DLLR's Division of Labor and Industry

 

Chapter XIV. Voluntary Protection Programs - MOSH Field Operations Manual - Maryland Occupational Safety and Health (MOSH)

 
A.  Purpose. The purpose of the Maryland Occupational Safety and Health (MOSH) Voluntary Protection Program (VPP) is to emphasize the importance of, encourage the improvement of, and recognize excellence in employer-provided, employee-participation, and generally site-specific occupational safety and health programs. These programs are comprised of management systems for preventing or controlling occupational hazards. The systems not only ensure that MOSH standards are met, but, using flexibility and creativity in striving for excellence, go beyond the standards to provide the best feasible protection for workers at that site. In the process, these worksites serve as models for effective safety and health programs in their industries.

B.  Scope. Worksites in the MOSH VPP are removed from programmed inspection lists for the duration of their participation. This frees MOSH's inspection resources for visits to establishments that are less likely to meet the requirements of the MOSH standards. VPP participants enter into a new relationship with MOSH, one in which safety and health problems can be approached cooperatively when and if they arise.

C.  Authority. The MOSH Program shall control the application, evaluation, review, and approval process, and maintain the necessary documentation to implement a VPP within the guidelines set forth by federal OSHA (see Cooperative Agreement with Federal OSHA/State Plan Document). Workplaces that are approved for participation in the VPP shall meet the guidelines for VPP approval established herein. Although these guidelines have been patterned against federal OSHA VPP systems, the MOSH Program has sole authority for application review, evaluation and approval, and maintenance of the sites in Maryland.

D.  Roles and Responsibilities.

1.  Commissioner. The Commissioner of Labor and Industry/Authorized Representative shall:

a.  Set occupational safety and health performance criteria for participants in the VPP.

b.  Seek resources to develop and maintain a statewide VPP outreach program for companies doing business in Maryland.

c.  Ensure that appropriately trained staff are available for application review and processing.

d. Issue a news release to announce every VPP approval in the State.

e. Provide to the applicant the approval decision for evaluated participant worksites recommended to continue in VPP.

f.  Ensure that the required information is provided to OSHA in a timely manner, and maintain a current list of approved sites.

2. VPP Coordinator. The VPP Coordinator shall:

a.  Provide application information and assistance to interested employers, employee groups, and other parties (e.g., trade associations, municipal and county governments, etc.).

b.  Provide application review to determine merit of on-site verification and recommendation for the Commissioner/Authorized Representative’s decision on VPP applications.

c.  Maintain a record of all VPP inquiries and applications received and report the number of inquiries and applications received to the Commissioner/Authorized Representative on a regular basis.

d.  Ensure that any applicant who appears on a programmed inspection list has inspections deferred for a period lasting from no more than 75 days prior to the date the on-site review is scheduled until the date of the approval decision. If approved, participants are removed from such lists for the duration of participation.

e.  Provide the Commissioner/Authorized Representative with a copy of the VPP Activity Log, which will include a listing of all scheduled pre-approval and evaluation on-site visits.

f.  Ensure that valid, formal employee complaints and referrals, significant chemical leaks and spills, accidents, fatalities or catastrophes are forwarded to the appropriate region for investigation as defined in Chapter III.

E. VPP Application Process.

1.  Review of Applications. Applications will be reviewed upon receipt to determine whether the application indicates prima facie attainment of the requirements for the program. If the written description meets those requirements, then a pre-approval on-site review will be scheduled.

2.  Decision to Conduct Pre-approval On-site Review.

a.  The VPP Coordinator shall review all materials submitted with the on-site team to determine whether a pre-approval on-site review shall be conducted. If the team feels that additional information is needed from the applicant before a decision can be made, the team will draft a list of questions to be addressed by the applicant. The VPP Coordinator will forward the team’s final recommendation to the Assistant Commissioner/Authorized Representative.

b.  Should it become clear that the applicant cannot qualify for the VPP program, the VPP Coordinator shall suggest to the applicant that the request for consideration be withdrawn. If the application is not withdrawn, the application shall be returned with a letter of explanation outlining the reason(s) for denial.

