rate for each
applicable contractor.
b)For the previous calendar year, the site’s
DART rate for each applicable contractor.
c)The total number of cases for each of the above two
rates.
d)Hours worked and estimated average employment for
the past full calendar year.
e)The appropriate NAICS code for each applicable
contractor’s work at the site.
3.Construction
Industry Participants’ Injury and Illness Rates. Data
reflecting all regular site employees, including temporary employees,
and all employees of all contractors/subcontractors. The data will
consist of:
a)The
site’s total
recordable case incidence rate (TCIR) for injuries and illnesses for
the previous calendar year.
b)The
site’s incidence
rate for cases involving days away from work, restricted work
activity, and job transfer (DART rate) for the previous calendar
year.
c)The total number of cases for each of the above two
rates.
d)Hours worked and estimated average employment for
the past full calendar year.
4.Annual
Self-Evaluation
a) Submit
a copy of the most recent annual safety and health self-evaluation.
Include current goals.
b) Include
a description of any success stories, such as reductions in workers’
compensation rates, increases in employee involvement, and
improvements in employee morale.
J.Organizational
Changes
Whenever
significant organizational or ownership changes occur, you will
provide OSHA within 60 days a new Statement of Commitment signed by
both management and any authorized collective bargaining agents.
K.Union
Representation Changes
Whenever
a change occurs in the authorized collective bargaining
representative, you will provide OSHA within 60 days a new signed
statement indicating that the new representative supports VPP
participation.
IV.VPP
Safety and Health Management System
Describe your written safety and health management system, including
safety and health policies, procedures, systems, and programs.
See Appendix A Definitions for an explanation of how the term safety
and health management system is used in VPP.
Program descriptions must contain pertinent information that clearly
explains the management and administration of the program, such as
responsibilities and types of documentation maintained. Include
those systems applicable to operations considered highly hazardous
(e.g., Lockout/Tagout, Confined Space, Process Safety Management) and
those considered non-routine.
Please provide a list/index for any supporting documentation you
choose to attach to the written description of the program.
A.Management
Leadership and Employee Involvement
1.Commitment.
Management
must clearly demonstrate its commitment to meeting and maintaining
the requirements of the VPP and taking ultimate responsibility for
worker safety and health. Attach a copy of your top-level safety
policy specific to your facility.
2.Organization
a)Briefly describe how your company’s safety and
health function fits into your overall management organization.
b)Attach a copy of your organization chart.
3.Authority and
Responsibility
Describe what authority and
responsibility you give managers, supervisors, and regular employees
regarding safety and health and hazard mitigation.
4.Accountability
a)Briefly describe your accountability system used to
hold managers, line supervisors, and employees responsible for safety
and health. Examples are job performance evaluations, disciplinary
action, and contract language.
b)Describe system documentation.
5.Resources
a)Identify
the available safety and health resources. Describe the safety and
health professional staff available, including appropriate use of
certified safety professionals (CSP), certified industrial hygienists
(CIH), other licensed health care professionals, and other experts as
needed, based on the hazards at your site.
b)Identify any external resources (including corporate
office and private consultants) used to help with your safety and
health management system.
6.Goals and
Planning
a)Identify your annual plans that set specific safety
and health goals and objectives.
b)Describe how planning for safety and health fits
into your overall management planning process.
7.Self-Evaluation
a)Provide a copy of the most recent annual
self-evaluation of your site’s safety and health management
system. Include assessments of the effectiveness of the VPP elements
listed in these application guidelines, documentation of action items
completed, and recommendations for improvement.
b)Describe how you prepare and use the
self-evaluation.
8.Employee
Involvement
a)List
at least three meaningful ways employees are involved in your safety
and health management system. These must be in addition to employees
reporting hazards and attending training.
b)Provide specific information about decision
processes in which employees participate, such as hazard assessment,
inspections, safety and health training, and/or evaluation of the
safety and health management system.
9.Employee
Notification
Describe
how you notify employees about site participation in the VPP, their
right to register a complaint with OSHA, and their right to obtain
reports of inspections and accident investigations upon request.
Methods may include, but are not limited to, new employee
orientation; intranet or email if all employees have access; bulletin
boards; toolbox talks; or group meetings.
10.Contract
Workers’ Safety and Health
a)Describe
the process and the pre-selection criteria used for selecting
contractors to perform jobs at your site.
b)Describe your documented oversight and management
system for ensuring that all contract workers who do work at your
site enjoy the same safe and healthful working conditions and the
same quality protection as your regular employees.
11.Site
Map.
Attach
a site map or general layout.
B.Worksite
Analysis
1.Baseline Hazard
Analysis
a)Describe the methods you use for baseline hazard
analysis to identify hazards associated with your specific work
environment. For example, air contaminants, noise, or lead.
b)Identify the safety and health professionals
involved in the baseline assessment and subsequent needed surveys.
c)Explain any sampling rationale and strategies for
industrial hygiene surveys if required.
