ALLIANCE ANNUAL REPORT

Regional/Area Office Alliances


The Occupational Safety and Health Administration (OSHA)
and [Alliance Participant]

[Date of Report]

  1. Alliance Background

    1. Date Signed

      [Initial signing date]

    2. Dates Renewed

      [Renewal date. If Alliance has been renewed more than once, use a bulleted list. If alliance has not been renewed yet, you may delete this section.]

    3. Evaluation Period

      [Opening date – Closing date]

    4. Alliance Overview and Goals

      [Brief summary of the purpose and scope of the Alliance – from the Alliance agreement.]

  2. Implementation Team Meetings
     
    • [Date]
    • [Date]

    In addition to these formal meetings, the Alliance coordinators from both groups maintained regular contact throughout the reporting period to monitor the Alliance’s progress and results.

  3. Results of Alliance Activities in Support of Agreement Goals

    Dissemination: Alliance Program participant shared information on OSHA-developed or OSHA Alliance Program-developed tools and resources, OSHA standards/rulemakings, enforcement, or outreach campaigns.

    Dissemination
    Dissemination Type 1 Date Description Emphasis Area(s) Number Reached (numeric value) Additional Information (Optional)
               
               
               
               
     

    Outreach Events and Training for non-OSHA Staff: Alliance Program participant or OSHA participation in events including speeches/presentations, exhibits, roundtables, conferences, informational webinars or other meetings or training in support of the Alliance or an OSHA initiative.

    Outreach Events and Training for non-OSHA Staff
    Activity Type 2 Date Event Name Representative Name(s) and Affiliation(s) Title of Presentation (if applicable) City State Emphasis Area(s)  Number Reached (numeric value) Additional Information (Optional)
                       
                       
                       
                       
     

    Training for OSHA Staff: Alliance Program participant provided training or assistance in training OSHA and OSHA-affiliated staff (including state plan and/or On-site Consultation Program representatives).

    Training for OSHA Staff
    Training Type 3 Date Name/Title of Trainer Training Title Audience: OSHA/
    State Plan/
    Consultation    		 City State Emphasis Area(s)  Number Reached (numeric value) Additional Information (Optional)
                       
                       
                       
                       


     
  4. Alliance Developed Products
    [List any Alliance products developed by the Alliance Program participants during the timeframe of the reporting period. If none, you may delete this section.]

    Report prepared by: [Alliance Coordinator, title, Office, date].

1 Dissemination types may include newsletters, email blasts, blog posts, social media (e.g., Twitter, Facebook, LinkedIn), etc.
2 Activity types may include events, speeches/presentations, exhibits, stand-downs, seminars, webinars, online courses, etc.
3 Training types may include seminars, webinars, online courses, etc.