3.  Contents of Application.

a.  Injury and Illness Data. The employer shall collect and submit to MOSH the injury frequency and lost workday information for the selected worksite. The information and data shall be submitted prior to the initiation of the benchmark visit and on an annual basis thereafter 60 days prior to expiration of the agreement. The employer and worksite must meet or exceed the following criteria:

(1)  No history of MOSH violations involving willful, repeat or failure to correct within the last five years.

(2)  An OSHA recordable incident rate per 100 full-time employees for the current year at the site 30% below the latest published national rate for the applicable SIC code, and the prior two years at or below the latest published national rate.

(3)  The combined overall average injury and illness and lost workday case rates (called the contractor rates) for the most recent calendar year for all applicable contractors= employees assigned to the site must also be at or below the most recent specific industry national averages published by the United States Bureau of Labor Statistics.

b.  Management Leadership and Employee Involvement. Each applicant must be able to demonstrate top-level management leadership in the site's safety and health program. Management systems for comprehensive planning must address protection of worker safety and health. Employees must be meaningfully involved in the safety and health program.

(1)  Commitment to Safety and Health Protection. As with any other management system, authority and responsibility for employee safety and health must be integrated into the overall management system of the organization and must involve employees. This commitment includes:

(a)  Policy. Clearly established policies for worker safety and health protection shall be communicated to all employees.

(b)  Goals and Objectives. Management shall establish and communicate the goal for the safety and health program and results-oriented objectives for meeting that goal, so that all members of the organization understand the results desired and the measures planned for achieving them.

(c)  Commitment to VPP Participation. Management must also clearly demonstrate commitment to meeting and maintaining the requirements of the VPP for which application is made.

(d) Planning. Planning for safety and health must be a part of the overall management planning process.

(e)  Written Safety and Health Program. The employer must maintain an effective and pro-active safety and health program. The program shall set out the principles and goals demonstrating the employer's commitment to workplace safety and health and shall include at least the following major elements:

1 Management Leadership. Managers must provide visible leadership in implementing the program. This must include:

a Establishing clear lines of communication with employees;

b Setting an example of safe and healthful behavior;

c Creating an environment that allows for good employee access to top site management;

d Ensuring that all workers at the site, including contract workers, are provided equally high quality safety and health protection.

2 Employee Involvement. The site must provide for and encourage employee involvement in the structure and operation of the program and in decisions that affect employees' safety and health. The requirement for employee participation may be met in a variety of ways, as long as employees have a workplace safety committee and at least two other active and meaningful ways to participate in safety and health problem identification and resolution. This involvement is in addition to the individual right to notify appropriate managers of hazardous conditions and practices. Examples of acceptable means of providing for employee impact on decision-making include but are not limited to the following:

a Safety observers,

b Ad hoc safety and health problem-solving groups,

c Safety and health training of other employees,

d Analysis of job/process hazards,

e Committees/teams that plan and conduct safety and health awareness programs.

3 Worksite Analysis. Management of safety and health programs must begin with a thorough understanding of all potentially hazardous situations to which employees may be exposed and the ability to recognize and correct all existing hazards as they arise. This requires:

a Comprehensive safety and health surveys at intervals appropriate for the nature of workplace operations which include:

o A baseline survey of health hazards accomplished through initial comprehensive industrial hygiene surveying, or other comprehensive means of assessment such as complete industrial hygiene engineering studies, or through pre-job planning;

o A survey of safety hazards accomplished through initial comprehensive worksite surveying and subsequent surveying as needed; and

o The use of nationally recognized procedures for all sampling, testing, and analysis with written records of results.

b Analysis of all new and newly acquired facilities, processes, materials, equipment, or phases before use begins, to determine potential hazards and to plan for their prevention or control.

c Routine examination and analysis of hazards associated with individual jobs, processes, or phases and inclusion of the results in training and hazard control programs. This includes job safety analysis and process hazard review.

d A system for conducting routine self-inspections that follows written procedures or guidance and that results in written reports of findings and tracking of hazard elimination or control to completion. These inspections must occur at least monthly and must cover the whole worksite at least quarterly.

e A reliable system for employees, without fear of reprisal, to notify appropriate management personnel in writing about conditions that appear hazardous and to receive timely and appropriate responses. The system must include tracking of responses and tracking of hazard elimination or control to completion.

f An accident/incident investigation system that includes written procedures or guidance, with written reports of findings and hazard elimination or control tracking to completion.

g A system to analyze trends through a review of injury/illness experience and hazards identified through inspections, employee reports, and accident investigations, so that patterns with common causes can be identified and the causes eliminated or controlled.