2.Hazard Analysis
of Routine Jobs, Tasks, and Processes
a)Describe the system you use (when, how, who) for
examination and analysis of safety and health hazards associated with
routine tasks, jobs, processes, and/or phases.
(1)You should base priorities for hazard analysis on
historical evidence, perceived risks, complexity, and the frequency
of jobs/tasks completed at your worksite.
(2)In
construction, the emphasis must be on the safety and health hazards
of each craft and phase of work.
b) Provide
specific examples of some analyses you have performed and any
(completed) forms used.
3.Hazard Analysis
of Significant Changes
Explain
how, prior to activity or use, you analyze significant changes to
identify uncontrolled safety and health hazards and the actions
needed to eliminate or control these hazards. Significant changes
may include non-routine tasks and new processes, materials,
equipment, and facilities.
4.Self-Inspections
a)Describe your worksite safety and health routine
general inspection procedures.
b)Indicate who performs inspections, their training,
and how you track any hazards through to elimination or control.
c)For routine health inspections, summarize the
testing and analysis procedures used and qualifications of personnel
who conduct them.
d)Include
some completed forms used for self-inspections.
5.Employee Reports
of Hazards
a)Describe
the different ways employees notify management of uncontrolled safety
or health hazards. NOTE: An opportunity to use a written form to
notify management about safety and health hazards must be part of
your reporting system.
b)Explain
procedures for follow up, tracking corrections, and reporting back to
employees.
6.Accident and
Incident Investigations
a)Describe your written procedures for investigation
of accidents, near misses, first-aid cases, and other incidents.
b)What training do investigators receive?
c)How do you determine which accidents or incidents
warrant investigation?
d)Describe how you use investigation results.
7.Trend Analysis
a)Describe the system you use for safety and health
data analysis.
b)Indicate how you collect and analyze data from all
sources, including injuries, illnesses, near-misses, first-aid cases,
work order forms, incident investigations, inspections, and
self-audits.
c)Describe how you use analysis results.
C.Hazard
Prevention and Control
Applicants and participants must be in compliance with any hazard
control program required by an OSHA standard, such as PPE,
Respiratory Protection, Lockout/Tagout,
Confined Space Entry, Process Safety Management (PSM), Bloodborne
Pathogens, etc. VPP applicants and participants must periodically
review these programs (most OSHA standards require an annual review)
to ensure they are up-to-date.
Applicants
and participants who are covered by the PSM standard must
additionally submit answers to all applicable questions found in the
VPP PSM Application Supplement A. (Other Supplements will be used
during annual self-evaluations and OSHA onsite approval/reapproval
visits.)
1.Hierarchy of
Controls
a)Engineering Controls
(1)Describe
and provide specific examples of engineering controls you have
implemented that either eliminated or limited hazards by reducing
their severity, their likelihood of occurrence, or both. Engineering
controls include, for example, reduction in pressure or amount of
hazardous material, substitution of less hazardous material,
reduction of noise produced, fail-safe design, leak before burst,
fault tolerance/redundancy, and ergonomic design changes.
(2)Although not as reliable as true engineering
controls, this category also includes protective safety devices such
as guards, barriers, interlocks, grounding and bonding systems, and
pressure relief valves to keep pressure within a safe limit.
b)Administrative Controls
Briefly describe the ways you
limit daily exposure to hazards by adjusting work schedules or work
tasks, for example, job rotation.
c)Work Practice Controls
(1)Describe
and provide specific examples of your work practice controls. These
include, for example, workplace rules, safe and healthful work
practices, specific programs to address OSHA standards, and
procedures for specific operations that require permits, labeling,
and documentation.
(2)Identify major technical programs and regulations
that pertain to your site, such as lockout/tagout, process safety
management, hazard communication, machine guarding, and fall
protection.
d)Personal Protective Equipment
(1)Describe
and provide specific examples of required personal protective
equipment your employees use.
(2)Identify
what PPE the OSHA team members will need to bring to your worksite.
2.Enforcement of
Safety and Health Rules
Describe the procedures you
use for disciplinary action or reorientation of managers,
supervisors, and other employees who break or disregard safety and
health rules.
3.Preventive/Predictive
Maintenance
a)Summarize your written system for monitoring and
maintaining workplace equipment to predict and prevent equipment
breakdowns that may cause hazards.
b)Provide a brief summary of the type of equipment
covered.
4.Occupational
Health Care Program
a)Describe your onsite and offsite medical service and
physician availability.
b)Explain how you utilize the services of licensed
occupational health care professionals.
c)Indicate the coverage provided by employees trained
in first aid, CPR, and other paramedical skills, their training, and
available equipment.
5.Emergency
Preparedness
Describe your emergency
planning and preparedness system. Provide information on emergency
drills and training, including evacuations.
D.Safety and
Health Training
1.Describe the
formal and informal safety and health training provided for managers,
supervisors, and employees.
