vppsitereport-OccupationalSafetyandHealthAdministration.doc

vppsitereport-OccupationalSafetyandHealthAdministration.doc

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vppsitereport-OccupationalSafetyandHealthAdministration.doc

Site-Based Participation Evaluation Report Company Name City, State Onsite Evaluation Date Month – Start/End Date, 20XX VPP Evaluation Team Name, Title Name, Title Name, Title Name, Title Name, Title EXECUTIVE SUMMARY I. Purpose and Scope of Review An onsite review was conducted from Date, at the Organization in City, State. The purpose of the evaluation was to determine the site’s eligibility or continued eligibility for site-based participation in the Occupational Safety and Health Administration’s (OSHA) Voluntary Protection Programs (VPP). The VPP Evaluation Team consisted of: Name, Title/Special Government Employee (SGE), Office, City, State Name, Title/Special Government Employee (SGE), Office, City, State Name, Title/Special Government Employee (SGE), Office, City, State Name, Title/Special Government Employee (SGE), Office, City, State Name, Title/Special Government Employee (SGE), Office, City, State II. Methods of Data Collection The information for this report was obtained from the site’s VPP application, documentation reviewed onsite, interviews with employees and management personnel, annual evaluation reports, and physical observations of the facility(ies). III. Employees at the Worksite There are XXX employees working on site. In addition, there are XXX contractor employees onsite performing maintenance, capital projects, guard services, janitorial services, etc. Employees at the site are represented by the insert union name(s) and local(s). (Employees at the site are not represented by a collective bargaining agent.) Formal interviews were conducted with XX site employees and XX contract employees. Informal interviews were conducted with XXX site employees and XXX contract employees. IV. The Worksite The site is properly classified under North American Industrial Classification System (NAICS) code XXXXXX. Provide a description of the site, e.g., size, location, operation, buildings, etc. Describe the site’s processes, production

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