- Record Type:OSHA Notice
- Current Directive Number:04-06 (CSP 02)
- Old Directive Number:TED 3.6
- Title:Consultation Policies and Procedures Manual Chapter # 4
- Information Date:
December 22, 2005
MEMORANDUM FOR: | DIRECTORATE HEADS DIRECTORS OF FREESTANDING OFFICES |
FROM: | JONATHAN L. SNARE Acting Assistant Secretary |
SUBJECT: | Extension of Consultation Policies and Procedures Manual (CPPM), Chapter 4 until December 31, 2006 |
This memorandum extends the effective date of OSHA Notice 04-06 (CSP 02) entitled: CPPM Chapter 4, issued August 25, 2004 (copy attached), to December 31, 2006, or until superseded by a new directive.
If you have any questions please contact Carolyne K. St.Louis in the Office of Small Business Assistance (202) 693-1768.
Attachment
cc: Izabela Zielinska, Directives Officer
December 22, 2005
MEMORANDUM FOR: | REGIONAL ADMINISTRATORS CONSULTATION PROJECT MANAGERS |
FROM: | JONATHAN L. SNARE Acting Assistant Secretary |
SUBJECT: | Extension of Consultation Policies and Procedures Manual (CPPM), Chapter 4 until December 31, 2006 |
This memorandum extends the effective date of OSHA Notice 04-06 (CSP 02) entitled: CPPM Chapter 4, issued August 25, 2004 (copy attached), to December 31, 2006, or until superseded by a new directive.
If you have any questions please contact Carolyne K. St.Louis in the Office of Small Business Assistance (202) 693-1768.
Attachment
cc: Izabela Zielinska, Directives Officer
OSHA NOTICE
DIRECTIVE NUMBER: 04-06 (CSP 02) | EFFECTIVE DATE: 8-25-04 |
SUBJECT: Consultation Policies and Procedures Manual Chapter # 4 |
Purpose: | This Notice cancels and replaces Chapter 3 (titled Visit-Related Requirements) of the Consultation Policies and Procedures Manual (CPPM), OSHA Instruction CSP 02-00-001 [TED 3.6]. It implements one of fourteen (14) chapters in the CPPM, which provides the overall policy framework for administering the OSHA Consultation Program. This chapter outlines policy for visit related activities. |
Scope: | Notice applies OSHA-wide. |
References: | The IMIS Consultation Data Processing Manual [IRT 01-00-013]; Safety and Health Program Management Guidelines [FR 54: 3904-3916]; Standard Element Paragraph (STEP) Manual [CNS3.6]; 29 Code of Federal Regulations 1908, Cooperative Agreements. |
Cancellations: | Chapter 3 of OSHA Instruction CSP 02-00-001 [TED 3.6], August 06, 2001. |
Expiration Date: | Notice will expire on December 31, 2005. |
State Impact: | States operating Cooperative Agreements under Section 21 (d) of the OSH Act are required to follow the instructions outlined in this Notice. States operating their private sector consultation programs under their State plans with 23(g) funding must have requirements at least as effective as those outlined in this notice. |
Action Offices: | National, Regional, and Area Offices |
Originating Office: | Directorate of Cooperative and State Programs |
Contact: | Office of Small Business Assistance Francis Perkins Building, Room N-3700 200 Constitution Avenue, NW Washington, DC 20210 202-693-2213 |
By and Under the Authority of
John L. Henshaw
Assistant Secretary
This Notice cancels and replaces Chapter 3 (titled Visit-Related Requirements) of the Consultation Policies and Procedures Manual (CPPM), OSHA Instruction CSP 02-00-001 [TED 3.6]. It is one of 14 chapters in the CPPM, which provides the overall policy framework for administering the OSHA Consultation Program. This chapter outlines policy for visit-related activities.
- Information for consultants on how to use the Safety and Health Program Assessment Worksheet (Form 33).
- Procedures for consultants to follow when evaluating employer injury and illnesses rates.
- The elements of safety and health management system have been moved to Chapter 6, Documenting Consultation Services.
- Information on employee participation and employee representation during the visit was added to this chapter.
- Preparation for a Visit
- Research
- Case File
- References
- Sampling Methods
- Survey Materials and Equipment
- Forms and Handouts
- Sampling Equipment
- Consultant Safety and Health Considerations
- Visit Confirmation
- Research
- The Safety and Health Program Assessment Worksheet (Form 33
- Definition
- Worksheet Purpose
- Worksheet Usage?
