MANAGEMENT
LEADERSHIP & EMPLOYEE INVOLVEMENT
WORKSITE
ANALYSIS
HAZARD
PREVENTION & CONTROL
TRAINING
FINAL
ASSESSMENT WORKSHEET
EVALUATION
OF SAFETY AND HEALTH MANAGEMENT PROGRAM
COMPANY
____________________________________________
BY _________________________ DATE _________________
Total
the scores for each major element and
list them below. The maximum possible
score for each major element is listed
in parenthesis.
SAFETY
& HEALTH MANAGE PROGRAM ASSESSMENT
80%
OR BETTER (107-134 points):
You
may be ready to participate in one of
OSHA's safety and health achievement
recognition programs. If you have more
than 500 employees, contact the OSHA
Regional Office and ask about the Voluntary
Protection Program (VPP). If you have
less than 500 employees, contact your
local Onsite Consultation Program and
ask about the Safety and Health Achievement
Recognition Program (SHARP). In Illinois,
call 1-800-972-4216. For any other location
and telephone numbers are listed on
the OSHA Website at www.OSHA.gov
LESS
THAN 80% (0-106 points):
Consider
implementing a safety and health management
program to reverse accident trends.
Concentrate your efforts on developing
and carrying out the missing program
elements. Use the Action Plan Worksheet,
which follows as an aid in identifying
and tracking objectives. If you need
assistance, contact your local Onsite
Consultation Program.
ACTION
PLAN WORKSHEET
Use
the Action Plan Worksheet to identify
specific activities, which will allow
you to reach your goal of having a safe
and healthful workplace. Use the worksheet
to set up an action plan and track progress.
Copy the worksheet as needed.
- Identify
program areas where elements are missing
or defective.
- Determine
where you want to be.
- Identify
objectives, which will help you reach
your goal.
- Divide
objectives into specific activities.
- Assign
responsibility to one individual who
will be held accountable for the activity.
- Assign
target dates to each activity for
evaluation purposes.
ACTION
PLAN WORKSHEET
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