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["Commonwealth of Pennsylvania A&IPP Review"]
[]
[]
["Department:",null,null,null,null,null,null,"Date:"]
["Review Conducted by:"]
[]
["Participants in Review:",null,null,null,null,null,null,"Title:"]
[null,null,null,null,null,null,null,"Title:"]
[null,null,null,null,null,null,null,"Title:"]
[null,null,null,null,null,null,null,"Title:"]
[null,null,null,null,null,null,null,"Title:"]
[null,"     ",null,null,null,null,null,"Title:"]
[]
["Core Elements",null,"Questions",null,"Points Available",null,"# of N/A",null,"Net Points (Less N/A)",null,"Points Awarded",null,"Total %",null,null,null,null,{"$f":"B4 & \" - Core Elements\"","v":" - Core Elements"},null,"*","*"]
["A - Policy Statement",null,5,null,{"$f":"C15","v":5},null,0,null,{"$f":"(E15-(G15*4))","v":5},null,{"$f":"'A. Policy Statement'!B14","v":0},null,{"$f":"K15/I15","v":0},null,null,null,null,{"$f":"TODAY()","v":"2015-02-27"},null,"Yes","Yes"]
["B - Program Coordinator",null,6,null,6,null,0,null,6,null,{"$f":"'B. Program Coordinator'!B15","v":0},null,0,null,null,null,null,{"$f":"B4 & \" - P-Elements\"","v":" - P-Elements"},null,"No","N/A"]
["C - Responsibilities ",null,8,null,8,null,0,null,8,null,{"$f":"'C. Responsibilities'!B17","v":0},null,0,null,null,null,null,null,null,"N/A"]
["D - Goals and Objectives",null,7,null,7,null,0,null,7,null,{"$f":"'D. Goals'!B18","v":0},null,0]
["E - Hazard ID and Control",null,7,null,7,null,0,null,7,null,{"$f":"'E. Hazard ID'!B16","v":0},null,0]
["F - IH Surveys",null,8,null,8,null,0,null,8,null,{"$f":"'F. IH'!B17","v":0},null,0]
["G - Health Services",null,6,null,6,null,0,null,6,null,{"$f":"'G. Health Services'!B15","v":0},null,0,null,null,null,null,null,null,"*"]
["H - Orientation and Training",null,7,null,7,null,0,null,7,null,{"$f":"'H. Orientation'!B16","v":0},null,0,null,null,null,null,null,null,"Yes"]
["I - Emergency Action Plan",null,10,null,10,null,0,null,10,null,{"$f":"'I. EAP'!B19","v":0},null,0,null,null,null,null,null,null,"No"]
["J - Employee Suggestions",null,6,null,6,null,0,null,6,null,{"$f":"'J. Suggestions'!B17","v":0},null,0]
["K - Employee Involvement",null,6,null,6,null,0,null,6,null,{"$f":"'K. Employee Involvement'!B15","v":0},null,0]
["L - Rules and Enforcement",null,4,null,4,null,0,null,4,null,{"$f":"'L. Enforcement'!B13","v":0},null,0]
["M - Accident Investigation",null,7,null,7,null,0,null,{"$f":"(E27-(G27))","v":7},null,{"$f":"'M. Accident Investigation'!B18","v":0},null,0]
["N - First Aid, CPR",null,10,null,10,null,{"$f":"IF('N. First Aid'!B5=\"No\",6,0)","v":0},null,{"$f":"(E28-G28)","v":10},null,{"$f":"'N. First Aid'!B20","v":0},null,0]
["O - Program Effectiveness",null,8,null,8,null,0,null,{"$f":"(E29-(G29*4))","v":8},null,{"$f":"'O. Effectiveness'!B19","v":0},null,0]
["TOTALS",null,{"$f":"SUM(C15:D29)","v":105},null,{"$f":"SUM(E15:F29)","v":105},null,{"$f":"SUM(G15:H23)","v":0},null,{"$f":"SUM(I15:J29)","v":105},null,{"$f":"SUM(K15:L29)","v":0},null,0]
[]
["P Elements",null,"Questions",null,"Points Available",null,"N/A",null,"Net Points ",null,"Points Awarded",null,"Total %"]
["01 - Electrical and Machine Guarding",null,{"$f":"E33","v":8},null,{"$f":"IF(G33=0,8,0)","v":8},null,{"$f":"IF('P1 Electrical-Machine Guarding'!B6=\"N/A\",\"N/A\",0)","v":0},null,{"$f":"IF(G33=0,8,0)","v":8},null,{"$f":"IF(G33=\"N/A\",\"N/A\",(SUM('P1 Electrical-Machine Guarding'!B20)))","v":0},null,{"$f":"IF(G33=\"N/A\",\"N/A\",(SUM(K33/I33)))","v":0}]
["02 - Personal Protective Equipment",null,8,null,8,null,{"$f":"IF('P2 PPE'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G34=\"N/A\",\"N/A\",(SUM('P2 PPE'!B20)))","v":0},null,{"$f":"IF(G34=\"N/A\",\"N/A\",(SUM(K34/I34)))","v":0}]
["03 - Hearing Conservation",null,8,null,8,null,{"$f":"IF('P3 Hearing Conservation'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G35=\"N/A\",\"N/A\",(SUM('P3 Hearing Conservation'!B20)))","v":0},null,0]
["04 - Sight Conservation",null,8,null,8,null,{"$f":"IF('P4 Sight Conservation'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G36=\"N/A\",\"N/A\",(SUM('P4 Sight Conservation'!B20)))","v":0},null,0]
