OCCUPATIONAL SAFETY AND HEALTH PROGRAM ANNUAL REPORT FOR CY 82

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP85-00988R000600110007-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 17
• Document Creation Date: December 19, 2016
• Document Release Date: December 21, 2006
• Sequence Number: 7
• Content Type: REPORT

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OCCUPATIOIAL SAFETY AND HEALTH PROGR.A1:
ANNUAL REPORT FOR CY 71,
NAME Ai+D ADDRESS OF FACILI'T'Y/COMPONENT
Dk'
NUMBER OF EMPLOYES {
NAME OF FACILITY/COMPONENT SAFETY OFFICER
silt L -~
: 4 / d s
OL h
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2.
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 fur
the program?
c. Requires employee compliance with
applicable OSHA and/or Agency
'standards?
d. Has been communicated to all Agency
personnel?
e. Assures employee OSH rights? u~t-,
Does the Official in Charge directly
supervise the person(s) responsible
for managing the OSH program?
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
d. Other
If other, please explain. j~ L aP i A, `,
~ommsr-rE' g E E r s ('L2i'i7 iV/z iC .~yTr S fps c~/,sc
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How frequently des your Official in Char communicate
with the person(s) responsible . for. managing the OSH
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 dif-
ferent individuals for safety and health, list both and identify
their assignments.
Name
Title
Title
6. What is the approximate percent of time this (each) person
spends on the OSH?program?
(safety) (health)
7. Were the financial resources received in calendar year
adequate for the following purposes?
a. Occupational safety and health
personnel
b. Training
c. Inspections/evaluations
d. Personal protective equipment
(continued on next page.)
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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 head-
quarters and field personnel in the following categories as
defined in-29 CFR 1960.2(s).
Hgtrs. Field
a. Safety Professionals
(GS-018, 019, 081, 803, 804,
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.
9. 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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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;l;., (Briefly list.)
12. What primary occupational safety and health program goals were
not achieved during Calendar Year. I (Briefly list.)
-13. How often are your goals and objectives reviewed?
a. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. Other
? YES NO
14. Are your OSH goals and objectives included
in your Facility/Component's quarterly review
system (management by objectives - MB0's, program
execution plan - PEP) or other similar
system?
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GOALS AND OBJECTIVES FOR CY.
15. Briefly list your primary goals for Calendar Year,, 3
16. To what extent are planning factors a. through f. below used
in planning the program elements listed in the right-hand
columns?
(N = Never; R = Rarely; S = Sometimes; F = Frequently; and
A Always)
PLANNING FACTORS
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
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y4w
17. Have any special in-depth studies of
specific hazards been conducted by your
staff or by outside consultants within the
past year?
If v?s, briefly describe.
YES NO
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MEASURES EMPLOYED 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 appro-
priate letter H, M, or L (H = High, ri = 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.
SECTION I
SECTION
II
PERCENTIH,M,L
COUNTERMEASURES
EMPLOYED
TYPE OF OCCUPATIONAL
INJURY OR ILLNESS
(As defined on OSHA
Form No. 100F)
a. Traumatic injuries
b. Occupational skin
diseases or disorders
c. Dust diseases of the
lungs (Pneumoconioses)
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 trauma
h. All other occupational
illnesses (list)
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19. The following is a'list of procedures your Facility/Component
developed and communicated to safety and health personnel at
field establishments, to supervisors, and to employees. Please
indicate by and (X) the extent of development and communication.
1!H !
IyH Ili
a. For abatement of hazards when other
agencies are involved.
b. For employees to participate in OSH
activities on official time.
c.-For employees exclusive of any nego-
tiated-procedure, to report hazardous
conditions, including time limits
on action, notification to report-
ing employee, and inspection.
d. To assure that employees are not
subject to restraint, reprisal, or
coercion for exercising OSH rights.
e.'. To maintain a log of injuries--and
illnesses at each work location.
P 1-,~
logo
I I- IU
-I-
f. For issuing alternate and/or
supplementary standards.
g. For resolving. conflicting standards.
h. To permit entry of Agency OSH
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 OSH duties.
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20. How are employees notified about their occupational safety and
health rights and responsibilities? (Check as many of the
following as appropriate.)
a. Positer
b. Administrative directive
c. Routine part of new employee
orientation procedures
d. Periodic publications
e. Other (list):
J.. No formal methods enplgyed..
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
x'22. Does your Facility/Component have safety
and he.alth.committee s?,._If yes, answer
questions 23 through 28. If no,
proceed to question 29.
23.
How long have
in operation?
most
of
your
a.
Less than one year
b.
1
- 2 years
c.
3
- 4 years
d.
5
- 6 years
e.
7 years or more
safety and health committees been
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b. At least monthly
c. At least quarterly
d. At least annually._._
Approximate
percent
YES NO
24. What is the typical membership of your committees?
a. Management representatives
b. Safety and health specialists
c. Employee members
d. Employee representatives
25?.W+lhat is the total number of safety and health
:.committees in your Facility/Component?
26. How often do committees conduct meetings?
a. At least weekly
27.-Are written minutes taken at committee
meetings?
Is a?formal report of issues and
recommendations prepared?
If so, to'whom is it submitted?
Is there a formal follow-up procedure?
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28. How effective would you say most of your safety and health
committees have been in performing the following functions?
Not Generally Somewhat Very
Effective Ineffective Effective Effective
a. Identifying
hazardous
conditions
b. Communicating
OSH problems to
management
c. Increasing safety
consciousness in
the workplace
.d. Reducing accident
rates
e. Improving health
conditions
f. Finding solutions
to OSH problems
that are discovered
FIELD FEDERAL SAFETY AND HEALTH COUNCILS
YES
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.)
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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32. F!as your. Facility/Component develone.d safety and health training
policies and procedures for the target populations listed below?
(If yes. indicate the percent of the population trained in CY.)
Primary Training Refresher
Yes Percent No Yes Percent No
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
Safety and health
specialists
h. Safety and health
inspectors
4-
i. Collateral duty safety
and health personnel
j -
Occupational safety and
health committee members
I k. Employee'represen.tabives
1. Other employees
7
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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. problems) 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.)
Type of Training Material
Subject Matter Intended Audience (film, slides, text)
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INSPECTIONS
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. There there is a known risk of accidents, injuries, or ill-
nesses, how frequently do you conduct formal inspections?
a. Daily
b. Weekly
c., Monthly
37. How frequently are less hazardous areas/operations of your
Agency formally inspected?
a.. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. other'
38- Provide an estimate of the percent of your Facility/
Component's personnel working in.areas in_tirhich 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
OSH professionals?
40. Of all formal inspections in the past calendar year,
approximately what percent was conducted by super-
visors?
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41. Of all known unsafe or unhealthful working conditions,
approximately what percent was abated within your
inspection report deadlines in the past calendar
year?
42. Of all known imminent danger situations, approximate-
ly what percent was abated within your inspection
report deadlines in the past calendar year?
SELF-EVALUATIONS
-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., OSH
staff, I.G._staff, private contractor, another organizational
unit wthn your Facility/Component). (Attach additional pages
as necessary.)
44. Describe the results of your self-evaluations. Your discussion
should assess'. th.e_. 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, axeas'.......progress in meeting. your goals and objectives,
and any unusual program accomplishments during the year. If
atinlicable, describe unusual problems encountered and the results
of any innovative means you employed to address those problems.
(Attach additional pages as necessary.) .
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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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