2.Identify
training protocols, schedules, and information provided to
supervisors and employees on programs such as hazard communication,
personal protective equipment, and handling of emergency situations.
3.Describe how you
verify the effectiveness of the training you provide.
E.Injury and
Illness Performance
See
Appendix B for instructions on calculating required rates and
completing this section’s
tables, and Appendix C for an alternative rate calculation for
qualifying small employers.
1.Injury
and Illness Rate Requirements
a)To
qualify for VPP Star, both your 3-year TCIR and your 3-year DART rate
must be below
at least 1 of the 3 most recent years of specific industry national
averages for nonfatal injuries and illnesses at the most precise
level published by the U.S. Department of Labor’s Bureau of
Labor Statistics (BLS).
b)OSHA
will compare all submitted rates against the most advantageous single
year that would qualify the applicant out of the last 3 published
years.
c)If,
after completing Table 1, you determine that either your 3-year TCIR,
3-year DART rate, or both are at
or above
your industry’s average in all 3 comparison years, you still
may qualify for VPP participation at the Merit level. If this is the
case, specify your short- and long-term goals for reducing these
rates to a level below the industry average, thereby achieving the
Star rate requirements. Include specific methods you will use to
address this problem. It must be feasible to reduce rates
sufficiently within 2 years.
2.Alternative
Rate Calculation.
Some
applicants, usually smaller employers with limited numbers of
employees/contractors/subcontractors and/or hours worked, may use an
alternative method for calculating incidence rates. Review Appendix
C - Alternative Rate Calculation for more information.
3.TABLE
1: Site-Based Injury and Illness Rate Calculations
for General Industry, Maritime, and Federal Agency Applicants
a)Table 1 tracks the injury and illness rates of all
employees over whom the applicant has responsibility and authority
for safety and health. These rates must be calculated from data that
reflects the experience of all regular site employees, including
temporary employees and any contractor employees regularly
intermingled with your employees and under the direct supervision of
your managers. Do not include applicable contractors in these rates.
b)OSHA considers the site’s most recent 3-year
recordable injury and illness experience and compares that experience
with industry averages published by the Bureau of Labor Statistics.
c)Calculate
your Total Recordable Case Incidence Rate (TCIR) for each of the past
3 years and for the 3 years combined.
d)Calculate your site’s incidence rate for cases
involving days away from work, restricted work activity, and job
transfer (DART) for each of the past 3 years and for the 3 years
combined.
e)Submit
TABLE 1 if applying as a General Industry, Maritime, and/or Federal
Agency site-based, non-construction VPP applicant.
f)Compare
your rates with BLS national average rates to determine whether you
meet Star or Merit rate requirements.
TABLE
1. Site-based Recordable Nonfatal Injury and Illness Case
Incidence Rates (non-construction)
|
|
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
Year
|
Total
Work Hours
|
Total
Number of Injuries
|
Total
Number of Illnesses
|
Sum
of Injuries and Illnesses
|
TCIR
for Injuries and Illnesses
|
Total
# of Injuries Involving DART
|
Total
# of Illnesses Involving DART
|
Sum
of Injury & Illness Cases
Involving DART
|
DART
Rate
|
3
Years Ago
(annual)
|
|
|
|
|
|
|
|
|
|
2
Years Ago
(annual)
|
|
|
|
|
|
|
|
|
|
Last
Year
(annual)
|
|
|
|
|
|
|
|
|
|
3
Year Totals
& Rates
|
|
|
|
|
|
|
|
|
|
BLS
Rates for NAICS code_________
Year
1 (3 years ago)
Year 2 (2 years ago)
Year 3 (last year)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent
above or below BLS National Average
|
|
|
|
|
|
4.TABLE
2: Site-Based Injury and Illness Rate Calculations for Applicable
Contractors
at General Industry, Maritime, and Federal Agency Sites
a)Non-construction
site-based applicants/participants must maintain injury and illness
rates for each applicable contractor. (See Appendix A Definitions)
b)Fill
out and maintain TABLE 2 for each applicable contractor. You
need not submit these particular tables with your application.
The tables must be available at the site for review by the OSHA VPP
Onsite Evaluation Team.
c)In
addition, approved participants must submit applicable contractor
injury and illness data each year as part of their annual submission
to OSHA.
