ࡱ> @B;<=>? hbjbj ZnhhI,,ooooo4h ',?0St/L0004xW67X ? ? ? ? ? ? ?@C ?]o[7_4@4@[7[7 ?oo00Lj?===[7Xo0o0 ?=[7 ?===0gA7=>?0?=.D8.D=.Do=x[7[7=[7[7[7[7[7 ? ?=[7[7[7?[7[7[7[7.D[7[7[7[7[7[7[7[7[7, 5:  Instructions for using the Safety and Health Program Assessment Worksheet This Oregon OSHA Safety and Health Program Assessment (S&HPA) Worksheet is designed as a tool for use in conducting assessments of an employers safety and health program in order to evaluate the effectiveness of that employers safety and health management system. A Safety and Health Program Assessment (S&HPA) is an assessment of the companys safety and health management system (using the Safety and Health Program Assessment Worksheet). A S&HPA can be done during a comprehensive consultation or independently of a comprehensive consultation. SHARP companies or companies working toward SHARP must have a full assessment, meaning to have all 58 elements evaluated. All completed assessment forms should have some justification and/or recommendations under the comment section for questions rated as 0 and 1. All completed assessments should be included and/or referenced in the report sent to the employer. Instructions for using the worksheet are as follows: Categories: The S&HPA Worksheet is divided into the following seven categories (or elements): I Hazard Anticipation and Detection, II Hazard Prevention and Control, III Planning and Evaluation, IV Administration and Supervision, V Safety and Health Training, VI Management Leadership, and VII Employee Participation. There are several attributes or sub-elements in each category. Attributes: Each attribute or sub-element is listed as a survey question. All 58 attributes are positive statements that the evaluator agrees with varying degrees of continuity. The 58 attributes are considered building blocks to effective safety and health management systems. Rating Instructions: Each survey question or attribute has six possible ratings: 0, 1, 2, 3, NA, or NE. The value for each rating is described in the following table. Rating Description  Descriptor 0 No discernable or meaningful indication that the item is even partially in place No or None 1 Some portion or aspect is present, although major improvement is needed Mostly No Some 2 Item is largely in place, with only minor improvements needed Yes or Most 3 Item is completely in place  Mostly Yes All NE Not Evaluated: Recognizes that comprehensive evaluations can be incremental  Not Evaluated NA Not Applicable: Must have justification in the comments box why the item is not applicable  Not Applicable Using your best professional judgment rate each attribute based on the information obtained during the consultation. To rate an attribute, simply put an X in the box under the desired rating indicator. Rating Cues: The bits of information obtained in the assessment are rating cues. A rating cue is a fact or perception that prompts and supports the rating of a relevant topic. Each attribute is worded as a positive statement. All rating cues will either confirm (support) or negate (deny) the statement. The cues give weight to the rating for the individual attributes. Cues confirm or deny: the existence of the attribute; the extent of the attribute; the character of the attribute; and, the effect of the attribute. Cues are found in observations and measurements, interviews, and reviews of documentation. There can be multiple cues: initial cues, corroborating cues; and conflicting cues. The following table illustrates how cues are used to rate attributes. Rating Value  0 Eliminated by a single CONFIRMING cue 1 Requires a few CONFIRMING cues and one or more NEGATING cues 2 Requires multiple CONFIRMING cues and a few NEGATING cues 3 Eliminated by a single NEGATING cue Comments: The comment section is to be used to give the employer recommendations on how to improve in this specific attribute. Ratings that are 0 or 1 should include a recommendation for improvement. The only time the consultant must justify a rating is when NA is marked. Some Suggestions: In reality, there