["05 - Lockout/Tagout",null,8,null,8,null,{"$f":"IF('P5 LOTO'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G37=\"N/A\",\"N/A\",(SUM('P5 LOTO'!B20)))","v":0},null,0]
["06  Hazardous Materials",null,8,null,8,null,{"$f":"IF('P6 Hazardous Materials'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G38=\"N/A\",\"N/A\",(SUM('P6 Hazardous Materials'!B20)))","v":0},null,0]
["07 - Confined Space Entry",null,8,null,8,null,{"$f":"IF('P7 Confined Space Entry'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G39=\"N/A\",\"N/A\",(SUM('P7 Confined Space Entry'!B20)))","v":0},null,0]
["08 - Fire Prevention",null,8,null,8,null,{"$f":"IF('P8 Fire Prevention'!B6=\"N/A\",\"N/A\",0)","v":0},null,8,null,{"$f":"IF(G40=\"N/A\",\"N/A\",(SUM('P8 Fire Prevention'!B20)))","v":0},null,0]
["09 - Substance Abuse",null,9,null,9,null,0,null,9,null,{"$f":"IF(G41=\"N/A\",\"N/A\",(SUM('P9 Substance abuse awareness'!B20)))","v":0},null,{"$f":"IF(G41=\"N/A\",\"N/A\",(SUM(K41/I41)))","v":0}]
["10 - Bloodborne Pathogens",null,10,null,{"$f":"IF(G42=0,10,0)","v":10},null,{"$f":"IF('P10 Bloodborne Pathogens'!B6=\"N/A\",\"N/A\",0)","v":0},null,{"$f":"IF(G42=0,10,0)","v":10},null,{"$f":"IF(G42=\"N/A\",\"N/A\",(SUM('P10 Bloodborne Pathogens'!B23)))","v":0},null,{"$f":"IF(G42=\"N/A\",\"N/A\",(SUM(K42/I42)))","v":0}]
["11 - Pre Operational Process Review",null,7,null,{"$f":"IF(G43=0,7,0)","v":7},null,{"$f":"IF('P11 Pre-op. Process Review'!B6=\"N/A\",\"N/A\",0)","v":0},null,{"$f":"IF(G43=0,7,0)","v":7},null,{"$f":"IF(G43=\"N/A\",\"N/A\",(SUM('P11 Pre-op. Process Review'!B19)))","v":0},null,{"$f":"IF(G43=\"N/A\",\"N/A\",(SUM(K43/I43)))","v":0}]
["TOTALS",null,{"$f":"SUM(C33:D43)","v":90},null,{"$f":"SUM(E33:E43)","v":90},null,{"$f":"SUM(G33:H43)","v":0},null,{"$f":"SUM(I33:J43)","v":90},null,{"$f":"SUM(K33:L43)","v":0},null,{"$f":"K44/I44","v":0}]
[]
[null,null,"Questions",null,"Points Available",null,"# of N/A",null,"Net Points (Less N/A)",null,"Points Awarded",null,"Total %"]
["Program Totals",null,{"$f":"C30+Text55","v":195},null,{"$f":"E44+E30","v":195},null,{"$f":"G44+Text40","v":0},null,{"$f":"I44+I30","v":195},null,{"$f":"K44+K30","v":0},null,{"$f":"K47/I47","v":0}]
[]
["12 - Other Element Protocols",null,10,null,null,null,{"$f":"COUNTIF('P12 Other Protocals'!B7:B16,\"N/A\")","v":0},null,null,null,{"$f":"C49-G49","v":10}]

{"sheet":"A. Policy Statement","index":1,"n_rows":22,"n_cols":2,"rows_kept":22,"cut":false,"hidden":false,"merged":[[19,0,19,1],[17,0,17,1],[0,0,0,1],[1,0,1,1],[14,0,14,1],[15,0,15,1]]}
["A. Safety Policy Statement"]
["Definition:  A written statement regarding the Accident & Illness Prevention Policy that contains the Self Insured Employer’s philosophy regarding accident and illness prevention.  The Safety Program Policy statement serves as the foundation for all program activities.  The statement should be signed by a Chief Executive Officer and communicated to all employees."]
[]
["Written Policy/Procedure:"]
["1. Does the agency have a safety policy statement signed by the current agency head?","*"]
[]
["Training and Communications:"]
["2. Are copies provided during new employee orientation? ","*"]
["3. Are copies distributed annually to all employees?","*"]
[]
["Recordkeeping:   ","     "]
["4. Was adequate proof or documentation provided regarding the distribution of the safety policy statement?","*"]
["5. Is the last review date documented?","*"]
["Total",{"$f":"COUNTIF(B5:B13,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"B. Program Coordinator","index":2,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[[20,0,20,1],[0,0,0,1],[18,0,18,1],[1,0,1,1],[16,0,16,1]]}
["B. Designated A&IP Program Coordinator"]
["Definition:  An individual(s) appointed by the employer to coordinate the provision of the Accident & Illness Prevention Program, by location or on a company wide basis.  Assignment of the Safety Program Coordinator must be documented and made part of the designated individual’s duties and responsibilities."]