TABLE
2. Site-based Applicable
Contractor
Recordable Nonfatal Injury and Illness Case Incidence Rates
(for
non-construction applicants ) (for the contractor’s work at
your site only)
|
Name
of Contractor
|
NAICS
Code for contractor’s work at your site
|
|
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
Year
|
Total
Work Hours
|
Total
Number of Injuries
|
Total
Number of Illnesses
|
Sum
of Injuries and Illnesses
|
TCIR
for Injuries and Illnesses
|
Total
# of Injuries Involving DART
|
Total
# of Illnesses Involving Days Away DART
|
Sum
of Injury & Illness Cases
Involving DART
|
DART
rate
|
3
Years Ago
(annual)
|
|
|
|
|
|
|
|
|
|
2
Years Ago
(annual)
|
|
|
|
|
|
|
|
|
|
Last
Year
(annual)
|
|
|
|
|
|
|
|
|
|
5.TABLE
3: Site-Based Construction
Injury
and Illness Rate Calculations
a)Submit
TABLE 3 if applying as a site-based construction VPP applicant.
b)Table
3 tracks the injury and illness rates of all employees at the
construction site. These rates must be calculated from data that
includes the experience of all regular site employees, temporary
employees, and employees of all contractors/subcontractors.
c)In
addition to construction industry sites, this requirement applies to
any Federal Agency site at which construction is the primary
activity.
d)OSHA
will consider the applicant’s TCIR and DART rates dating from
time of application back to site inception but in no instance greater
than 3 years or less than 12 months. That is, the site for which VPP
application is being made must have been in operation for at least 12
months.
e)OSHA
compares the site’s experience with industry averages published
by the Bureau of Labor Statistics (BLS).
f)Compare
your rates with BLS national average rates to determine whether you
meet Star or Merit rate requirements. See Appendix B, sections 8 and
9.
TABLE
3. Site-based Construction
Recordable Nonfatal Injury and Illness Case Incidence Rates
(for
work at applicant site only)
|
|
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
Year
|
Total
Work Hours
|
Total
Number of Injuries
|
Total
Number of Illnesses
|
Sum
of Injuries and Illnesses
|
TCIR
for Injuries and Illnesses
|
Total
# of Injuries Involving DART
|
Total
# of Illnesses Involving DART
|
Sum
of Injury & Illness Cases
Involving DART
|
DART
Rate
|
3
Years Ago
(annual)
|
|
|
|
|
|
|
|
|
|
2
Years Ago
(annual)
|
|
|
|
|
|
|
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Year Totals
& Rates
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BLS
Rates for NAICS code_________
Year 1 (3 years ago)
Year
2 (2 years ago)
Year 3 (last year)
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3-year rates with the most advantageous single year)
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Appendix
A
DEFINITIONS
The following definitions apply to use of these terms within
OSHA’s Voluntary Protection Programs (VPP).
1-Year Conditional Goal. A target for correcting
deficiencies in safety and health management system elements or
sub-elements identified by OSHA during the onsite evaluation of a
Star participant. Such deficiencies, which indicate that a site no
longer fully meets Star requirements, must be corrected within 90
days, and the participant must then operate at the Star level for 1
year for the participant’s conditional status to be lifted.
Failure to meet this requirement will result in termination from VPP.
2-Year Rate Reduction Plan. A strategy employed whenever a
Star participant’s 3-year rates rise above the national average
and call into question the participant’s continuing VPP
qualification. The plan is developed jointly by the participant and
OSHA and must be approved by the Regional Administrator. It must
identify and address any safety and health management system
deficiencies related to the high rates, correction methods, and
timeframes, and must include quarterly participant progress reports.
90-Day Items. Compliance-related issues that must be
corrected within a maximum of 90 days, with effective protection
provided to employees in the interim.
Annual Self-Evaluation. A participant’s yearly
self-assessment to gauge the effectiveness of all required VPP
elements and any other elements of the participant’s safety and
health management system.
Annual Submission. A document written by a participant and
submitted to OSHA by February 15th each year, consisting
of the following information: Updated names and addresses; the
participant’s and applicable contractors’ injury and
illness case numbers and rates, average annual employment and hours
worked for the previous calendar year; a copy of the most recent
annual self-evaluation of the participant’s safety and health
management system; descriptions of significant changes or events;
progress made on the previous year’s recommendations; Merit or
1-Year Conditional goals (if applicable); any success stories; and
any other information required by OSHA. In addition, participants
covered by the Process Safety Management Standard (PSM) are required
to respond to applicable questions from the annual VPP PSM
questionnaire. Participants who have been approved within a
Designated Geographic Area (DGA) must submit a list, including
addresses, of all active worksites plus a second list of any work
projects scheduled or projected to begin during the upcoming year.
Applicable Contractor. An employer who has contracted with a
General Industry, Maritime, or Federal Agency (non-construction)
site-based applicant/participant to provide specified services and
whose employees:
1. Worked at least 1,000 hours at the VPP site-based
applicant/participant’s worksite in any calendar quarter within
the last 12 months.
2. Are not directly supervised in day-to-day activities by
applicant/participant’s management.
The
concept of applicable contractor does not include temporary employees
or other contractor employees who are regularly intermingled with a
site-based applicant/participant’s employees and under direct
supervision by management. Moreover, construction
applicants/participants do not break out this category of employee.
Therefore, applicable contractor reporting requirements do not apply
to applicants/participants whose main activity is construction,
regardless of the chosen way to participate.
