ANNUAL OCCUPATIONAL SAFETY AND HEALTH REPORT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP87-00031R000100040013-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 20
• Document Creation Date: December 22, 2016
• Document Release Date: July 1, 2010
• Sequence Number: 13
• Publication Date: April 2, 1982
• Content Type: MEMO

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ROUTING AND RECORD SHEET
SUBJECT: (Optional)
Annual Occupational Safety and Health Report
FRO EXTENSION NO.
Chief, Safety Staff, DDA
DATE
02 APR 1982
TO: (Officer designation, room number, and
building)
DATE
OFFICER'S
COMMENTS (Number each comment to show from whom
RECEIVED
FORWARDED
INITIALS
to whom. Draw a line across column after each comment.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
J~ 2 1547
FORM 61 0 USE PREVIOUS
I-79 EDITIONS
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02 APR 1982
MEMORANDUM FOR: Director of Logistics
Chief, Safety Staff, DDA
SUBJECT: Annual Occupational Safety and Health Report
1. Each year by 1 April the Agency must send a compre-
hensive report to the Secretary of Labor covering the Agency's
Occupational Safety and Health Program for the previous year.
The report is required by the Occupational Safety and Health
Act, Executive Order 12196 and Title 29 Code of Federal
Regulations, Part 1960. The report is based on guidelines
provided by the Secretary of Labor.
2. The report for CY 1981 has just been completed based
on information recorded in the Safety Staff and provided by
you in the recent questionnaire.
3. The Secretary of Labor has advised that the report
for CY 1982 will also be based on the same guidelines.
Therefore, the questionnaire has been modified to apply to
facilities and components. A copy is attached for your use
throughout CY 1982. It should be completed in detail in order
that the combined Agency report will be as comprehensive as
possible. The completed questionnaire should be returned to
the Safety Staff by 1 March 1983.
4. Questions regarding the questionnaire may be directed
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OCCUPATIO14AL SAFETY AND HEALTH PROGRAM
AENUAL REPORT FOR CY
NAME AND ADDRESS OF FACILITY/COMPONENT
NUMBER OF EMPLOYEES
NAME OF FACILITY/COMPONENT SAFETY OFFICER
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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 OSHA and/or Agency
'standards?
d. Has been communicated to all Agency
personnel?
e. Assures employee OSH rights?
Does the Official in Charge directly
supervise the person(s) responsible
for managing the OSH program?
2.
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.
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How frequently es your Official in Chars communicate
with the person(s) responsible. for.m_anaging the OSH
program?
a. Daily
D. 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 --------- -
Name
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
co Inspections/evaluations
d. Personal protective equipment
(continued on next page.)
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 B." 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
personnel.
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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._
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
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?
YES NO
11. What were the Rrimary occupational safety and health program
goals achieved dur ni g Calendar Year. i (Briefly list.)
12. What primary occupational' safety and health program goals were
not achieved during Calendar Year. (Briefly. list.)
,13. How often are your goals and objectives reviewed?
a. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. Other
YES NO
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.
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
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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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.
NO
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7
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, 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.
SECTION I
PERCENTIH,M,L
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)
SECTION II
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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.
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 t-
illnesses at each work location.
f. For issuing alternate and/or
supplementary standards. r
? r
g. For resolving. conflicting standards.
h. To permit entry of Agency OSH r
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,*
I
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 . Posher
b. Administrative directive
c. Routine part of new employee
orientation procedures
d. Periodic publications
e. Other (list):
f. No formal methods emplgyed,.
21. Flow nany 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.
YES NO
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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24. What is the typical membership of your committees?
a. Management representatives
b. Safety and health specialists
c. Employee members
d. Employee representatives
25?.What is the total number of safety and health
;cpIn ittees in your 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 -
Approximate
percent
YES ?. NO
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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How effective would you say Host 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
A. Reducing accident
rates
e. Improving health
conditions
f..Finding solutions
to OSH problems
that are discovered
FIELD FEDERAL SAFETY AND HEALTH COUNCILS
YES .NO
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. Has your. Faci1ity/Component developed 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
g. Safety and health
specialists
h. Safety arid health
inspectors
i. Collateral duty safety
and health personnel
J. Occupational safety and
health committee members
k..Employee'representatives
1. Other employees
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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)
1 4-
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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. Where there is a known risk of accidents, injuries, or ill-
nesses, how frequently do you conduct formal inspections?
a. Daily
b. Weekly
c.? Monthly
d. Other
a.. Monthly
b. Quarterly
c. Semiannually
d. Annually
e. Other'
37. How frequently are less hazardous areas/operations
Agency formally inspected?
of your
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
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 within your Facilify/Component).. (Attach additional pages
as necessary.)
44. Describe 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.youur._arpas'-_._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 pagers 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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Officials of a major component have scheduled
the following major activities to improve the safety and
health of Agency employees in their work environment.
(1) Complete the design and funding for
construction to correct ventilation problems
associated with printing plant space. Work
is scheduled to commence in summer of 1981 at
a cost of $498,000.
(2) Establish a "safety-shoe" store at a
major warehouse where an employee can be fitted
and obtain safety shoes without delay.
(3) Conduct four forklift operator training
.classes and coordinate the presentation of three
courses in Cardiopulmonary Resuscitation.
(4) Replace approximately 28 water fire
extinguishers in a Printing and Photography
Building with ABC multi-purpose fire extinguishers
H. Officials plan
to continue efforts to eieVUate y an leamn awareness
of the employees as well as improve their working environments.
Major areas to be emphasized include:
(1) Formation of a Safety and Health Committee.
(2) Affiliation with a local Federal Safety
and Health Council.
(3) Exytnd emphasis on fire prevention and
fire awareness to include activities throughout
the year rather than just during Fire Prevention
Week.
(4) Coordinate with the Office of Medical
Services for blood, urine, hearing and eye tests
as well as other medical examinations for employees
whose work necessitates such tests and examinations.
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