- Worksheet Training
- Procedures for Completing the Worksheet
- Worksheet Completion
- Worksheet Comments
- Scoring Method
- Attributes to Score
- Safety and Health Program Assessment
- Required Structure of a Visit
- Entry to the Workplace
- Opening Conference
- Introductions
- Employee Participation
- Scope of the Visit
- Employer's Obligations and Rights
- Evaluating Employer's Injury and Illness Rates
- Walk-through of the Workplace
- Hazard Survey
- Documentation
- Recommendation of Interim Protection
- Referrals
- Closing Conference
- Hazard Identified and Date of Correction
- Comments on the Safety and Health Management System
- Additional On-Site Visits
- Training and/or Follow-up Visits
- Transmitting the List of Hazards
Chapter 4, Exhibit 1: Safety and Health Program Assessment Worksheet
Visit-Related Requirements
- Preparation for a Visit
- Research. Each consultant should review and analyze the data collected from the employer on the Request Form (OSHA Form 20). In addition, the following information should be reviewed prior to the visit:
- Case File. The consultant should evaluate all available data for the worksite, including:
- the case files of previous consultations at the establishment.
- the employer's OSHA inspection history by conducting an establishment search on OSHA's IMIS database.
- typical hazards found under the North American Industrial Classification System (NAICS).
- the case files of previous consultations at the establishment.
- References. The consultant should refer to technical reference material about potential hazards and industrial processes that may be encountered and refer to any relevant standards.
- Sampling Methods. Appropriate sampling methods should be reviewed based on past experience and information on the Request Form (OSHA Form 20) from prior Consultation visits as well as any prior enforcement inspection activity.
- Case File. The consultant should evaluate all available data for the worksite, including:
- Survey Materials and Equipment. It is the responsibility of the Consultation Project Manager to ensure that all materials and equipment required for an onsite survey are available to the consultant. The consultant, however, is responsible for taking and using the equipment needed for the onsite visit.
- Forms and Handouts. The consultant should assemble all reports, forms and other materials in sufficient quantity to conduct the onsite survey. (See The IMIS Consultation Data Processing Manual, IRT 01-00-013).
- Sampling Equipment. The Consultant should select the necessary equipment using standard sampling and calibration methods as outlined in the OSHA Technical Manual, OSHA Directives, Wisconsin Occupational Health Laboratory (WOHL) sampling guide, manufacturer's recommendations, and other standard calibration procedures and practices.
- Consultant Safety and Health Considerations. All necessary personal protective equipment must be used. The Consultation Project Manager must ensure that the equipment is usable and that the consultant has been trained in its use and limitations. This includes a pre-visit hazard review with the consultant and the use of appropriate control strategies to reduce exposure to anticipated hazards in the workplace.
- Forms and Handouts. The consultant should assemble all reports, forms and other materials in sufficient quantity to conduct the onsite survey. (See The IMIS Consultation Data Processing Manual, IRT 01-00-013).
- Visit Confirmation. If an employer's requested visit is scheduled thirty days or more after the request date, the requesting employer shall be contacted within five calendar days of the scheduled visit to confirm the visit date. When verifying the scheduled visit, the employer must once again be asked whether any Federal or State OSHA inspection activity is in progress.
- Research. Each consultant should review and analyze the data collected from the employer on the Request Form (OSHA Form 20). In addition, the following information should be reviewed prior to the visit:
- The Safety and Health Program Assessment Worksheet (Form 33). The consultation safety and health process is a complex one. A consultant must be able to properly evaluate the level of safety and health activity taking place in the establishment and assist an employer in developing improvements. A consultant must not only determine hazardous conditions but must also recommend methods for correction/abatement and work to determine and alleviate the root causes of hazardous conditions. The process is complicated even further by a growing emphasis on the consultant's role in assisting in the development of management strategies to produce a safer workplace. Consultants needed a tool to make the safety and health process effective and an evaluation instrument that accurately measured the level of safety and health within an establishment. OSHA responded by organizing and funding the effort to develop a primary tool to be used by all consultants nationwide. The Safety and Health Program Assessment Worksheet hereafter referred to as Worksheet does two things: 1) accurately measures the level of safety and health program elements within an organization (validity) with consistent results (reliability) from one evaluation to another over time.