is a very small gap between the 0 (zero) rating and the 1 (one) rating and between the 2 (two) rating and the 3 (three) rating. There is a large gap between the 1 (one) rating and the 2 (two) rating. That gap is the difference between mostly no and mostly yes. Look for things that are done well. Reinforce these things with personnel for their good efforts. The more you can encourage small positive steps, the greater chance that significant positive change will follow and the greater the opportunity to return and provide comprehensive assistance. Consider using the Assessment Tips from the Oregon OSHA SHARP web page to help you as you complete the Safety and Health Program Assessment Worksheet. The document contains assessment tips for each of the 58 elements and includes cross references to like or similar items. Also, consider using the Attributes of Excellence from the Oregon OSHA SHARP web page. That document contains many best practices or attributes that are indicators of effective programs. The Attributes of Excellence can also offer suggestions of ways to improve your rating in each of the 58 sub-elements. Finally, consider mentoring with another SHARP company or an Oregon SHARP Alliance member. Those companies can be linked to from the Oregon OSHA SHARP web page as well. Mentoring between SHARP companies is encouraged by Oregon OSHA and has proven to be beneficial to both those companies being mentored as well as those companies doing the mentoring. SHARP Assessment Tools  HYPERLINK "http://www.orosha.org/pdf/sharp/sharpassesstips.pdf" Assessment Tips www.orosha.org/pdf/sharp/sharpassesstips.pdf   HYPERLINK "http://www.orosha.org/pdf/sharp/attributesx58.pdf" Attributes of Excellence www.orosha.org/pdf/sharp/attributesx58.pdf Safety and Health Program Assessment Worksheet Employer  FORMTEXT       Visit Date  FORMTEXT       Site Location  FORMTEXT       Consultant  FORMTEXT       Contact Person  FORMTEXT       Consultation Report #  FORMTEXT       SIC  FORMTEXT       Total Employees  FORMTEXT       Interviewed  FORMTEXT       Legend: 0 = No 1 = No, Needs major improvement NA= Not Applicable* 2 = Yes, Needs minor improvement NE = Not Evaluated* 3 = Yes *NOT FOR USE WITH SHARP I. Hazard Anticipation and Detection0123NANE1. A comprehensive, baseline hazard survey has been conducted within the past five (5) years.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 2. Effective safety and health self inspections are performed regularly.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 3. Effective surveillance of established hazard controls is conducted.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 3. Effective surveillance of established hazard controls is conducted.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 4. An effective hazard reporting system exists.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 5. Change analysis is performed whenever a change in facilities, equipment, materials, or processes occurs.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 6. Accidents are investigated for root causes.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 7. Material Safety Data Sheets are used to reveal potential hazards associated with chemical products in the workplace.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 8. Effective job hazard analysis is performed.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 9. Expert hazard analysis is performed.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 10. Incidents are investigated for root causes.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  II. Hazard Prevention and Control0123NANE11. Feasible engineering controls are in place.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 12. Effective safety and health rules and work practices are in place.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 13. Applicable OSHA-mandated programs are effectively in place.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 14. Personal protective equipment is effectively used.