[]
["Written Policy/Procedure:"]
["1. Is the name and contact information of the agency safety coordinator or others responsible for the administration or coordinator of the program listed? ","*"]
["2. Is the assignment of the safety coordinator role and their main safety responsibilities included in the employee’s position description?","*"]
[]
["Training and Communications:"]
["3. Has the agency safety coordinator completed the mandatory safety coordinator orientation training?","*"]
["4. Are the agency safety coordinator and/or field coordinator names and contact information distributed or made available to all employees?","*"]
[]
["Recordkeeping:   "]
["5. Was documentation or proof provided regarding contact information being provided to employees and the date coordinator information was last updated?","*"]
["6. Are copies of position descriptions maintained for all staff assigned safety coordinator responsibilities?","*"]
["Total",{"$f":"COUNTIF(B5:B14,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"C. Responsibilities","index":3,"n_rows":25,"n_cols":2,"rows_kept":25,"cut":false,"hidden":false,"merged":[[18,0,18,1],[1,0,1,1],[20,0,20,1],[22,0,22,1]]}
["C. Assignment of Responsibilities for Developing, Implementing, and Evaluating the A&IP Program  "]
["Definition:  Assignment of Accident & Illness Prevention Program responsibilities, as they pertain to employees and staff, (includes contracted providers retained and responsible for certain program elements).  The individual, position and/or title of the position and the assignment of individual or position responsibilities must be documented.  "]
[]
["Written Policy/Procedure:"]
["1. Are all of the program duties and responsibilities of the Safety Coordinator and/or safety staff listed?","*"]
["2. Are the duties and responsibilities of other staff that assist with the development, implementation, and evaluation of the program listed?","*"]
["3. Are the names, company, and contact information for all contractors responsible for or assisting with certain program elements listed?","*"]
[]
["Training and Communications:"]
["4. Upon assignment of duties, are employees provided with an orientation to their safety-related responsibilities of the position?","*"]
["5. Is periodic refresher information provided to employees assigned safety-related responsibilities?","*"]
[]
["Recordkeeping:   "]
["6. Was the information current and does it include a date when it was last reviewed or updated?","*"]
["7. Are copies of position descriptions maintained for assigned safety staff?","*"]
["8. Was documentation provided that program responsibilities were communicated to employees?","*"]
["Total",{"$f":"COUNTIF(B5:B16,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"D. Goals","index":4,"n_rows":26,"n_cols":2,"rows_kept":26,"cut":false,"hidden":false,"merged":[[23,0,23,1],[21,0,21,1],[1,0,1,1],[0,0,0,1],[19,0,19,1]]}
["D. Program Goals and Objectives"]
["Definition:  A documented procedure explaining how Accident & Illness Prevention Program goal(s) and objective(s) are set.  Example: a goal may be a 25% reduction in the number of recordable injuries (OSHA definition) during a specific period; while an objective could be the improvement of safety procedures related to a task or operation."]
[]
["Written Policy/Procedure:"]
["1. Does a written procedure exist detailing the agency’s methods for developing and administering the safety goals and objectives?","*"]
["2. Are adequate agency safety goals and objectives, aimed at loss reduction and program improvement, developed for the current fiscal year and annually?","*"]
["3. Do these goals or objectives include leading or trailing indicators?","*"]
["4. Are these goals and objectives measurable?","*"]
[]
["Training and Communications:"]
["5. Are annual goals/objectives and progress reports communicated within the agency and at least to upper management (agency head, deputy secretaries, and bureau directors)?","*"]
[]
["Program Review:"]
["6. Is progress/achievement in meeting the goals and objectives periodically monitored and evaluated at least annually?","*"]
[]
["Recordkeeping:   "]
["7. Was documentation provided for the following: written procedure, list of annual goals and objectives, progress/evaluation reports, and communications?","*"]
["Total",{"$f":"COUNTIF(B5:B17,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"E. Hazard ID","index":5,"n_rows":24,"n_cols":2,"rows_kept":24,"cut":false,"hidden":false,"merged":[[1,0,1,1],[17,0,17,1],[19,0,19,1],[21,0,21,1]]}
["E. Methods for Identifying and Evaluating Hazards and Developing Corrective Actions for their Mitigation"]
["Definition:  Written procedures for identifying hazards, evaluating hazards, and developing corrective actions for their mitigation.  The purpose of written procedures is to eliminate or reduce occupational accidents, injuries, and illnesses.  Activities may include, but not be limited to:  providing solutions, explanations, resources, reference materials, and referrals"]
[]
["Written Policy/Procedure:"]
["1. Is there a written policy/procedure for conducting hazard assessments/inspections in all occupied work locations? ","*"]