Accepted Application. An application that has been reviewed
by the Regional Office -- or the National Office for certain
corporate and Demonstration Program applications -- and found to be
complete. Also referred to as a completed application.
Backup Team Leader. A member of an onsite evaluation team who
provides assistance to the team leader and can assume his/her duties
when necessary.
Combined Workforce. An applicant/participant’s regular
workforce employees, including temporary employees, plus all
contractor/subcontractor employees. Mobile workforce
applicants/participants and all construction applicants/participants
must use combined workforce data when calculating and reporting
injury and illness rates.
Compliance Officer. A Federal compliance safety and health
officer (CSHO).
Compressed Approved Process. A VPP onsite evaluation
procedure that OSHA may choose to employ for site-based Star
participants seeking reapproval and meeting specified criteria. A
CAP evaluation examines all the VPP elements assessed during a
standard onsite evaluation but places particular attention on changes
since the last evaluation and the most recent annual self-evaluation.
.
Contract Employees. Those individuals who are employed by a
company that provides services under contract to the VPP
applicant/participant, usually at the VPP applicant/participant’s
worksite.
Corporate Participation. See Way to Participate, below. A
category
of participation available to large corporations that provides
streamlined application and approval procedures. To qualify, the
corporation must (1) commit to bringing into VPP
multiple site-based facilities and/or worksites within Designated
Geographic Areas (DGAs); (2) utilize a standardized safety and health
management system organization-wide; and (3) employ pre-screening
processes at all applicant facilities/DGAs before applying for VPP
approval and ongoing oversight once approved.
Days Away, Restricted, and/or Transfer Case Incidence Rate
(DART rate). The rate of all injuries and
illnesses resulting in days away from work, restricted work activity,
and/or job transfer. This rate is calculated for an individual
worksite, all worksites within an applicant/participant’s
Designated Geographic Area (DGA), or all worksites of an employer for
a specified period of time (usually 1 or 3 years).
Directorate of Cooperative and State Programs (DCSP). The
OSHA Directorate responsible for coordinating and overseeing OSHA’s
VPP and other cooperative programs, located in OSHA’s National
Office.
DCSP Regional Coordinator. A DCSP VPP staff member who is
assigned to coordinate VPP-related regional activities, including the
review and processing of reports and resolution of policy issues.
Demonstration Program. The program within VPP that enables
employers with VPP-quality safety and health protection to test
alternatives to current VPP eligibility and performance requirements.
If a Demonstration Program is judged successful, its alternative
ways to achieve safety and health excellence may lead to changes in
VPP criteria.
Federal Register. The official Federal government
publication, issued by the Government Printing Office (GPO), in which
OSHA announces the philosophy and criteria for VPP approval and
participation in a public notice commonly referred to as the VPP
Federal Register Notice or the Federal Register Notice.
General Contractor. A construction site owner or site manager
who controls construction operations and has contractual
responsibility for assuring safe and healthful working conditions at
a worksite.
Injury/Illness Rates. Numerical rates that:
1. Represent an applicant/participant’s nonfatal recordable
injuries and illnesses at an individual worksite or within a
Designated Geographic Area.
2. Are an important factor when OSHA assesses an
applicant/participant’s qualification for VPP.
Mentoring. The assistance that a VPP participant provides to
another employer to prepare that employer for VPP application and/or
to improve that employer’s safety and health management system.
Merit Goal. A target for improving one or more deficient
safety and health management system elements for a participant
approved to the Merit program. A Merit goal must be met in order for
a participant to achieve Star status.
Merit Program. The program within VPP designed for employers
that have demonstrated the potential and commitment to achieve Star
quality, but that need to further improve their safety and health
management system and/or injury and illness performance. OSHA gives
a Merit Program participant specified Merit goals that it must meet
in order to achieve Star status and continue within VPP.
Mobile Workforce Participation. See Way to Participate,
below. A category of participation available to employers whose work
is characterized by short-term operations and employees who move
physically from one work project to another; or resident contractor
operations performed at two or more fixed worksites. Distinguishing
features of mobile workforce participation include a Participation
Plan unique to the applicant/participant and a Designated Geographic
Area (DGA).
Onsite Assistance Visit. A visit to an applicant/participant
by an OSHA VPP Manager, Compliance Assistance Specialist, or other
non-enforcement personnel, to offer assistance including, for
example, help with the VPP application, a records review, and/or
general observations about the employer’s safety and health
management system.
Onsite Evaluation. A visit to an applicant/participant
worksite or headquarters by an OSHA onsite evaluation team to
determine whether the applicant/participant qualifies for initial
approval, continued participation, or advancement within VPP.
Onsite Evaluation Report. A document written by the OSHA
onsite evaluation team and consisting of the site report and site
worksheet. This document contains the team’s assessment of an
applicant/participant’s safety and health management system and
its implementation, a review of injury and illness rates, and the
team’s recommendation regarding approval of the applicant or
reapproval of the participant to VPP.