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 15. Housekeeping is properly maintained.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 16. The organization is properly prepared for emergencies.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 17. The organization has an effective plan for providing competent emergency medical care to employees and others present at the site.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 18. Effective preventive maintenance is performed.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 19. An effective procedure for tracking hazard correction is in place.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  III. Planning and Evaluation0123NANE20. Workplace injury/illness data are effectively analyzed.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 21. Hazard incidence data are effectively analyzed.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 22. A safety and health goal and supporting objectives exist.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 23. An action plan designed to accomplish the organizations safety and health objectives are in place.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 24. A review of in-place OSHA-mandated programs is conducted at least annually.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 25. A review of the overall safety and health management system is conducted at least annually.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  IV. Administration and Supervision0123NANE26. Safety and health program tasks are each specifically assigned to a person or position for performance or coordination.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 27. Each assignment of safety and health responsibility is clearly communicated.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 28. An accountability mechanism is included with each assignment of safety and health responsibility.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 29. Individuals with assigned safety and health responsibilities have the necessary knowledge, skills, and timely information to perform their duties.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 30. Individuals with assigned safety and health responsibilities have the authority to perform their duties.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 31. Individuals with assigned safety and health responsibilities have the resources to perform their duties.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 32. Organizational policies promote the performance of safety and health responsibilities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 33. Organizational policies result in correction of non-performance of safety and health responsibilities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  V. Safety and Health Training0123NANE34. Employees receive appropriate safety and health training.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 35. New employee orientation includes applicable safety and health information.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 36. Supervisors receive appropriate safety and health training.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 37. Supervisors receive training that covers the supervisory aspects of their safety and health responsibilities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 38. Safety and health training is provided to managers.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 39. Relevant safety and health aspects are integrated into management training.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  VI. Management Leadership0123NANE40. Top management policy establishes clear priority for safety and health.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 41. Top management considers safety and health to be a line rather than a staff function.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 42. Top management provides competent safety and health staff support to line managers and supervisors.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 43. Managers personally follow safety and health rules.