OCCUPATIONAL SAFETY AND HEALTH PROGRAM ANNUAL REPORT FOR CY 87

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP91-00280R000300430002-2
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 17
• Document Creation Date: December 23, 2016
• Document Release Date: August 22, 2012
• Sequence Number: 2
• Content Type: REPORT

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OCCUPATIONAL SAFETY AND HEALTH PROGRAM
ANNUAL REPORT FOR CY ~lL
NAME AND ADDRESS CF FACILITY/COMPONENT
NUMBER CF EMPLOYEES
NAME OF FACILITY/COMPONENT SAFETY OFFICER
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S E C R E I
1. Has the head of your Facility/Component
issued a policy statement that:
a. Emphasizes his/her commitment to a
safe and healthful workplace?
b. Charges all levels of management to
be responsible and accountable for
the program?
c. Requires employee compliance with
applicable OSFA and/or Agency
standards?
d. Has been communicated to all Agency
personnel?
e. Assures employee OSHA rights?
2. Does the Official in Charge directly
supervise the person(s) responsible
for managing the CSHA program?
YES NC
V-Z
3. How frequently does your Facility/Component Safety Officer meet or
communicate officially with the Official in Charge on safety and
health matters?
Meet Communicate
a.
At least weekly
b.
At least monthly
c.
At least quarterly
1/
d.
Other
If other, please explain.
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4. how frequently does your Official in Charge communicate with the
person(s) responsible for managing the OSHA program?
a. Daily
b. At least weekly
c. At least monthly
d. At least quarterly
e. Other
If other, please explain.
5. Who manages your safety and health program? If you have different
individuals for safety and health, list both and identify their
assignments.. TT~~
Name IL/'b% -OLLi i
Title P C JA'11 i
Title
6. What is the approximate percent of time this (each person spends on
the OSHA program? ~o(safety) (heaal-th)-
7. Were the financial resources received in calendar year adequate for
the following purposes?
a. Occupational Safety and health
personnel.
b. Training
c. Inspection/evaluations
d. Personal protective equipment
y
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S F C R E T
e. Abatement
f. Program promotional items
g. Medical surveillance program
for employees
h. Safety and health sampling, testing,
laboratory, and analytical equipment
i. Technical information, documents,
periodicals, etc.
8. Provide the total number of full-time safety and health headquarters
and field personnel in the following categories as defined in 29 CFR
1960.2(s).
Hqtrs. Field
a. Safety Professionals
(GS-018, 019, 081, 803, 604,
1815, 1825, 2125, etc.*)
b. Health-Professionals
(GS-602, 610, 645, 690, 699,
1306, 1311, 1320, etc.*)
*or equally qualified military, agency, or nongovernmental personnel.
Provide the total number of part-time (collateral duty) safety and
health headquarters and field personnel.
Approximate
Total full-time
number equivalent
a. Headquarters personnel
b. Field personnel
Column 2 equals the percent of column 1 in full-time equivalency.
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S E C R E T
10. Have safety and health program goals
and objectives been established?
11. What were the primary occupational safety and health program goals
achieved during Calendar Year. (Briefly list.)
12. What primary occupational safety and health program goals were not
achieved during Calendar Year? (Eriefly list.)
13. How often are your goals and objectives reviewed?
a. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. Other
14. Are your OSHA goals and objectives included
in your Facility/Component's quarterly review
system (management by objectives - MBC's,
program executive plan - PEP) or other similar
system?
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GOALS AND OBJECTIVES FOR CY.
15. Briefly list your primary goals for Calenaar Year.
/
16. To what extent are planning factors a. through f. below used in planni:
the program elements listed in the right-hand columns? (N = Never; R
Rarely; ' = Sometimes; F = Frequently; and A = Always)
PROGRAM ELEMENTS
a. Injury and illness inci-
dence data.
1. Lost workday cases
2. Total cases
b. Injury and illness (OWCP)
cost data
c. Recognized hazard data
d. Employee reports of unsafe
and unhealthful working
conditions
e. Recommendations of
employee representatives
f. Other N/A
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17. Have any special in-depth studies of
specific hazards been concucted by your
staff or by outside consultants within
the past year?
