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Appendix B
Guidelines for Agency's Annual Occupational Safety
and Health Report to the Secretary of Labor
Fiscal Year:
Name of Agency (Department):
Name of Component:
Address:
Number of employees covered by this report:
Name of individual responsible for the occupational safety and heal th program of
the agency or component covered by this report:
Title: Telephone number:
Each agency shall:
I. a. Use agency injury/illness data to display the annual statistics for fatalities and
lost time disabilities for the report year and, if possible, compare these
fatalities and disabilities with similar statistics for the previous three-year
period. Data based on agency claims submitted to OWCP is preferred, but
internal accident or incident reporting data (FARS) is acceptable, if OWCP
data is not available to the agency. The data should be displayed in charts or
tables so that changes can be easily seen or demonstrated.
b. Use agency data to display the most recent OWCP chargeback and COP
costs and, if possible, compare these costs with similar statistics for the
previous three-year period. The data should be displayed in charts or tables
so that changes can be easily seen or demonstrated.
c. Use agency accident or incident reporting system or supplemental reports to
the OSHA logs or the OWCP reports for details which will help explain any
significant trends and major causes or sources of fatalities and lost time
disabilities which occurred last year(s).
Describe safety and occupational health program accomplishments and
initiatives implemented last fiscal year to control the trends and major causes
or sources of fatalities and lost time disabilities in your agency and to
improve your agency's Overall safety and occupational health programs.
Discuss your successes and/or failures as a result of your agency's
implementation of these initiatives. Explain any significant onetime or
additional permanent resources allocated to the safety and occupational health
program last year for areas such as: workplace hazard abatement, research
and development, data systems, staffing, training, etc. Attach a copy of any
significant safety and occupational health policy or proclamation related to
those initiatives.
Appendix B
Guidelines for Agency's Annual Occupational Safety
and Health Report to the Secretary of Labor
(Continued)
In describing your accomplishments and initiatives, please try to explain your
agency's efforts in the following areas:
- Accomplishments for assuring that workers, supervisors and committee
members received appropriate job health and safety awareness and hazard
recognition information and training.
- Accomplishments for assessing the effectiveness of your safety and
occupational health programs.
- Accomplishments in the identification, assessment and resolution of safet\
and health problems, including your agency's system of (a) providing
recognition to outstanding achievers and (b) establishing accountability and
performance standards for managers, supervisors and employees.
- Unique or significant accomplishments that your agency made last year to
enhance employee participation, involvement and consultation in the safer
and occupational health program.
3. Identify your annual OSH plans, goals and objectives, and significant OSH
initiatives planned and programmed for the coming year(s).
4. Provide comments, requests and recommendations for consideration by
OSHA's Office of Federal Agency Programs (OFAP) in Government-wide
occupational safety and health programs or report any items of special
interest concerning occupational safety and health activities or programs.
(Optional)
It is suggested that the report be in executive summary format and be limited to
ten pages exclusive of attachments.
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INSTRUCTION NO.
LI 12-1
LI 12-1
SAFETY AND HEALTH
Revised 9 September 1980
SUBJECT: Office of Logistics Safety and Health Program
This instruction serves to establish a Safety and Health
Program within the Office of Logistics (OL) consistent with
the statutory and regulatory requirements contained in the
referent. This program is designed to promote recognition
of safety and health standards within the OL and permit
uniformity of application as well as to reinforce specific
responsibilities. The program is further intended to re-
affirm OL's basic commitment to eliminate safety and health
hazards whenever discovered and to continue to pursue a
vigorous campaign for continued improvement.
a. To implement this vital progr,:--., an OL Safety and
Health Cori:,ii ttee is of the
Deputy Chief, Supply Division, 01, - Chairman
Deputy Chief, Logistics S;c vices _]vision, OL
Deputy Chief, Real Estate and Construction
Division, C'I.
Deputy Chief, Printing and Photogranhv Division,
OL
Safety Officer, Security Staff. OL
Committee Coordinator - PF,PS/OL
The committee will function under the general direction
of the Director of Logistics in promoting and encouraging
greater safety awareness within the OL.
b. Employees are the key ingredient in the success or
failure of any safety program; therefore, the effective-
ness of this program depends upon active participation
and full cooperation of all OL personnel. Each employee
is urged to comply fully with established occupational
safety and health standards and to report potential
safety hazards immediat:
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INSTRUCTION NO. LI 12-1
LI 12-1 SAFETY AND HEALTH
Revised 9 September 1980
3. RESPONSIBILITIES
a. Safety and Health Committee:
The Committee will be responsible for the overall
implementation of a uniform safety and health program
within OL and be guided in its efforts by the provisions
contained in the referent. In discharging this obliga-
tion, the Committee shall:
(1)
Promote the development of common safety standards
and establish uniform criteria for their appli-
cation.
(a) Ensure proper safety equipment and protective
clothing are made available where required to
protect employees against potentially hazard-
ous equipment or exposure to potentially
hazardous agents. See paragraph 4 below for
guidelines concerning the issue of protective
clothing.
