OSHA Form 171 Clean Version

---

Overview

OSHA QPR FORM 171
OSHA FORM 171 INSTRUCTIONS

---

Sheet 1: OSHA QPR FORM 171

Grantee Quarterly Progress Report			U.S. DEPARTMENT OF LABOR
			Occupational Safety and Health Administration
1. GRANTEE NAME				2. GRANT NUMBER		3. REPORTING PERIOD
						From:	To:
TRAINING SESSIONS
4. DATE	5. LOCATION		NUMBER IN ATTENDANCE			CONTACT HOURS
			6. EMPLOYEES	7. EMPLOYERS	8. TOTAL	9. CLASS LENGTH (hours and quarter hours)	10. TOTAL
	11. TOTAL FOR REPORTING PERIOD		0	0	0		0.00
	12. PLAN FOR QUARTER
	13.PERCENT OF PLAN ACCOMPLISHED				#DIV/0!		#DIV/0!
14. GRANTEE SIGNATURE						15. DATE
and TITLE
Name of the authorized staff member, i.e., Authorized Representative or Project Director.
Submit via the authorized staff member’s organizational email address.
INSTRUCTIONS
Instructions for the Grantee Quarterly Progress Report (OSHA 171 and Narrative Report) are contained on the reverse of this form.
RETURN THE COMPLETED FORM TO THE OSHA REGIONAL OFFICE ADMINISTERING YOUR GRANT.
PAPERWORK REDUCTION ACT NOTICE
Form Approved. OMB No. 1218-0100 Expires 9/30/2026
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. This information is being collected so that OSHA can monitor grantee progress in meeting grant workplans, to evaluate the overall effectiveness of the grant program, and, when applicable, to be used as one factor in determining continued funding of the grant. The grant program provides training for employers and employees in the recognition, avoidance, and prevention of unsafe and unhealthful working conditions in accordance with Section 21(c) of the Occupational Safety and Health Act. This collection of information is required to obtain or retain a benefit (29 CFR 95.51 (b) and (d)). This collection of information is not confidential. We estimate it will take an average of 17 hours to complete this information collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Directorate of Training and Education, 2020 S. Arlington Heights Road, Arlington Heights, IL 60005, and/or to the Department of Labor, Office of IRM Policy, Room N-1301, 100 Constitution Avenue, NW, Washington, DC 20210.
							OSHA 171 Revised March 2025
			Previous editions may not be used