Onsite Evaluation Team. An interdisciplinary group of OSHA
professionals and sometimes other government employees who conduct
onsite evaluations. The team normally consists of a team leader, a
backup team leader, safety and health specialists, and other
specialists as appropriate.
Outreach. Assistance and information a VPP participant
provides to prospective VPP applicants, other employers, employer and
employee organizations, and the general public, for the purpose of
promoting safety and health principles and practices and VPP.
Outreach activities include, but are not limited to:
1. Conducting VPP workshops at conferences.
2. Conducting safety and health training workshops.
3. Holding community safety days.
4. Serving as an advocate for VPP within the business community.
5. Participation in OSHA Strategic Partnerships, OSHA Challenge, and
Alliances.
6. Making presentations on safety and health topics at conferences
and other venues.
Participation Plan. A unique, written strategy submitted to
OSHA by a mobile workforce applicant as part of its VPP application.
A participation plan:
1. Explains how the applicant’s safety and health management
system protects employees who move from one worksite/project to
another.
2. May include a discussion of safety and
health management system elements that differ in substance or
emphasis from the basic VPP system requirements.
3. Must include a proposed Designated
Geographic Area (DGA) for VPP participation.
A Sample Participation Plan is included in the Mobile Workforce
Application Instructions on OSHA’s VPP website.
Pre-screening. An internal process, applicable to the mobile
workforce and corporate ways to participate, to ensure and verify
that sites/DGAs:
1. Are effectively implementing the applicant/participant’s
safety and health management system policies and procedures.
2. Meet all applicable VPP requirements, including, following
approval, the requirement to continuously improve. For the corporate
way to participate, applicant sites are expected to meet VPP Star
requirements.
3. For the corporate way to participate, that sites/DGAs have
completed the VPP application before submitting it to OSHA
Often used in conjunction with the term “oversight,”, as
in “pre-screening and oversight,” to indicate the
continuing need, following VPP approval, for corporate/DGA monitoring
of participating sites to ensure they maintain and improve their
safety and health management systems.
Process Hazard Analysis (PHA). For the purpose of VPP, a PHA
is an organized and systemic effort to identify and analyze the
significance of potential hazards associated with the processing or
handling of highly hazardous chemicals.
Process Safety Management (PSM). A reference to OSHA standard
29 CFR 1910.119 and 1926.64, which covers all employers who either
use or produce highly hazardous chemicals exceeding specified limits.
PSM Level 1 Auditor.
1. An OSHA employee with experience in the chemical processing or
refining industries. A PSM Level 1 Auditor is responsible for
evaluating employer PSM operations during OSHA VPP visits (or
inspecting PSM operations during OSHA enforcement inspections).
2. Specific requirements for a PSM Level 1 Auditor include:
a. OSHA Training Institute (OTI) Course 3300, Safety and Health in
the Chemical Processing Industries.
b. OTI
Course 3400, Hazard Analysis in the Chemical Processing Industries.
c. Advanced training such as OTI Course 3410, Advanced Process
Safety Management, or other equivalent specialized seminars in PSM.
d. Prior experience with chemical industry safety. This should
include experience obtained in any one of the following ways:
• Through accident investigations in chemical, petrochemical,
or refinery plants involving fires, explosions, and/or toxic chemical
releases;
• Through previous chemical inspections involving process
safety management evaluations; or
• Through previous chemical industry employment.
3. Alternatively, Special Government Employees may serve as PSM
Level 1 Auditors on VPP onsite evaluation teams upon demonstrating
training and experience equivalent to the above requirements.
PSM Supplements.
1. PSM Supplement A. Also known as the PSM Application
Supplement or the static list. A series of questions designed to
establish a basic understanding of a VPP applicant’s PSM
policies and procedures. Applicants covered by the PSM Standard must
submit responses to all questions on the PSM Application Supplement
when they submit their written VPP application.
2. PSM Supplement B. Also known as the PSM Annual
Questionnaire. A document compiled annually by OSHA that uses
selected questions from OSHA’s Dynamic Inspection Priority
Lists, also known as the dynamic question lists. The selected
questions change from year to year. The PSM Questionnaire must be
completed and submitted each year by VPP participants covered under
the PSM standard as part of their annual submission to OSHA.
3. PSM Supplement C. Also known as the PSM Onsite Evaluation
Questionnaire. Questions selected by the VPP Onsite
Evaluation Team Leader and PSM Level 1 or equivalent team
members from OSHA's dormant PSM Inspection Priority Lists,
also known as the dynamic question lists. The questions are selected
just prior to commencing a VPP onsite evaluation and presented to the
VPP applicant/participant during the evaluation. Normally, each
applicant/participant covered by the PSM standard will receive a
different set of questions at the time of the preapproval onsite
evaluation and then during each subsequent onsite reevaluation.
Recommendations. Suggested improvements noted by the onsite
evaluation team that are not requirements for VPP participation but
that would enhance the effectiveness of the applicant/participant’s
safety and health management system. (Compliance with OSHA standards
is a requirement, not a recommendation.)