- Definition. The Safety and Health Program Assessment Worksheet (Worksheet) is an evaluation tool to assess the employer's safety and health management system. Further, it can be used to provide information to an employer on the safety and health management system at one establishment and how it stacks up vis-à-vis other establishments in the same industry. The Worksheet is based on the 1989 Safety and Health Management Guidelines and consists of those elements or attributes used to evaluate a company's safety and health management system. A copy of the Worksheet along with assessment tips is located under Exhibit 1 of this chapter.
- Worksheet Purpose. OSHA had several goals in mind when we embarked upon the development and fine tuning of the Worksheet. First, we wanted to create a milieu where OSHA could provide employers with precise safety and health data that went beyond their establishments but allowed them to compare themselves with other establishments within their NAICS. Second, we wanted to empower our consultants and give them a more confident voice in advising employers on how to prioritize their safety and health expenditures in an effort to receive the greatest benefit for the dollar spent.
- Worksheet Usage? The Worksheet must be used by all 21(d) programs. Those states operating private sector consultation under a 23(g) State Plan, may use the Worksheet, if the consultant has taken the training offered by the OSHA Training Institute. Others are discouraged from using the Worksheet because it has not been tested for reliability or validity outside of the Consultation Program. Worksheets that have been altered for purposes beyond those developed by OSHA should not be used and data from them should not be incorporated into the Integrated Management Information System (IMIS).
- Worksheet Training. Consultants should not attempt to complete the Worksheet and incorporate their findings in the official OSHA data system until they have received formal training on its use and the philosophy behind the attributes. Completion of the Worksheet requires specialized knowledge on how to evaluate the attributes (the safety and health management system elements) and in scoring those attributes. The accumulated data on all Worksheets is collected to establish industry norms, which are used to provide advice to employers and in developing OSHA policies. As a consequence, it is imperative that the data collected on each individual Worksheet is an accurate reflection of the employer's safety and health profile.
- Procedures for Completing the Worksheet. The Worksheet must be completed using the following criteria:
Visit Type Type of Program Assistance is: Complete the following: Initial -- Full Service Comprehensive Specific Entire worksheet All relevant attributes Initial -- Limited Specific All relevant attributes Training and Assistance, Program Assistance Comprehensive Specific Entire worksheet All relevant attributes Training and Assistance, Cited, or, Not Cited N/A Completion of the Worksheet is OPTIONAL Follow-Up N/A Completion of the Worksheet is OPTIONAL
- Worksheet Completion. Consultants are responsible for completing the Worksheet whenever one is required. This can be done by using the web-based system, or, if the web application is not available, a blank Worksheet which can be entered into the data system at a later date. It is more efficient if the consultants enter the data, instead of providing notes to a data entry clerk for completion.
When consultants of different disciplines conduct an initial visit to the same establishment within 90 days of each other, a single Worksheet, representing the mutually agreed upon scores of both consultants, must be sent to the employer. The consultant who completes the first visit will initiate the Worksheet process, but leave the Worksheet in ¿draft¿ in the system. The first consultant will indicate in his/her report to the Employer that a Worksheet is pending, but will be submitted by the second consultant. The consultant of the opposite discipline (¿second consultant¿) will complete the Worksheet and include it in his/her Written Report.
In the event that there are different scores proposed by each consultant for the same attribute, a mutually agreed upon score will be entered onto the Worksheet, and submitted to the employer.
- Worksheet Comments. Although completion of the comment section of the Worksheet is optional, it is highly recommended that this section be used. First, to provide a rationale for the score. Second, to provide employers with meaningful recommendations on how to meet or improve on a specific attribute. Third, an employer may be disappointed because he/she has no guidance on which area to prioritize for action first to improve the overall safety and health profile of the establishment.
- Scoring Method. This scoring method is based on the data collected by the consultant. Only those attributes for which data has been collected during the visits may be scored. A quick summary of the scoring method for the attributes follows:
Zero means that no safety or health procedures/policies are even partially present to correct this hazard. (No Activity)
One means that some safety or health procedures/policies are present although major improvements are needed. (Little Activity)
Two means that considerable safety or health procedures/policies are present with only minor improvements needed. (Most Activity Completed)
Three means that no additional safety or health procedures/policies are needed at this time. (No Additional Activity Needed)
In some instances no information is collected or observed on a particular attribute. When this is the case no score is required on the Worksheet and the score remains at the default value of ¿Not Evaluated¿ (N/E). Consultants and Consultation Project Managers should be aware that the collection of data impacts national norms for industries and national policy decisions. Therefore, only factually based scores should be recorded in the IMIS. Consultant are discouraged from ¿guessing ¿at the score, it is critical to have primary source documents, interview notes or observations for all scores. Our preference is for high quality data over a large number of poorly completed Worksheets. No attribute may be modified or deleted and all attributes must be scored using the method outline above.