(h) Ensure that safety equipment and personal
protective cloth in are properly identified
in en (',1 Coll?)n]iC :1 ~ ~ . 1 ~ ca ] ~': ., 1'n J i
en~U1; j J:Ib
(Z) Est abl ish edlect ion and tr i n pry ram s for
employe,-; to increase thci r a~:are:.c~ss of occ:una-
tional hazards and arran^c with the Cf,ice 011
Medical Services to conduct course-, in Carcio-
pul~cn:r P.esuscitation ((,'-)T') Tree e
(3) Improve and emphasize safety and hea,ltl-' ,`?.ar.-,ness.
programs:
(a) Compile and maintain a current listing of
safety and health-awareness films and video
tape cassettes that can be made available for
presentation on a periodic basis.
(b) Employ promotional materials, including
literature racks, wall posters, etc., to
emphasize the program.
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INSTRUCTION NO.
LI 12-1 LI 12-1
SAFETY AND HEALTH
Revised 9 September 1980
(4) Review ongoing policies relating to health and
safety and provide guidance to ensure conformance
to established policies, procedures, and standards.
(5) Submit periodic statements of the Committee's
accomplishments for inclusion in the Agency's
annual Occupational Safety and Health Report
prepared by the Office of Security (OS) for sub-
mission to the Department of Labor.
(6) Participate in the interpretation of statutory
requirements into practical application within
the OL.
(7) Assist in formulating recommendations to the D/L
to enhance and refine existing programs.
(8) Assess program performance periodically to ensure
that OL personnel are being provided with a work-
ing environment free of safety and health ira~aru~.
b. OL Security Staff
The 01, Security Staff will appoint an OL Safety Of-iccr
Whose responsibilities shall include:
l ] ) Conduct n
ills c tion:: of the O1. .+; a
(2) Maintain liaison between 01, and the Safety Branch,
OS, on matters relating to safety.
(3) Submit reports of unsafe conditions and of accom-
plishments in supnort of the safety and health
program to the OL Safety and health Committee.
(4) Prepare and maintain an updated Fire Emergency
Plan for F__ 0
(5) Distribute safety and health promotional materials
to OL
components and maintain the literature
distribution racks for these materials in the
(6) Periodically present to groups of employees in
t},"
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INSTRUCTION NO. LI 12-1
LI 12-1 SAFETY AND HEALTH
Revised 9 September 1980
c. Printing and Photography Division (P&PD) Logistics
Services Division LSD Real Estate and Construction
Division (RECD) 7,
(1) The chiefs of the above OL components will appoint
a Safety Officer for their respective elements
whose responsibilities shall include:
(a) Conduct periodic safety inspections within
assigned areas of responsibility, at least
quarterly, to ensure compliance with estab-
lished safety standards. Such inspections
shall be conducted independently of the
periodic inqnertinnc performed by OS required
by referent (P&PD's area of responsi-
bility is the P&P uilding, LSD's is the
Motor Pool, RECD's is the power plant and
special purpose utility r9oms at Headquarters,
and SD/CD's
(b) Maintain liaison with appropriate officials
in GSA* and the Safety Branch, OS, on matters
involving safety.
(c) Ensure that health and safety ;pro,"otional
ateria] ?i~,rIhate thi;, ,~;~ i
browht io the tep.: o; cv e;:,r,lovec
(d) Periodically present to ;rou;~
safety or health awareness film.
employees a
(e) Maintain statistical information on accidents
and subirit reports on unsafe conditions and
accomplishments in support of the safety and
health program to the OL Safety and Health
Committee.
(f)
Enroll key supervisory personnel. in safety
and health-related courses and seminars.
(g) Prepare and maintain an updated Fire Emer-
gency Plan for the assigned area of respon-
sibility. SD/CD will also maintain appro-
priate fire-fighting apparatus, train selected
depot personnel in its use, and maintain
liaison with local fire departments and
emergency rescue squads.
RECD and P&PD will maintain liaison with LSD instead
of GSA.
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INSTRUCTION NO.
LI 12-1
LI 12-1
SAFETY AND HEALTH
Revised 9 September 1980
(2) Issue internal directives and implement instruc-
tions consistent with this instruction.
4. ISSUANCE OF PROTECTIVE CLOTHING
(a) Protective clothing may be made available for
temporary use of a group of employees performing
certain tasks, or issued to individual employees
for their exclusive use. The for:iier practice is
to be followed wherever practicable. An example
of the latter would be special shoes that must be
individually fitted and do not lend themselves to
sharing.
(b) Generally, the test of whether protective clothing
or devices should be issued at Government cx:;~cnse
is "whether it I's such as the ern,-1,o,,-cc .. i ght
reasonably be expected to furnish part of the
pers n l 0.(7111~`,T Cni nc e~~;i'.~ inr '' to neI 1-!,l
C~ll.l:ii
this c ...ic. , a hard h:!t 11 ho rrishe,i o
soineont_' i,orhing in -111c(: t!",
employee should not be exr,cct c t~ cut 1ncly oi:n
such a hat; 011 the other -)coat aaCd hat
should :lot he furnished :!ri er i s oft ^n
perfor;r.ing his duties in i-1.-1'aent ~?!thcl s nee
he shnul; be expected to rout inci ;x n such ec;ui
(c) When the OL Safety and Health Corl-,:ittee cannot
decide whether protective clothing or equipment
should be provided by the Government, the matter
will be referred to the Office of General Counsel.
James H. McDonald
Director of Logistics
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