Resident Contractor. For the purpose of VPP, resident
contractor refers to a company that:
1. Provides ongoing, long term onsite services to a host employer.
2. Normally will occupy a recognizable, delineated work area within
the host employer’s site.
Safety and Health Management System. For the purposes of VPP,
a method of preventing employee fatalities, injuries and illnesses
through the ongoing planning, implementation, integration, and
control of four interdependent elements: Management Leadership and
Employee Involvement; Worksite Analysis; Hazard Prevention and
Control; and Safety and Health Training.
Site-Based Participation. See Way to Participate, below. A
category of VPP participation characterized by fixed, ongoing or
long-term work operations at a single facility. It is available to
employers of private-sector fixed worksites in general industry and
the maritime industry; Federal-sector fixed worksites; and certain
long-term construction worksites. These employers must control site
operations and have ultimate responsibility for assuring safe and
healthful working conditions. Site-based participation also is
available to resident contractors at site-based VPP participants; and
to resident contractors who are part of a larger organization
approved under the corporate way to participate and who operate at a
non-participating fixed worksite.
Small Business. A company having no more than 250 employees
at any one facility, and no more than 500 employees nationwide.
Special Government Employee (SGE). An employee
volunteer from a VPP participant or corporation who is knowledgeable
in safety and health management system assessment, formally trained
by OSHA in the policies and procedures of the VPP, and determined by
OSHA to be qualified to perform VPP onsite evaluations. An SGE may
participate as a team member on VPP onsite evaluations. The OSHA
directive governing the VPP Special Government Employee Program is
CSP
03-01-001, Policies and Procedures Manual for Special Government
Employee (SGE) activity conducted under the auspices of the
Occupational Safety and Health Administration's (OSHA) Voluntary
Protection Program, Jan. 4, 2002.
Star Program. The program within VPP designed for
participants whose safety and health management systems operate in a
highly effective, self-sufficient manner and meet all VPP
requirements. Star is the highest level of VPP participation.
State Plan. A state-operated occupational safety and health
program that has received approval and partial funding from Federal
OSHA. The states that operate approved State Plans are commonly
referred to as State Plan states.
Team Leader. The OSHA staff person who coordinates the OSHA
onsite evaluation team and ensures the performance of all evaluation
activities.
Temporary Employees. Employees hired on a non-permanent basis
by the applicant/participant. Temporary employees are grouped with
regular hires for purposes of calculating employer injury and illness
rates.
Termination. OSHA’s formal removal of a VPP participant
from the program. Alternatively, the act of ending a Demonstration
Program.
Total Case Incidence Rate (TCIR). A number that
represents the total nonfatal recordable injuries and illnesses per
100 full-time employees. This rate is calculated for an individual
worksite, all worksites within an applicant/participant’s
Designated Geographic Area (DGA), or all worksites of an employer for
a specified period of time (usually 1 or 3 years).
VPP Activity Log. The monthly log of VPP activity that is
submitted to DCSP by the Regional Offices.
VPP Annual Data Spreadsheet. The yearly report prepared by
the Regional VPP Manager and submitted electronically to DCSP that
provides information on the annual TCIR and DART rates of
participants.
VPP Application Status Report. A monthly report prepared by
the Regional VPP Manager and submitted to DCSP that provides
information on VPP applications, including the number of applications
pending in the Region and the number of applicants whose onsite
evaluation has not yet begun.
VPP Approval Ceremony. An event planned by the approved
participant and normally held at the participant’s approved
work location or headquarters, where a representative from OSHA
recognizes the participant’s achievement and, for initial
program approvals, presents the VPP plaque and VPP flag.
VPP Automated Data System (VADS). A database that includes
information on approved VPP participants (under Federal or State Plan
jurisdiction) and VPP applicants (under Federal jurisdiction).
VPP Manager. The OSHA employee directly responsible for the
day-to-day operations of the VPP in a particular OSHA Region.
VPP Participant Representative. The applicant/participant
employee designated as the primary contact with OSHA for matters
concerning VPP.
Way to Participate. One of three primary ways an employer may
seek VPP approval. These are: site-based, mobile workforce, and
corporate. The principles and features of VPP-quality safety and
health management systems are generally consistent for all three ways
to participate. There are some differences, however, in the VPP
requirements for system details and implementation and the manner in
which OSHA evaluates applicants/participants.
Withdrawal. Decision by an applicant/participant to
discontinue its VPP application process or its approved
participation.
Worksite. For VPP purposes, a worksite is a location where
work is performed by employees of an employer.
Appendix
B
INJURY
AND ILLNESS RATE CALCULATIONS AND TABLE INSTRUCTIONS
Follow
these steps to complete the injury and illness rate calculation
tables.