- Attributes to Score. Although there is no nationwide policy concerning the minimum number of attributes to score on any single visit, states may set more stringent policies. The Consultation Project Manager may direct consultants to complete a specified number of attributes, or identify specific attributes, which must always be scored. Even though we must rely on your professional judgment, as you are our eyes and ears on-site, a high performing Consultation Project will score an average of 8-12 attributes per visit. It is critical that we collect data nationally on all aspects of an employer's safety and health management system; consultants are urged to score the Worksheet using a broad distribution of attributes and they should avoid the repetitive scoring of the same attribute during every visit, unless it is required by the state. Consultants are not limited to one section of the Worksheet they can score any attribute for which they can find appropriate support (policy, procedure, observation or interview). Finally, we need to view this from the employer's perspective; receiving a Worksheet with 3-6 scored attributes out of 58 attributes can be discouraging and disappointing for the employer and may stifle creativity in the safety and health area.
- Safety and Health Program Assessment. The Worksheet does not replace the Safety and Health Program Assessment section of the Written Report. This section of the report is used to discuss the employer's overall safety and health system. However, this section of the Written Report should be consistent with the Worksheet using the same seven subdivisions contained in the Worksheet.
- Definition. The Safety and Health Program Assessment Worksheet (Worksheet) is an evaluation tool to assess the employer's safety and health management system. Further, it can be used to provide information to an employer on the safety and health management system at one establishment and how it stacks up vis-à-vis other establishments in the same industry. The Worksheet is based on the 1989 Safety and Health Management Guidelines and consists of those elements or attributes used to evaluate a company's safety and health management system. A copy of the Worksheet along with assessment tips is located under Exhibit 1 of this chapter.
- Required Structure of a Visit. The onsite visit must proceed according to the following sequence.
- Entry to the Workplace. Upon arrival at the worksite, the consultant must introduce him or herself and produce official state identification which, at a minimum, identifies the consultant's name, employer, and place of employment.
- Opening Conference. The first phase of the onsite visit is the opening conference with the employer or an authorized employer's representative. This person must have the authority to make safety and health decisions and be authorized to implement these changes. The opening conference helps to establish a clear understanding of the purpose of the visit and its procedures. It provides an opportunity to gain the employer's trust and allows the consultant to confirm the scope of the request and to review with the employer the terms of the visit.
- Introductions. The consultant must identify himself or herself and any one else participating in the visit. The employer, other company representatives, and employees or employee representative(s) must be identified and their names recorded in the case file notes.
- Employee Participation. Employee participation is required during all on-site visits. Requirements vary according to whether the site has a recognized employee representative, as explained below.
If: then: the site has a recognized employee representative an employee representative of affected employees must be afforded an opportunity to participate in the opening and closing conferences and to accompany the consultant and the employer's representative during the physical inspection of the workplace. In the interest of time and clarity, the consultant should encourage joint opening and closing conferences. If there is an objection to a joint conference, the consultant must conduct separate conferences with the employer and the employee representative. The consultant may increase the number of employee participants during the hazard survey if he/she determines that additional representatives will improve the quality of the visit. The consultant may confer privately with the employee representative. the site has no recognized employee representative the consultant must confer with a reasonable number of employees during the course of the visit in order to identify and judge the extent of particular hazards within the scope of the employer's request and to evaluate the employer's safety and health management system. The employer must agree to permit such contact in order for the visit to proceed.
- Scope of Visit. The scope of the visit must be discussed with the employer and any employee representatives of affected employees based on the type of visit that the employer has requested. On an initial visit requesting limited service, the consultant should strongly recommend the benefits of a full service visit. If the scope of the visit is modified, the consultant must re-evaluate the use of the Worksheet based on the criteria outlined in Paragraph II of this chapter.
- Employer's Obligations and Rights. The consultant must discuss the obligations and rights as outlined in Chapter 3, Paragraph II, (A-L), which the employer must agree to in order for the consultation visit to continue.