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 44. Managers delegate the authority necessary for personnel to carry out their assigned safety and health responsibilities effectively.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 45. Managers allocate the resources needed to properly support the organizations safety and health system.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 46. Managers assure that appropriate safety and health training is provided.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 47. Managers support fair and effective policies that promote safety and health performance.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 48. Top management is involved in the planning and evaluation of safety and health performance.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 49. Top management values employee involvement and participation in safety and health issues.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments:  VII. Employee Participation0123NANE50. There is an effective process to involve employees in safety and health issues.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 51. Employees are involved in organizational decision-making in regard to safety and health policy.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 52. Employees are involved in organizational decision-making in regard to the allocation of safety and health resources.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 53. Employees are involved in organizational decision-making in regard to safety and health training.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 54. Employees participate in hazard detection activities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 55. Employees participate in hazard prevention and control activities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 56. Employees participate in the safety and health training of co-workers.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 57. Employees participate in safety and health planning activities.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Comments: 58. Employees participate in the evaluation of safety and health performance.  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A 3?NG pdf-16x16 H?`T `TI`T`TOYv/`TC"`?B S  ?"J@SC@;8+s8+semployersitedate visitdatelocationsiteloc consultant conslutantcontact_person contactperson report_nosicText2totalText3 interviewedText4 QuickMarkText63 report_no1 employer1   01RSwxsIIIJ   0CRewIIIJIIIIIIIIIIIIJJ   ",,i4i4D9D9AAIIIIIIIIIIIIIIIIIIIJJJ3nBV, ? DF !0FRgwHR FP9C 1!;!A!G!e!f!g!t!""""##@$J$N$w$$$%%&&J'T' (((J((())=+G+,,,,,--'-....//001122u33[4e444E5O5666677k8u869@9F9c9d9q9*:4:: ;;;<<==~>>F?P?@(@@AAAABBBBBCCDDEE9FCFFGGGHHIISIZIIIIIIIIIIIIIIIIIIIJJJXW %LWn3 2k + ' cdQjFf~~f/#z%F%01x3Ub8f;j~=>w?puEU.GjDG_YH L}?NPXZ^+!^0bFdQf# j1j(nfww$y:n|p~37f^& F]t0r[Qe|@C!hPAc)% >%! dfIfIƙ2Q HX $PjDG2!xx&Safety and Health Assessment Worksheet Mark HurlimanTawnya SwansonOh+'0   8D d p |(Safety and Health Assessment WorksheetMark Hurliman normal.dotmTawnya Swanson71Microsoft Office Word@rDW@&@>@ _A >GVT$m  E&" WMFC 4A4al'3VT$m EMF4a'3\KhC   '3% %  Rp8@Times New Roman O`2 lO`2 w/1 gx/1G* Times ew Roman0j:'1lly%1gdv% % %  TT<#\0#<1@E@<#1L'3P1ntdTT#\0#<1@E@#1L'3P / [!'3"  Rp@Times New Roman O`2 lO`2 w/1 gx/1G* Times ew Roman0j:'1lly%1gdv% % % TT\@E@L'3P dq T@E@L'3Instructions for using theS}aES}oEE}}a?S}S?}aE}}?E}oTT@@E@L'3P uq % % % T` (@E@ .L'3Safety and Health Program Assessment WorksheetoSoE}?o}}?ooEE}?S}}So?aaoaao}E?}S}a}ooE% % % TT=<@E@L'3P g/[ TT81@E@8L'3P ro[ TT8@E@8L'3P [ Rp(@Times New Roman O`2 lO`2 w/1 gx/1G* Times ew Roman0j:'1lly%1 gdv% % % T8 @E@8 KL'3This Oregon OSHA Safety and Health Program Assessment (S&HPA) Worksheet is enl<T6H`lll6x6x`H`<l6`ll6``<<l6xHllH`6TT`TT`l<6HxxH6lHlTl``<6<T6 T\8 ! @E@8 XL'3designed as a tool for use in conducting assessments of an employer s safety and health l`T<ll`l6`T6`6<ll<6HlH6lT`6<l6`llll`<<ll6`TT`TT`l<T6lH6`l6`l<ll`HHT6T`H`<l6`ll6l``<<l6 T8 @E@8 L'3lprogram in orderlHllH`6<l6lHl`HTT # @E@ L'3P en6T$ 5 @E@$ CL'3to evaluate the effectiveness of that employer s safety and health ti<l6`l`<l`<`6<l`6`HH``<<l`l`TT6lH6<l`<6`l<ll`HHT6T`H`<l6`ll6l``<<l6 T8 @E@8 L'3tmanagement system. `l`l``l<6TlT<`666TT  @E@ L'3P atb TT8  @E@8 L'3P b T48 !