["2. Does the policy/procedure identify who conducts and reviews assessments / inspections; the frequency of assessments/inspections; and methods used for conducting them? ","*"]
["3. Does the agency identify methods used to develop and implement corrective actions for recognized hazards and the chain of command to follow to implement solutions?","*"]
["4. Is the information regarding hazard correction or abatement made available to the workers who reported and/or are affected by the hazard?","*"]
[]
["Training and Communications:"]
["5. Upon assignment of duties, are employees trained in conducting safety assessments / inspections? ","*"]
["6. Is management notified of the findings of safety assessments, inspections, and reports?","*"]
[]
["Recordkeeping:   "]
["7. Was documentation provided for the following: completed assessments and inspections for the current year and two previous years, records showing that corrective actions are tracked and implemented, and copies of communications to management regarding hazard identification, awareness, and corrective actions?","*"]
["Total",{"$f":"COUNTIF(B5:B15,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"F. IH","index":6,"n_rows":25,"n_cols":2,"rows_kept":25,"cut":false,"hidden":false,"merged":[[22,0,22,1],[20,0,20,1],[0,0,0,1],[1,0,1,1],[18,0,18,1]]}
["F. Industrial Hygiene Surveys"]
["Definition:  Surveys required by the nature of the individual self-insured employer’s workplace and worksite environments.  These surveys may include suspected chemical, physical or biological exposures, and produce recommendations designed to control and/or prevent identified exposures"]
[]
["Written Policy/Procedure:"]
["1. Is there a written policy or procedure to identify, report, and respond to industrial hygiene related hazards and concerns?","*"]
["2. Are roles and responsibilities for investigating concerns, providing recommendations, and initiating consultant services explained in the policy/procedure? ","*"]
["3. Are assessments conducted as necessary to monitor the agency’s work environments or exposures?","*"]
[]
["Training and Communications:"]
["4. Are supervisors and employees informed of the proper procedures for reporting industrial hygiene related concerns? ","*"]
["5. Is awareness and recognition training provided? (Maintenance staff, custodial crews, affected employees, etc.)? ","*"]
["6. Are the industrial hygiene related findings, recommendations, and corrective actions communicated to management, unions, and affected employees? ","*"]
[]
["Recordkeeping:   "]
["7. Was documentation of completed industrial hygiene assessments, monitoring results, recommendations, and corrective actions provided?   ","*"]
["8. Was documentation that the procedure was communicated to supervisors and employees provided?","*"]
["Total",{"$f":"COUNTIF(B5:B16,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"G. Health Services","index":7,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[[0,0,0,1],[20,0,20,1],[1,0,1,1],[16,0,16,1],[18,0,18,1]]}
["G. Industrial Health Services "]
["Definition:  Written policy providing for industrial health services required by the nature of the individual self-insured employer’s workplace environment.  These services should address the physical, mental, and social well being of employees in relation to their workplace environment.  The results of these services may produce recommendations designed to identify, control, and/or eliminate health hazards."]
[]
["Written Policy/Procedure:"]
["1. Does the policy/procedure identify services to address the physical, mental, and social well being of employees in relation to their workplace environment?  (examples:  medical monitoring programs, vaccination programs, health and wellness initiatives / screenings / fairs, workers’ compensation procedures, substance abuse education / testing / treatment, employee assistance program services, infectious diseases, sexual harassment, workplace violence, stress management, and other available health related information/brochures)? ","*"]
["2. Does it list the names, credentials and contact information of the service providers utilized or available to provide health related services? ","*"]
["3. Does it identify ways that the Safety Coordinator is informed of Occupational Health concerns?","*"]
[]
["Training and Communications:"]
["4. Are employees periodically informed regarding the types of available services and when they are offered?","*"]
["5. Are employees periodically provided with health related information and communications?","*"]
[]
["Recordkeeping:   "]
["6. Was documentation provided as proof that employees are notified of available health services and to show records of services, events, and employee participation in health related programs?","*"]
["Total",{"$f":"COUNTIF(B5:B14,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"H. Orientation","index":8,"n_rows":24,"n_cols":2,"rows_kept":24,"cut":false,"hidden":false,"merged":[[21,0,21,1],[19,0,19,1],[0,0,0,1],[1,0,1,1],[17,0,17,1]]}
["H. A&IP Orientation and Training "]
["Definition:  A&IP orientation and training for the purpose of enhancing employees’ knowledge, skills, attitudes, and motivations concerning health and safety requirements relating to operations, processes and specific work environments."]