4 Hazard Prevention and Control. Based on the results of hazard assessment, identified hazards and potential hazards must be eliminated or controlled by the following methods:

a Reasonable site access to certified industrial hygienists (CIH) and certified safety professionals (CSP) as needed, based on the potentially significant risks of the site;

b Means for eliminating or controlling hazards, including:

o Engineering controls;

o Administrative controls such as job rotation to reduce the duration of exposure;

o Personal protective equipment; and

o Safety and health rules, including safe and healthful work procedures for specific operations, that:

- are understood and followed by all affected parties;

- are appropriate to the potential hazards of the site;

- result in training, positive reinforcement, and correction of unsafe performance;

- are equitably enforced through a clearly communicated written disciplinary system that includes procedures for disciplinary action or reorientation of managers, supervisors, and employees who break or disregard safety rules, safe work practices, proper materials handling, or emergency procedures; and

- are written, implemented, and updated by management as needed and are used by employees.

c Documented ongoing monitoring and maintenance of workplace equipment, such as preventive and/or predictive maintenance, to prevent equipment from becoming hazardous;

d A system for initiating and tracking hazard elimination or control in a timely manner;

e An occupational health program that uses occupational health professionals to analyze hazards as appropriate for early recognition and treatment of illness and injury and for limiting the severity of harm; and that provides, at a minimum, certified first aid and cardiopulmonary resuscitation (CPR) providers on-site and physician and emergency medical care nearby, so that harm can be minimized and;

f Procedures for response to emergencies. These procedures must be written and communicated to all employees, must list requirements for personal protective equipment, first aid, medical care, and emergency egress, and must include provisions for emergency telephone numbers, exit routes, and training drills including annual evacuation drills.

5 Safety and Health Training. Training is necessary to implement management's commitment to prevent exposure to hazards. All employees must understand the hazards to which they may be exposed and how to prevent harm to themselves and others from exposure to these hazards, so that they will accept and follow established safety and health procedures. Training for safety and health must ensure that:

a Managers understand their safety and health responsibilities, as described under "Management Leadership and Employee Involvement," and will effectively carry out those responsibilities;

b Supervisors understand their safety and health responsibilities and carry them out effectively. Responsibilities include analyzing the work under their supervision to identify unrecognized potential hazards, maintaining physical protections in their work areas, and reinforcing employee training about potential hazards and needed protection measures through continual performance review and, if necessary, through enforcement of safe work practices;

c Employees are made aware of hazards, and the safe work procedures to follow in order to protect themselves from hazards, through training provided at the same time they are taught to do a job and through reinforcement;

d Supervisors, all employees, and visitors on the site understand what to do in emergency situations; and

e Where personal protective equipment is required, employees understand that it is required, why it is required, its limitations, how to use it, and how to maintain it; and employees use it properly.

6 Safety and Health Program Evaluation. The applicant must have a system for evaluating the operation of the safety and health program annually to judge success in meeting the program's goal and objectives, so that those responsible can determine and implement changes needed to improve worker safety and health protection.

a The system must provide for an annual written narrative report with recommendations for timely improvements, assignment of responsibility for those improvements, and documentation of timely follow-up action or the reason no action was taken.

b The evaluation must assess the effectiveness of all elements of the site's safety and health program.

c The evaluation may be conducted by competent corporate site personnel or by competent private sector third parties who are trained and/or experienced in performing such evaluations.

o Contract Worker Coverage. The applicant shall ensure that all contracting and temporary employees are covered under the safety and health program while physically on-site of the host employer.

- Participants must demonstrate that they have considered the safety and health programs and performance of all contractors during the evaluation and selection of these contractors.