@E@8QL'3A Safety and Health Program Assessment (S&HPA) is an assessment of the company s g"6x`H`<l6`ll6``<<l6xHllH`6TT`TT`l<6HxxH6<T6`l6`TT`TT`l<6lH6<l`6`ll`llHT6 TD8Q"@E@8TL'3safety and health management system (using the Safety and Health Program Assessment T`H`<l6`ll6l``<<l6`l`l``l<6TlT<`6HlT<ll6<l`6x`H`<l6`ll6``<<l6xHllH`6TT`TT`l<6 TT8@E@8L'3PWteTLm#@E@UL'3orksheet). A S&HPA can be done during a comprehensive consultation or independently xlHlTl``<H6666xx6``l6l`6lll`6llH<ll6`6`llH`l`lT<l`6`llTl<<`<<ll6lH6<ll`l`ll`l<<l6 T8@E@8"L'3of a comprehensive consultation. lH6`6`llH`l`lT<l`6`llTl<<`<<ll666TT+@E@L'3P b TT8@E@8L'3P reb T(8!@E@8OL'3SHARP companies or companies working toward SHARP must have a full assessment, lexx6`ll`l<`T6lH6`ll`l<`T6lHl<ll6<l`Hl6xx6lT<6l`l`6`6Hl<<6`TT`TT`l<66 TP8@E@8+L'3meaning to have all 58 elements evaluated. am``l<ll6<l6l`l`6`<<&" WMFC 4!4a6ll6`<``l<T6`l`<l`<`l66TTY@E@L'3P b T87@E@8 L'3dAll completes<<6`ll<`<T8g"@E@8JL'3ed assessment forms should have some justification and/or recommendations `l6`TT`TT`l<6HlHT6Tlll<l6l`l`6Tl`6<lT<<H<``<<ll6`ll<lH6H``l`ll`<<llT6 Tt8#@E@8\L'3under the comment section for questions rated as 0 and 1. All completed assessments should lll`H6<l`6`l`l<6T``<<ll6HlH6ll`T<<llT6H`<`l6`T6l6`ll6l666<<6`ll<`<`l6`TT`TT`l<T6Tlll<l6 T8@E@8zAL'3be included and/or referenced in the report sent to the employer.sel`6<l`<ll`l6`ll<lH6H`H`H`l``l6<l6<l`6H`llH<6T`l<6<l6<l`6`l<ll`H6TTE@E@zL'3P l.b TT8@E@8uL'3P ubb T8 @E@8pL'3|Instructions for using HlT<Hl`<<llT6HlH6lT<ll6T @E@ pL'3the worksheet are as follows: <l`6lHlTl``<6`H`6`T6Hl<<lT<6TT@E@pL'3P p b TT8@E@8kL'3P b Rp(@Times New Roman O`2 lO`2 w/1 gx/1G* Times ew Roman0j:'1lly%1gdv% % % T8W@E@8j L'3dCategories:lH`ll`<`TH% % % TXX@E@XjL'3P 66T!@E@jGL'3The S&HPA Worksheet is divided into the following seven categories (or l`6xx6lHlTl``<6<T6l<l<l`l6<l<l6<l`6Hl<<l<ll6T`l`l6``<`llH<`T6HlH6 T8@E@8e L'3`elements):`<``l<TH<TT@E@eL'3P ivb TT8@E@8`L'3P agb TT@E@[L'3PIpuHTT@E@[L'3P t T @E@[#L'3Hazard Anticipation and Detection, si```Hl6l<<`<l`<<ll6`ll6`<``<<ll66TT@E@[L'3P b!'3"  TX @E@V L'3PIIHHTT  @E@ V L'3P AT @E@V L'3Hazard Prevention and Control, ] ```Hl6xH`l`l<<ll6`ll6ll<Hl<66TT; @E@V L'3P zeb!'3"  T` g!@E@Q!L'3TIIInuHHHTTh !@E@hQ!L'3P upT !@E@Q!L'3Planning and Evaluation, x<`ll<ll6`ll6l`<l`<<ll66TT !@E@Q!L'3P dub!'3"  TX!s|"@E@L"L'3PIVHTTt!|"@E@tL"L'3P ictT!|"@E@L"L'3xAdministration and Supl<l<T<H`<<ll6`ll6xllT!|"@E@L" L'3`ervision, `Hl<T<ll66TT!{|"@E@L"L'3P edb!'3"  TT"+w#@E@G#L'3PVSTT,"w#@E@,G#L'3P agT"}w#@E@G#L'3Safety and Health Training, x`H`<l6`ll6``<<l6H`<l<ll66TT~"w#@E@~G#L'3P icb!'3"  TX#sr$@E@B$L'3PVIHTTt#r$@E@tB$L'3P tT#r$@E@B$L'3Management Leadership, and 14`l`l``l<6``l`HTl<l66`ll6TT#r$@E@B$L'3P b!'3"  T`|$m%@E@=%L'3TVII 6HHTT|$m%@E@=%L'3P ,T|$ym%@E@=%L'3Employ&" WMFC 44aee Participation. l<ll``6x`H<<`<l`<<ll666TTz|$m%@E@z=%L'3P b!'3"  TT8w%h&@E@88&L'3P b T 8r&c'@E@83'#L'3There are several attributes or subl`H`6`H`6T`l`H`<6`<<H<ll<`T6lH6TllTTr&c'@E@3'L'3P-mHTr&c'@E@3'L'3elements in each category.`<``l<T6<l6```l6``<`llHl6TTr&Ic'@E@3'L'3P b TT8m'^(@E@8.(L'3P @b % % % T8h(3[)@E@8-) L'3dAttributes:HH`<xxH`TH% % % TT4l(i])@E@4-)L'3P h6Tjl(k])@E@j-)L'3xEach attribute or sub``l6`<<H<ll<`6lH6TllTTll(])@E@l-)L'3P-mHTl( ])@E@-)6L'3element is listed as a survey question. All 58 attri`<``l<6<T6<<T<`l6`T6`6TlHl`l6ll`T<<ll6666<<6ll6`<<H<Tp l("])@E@ -)L'3Xbutes ll<`T6 T8g)a#X*@E@8(*^L'3are positive statements that the evaluator agrees with varying degrees of continuity. The 58 `H`6llT<<<l`6T<`<``l<T6<l`<6<l`6`l`<l`<lH6`lH``T6<<l6l`Hl<ll6l`lH``T6lH6`ll<<ll<<l666l`6ll6 T|8b*#S+@E@8#+]L'3attributes are considered building blocks to effective safety and health management systems. `<<H<ll<`T6`H`6`llT<l`H`l6ll<<l<ll6l<l`lT6<l6`HH``<<l`6T`H`<l6`ll6l``<<l6`l`l``l<6TlT<`T66TT#b* $S+@E@##+L'3P b TT8]+N,@E@8,L'3P b TT8X,I-@E@8-L'3P @b % % % T8S- F.