[]
["Written Policy/Procedure:"]
["1. Does the policy/procedure identify the various types and frequency of safety and health related training provided to new and existing employees?","*"]
["2. Does it address methods used by supervisors to orient new employees to job and worksite specific safety procedures and expectations (safety talks, hands-on instruction, formal certification training, pre-work meetings or inspections, etc)?","*"]
[]
["Training and Communications:"]
["3. Is safety orientation training provided to all new employees?  ","*"]
["4. Is periodic safety related training provided for all employees (examples may include:  office safety, emergency evacuation / preparedness, Right-to-Know, hazard identification, back injury prevention, office workstation / general ergonomics, general safety rules and enforcement procedures, incident reporting and investigation procedures, indoor air quality, mold awareness, substance abuse awareness, etc.)?","*"]
["5. Is specific safety training provided for selected groups of employees due to their responsibilities or the hazards associated with the nature of the work / worksite (examples may include:  safety committee, first aid / CPR / AED, personal protective equipment, lockout / tagout, confined space entry, fire prevention, fall prevention, universal precautions, bloodborne pathogen cleanup / disposal, safe driving, powered industrial trucks, equipment / machinery operation, asbestos, lead, etc.)?","*"]
["6. Is the type and frequency of safety training adequate to meet the hazards and needs of the agency?","*"]
[]
["Recordkeeping:   "]
["7. Was documentation provided or available to show curriculum and attendance records for safety related training? ","No"]
["Total",{"$f":"COUNTIF(B5:B15,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"I. EAP","index":9,"n_rows":27,"n_cols":2,"rows_kept":27,"cut":false,"hidden":false,"merged":[[24,0,24,1],[0,0,0,1],[1,0,1,1],[20,0,20,1],[22,0,22,1]]}
["I. Regularly Reviewed and Updated Emergency Action Plan"]
["Definition:  A written plan designed to provide a quick and pre-planned response to emergency events that include, but are not limited to:  fires, floods, and gas leaks.  The plan must include procedures for employee safety and accountability during emergency conditions.  "]
[]
["Written Policy/Procedure:"]
["1. Do all occupied agency locations have updated written emergency action plans?","*"]
["2. Have responsibilities, chain-of-command, decision-making procedures, and methods of communication during emergencies and/or evacuations been identified?","*"]
["3. Have procedures for individuals that require assistance during an evacuation been identified?","*"]
["4. Have procedures for assembly and accountability following an evacuation been identified?","*"]
["5. Are evacuation maps posted and evacuation drills conducted in all locations? ","*"]
[]
["Training and Communications:"]
["6. Is annual training provided to emergency evacuation / building safety team members?","*"]
["7. Are new employees provided with information on emergency response and evacuation procedures during employee orientation? ","*"]
["8. Are all employees provided with emergency evacuation plans, contact information, and updates?  Do they receive emergency response education / training at least annually?","*"]
[]
["Recordkeeping:   "]
["9. Are records of training or communications documented for the following: emergency evacuation team, new employee orientation, and all employees? ","*"]
["10. Is there documentation of the date the plan was last reviewed for update and compliance; including approval signatures of the Safety Coordinator, Evacuation Team Leader, or Executive Director as appropriate?","*"]
["Total",{"$f":"COUNTIF(B5:B18,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"J. Suggestions","index":10,"n_rows":25,"n_cols":2,"rows_kept":25,"cut":false,"hidden":false,"merged":[[22,0,22,1],[0,0,0,1],[1,0,1,1],[18,0,18,1],[20,0,20,1]]}
["J. Employee A&IP Suggestion and Communication Programs  "]
["Definition:  A documented procedure describing the process whereby employees can offer suggestions and communicate their concerns related to employee A&IP.  "]
[]
["Written Policy/Procedure:"]
["1. Is there an established and documented process by which all employees, including regional or field offices, can communicate their safety concerns, recommendations, and/or suggestions? (This should include a method for regional safety coordinators or representatives to report suggestions and concerns to the agency safety coordinator.)","*"]
["2. Are the following identified: individual(s) responsible for reviewing and responding to employee suggestions, frequency that submissions are reviewed, the procedures for responding to submissions, and the method(s) used for tracking responses?","*"]
[]
["Training and Communications:"]
["3. Are all employees annually informed of the Suggestion and Communication Program?","*"]
[]
["Program Review:"]
["4. Is the effectiveness of the program evaluated annually? (by reviewing the hazards identified, timeliness of responses, and the number of suggestions submitted/implemented)    ","*"]
[]
["Recordkeeping:   "]
["5. Was documentation of the last two communications to employees provided?","*"]
["6. Was documentation of responses to suggestions / concerns provided?","*"]
["Total",{"$f":"COUNTIF(B5:B16,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"K. Employee Involvement","index":11,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[[0,0,0,1],[20,0,20,1],[1,0,1,1],[16,0,16,1],[18,0,18,1]]}
["K. A&IP Program Employee Involvement "]
["Definition:  Documentation of method(s) whereby employees have the opportunity to participate in Accident & Illness Prevention Program projects and activities, including assumption of certain Program responsibilities, either on an assigned or voluntary basis.  "]
[]
["Written Policy/Procedure:"]
["1. Are there enough (i.e., at least one) functioning (i.e., has goals, agendas, meeting minutes) Safety Committees to involve an adequate number staff in the safety process?","*"]
["2. Are all employee unions represented and do committees have equal representation of union and management employees when possible?","*"]
["3. Do safety committees meet on a regular basis and at least quarterly?","*"]
[]
["Training and Communications:"]
["4. Are committee members provided with initial and periodic training on the three established safety committee training modules? (Safety Committee Operations, Hazard Identification, and Incident Investigation)","*"]
["5. Are committee agendas, goals / objectives, minutes, accomplishments, etc. communicated with upper management, safety committee members, supervisors and employees, as appropriate? (Regional / site safety committees must communicate goals, agendas, and meeting minutes to the agency safety coordinator.)","*"]
[]
["Recordkeeping:   "]