1. Estimate
total hours worked annually for each of the last 3 years. If you are
a General Industry, Maritime, or non-construction Federal Agency
site, include temporary and contract employees directly supervised by
your supervisors. If you are a Construction Industry site or a
Federal Agency site where construction is the primary activity,
include all site employees including contractor/subcontractor
employees. All sites must include all overtime and management
staff’s total hours. Enter in the appropriate places in Column
A. Enter the 3-year total at the bottom of Column A.
2. Enter
the total number of recordable nonfatal injuries for each of the last
3 years in Column B. Enter the 3-year total.
3. Enter
the total number of recordable nonfatal illnesses for each of the
last 3 years in Column C. Enter the 3-year total.
4. For
each of the past 3 years, combine the injuries and illnesses and
enter in Column D. Combine the injury and illness 3-year totals and
enter.
5. Calculate
your Total Case Incidence Rate (TCIR) for each of the past 3 years
and for the 3 years combined. Enter in Column E.
To
calculate your TCIR, use the formula (N/EH) x 200,000 where
N
= Sum of the number of recordable non-fatal injuries plus illnesses
in a given time frame (either 1 year for an annual rate or 3 years
for 3-year combined rate).
EH
= Total number of hours worked by all employees in a given time frame
(either1 year for an annual rate or 3 years for a 3-year combined
rate).
200,000
= Equivalent of 100 full-time workers working 40-hours per week, 50
weeks per year.
For
example, to calculate your 3-year combined TCIR:
3-Year
TCIR = [(#inj + #ill) + (#inj + #ill) + (#inj + #ill)] ÷
[Hours + Hours + Hours] x 200,000
6. Repeat
steps 2 to 4, except substitute injuries and illnesses that resulted
in days away from work, restricted work activity, and/or job
transfer. Enter in Columns F, G, and H.
7. Calculate
your incidence rate for days away from work, restricted work
activity, and/or job transfer (the DART rate) for each of the past 3
years and for the 3 years combined. Enter in Column I.
To
calculate your DART rate, use the same formula as in 5. above, except
N
= Sum of the number of all recordable injuries plus illnesses
resulting in days away from work, restricted work activity, and/or
job transfer in a given time frame.
8. Compare
your 3-year rates with your industry’s average rates for the 3
calendar years published most recently by the Bureau of Labor
Statistics (BLS). (The BLS publishes rates by NAICS code each year
in its Occupational Injuries and Illnesses Bulletin and at its
website, www.bls.gov.)
To qualify for VPP Star, both of your 3-year rates must be below the
same 1 year of the 3 most recent published years of specific industry
national averages for nonfatal injuries and illnesses, at the most
precise level available.
9. If,
after completing Table 1 or Table 3, you determine that your 3-year
TCIR, DART rate, or both are at or above your industry’s
average for the 3 years published most recently, you still may
qualify for VPP participation at the Merit level. If this is the
case, specify your short- and long-term goals for reducing your
rates. Within 2 years, you must achieve Star rate requirements, that
is, you must reduce both of your rates to below the industry average
for the same 1 year of the 3 years published most recently. It must
be feasible to reduce your rates sufficiently. Include specific
strategies and actions you intend to take to reduce your rates.
10. Applicable
Contractors: If you are a General Industry, Maritime, or
non-construction Federal Agency site, fill out and maintain Table 2
for each Applicable Contractor at your site. (See Appendix XX for
definition.) You do not need to submit Table 2 with your
application, but you must maintain these tables at your site so that
the OSHA VPP team can review them during your onsite evaluation.
Appendix
C
ALTERNATIVE
RATE CALCULATIONS FOR QUALIFYING SMALL EMPLOYERS
Some
applicants, usually small companies with limited numbers of employees
and/or hours worked, may use an alternative method for calculating
their 3-year incidence rates.
The
alternative method allows the employer to use the best 3 out of the
most recent 4 years’ injury and illness experience.
To
determine whether you qualify for the alternative rate calculation
method, do the following:
V.Using
your company’s actual employment statistics, determine hours
worked during the most recent calendar year by your employees.
Include temporary employees. If you are a construction industry site
or a Federal Agency site where construction is the primary activity,
include all contractors/subcontractors.
VI.Then calculate
a hypothetical TCIR assuming two recordable cases during the year.
VII.Compare
this hypothetical rate to the 3 most recently published years of
Bureau of Labor Statistics (BLS) incidence rates for nonfatal
injuries and illnesses in your industry. Use the most precise
available NAICS code level. If the hypothetical rate (based on two
cases) is equal to or higher than the BLS national average for your
industry in at least 1 of the 3 years, you qualify for the
alternative calculation method. You may use the best 3 of the last 4
calendar years of employee injury/illness experience when calculating
both your 3-year TCIR and your 3-year DART rate.
File Type | application/msword |
File Title | VPP SITE-BASED APPLICATION INSTRUCTIONS |
Author | Patrick Showalter |
Last Modified By | SYSTEM |
File Modified | 2017-11-15 |
File Created | 2017-11-15 |