@E@8.L'3tRating Instructions:lH<xl6TxTH`x`H<lxTH% % % TT W- H.@E@ .L'3P h6T8 W-H.@E@ .'L'3Each survey question or attribute has s``l6TlHl`l6ll`T<<ll6lH6`<<H<ll<`6l`T6TTW-"H.@E@.!L'3ix possible ratings: 0, 1, 2, 3, <l6llTT<l<`6H`<<llT<6l66l66l66l66 T4R.C/@E@8/JL'3NA, or NE. The value for each rating is described in the following table.66lH6666l`6l`<l`6HlH6```l6H`<<ll6<T6l`T`H<l`l6<l6<l`6Hl<<l<ll6<`l<`6TTR.GC/@E@/L'3P b% % 636'36'6636'36'6636'36'6636'36'6636'36'6636'36'6636'36'6636'36'6636'36'6 6 36'36' 6  6 36'36' 6  6 36'36' 6  6 36'36' 6  6 36'36' 6 636'36'6636'36'6636'36'6636'36'66~36'~36'66}36'}36'66|36'|36'66{36'{36'66z36'z36'66y36'y36'66x36'x36'66w36'w36'66v36'v36'66u36'u36'66t36't36'66s36's36'66r36'r36'66q36'q36'6 6 p36'p36' 6 !!6!o36'o36'!6!!""6"n3&VWMFC44a6'n36'"6""##6#m36'm36'#6##$$6$l36'l36'$6$$%%6%k36'k36'%6%%  G."System--@Times New Roman---  2 >F1 2 DF ,F'@Times New Roman--- 2 LEF 22 ^FInstructions for using the 2 ^F ---P2 q.FSafety and Health Program Assessment Worksheet      --- 2 qF  2 EF  2 EF @Times New Roman---|2 EKFThis Oregon OSHA Safety and Health Program Assessment (S&HPA) Worksheet is n          2 EXFdesigned as a tool for use in conducting assessments of an employers safety and health   #2 EFprogram in order  2 F p2 CFto evaluate the effectiveness of that employers safety and health ( )2 EFmanagement system.    2 F  2 EF 2 EQFA Safety and Health Program Assessment (S&HPA) is an assessment of the companys h         2 ETFsafety and health management system (using the Safety and Health Program Assessment         2 EFW 2 RUForksheet). A S&HPA can be done during a comprehensive consultation or independently t    >2 E"Fof a comprehensive consultation.   2 F  2 .EF 2 >EOFSHARP companies or companies working toward SHARP must have a full assessment,         L2 NE+Fmeaning to have all 58 elements evaluated. e   2 N5F  2 ^EF 2 nE FAll complet  z2 nJFed assessment forms should have some justification and/or recommendations     2 ~E\Funder the comment section for questions rated as 0 and 1. All completed assessments should     m2 EAFbe included and/or referenced in the report sent to the employer.h  2 F  2 EF .2 EFInstructions for using 82 Fthe worksheet are as follows:    2 bF  2 EF @Times New Roman---2 E FCategories: ---2 F v2 GFThe S&HPA Worksheet is divided into the following seven categories (or     2 E Felements):  2 ~F  2 EF  2 kFI 2 oF "@2 #FHazard Anticipation and Detection, a    2 XF ,F'2 kFII 2 tF :2 FHazard Prevention and Control,   2 CF ,F'2 kFIII 2 yF 12 FPlanning and Evaluation,  2 F ,F'2 -kFIV 2 -yF ,2 -FAdministration and Sup  2 - Fervision,  2 -GF ,F' 2 =kFV 2 =uF 52 =FSafety and Health Training,   2 =-F ,F'2 MkFVI  2 MyF 42 MFManagement Leadership, and    2 M7F ,F'2 ]kFVII  2 ]~F 12 ]FEmployee Participation.   2 ]F ,F' 2 mEF @2 }E#FThere are several attributes or suba 2 }F-22 }Felements in each category.  2 }F  2 EF ---2 E FAttributes: --- 2 F +2 FEach attribute or sub 2 F-\2 6Felement is listed as a survey question. All 58 attri  2 Fbutes 2 E^Fare positive statements that the evaluator agrees with varying degrees of continuity. The 58    2 E]Fattributes are considered building blocks to effective safety and health management systems.     2 EF  2 EF  2 EF ---)2 EFRating Instructions: --- 2 F F2 'FEach survey question or attribute has s=2 !Fix possible ratings: 0, 1, 2, 3, z2 EJFNA, or NE. 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The application is responsible for updating this value after each revision. cumentation>  DCBS%fI 'Safety and Health Assessment WorksheetSHARP Assessment Tools Title Headingsh0< _PID_HLINKS7display_urn:schemas-microsoft-com:office:office#Editor7display_urn:schemas-microsoft-com:office:office#AuthorA8 R2http://www.orosha.org/pdf/sharp/attributesx58.pdf!{4http://www.orosha.org/pdf/sharp/sharpassesstips.pdfTawnya SwansonTawnya Swansonns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"/>as.microsoft.com/office/2006/metadata/longProperties"/>