["6. Did the agency provide documentation for the following: agendas, goals/objectives, meeting minutes, committee accomplishments, training records, or employee involvement in other safety programs or sponsored activities?  ","*"]
["Total",{"$f":"COUNTIF(B5:B14,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"L. Enforcement","index":12,"n_rows":21,"n_cols":2,"rows_kept":21,"cut":false,"hidden":false,"merged":[[18,0,18,1],[0,0,0,1],[16,0,16,1],[1,0,1,1],[14,0,14,1]]}
["L. Established Safety Rules and Methods for their Enforcement  "]
["Definition:  Written safety rules and enforcement procedures that provide for a safe workplace environment and employee job performance.  "]
[]
["Written Policy/Procedure:"]
["1. Does the procedure list the general safety rules for all employees and identify how job specific safety rules or procedures are developed (including coverage for contractors)?","*"]
["2. Does the policy / procedure identify the enforcement procedure for safety violations and the individual(s) responsible for enforcement?","*"]
[]
["Training and Communications:"]
["3. Are new employees informed of safety rules and enforcement procedures during new employee orientation and are all existing employees notified annually?  ","*"]
[]
["Recordkeeping:   "]
["4. Did the agency provide documentation that the safety rules and enforcement procedures are provided to employees?","*"]
["Total",{"$f":"COUNTIF(B5:B12,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"M. Accident Investigation","index":13,"n_rows":26,"n_cols":2,"rows_kept":26,"cut":false,"hidden":false,"merged":[[0,0,0,1],[23,0,23,1],[1,0,1,1],[19,0,19,1],[21,0,21,1]]}
["M. Methods for Accident Investigation, Reporting, and Recordkeeping  "]
["Definition:  A written procedure explaining and providing for the timely investigation of accidents, completion of required reporting and recording, and recordkeeping.  Information resulting from accident investigation, reporting, and records may be used to prevent future employee risk, exposure, and accidents.  "]
[]
["Written Policy/Procedure:"]
["1. Does the procedure identify the process for reporting, investigating, and recording workplace incidents including who conducts initial investigations, follow-up investigations, and review of completed incident investigation forms on a central, regional, or worksite level; and when they are conducted (initial investigations must be completed within 24-48 hours of the reported incident)?","*"]
["2. Is there a procedure for conducting post investigation follow-up to ensure recommendations and corrective actions are implemented / completed? ","*"]
[]
["Training and Communications:"]
["3. Is incident investigation training or instruction provided to those responsible for conducting and reviewing investigations?","*"]
["4. Are incident investigation findings and recommendations communicated with management, supervisors, and employees as appropriate for the awareness of hazards or changes in processes / procedures?","*"]
[]
["Program Review:"]
["5. Are completed incident investigation forms reviewed and analyzed to identify possible trends and corrective measures?","*"]
["6. Does the agency compare the number of completed investigations to the number of reported incidents in order to determine how many incidents are being investigated?","*"]
[]
["Recordkeeping:   "]
["7. Does the agency have documentation of the following: completed incident investigation and witness statement forms; copies of communications related to incident investigations findings or recommendations; evaluations or incident analysis reports? ","*"]
["Total",{"$f":"COUNTIF(B5:B17,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"N. First Aid","index":14,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[25,0,25,1],[0,0,0,1],[1,0,1,1],[21,0,21,1],[23,0,23,1]]}
["N. Availability of First Aid, CPR, and Other Emergency Treatments  "]
["Definition:  Documentation explaining how prompt availability of first aid and CPR and other emergency treatments are provided for injured or suddenly ill employees.  These treatments include on-site services, as well as those provided by the medical community.  "]
[]
["Written Policy/Procedure:"]
["Does the agency use on-site services for First Aid, CPR, or other Emergency Treatments?","*"]
["1. Does the procedure identify the agency’s approach for obtaining prompt emergency medical treatment?  ","*"]
["2. In addition to outside medical assistance, does the procedure identify if on-site services are necessary to address all worksite locations?","*"]
["3. If first responders are needed or utilized, does the program identify the methods for developing, implementing, and maintaining programs in accordance with either the American Heart Association or Red Cross recommended guidelines? ","*"]
["4. Are adequate first aid supplies and equipment readily available and are locations of all automatic external defibrillators, first aid kits, and body fluid spill kits identified?  ","*"]
[]
["Training and Communications:"]
["5. Are new employees educated during orientations and is the agency’s policy for obtaining emergency care annually communicated to all employees?","*"]
["6. When providing on-site services are emergency response procedures, phone numbers, and the contact information of certified staff posted or made available?  ","*"]
["7. As applicable, are designated staff trained and certified in First Aid, CPR, and AED usage?","*"]
["8. Is bloodborne pathogen training (reporting of exposures, universal precautions, body fluid clean-up/disposal, and post exposure care/treatment) provided to staff trained and certified in First Aid, CPR, and AED usage?","*"]
[]
["Recordkeeping:   "]
["9. Are current CPR, First Aid, and AED certifications maintained?","*"]
["10. Was documentation of orientation training, communications, and annual notifications to employees provided?","*"]
["Total",{"$f":"COUNTIF(B6:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"O. Effectiveness","index":15,"n_rows":27,"n_cols":2,"rows_kept":27,"cut":false,"hidden":false,"merged":[[0,0,0,1],[24,0,24,1],[1,0,1,1],[20,0,20,1],[22,0,22,1]]}
["O. Method(s) for Determining and Evaluating A&IP Program Effectiveness"]
["Definition (as determined by the Office of Administration):  The methods used to evaluate the effectiveness of the A&IP Program and an understanding of how that information is to be used.  The self-insured employer must be able to demonstrate a statistical analysis of losses incurred during the current fiscal year and the two previous to identify the overall effectiveness of the A&IP Program efforts.  The analysis of the statistical data must identify the type of injuries, where the injuries are occurring, and any other identifiable trends.  In addition to statistical analysis, an evaluation of all the safety program elements must be performed on an annual basis in order to determine strengths and weakness of the program."]