If yes, briefly
describe. ~-
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S L C R E i
MEASURES 121PLOYED TO MITIGATE INJURY AND ILLNESS IMPACTS
18 Please complete the following table. In Section I, enter the
approximate percentage of employees potentially exposed to the injuries
and illnesses listed a. through h. and the appropriate letter h, Z'1, or
(H = High, M = Moderate, L = Low or none) to indicate current priority
in your hazard reduction program. In Section II, place an "X" in the
appropriate portion of the table for each of the items a. through h. to
indicate whether the particular countermeasure shown is being used to
mitigate the impact of the injury or illness category.
I I I I I-~-----I P I-
I I 1W 1 I 1 D I I R I
IE I 10 I N E I P I E I
IM i I IR I F' I V I U I G I
IP P IC I IK 1 0 I E I L I U I
IL C IL I'I' P H I R I L I E RI E I
10 T IR IR IL A I td 10 I S LI N I I
IY E IR P IA IA Z Al A CI P I G IT N I C
I E N I E R II IC A BI T AI M I& G I S I T
IE T IN I IN IE R AI 1 MI E S I L I P I h
I S I E I T C I I I D TI 0 PI N T I A I E I E
I A X J R IN I EI N Al T A I T I C I R
TYPE OF OCCUPATIONAL I L P I I IG I MI II N I I I T I
INJURY OR ILLNESS I L 0 I T I I El GIOF D I 0 I I I
(As defined on OSHA I Y S I Y I. I NI NI A I N I C I
Form No. 100F) I E I I I TI II N R I S I N I
L I I I I GI E D I S I
-- I I I I I I h s I I I
a. Traumatic injuries
b. Occupational skin
disease or disorders
c. Dust diseases of the
lungs(Pneurroconioses)
d. Respiratory conditions
due to toxic agents
e. Poisoning (Systemic
effects of toxic
materials)
f. Disorders due to
physical agents
(other than toxic
materials)
g. Disorders due to
repeated traurra
n. All other
occupational
illnesses (list)
SLCTICN II
I SECTION I I
I i
IPERCENTIH,M,LI
v
0
0
U
t-
0 (i
i - I I I I
i I I I I I I
I. I I I I I I
I L I I I I I I
I I I I I I I
S E C R E T
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I I I I i I
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S E C R E T
19. The following is a list of procedures your Facility/Component
developed and communicated to safety and health personnel at fielo
establishments, to supervisors, and to employees. Please indicate
by and (X) the extent of development and communication.
a. For abatement of hazards when other
agencies are involved.
b. For employees to participate in OSHA,
activities on official time.
c. For employees exclusive of any nego-
tiated procedure, to report hazardous
conditions, including time limits on
action, notification to reporting
employee, and inspection.
d. To assure that employees are not
subject to restraint, reprisal, or
coercion for exercising OSHA rights.
e. Zo maintain a log of injuries and
illnesses at each work location.
f. For issuing alternate and/or
supplementary standards.
g. For resolving conflicting standards
h. lo permit 'entry of Agency OSHA
inspectors to classified areas.
i. For issuance of notice of unsafe
conditions within 30 days.
j. For abatement and follow-up.
k. For evaluating performance of
personnel with OSHA duties. I
S E C R E T
I F C I C I C I
10 A 1 0 A I u A I
D I R T I M L I M L
E I M L O I M L I M L
V I A D S I U I U I
E I L B I N S I N E
L I L T I I L' I I iMM I
0 I Y 0 S I C P I C P
P 1 T? I A L I A L
E I C F A I T R I T G I
D I 0 I F I E V I E Y I
I M E F I D I I D L I
I M L I S I E
I U D I T 0 11 S I
I N 1 0 R 1 0
I I
I I
!
I I
I I
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S F_ C R E I-
20. How are employees notified about their occupational safety ana healtn
rights and responsibilities? (Check as many of the following as
appropriate.) - ----- ,
b. Administrative directive
c. Routine part of new employee
orientation procedures
d. Periodic publications
e. Other (list):
f. >`:o formal methods employed
21. How many of the following methods are routinely used to provide
additional occupational safety and health information? (Check as
many as appropriate).
a. Posters
b. Newsletter
c. Memoranda
d. Pamphlets
e. Other (list) :
f. None
22. Does your Facility/Component have safety
and health committees? If yes, answer
questions 23 through 28. If no, proceed
to question 29.
23. How long have most of your safety and health committees been in
operation:
a.
Less than one year
b.
1
- 2 years
c.
3
- 4 years
d.
5
- 6 years
e.
