APPENDIX 3

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 06801144
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 3
• Document Creation Date: March 8, 2023
• Document Release Date: May 28, 2019
• Case Number: F-2018-00022

Approved for Release: 2019/05/16 C06801144
CY 2016 ANNUAL OCCUPATIONAL SAFETY & HEALTH REPORT TO THE SECRETARY OF LABOR
APPENDIX 3 - CERTIFIED SAFETY & HEALTH COMMITTEE
COMPLETE ONLY IF THE AGENCY HAS A CERTIFIED _ & HEALTh COMMITTEE" APPROVED BY
SECRETARY OF LABOR. PLEASEADDR.E.. ALL .:MMS45.40MFMFAYAS,POSSIBLE
Agency Name: Central Intelligence Agency
Does the agency have an Occupational Safety and Health Committee (OSHC) at the National
level? Yes r No 0 IF NO, PLEASE DO NOT COMPLETE THIS FORM.
,GENERAL INFORMATION,
Are any of the agency's employees covered under a
collective bargaining agreement?
Yes � No 0
Name(s) of the signatory Union(s) that cover any or all of the agency's
collective bargaining agreement: Not Applicable
employees under a
Deputy Chief,
Name and Title of the National OSHC Chairperson:
Environmental Safety Division
When did the agency initiate its National OSHC? Prior to 1985
.1,1E ORGANIZATION,..,
In the past six years, how many individuals have held the chairperson position? Two
In the past six
years:
How many Managers have held
the chairperson position?
2
How many Non-Managers have held
the chairperson position?
0
Please provide the names of the agency's current National OSHC members, the organizational
subdivision (agency, bureau, etc.) the member represents (if applicable), his or her managerial
status and title, and (for non-managers) the Union the OSHC member represents, if any.
Member names and locations are classified
Member
Name
Organization
Subdivision
Manager
Title
Non-Manager
Union
Represented
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APPENDIX 3� CERTIFIED SAFETY & HEALTH COMMITTEE REPORT
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Approved for Release: 2019/05/16 C06801144
Approved for Release: 2019/05/16 C06801144
CY 2016 ANNUAL OCCUPATIONAL SAFETY & HEALTH REPORT TO THE SECRETARY OF LABOR
Does the National OSHC have equal numbers of management and non-management members
as described in 29 CFR 1960.37(b)? Yes r No �
Do the OSHC's non-management members represent both bargaining unit (if some or all
employees are covered by a collective bargaining agreement) and non-bargaining unit
employees? Not Applicable Yes � No �
Describe how the agency appoints or selects National OSHC members (both Managers and
Non-Managers): Members include managers, employees and safety professionals at the
program and facility level.
What is the term of service for OSHC members? 1 � 3 years
Do OSHC members' terms overlap? Yes 0 No �
Describe the procedure for selecting the National OSHC's Chairperson: The Chair has
traditionally been the Chief, OSH Branch, Environmental Safety Division
What is the Chairperson's term of service? 3 � 5 years
Describe the procedure for providing advance notice of OSHC meetings: Email notification
Provide the procedure for maintaining and distributing copies of meeting minutes to OSHC
members and other employees: Electronic notification with internal file archives.
ISIBILITIESTO CI
Describe what information, data, and materials the agency provides to the National OSHC, as
required by 29 CFR 1960.39(a): The Agency provides management support, IT, human and
financial resources in support of the Agency's OSH mission.
� AGEN cOMMiTrEE STRUcTURE,
Does the agency have OSHCs at the Regional level? Yes 0 No �
Does the agency have OSHCs at the Local (below Regional) level? Yes 0 No �
Describe the organizational structure (National and subordinate) of the agency's network of
OSHCs: Detailed organization is classified; however, the network includes diverse
representatives from the Agency.
Describe how the National OSHC monitors and assists in the development and operation of the
agency's regional or other subordinate OSHCs: It serves as a forum for for information
exchange, problem resolution and regulatory guidance. [Click here to elite] text.)
Are all of the agency's facilities, workplaces, or establishments covered by an OSHC?
Yes No �
If "No," explain why establishments are not covered: [Click here to enter text.'
APPENDIX 3� CERTIFIED SAFETY & HEALTH COMMITTEE REPORT
PAGE 2 OF 3
Approved for Release: 2019/05/16 C06801144
Approved for Release: 2019/05/16 C06801144
CY 2016 ANNUAL OCCUPATIONAL SAFETY & HEALTH REPORT TO THE SECRETARY OF LABOR
I 0., ,
Have all OSHC members received the training required under 29 CFR 1960.58?
Yes 0 No �
How does the agency ensure that newly appointed OSHC members receive the required
training (per Subpart H) within six months of their appointments? Program or facility safety
officer. 'Click here to enter text.1
Does the agency provide regular refresher training? Yes r No
If "Yes," how often is refresher training provided? Annually f Click here to enter text.]
Explain how the agency provides training to OSHC members when it updates OSH-related
information, policies, procedures, Etc.: Meeting forum or by electronic dissemination.
MEMBERS OBTAIN PROFESSIONAL DEVELOPMENT AND COMPLIANCE TRAINING FROM
WITHIN THE ORGANIZATION AS WELL AS OUTSIDE VENDORS IN MAINTAINING THEIR
PROFESSIONAL CERTIFICATIONS. IN ADDITION, INSERVICES ARE PROVIDED ON VARIOUS
TECHNICAL OR ADMINISTRATIVE SUBJECTS.
MITTEE DU
Describe how the National OSHC monitors the agency's overall OSH performance: The
Committee monitors OSH activities which are an integral part of the of this organization's
operating procedures, culture and programs.
How does the National OSHC use the information it gathers from monitoring the OSH
performance to recommend policy: Safety issues and concerns or modifications to policy are
addressed by the Committee or directed to senior management. IClick here to enter text.1
Does the National OSHC help to develop, operate, and monitor the subordinate (field, regional,
local, Etc.) OSHCs? Yes 0 No � Other �
If "Other," please explain: CLASSIFIED
Does the National OSHC provide monitoring of and input on the resources the agency allocates
to its OSH program? Yes CI No �
APPENDIX 3� CERTIFIED SAFETY & HEALTH COMMITTEE REPORT
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Approved for Release: 2019/05/16 C06801144