[]
["Written Policy/Procedure:"]
["1. Does the procedure identify the methods, data, information, and frequency used to determine the effectiveness of the program and to measure performance? ","*"]
["2. Does the procedure identify responsibilities for determining effectiveness measures, conducting loss analyses, preparing reports / statistics, and performing program evaluations?","*"]
["3. Does the agency perform an annual analysis of the loss data to identify any possible trends, types of injuries, and where they are occurring?","*"]
["4. Does the agency use any other performance measures or leading indicators when evaluating or determining program effectiveness?","*"]
["5. Does the agency review and evaluate all of the required and applicable program elements on an annual basis to ensure compliance and identify opportunities for improvement?","*"]
[]
["Training and Communications:"]
["6. Are statistical reports and analysis results shared and communicated within the agency and at least to upper management?","*"]
[]
["Program Review:"]
["7. Does the agency periodically review the methods it uses to determine effectiveness?  Does it review the evaluation process used to identify program needs, develop loss reduction strategies, and establish goals and objectives?  ","*"]
[]
["Recordkeeping:   "]
["8. Did the agency provide documentation of statistical reports, loss analyses, program reviews / evaluations, and communications?","*"]
["Total",{"$f":"COUNTIF(B5:B18,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add Suggestions"]

{"sheet":"P1 Electrical-Machine Guarding","index":16,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[20,0,20,1]]}
["1. Electrical and Machine Safeguarding"]
["Definition:  A procedure for the installation of systems, hardware and equipment installed upon, around, over, or near any machine or electrical installation to eliminate accidental contact by any person with the hazardous mechanical or electrical components for the purpose of preventing injuries."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have appropriate written policies or procedures to address the protocol and their needs?","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards?","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals? ","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","No"]
["Total",{"$f":"COUNTIF(B5, \"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P2 PPE","index":17,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[25,0,25,1],[23,0,23,1],[1,0,1,1],[0,0,0,1],[20,0,20,1],[21,0,21,1]]}
["2. Personal Protective Equipment Rating"]
["Definition:  A program that addresses the selection, purchase, training of employees, and enforcement of the use of devices and apparel determined necessary for employees to protect against hazards in the work environment."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have appropriate written policies or procedures to address the protocol and their needs?","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards?","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals?","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P3 Hearing Conservation","index":18,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[25,0,25,1],[23,0,23,1],[0,0,0,1],[1,0,1,1]]}
["3. Hearing Conservation"]
["Definition:  Programs established to reduce or eliminate, if possible, the level of noise in the work environment to safe levels through engineering controls, administrative control and/or personal protective equipment. Methods may include personal protective equipment (mandatory hearing protection), point of operation equipment guards, non-hazardous tools, proper illumination and other similar engineering controls."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards?","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals?","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P4 Sight Conservation","index":19,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["4. Sight Conservation"]
["Definition:  Programs established to reduce or eliminate, if possible, hazard in the work environment to protect and conserve employee eye sight from equipment and any physical or environmental hazards to employees’ eyes, through engineering controls, administrative control and/or personal protective equipment.  Methods may include personal protective equipment (mandatory safety glasses, goggles, and face shields), point of operation equipment guards, non-hazardous tools, proper illumination and other similar engineering controls."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards?","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals? ","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9.Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P5 LOTO","index":20,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["5. Lockout/Tagout Procedures"]
["Definition:  A procedure consisting of controls and employee training to ensure that machines, equipment, or piping are isolated, de-energized, and completely inoperative (locked out) before servicing or maintenance is performed.  This procedure shall also protect employees from the unexpected machine startup, release of unsafe liquid or gas or contact with electrical sources."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards? ","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals? ","*"]
["8. Is the completion of training monitored and documented?  ","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P6 Hazardous Materials","index":21,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["6. Hazardous Material Handling, Storage, and Disposal Procedure (Right-to-Know)"]
["Definition:  A procedure that identifies and controls the receipt, handling, storage and disposal of hazardous chemicals and products containing hazardous chemicals.  Included is the development of a chemical inventory, procurement of material safety data sheets (MSDS), training for employees in identifying hazardous materials, understanding possible exposures and routes of entry of the chemical into the body, knowledge of the signs and symptoms of overexposure and recommended first-aid procedures."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, chemicals, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards? ","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals?","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P7 Confined Space Entry","index":22,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["7. Confined Space Entry"]
["Definition:  A procedure to follow when entering, for any reason, any area that has limited openings for entry and exit that would make escape difficult in an emergency, has a lack of ventilation, contains known and potential hazards, and is not intended or designed for continuous human occupancy. "]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards? ","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals?","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P8 Fire Prevention","index":23,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["8. Fire Prevention & Control Practices"]
["Definition:  Documented practices for the prevention and control of fires and their related cause factors.  These practices also include methods for responding to fires should they occur, employee evacuation procedures, and other applicable techniques for protecting life."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards?","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?","*"]
["7. Is training provided to the appropriate or identified individuals? ","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P9 Substance abuse awareness","index":24,"n_rows":28,"n_cols":2,"rows_kept":28,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[23,0,23,1],[25,0,25,1]]}
["9. Substance Abuse Awareness & Prevention Policies and Programs"]
["Definition:  These policies and programs must include the employer’s methods implemented to prevent employees in the workplace while under the influence of alcohol or other controlled substances and the use of alcohol or other controlled substances on the employer’s premises."]