- Evaluating Employer's Injury and Illness Rates. If the employer did not provide the Log of Work-Related Injuries and Illnesses (Form 300) information before the visit, the consultant must review the employer's current and previous three (3) years Form 300 (and/or 200) logs to determine the employer's rates. The consultant must calculate the rates, compare them to the national average for the employer's NAICS, and inform the employer of the results. Employers that fall below the threshold for keeping records should also have their rates assessed. In these cases the consultant must make an effort to estimate the previous years' injury and illness rates and record the data into the IMIS.
- Introductions. The consultant must identify himself or herself and any one else participating in the visit. The employer, other company representatives, and employees or employee representative(s) must be identified and their names recorded in the case file notes.
- Walk-through of the Workplace. This phase of the onsite process allows the consultant to become familiar with the worksite. If a hazard is identified but employee exposure is not observed, the consultant must document the hazard and require corrective action by the employer. During the walk-through of the workplace, the consultant must conduct the following activities:
- Hazard Survey. The consultant must bring identified hazards to the attention of the employer and the employee representative(s) at the time they are recorded. If an imminent danger exists, exposed employees must be informed and the employer must remove them from exposure immediately. Failure to remove employees from an imminent danger area must result in referral to enforcement.
- Documentation. The consultant must record all facts pertinent to the identified hazard(s) in field notes to be included in the case file. All field notes, observations, analyses, written documentation, videotapes, photographs, sketches, and hazard descriptions are part of the survey record and must be retained in the case file. The consultant must document as much information as necessary to establish the specific characteristics of each identified hazard. If the employer or the employer's representative corrects the hazard "on the spot," the consultant must note the hazard and the correction method in the field notes.
- Recommendation of Interim Protection. The consultant must indicate in the case file notes whether interim protection is required, the nature of the recommended interim protection, and the date the interim protection must be in place.
- Referrals. The consultant must note potential health/safety problems for referral to a health/safety consultant within the scope of the visit.
- Hazard Survey. The consultant must bring identified hazards to the attention of the employer and the employee representative(s) at the time they are recorded. If an imminent danger exists, exposed employees must be informed and the employer must remove them from exposure immediately. Failure to remove employees from an imminent danger area must result in referral to enforcement.
- Closing Conference. In the closing conference, the consultant must conduct the following activities:
- Hazard(s) Identified and Date of Correction. Discuss the classification of identified hazards, possible methods of correction and mutually agree upon correction dates for all serious hazards. The correction due date(s) for serious hazards must be for the shortest feasible time frame. Hazard correction due dates are computed during the closing conference. The employer must start correcting hazards immediately instead of waiting for the written report which includes the list of hazards. Other than serious hazards and violations of OSHA regulatory standards must also be brought to the attention of the employer. In addition the consultant must inform the employer that other than serious hazards and regulatory standards violations must be corrected in the shortest time frame. Failure to correct these hazards and regulatory violations can be cited by OSHA enforcement.
- Comments on the Safety and Health Management System. Describe the adequacies and deficiencies of the employer's safety and health management system and make recommendations to resolve any deficiencies identified.
- Additional Onsite Visits. Discuss with the employer the extent to which additional onsite visits may be needed for training or for the verification of hazard correction.
- Training and/or Follow-up Visits. Develop a schedule with the employer for training and assistance or follow-up visits, as needed.
- Hazard(s) Identified and Date of Correction. Discuss the classification of identified hazards, possible methods of correction and mutually agree upon correction dates for all serious hazards. The correction due date(s) for serious hazards must be for the shortest feasible time frame. Hazard correction due dates are computed during the closing conference. The employer must start correcting hazards immediately instead of waiting for the written report which includes the list of hazards. Other than serious hazards and violations of OSHA regulatory standards must also be brought to the attention of the employer. In addition the consultant must inform the employer that other than serious hazards and regulatory standards violations must be corrected in the shortest time frame. Failure to correct these hazards and regulatory violations can be cited by OSHA enforcement.
- Transmitting the List of Hazards. The Consultation Project Manager must forward a List of Hazards to the employer and the employee representative. If there is a delay in producing the Written Report, which includes the list of hazards, a separate List of Hazards report must be produced within a reasonable period of time (not greater than twenty calendar days) after the closing conference.
- Entry to the Workplace. Upon arrival at the worksite, the consultant must introduce him or herself and produce official state identification which, at a minimum, identifies the consultant's name, employer, and place of employment.