---

Sheet 2: OSHA FORM 171 INSTRUCTIONS

INSTRUCTIONS FOR PREPARING GRANTEE QUARTERLY PROGRESS REPORTS
I.  FREQUENCY OF REPORTING		6.  Item 9. Contact Hours, Class Length (hours and quarter hours). Enter the
A Grantee Quarterly Progress Report (OSHA 171 and Narrative Report) is to be		number of contact hours for each training session. Training less than .5
completed for each grant at the end of each Federal fiscal quarter.		hours cannot be counted. Partial hours should be rounded to the nearest
Federal fiscal quarters end on December 31, March 31, June 30, and		quarter hour, for example, 1.25, 1.5, or 1.75.
September 30. An electronic copy of each report is to be received by the		7. Item 10. Contact Hours, Total: This is calculated automatically.
Regional Office administering the grant no later than the thirtieth of the		For each line, this multiplies the total number of contact hours by the
month following the end of the Federal fiscal quarter, i.e., January 30, April 30,		total number of trainees.
July 30, and October 30.		8. Item 11. Total for Reporting Period. This is calculated automatically.
		Enter the sum of the entriesin each of the following four columns:
II.   TIME PERIOD COVERED BY REPORTS		6. Employees, 7. Employers, 8. Total, and 10. Total.
		9. Item 12. Plan for Quarter. Enter the total numbers (employees and
Reports will cover only the activities conducted during the quarter for which		employers) planned to be trained and the total number of planned
the report is being submitted.		contact hours during the quarter. This information is to be obtained
		from the approved grant application.
III.   RECORDKEEPING REQUIREMENTS		10. Item 13. Percent of Plan Accomplished. This is calculated automatically.
		Enter the percentage that line 11 is of line 12.
Grantees are required to keep records to support the information contained in
the Grantee Quarterly Progress Report. For example, a sign-in sheet for		C.  Signature Element.
participants at a training session that shows whether the participant is an
employee or an employer and notes the date, location, training subject,		1.  Item 14. Grantee Signature. Signatures may be an electronically signature
trainer’s name(s) and scheduled beginning and ending time of the session is		or the typed name of an authorized staff member (authorized representative
sufficient documentation. Attendees should include legible first and last		or project director) of the grantee and forwarded to the Regional office
names and the sign-in sheet should be signed by the trainer(s) to verify		via the authorized staff member’s organizational email address.
accuracy. Records must be kept for three years after grant closeout or final		2. Item 15. Date. Enter the date the report is signed.
audit, whichever is later.
		VI.   NARRATIVE REPORT
IV.   METHOD OF REPORTING
		In the narrative report, grantees are to provide descriptive information about
Grantees are required to submit form OSHA 171 in electronic format to their		their progress in achieving work plans, any deviations from plans, and
Regional Office by the end of the fiscal quarter as described in I.		important activities. Reports should follow the format below.
FREQUENCY OF REPORTING. All sections for the form must be filled out
completely.		A.  Identifying Information. Provide the name of the grantee organization, the
		grant number that appears on the Grant Agreement face sheet for the
V.   OSHA FORM 171		current grant year, and the reporting period, which is the first and last
		dates of the quarter covered by the report. Example: from 4/1/21 to 6/30/21.
A.  Identifying Information.
		B.  Capacity Building Activities (Required by Capacity Building Grants only)
1.  Item 1. Grantee Name. Enter the name of the grantee organization.		Describe institutional capacity building activities conducted during the
2.  Item 2. Grant Number. Enter the grant number that appears on the		quarter. Compare the timeframe of the activities to those presented in the
Grant Agreement face sheet.		approved grant application.
3.  Item 3. Reporting Period. Enter the first and last dates of the quarter
covered by the report, for example, from 4/1/01 to 6/30/01.		C.  Needs Assessment (Required by Capacity Building Grants only).
		Describe the needs assessment process conducted during the quarter,
B.  Training Sessions		the results of the needs assessment or update, and how the results will
		be used to develop training materials and training, as applicable.
A training session is the presentation of occupational safety and health
information to a group of people. Do not count conferences or needs		D.  Training. Describe efforts made to reach the target audience, to make
assessments as training sessions. Use a separate line for each training		them aware of the training, and to enroll them in training. Discuss the
session. If necessary, continue on an additional form. Training sessions for		training conducted during the quarter including the language of the
the same group of trainees that are conducted on more than one day are not		training session. Provide a summary of the subject matter, the type of
to be reported until they are completed. Sessions are to be reported in the		training (e.g., train-the-trainer, hazard recognition), and who attended
quarter in which they end. A separate OSHA FORM 171 is required to be		(e.g., employers, building trades workers). Provide aggregated ethnicity
submitted for each type (or tier) of training conducted in a quarter.		and race data details.
1.  Item 4. Date. Enter the date the training session ended.		E.  Training Materials/Curriculum. Provide information about training
2.  Item 5. Location. Enter the name (or two-letter abbreviation) of the		materials in development and any training or assessment materials
state where the training session was held.		changes that are being made to improve the materials as a result of
3.  Item 6. Number in Attendance: Employees. Enter the number of who		feedback.
employees who attended the training session. An employee is a worker
does not meet the definition of an employer. First-line supervisors		F.  Evaluation Activities. Discuss evaluation activities conducted during the
are to be included as employees. Attendees not covered under the OSH		quarter. Describe the results of the Level 1, 2, and 3 evaluations obtained
Act cannot be counted.		Only Capacity Building Developmental grants are required to conduct
4.  Item 7. Number in Attendance: Employers. Enter the number of		Level 3 evaluations. Results should be summarized in the report.
employers who attended the training session. An employer is a person,
other than a first-line supervisor, who is responsible for the work flow		G.  Other Educational Activities. Discuss any educational activities that are
of two (2) or more persons, including responsibility for rating the		being conducted other than training or developing training materials.
performance of those persons working for the employer. Attendees not		Examples include on-site consultation, assisting an organization in the
covered under the OSH Act cannot be counted.		implementation of a safety program, or operating library services.
5. Item 8. Number in Attendance: Total. Enter the sum of the entries in
each of the columns 6. Employees and 7. Employers. This is calculated		H.  Planned vs. Actual. Describe progress in meeting plans as contained in the
automatically in the electronic form once the number of contact hours		approved grant. Specify where plans are not being met and discuss the
for the training session is completed for column 9. Class Length.		corrective action that is being taken to meet plans. Where corrective
		actions have already been taken, indicate if they were successful. In
		addition, discuss grant successes, either where plans were exceeded or
		where significant accomplishments were achieved.
OMB No. 1218-0100 Previous Editions may not be used OSHA 171 Revised March 2025