[]
["Hazard Assessment:  The Substance Abuse Awareness and Prevention Policies and Programs element is applicable and mandatory for all agencies participating in the Commonwealth’s Workers’ Compensation Program."]
[]
["Written Policy/Procedure:"]
["1. Does the agency have a written policy for substance abuse awareness and prevention?","*"]
["2. Is the program consistent with commonwealth standards?","*"]
[]
["Training:"]
["3. Are appropriate training programs or educational materials developed and available?","*"]
["4. Is training and education provided to new employees during orientation?","*"]
["5. Is the agency’s policy provided or communicated annually to all employees?","*"]
["6. Is substance abuse awareness and prevention training or education provided to all employees every two years?     ","*"]
["7. Is training provided to supervisors on the recognition of impaired behaviors and initiating a response or follow-up actions?","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B19,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P10 Bloodborne Pathogens","index":25,"n_rows":31,"n_cols":2,"rows_kept":31,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[26,0,26,1],[28,0,28,1]]}
["10. Control of Exposure to Bloodborne Pathogens"]
["Definition:  A program providing for protecting employees against the hazards related to exposure to blood or other potentially infectious body fluids.  This also includes employee training and a procedure for implementing an immediate response should an exposure incident occur."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, protective equipment, processes, or job types/tasks been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
["5. Is the program consistent with or based on applicable federal, state, or national consensus standards? ","*"]
[]
["Training:"]
["6. Are appropriate training programs or educational materials developed and available?"]
["a.  General information or education provided during orientation and made available to all employees.","*"]
["b.  Training for employees certified in first aid, CPR, or AEDs or responsible for blood or OPIM clean-up","*"]
["c.  Training for employees with occupational exposures to blood or OPIM.","*"]
["7. Is training provided to the appropriate or identified individuals? ","*"]
["8. Is the completion of training monitored and documented?","*"]
[]
["Recordkeeping:   "]
["9. Was adequate proof or documentation provided for the following:  procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B22,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P11 Pre-op. Process Review","index":26,"n_rows":27,"n_cols":2,"rows_kept":27,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1],[22,0,22,1],[24,0,24,1]]}
["11. Pre-Operational Process Review"]
["Definition:  A procedure providing for the review of plans, drawings, diagrams and specifications for processes, equipment and machinery, prior to their use and introduction into the workplace.  This review is for the purpose of identifying and correcting hazardous conditions."]
[]
["Hazard Assessment:"]
["1. Has a hazard assessment been performed to determine the need for the protocol?","*"]
["2. Is the protocol applicable and required?","*"]
["3. Have the applicable work locations, equipment, processes, or responsibilities been identified?","*"]
[]
["Written Policy/Procedure:"]
["4. Does the agency have an appropriate written policy or procedure to address the protocol and their needs? ","*"]
[null,"     "]
["Training:"]
["5. Are appropriate training programs or educational materials developed and available?","*"]
["6. Is training or education provided to the appropriate or identified individuals?","*"]
["7. Is the completion of training or communications monitored and documented?","*"]
[]
["Recordkeeping:   "]
["8. Was adequate proof or documentation provided for the following:  identification, procedures, applicable forms, training, communications, and annual program review?","*"]
["Total",{"$f":"COUNTIF(B5,\"Yes\")+COUNTIF(B7:B18,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]
[]
["Add suggestion"]

{"sheet":"P12 Other Protocals","index":27,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[[22,0,22,1],[0,0,0,1],[1,0,1,1],[20,0,20,1],[3,0,3,1]]}
["12. Other Protocols"]
["Definition:  Protocols or standard operating procedures determined to be necessary for the protection of employees from injury and illness.  The need for the additional protocols is based on the type(s) of operation(s), workplace, and work environments.  Agencies must address all identified potential hazards by developing programs specific to their workplace.  Hazards and/or program elements that are not specifically listed in section P of the requirement guide but which are recognized and identified by the agency require appropriate review and response.  The identified program areas must be addressed according to the degree of hazard and needs of the agency. "]
[]
["Program Areas:  Identified hazards must be addressed in the same manner as the specified P elements with a hazard assessment, written procedures, training, program evaluation, and recordkeeping.  Additional program areas that may need to be addressed include, but are not limited to, the following:"]
["Program Areas:"]
["01. Fall Protection Program ","*"]
["02. Walking and Working Surfaces","*"]
["03. Scaffolding ","*"]
["04. Powered Industrial Vehicles (i.e., Lift Trucks, etc.)  ","*"]
["05. Excavation/Trench Safety ","*"]
["06. Asbestos ","*"]
["07. Lead ","*"]
["08. Ergonomics ","*"]
["09. Fleet and Driver Safety","*"]
["10. Ionizing and Non-ionizing Radiation","*"]
[]
["Total",{"$f":"COUNTIF(B6:B16,\"Yes\")","v":0}]
[]
["Comments"]
[]
["Recommendations"]
[]
["Suggestions"]