7 years or more
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S E C R E I
Approximate
percent _
24. hat is the typical membership of your committees?
a. Management representatives
b. Safety and health specialists
c. Employee members
d. Eir.ployee representatives
25. schat is the total number of safety and health
committees in you Facility/Component:
26. How often do committees conduct meetings:
a. At least weekly
b. At least monthly
c. At least quarterly
d. At least annually
27. Are written minutes taken at committee
greetings
Is a formal report of issues and
recommendations prepared?
If so, to whom is it submitted?
L)
,~-0& `" /) '/j -
Is there a formal follow-up procedure?
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S E C R E 'I'
28.
How effective would you
say
most of your safety
and
health
committees
have been in performing
the
following
functions?
Prot
Effective
Generally
Ineffective
Somewhat Very
Effective Effectiv
a. Identifying
hazardous
conditions
b. Communicating
OSHA problems to
management
c. Increasing?safety
consciousness in
the workplace
d. Reducing accident
rates
e. Improving health
conditions
f. Finding solutions
to OSHA problems
that are discovered
FIELD FEDERAL SAFETY AND HEALTH COUNCILS
29. Does your Facility/Component have a formal
policy specifically encouraging participa-
tion in Field Federal Safety and Health
Councils? (If yes, please attach a copy.)
* OL utilitzes Agency guidelines and regulations
.
30. If yes, has the policy been communicated
to all Facility/Component subunits and
field establishments?
31. Have official (management and non-
management) representatives to
Field Councils been appointed by
the head of each establishment?
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S E C R E;
32. Has your Facility/Component developed safety and health training
policies and procedures for the target populations listed below? (1f
yes, indicate the percent of the population trained in CY.)
a. New employees
b. Employees assigned to
operate "new" equipment
c. Employees assigned to
"new/different" tasks
d. Employees in high risk
jobs
e. Top management officials
f. Supervisors
g. Safety and health
h. Safety and health
inspectors
i. Collateral duty safety
and health personnel
j. Occupational safety and
health committee members
k. Employee representatives
1. Other employees
Primary Training Refresher
Yes Percent No Yes Percent . No
(/ S
3
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S E C R E T
33. Has your Facility/Component conducted
training courses during the report year
to address special or unique problems
identified in your areas?
If yes, please list these courses.
(Attach additional pages as necessary.)
Course Objective Trainee Number Number
Course Title (ident.__2roblems) Classification Attendees Hours
34. If you developed or used training materials during the report year
that you think would be helpful to others, please list below.
(Attach additional pages as necessary.)
/Pop
Z C-1 &-J
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S E C R E T
35. Does your Facility/Component conduct formal
inspections as defined in 29 CFR Part 1960.2(k)
of all areas and operations of each workplace
and office?
36. Where there is a known risk of accidents, injuries, or illnesses, how
frequently do you conduct formal inspections?
/r
a. Daily I/
b. Weekly
c. Monthly
d. Other
37. How frequently are less hazardous areas/operations
formally inspected?
a. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. Other
of your Agency
38. Provide an estimate of the percent of your Facility/
Component's personnel working in areas in which at
least one periodic inspection was conducted in the
past calendar year.
39. Of all formal inspections in the past calendar year,
approximately what percent was conducted by trained
OSHA professionals?
40. Of all formal inspections in the past calendar year,-
approximately what Fercent was conducted by super-
visors?
22
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41. Of all known unsafe or unhealthful working conditions,
approximately what percent was abated within your
inspection report aeadlines in the past calendar year?
42. Of all known imminent danger situations, approximately
what percent was abated within your inspection report
deadlines in the past calendar year?
43. Describe your Facility/Component's program of self-evaluation.
Outline the procedure(s) utilized, list types of data and how
collected, and indicate who conducted the evaluation (e.g., OSHA
staff, I.G. staff, private contractor, another organizational unit
within your Facility/Component). (Attach additional pages as
necessary.)
44. Cescribe the results of your self-evaluations. Your discussion
should assess the degree to which your Facility/Component has
implemented the requirements of Executive Order 12196, the quality of
the safety and health program, and any failures to meet program
requirements. It should also include a description of your areas'
progress in meeting your goals and objectives, and any unusual
program accomplishments during the year. If applicable, describe
unusual problems encountered and the results of any innovative means
you employed to address those problems. (Attach additional pages as
necessary.)
GZ
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S E C R E T
45. What changes in your safety and health program have been proposed,
approved, and implemented as a result of your self-evaluations?
Indicate the status of each. (Attach additional pages as necessary.)
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