A. 1 Attach a copy of the site's safety and health policy.
A. 2 Describe your approach to managing the development of your site's safety and health policy. Who developed it and who is communicating the policy?
A. 3 Describe your system for communicating this policy to all your employees.
A. 4 Describe your system for setting safety and health goals and objectives.
A. 5 Describe how these goals and objectives are communicated to all employees.
A. 6 Describe how top management is visibly involved in the safety and health program.
A. 7 Attach the current year's safety and health goals and objectives.
A. 8 Describe how the site safety and health functions fit into your overall management organization.
A. 9 Attach an overall organizational chart explaining the relationship of your site's safety and health personnel to your overall organization.
A. 10 Describe the assignment of line and staff safety and health responsibility.
A. 11 Attach previously established written material, such as sample job descriptions for managers, that include safety and health elements.
A. 12 Describe the system used for holding line managers and supervisors accountable for safety and health and how that system is documented.
A. 13 Attach blank performance appraisal forms for managers and supervisors.
A. 14 Indicate how employees are held accountable for safe and healthful actions.
A. 15 Provide a narrative summary of personnel, equipment, budget, capital investments (if any) and other resources devoted to your worksite's safety and health management system.
A. 16 Describe how safety and health are part of your overall management planning, such as setting production goals, increasing or decreasing the workforce or introducing a new line.
A. 17 Attach a copy of the most recent annual evaluation of your entire safety and health program.
A. 18 Describe how the recommendations from the annual program evaluation are integrated into the safety and health objectives for the next year.
A. 19 Describe how you perform the evaluation. For example, who evaluates the program, at what time of year, how is the evaluation report distributed and how are people held accountable to ensure the recommendations from the evaluation are accomplished?
A. 20 Describe how contractors' past performance in safety and health is taken into account in the bidding process.
A. 21 Describe oversight, coordination and enforcement methods used to ensure the contractor safety and health program is adequate and is implemented properly. Specify site and exit procedures for contractors.
A. 22 Describe the means used to ensure prompt correction and control of hazards, however detected, under a contractor's control.
A. 23 Describe the methods used to ensure all injuries and illnesses occurring during work performed under a contract are recorded and submitted to you.
A. 24 Describe methods, such as monetary penalties and dismissal from the site, used to discourage willful or repeated noncompliance by contractors or their employees.
A. 25 List the number of resident contractor companies and the approximate number of contract employees on the site at the time of the application or during the most recent calendar year, whichever most accurately reflects the usual situation at the site.
A. 26 Describe the methods used to ensure all employees, including newly hired employees, are aware of the following: the site's participation in MNSTAR; an employee's right to file a complaint with MNOSHA; and an employee's right to receive the results of self-inspections and accident investigations, upon request.
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