- Participants must document that all contractors and subcontractors operating routinely at the site maintain effective safety and health programs and comply with applicable safety and health rules and regulations. Such documentation must:

l Describe the authority for the oversight, coordination, and enforcement of those programs by the applicant, and there must be documentary evidence of the exercise of this authority at the site.

l Describe the means for prompt elimination or control of hazards, however detected, by the applicant in the event that contractors or individuals fail to correct or control such hazards.

l Describe how the contractor submits the injury and illness and lost workday data.

l Describe the penalties, including contractor correction and/or dismissal from the worksite, for willful or repeated non-compliance by contractors, subcontractors, or individuals.

o Responsibility, Authority, and Resources.

- Responsibility must be clearly defined in writing, with no overlap or unassigned areas, and each employee, at any level, must be able to describe his/her responsibility for safety and health.

- Those who have responsibility must have commensurate authority.

- Those who have responsibility and authority must have adequate resources, including staff, equipment, and incentive programs, to meet their responsibilities.

o Line Accountability. Managers, supervisors, and employees must be held accountable for meeting their responsibilities so that essential tasks will be performed. For this to occur, authority and responsibility for safety and health protection must be clearly defined and implemented; managers and supervisors must be evaluated; and a system for rewarding good and correcting deficient performance must be in operation.

 

 

F. On-site Evaluation.

1.  Determination. When it has been determined that an on-site review is to be conducted, the VPP Coordinator shall notify the appropriate region that programmed planned inspections at the applicant’s worksite shall be deferred for no more than 75 days prior to the date of the scheduled on-site review, and until the date of the approval decision.

2.  Review Team. The review team shall conduct a pre-visit planning session which will include, at a minimum:

a.  Full application and documentation review;

b.  Team strategy and member’s roles;

c.  Review of VPP policy and requirements;

d.  Review of appropriate standards;

e.  Research of technical issues specific to the industry or worksite; and

f.  Development of checklists or questionnaires.

3.  On-site Visit. The on-site visit, which may be conducted by the review team or other designees, shall consist of the following:

a.  Opening conference;

b.  Document review, including an audit of records;

c.  Plant walkthrough;

d.  Employee interviews; and

e.  Closing conference.

4.  Preparation and Submittal of Findings. After a review of all documentation and pertinent information, the on-site team shall draft a final report following a format designated by the Assistant Commissioner/Authorized Representative.

a.  Consensus. The team must reach consensus on an approval recommendation. Should irreconcilable questions arise, the team shall consult with the Commissioner/Authorized Representative for further guidance.

b.  Designation. MOSH VPP only considers employers making the exemplary designation:

(1)  Exemplary – The applicant has met all requirements and demonstrates an outstanding management and employee commitment to safety and health. This category would be reserved for applicants that have been actively involved in developing and maintaining a safe workplace for some time, and demonstrate a cooperative and proactive attitude toward worker safety.

5.  Closing Conference. After review by the Commissioner/Authorized Representative, the team shall present their finding(s) on-site to the applicant. A copy of the final report shall be provided, which will include the following:

a.  Explanation of approval process and findings.

b.  Planned on-site assistance.

c.  Responsibilities of applicant for ongoing program maintenance and evaluation.

d.  Information regarding the final agreement and official announcements.

G. Post-Approval Process.

1.  The Assistant Commissioner/Authorized Representative shall:

a.  Ensure that appropriate personnel and other guests are notified of the date, time and location of the ceremony.

b.  Provide a certificate for the ceremony (the company shall provide any flag or banner).

c.  Conduct partnership site review visits for the purpose of monitoring the effectiveness of the VPP. The employer will be provided 72 hours notice of each proposed visit. No citations or penalties will be issued for an alleged violation of a MOSH standard found during a partnership site review visit, provided the alleged hazard is abated within the time specified by MOSH.

2.  The VPP employer shall:

a.  Maintain a joint safety and health committee to function in the workplace, consisting of representatives of line employees, supervisors and top management.

b.  Maintain a log of all employee complaints received and the action taken in response to each complaint. Records shall also be maintained of all meetings of the safety and health committee, and all worksite inspections conducted as part of the hazard assessment. These records are in addition to those records required by law or regulation, and shall be made available, upon request, to an authorized representative of the Commissioner.

c.  At the employer’s expense, post a visible and legible sign, in a place where notices to employees are generally posted, indicating that the establishment is participating in the MOSH VPP.

d.  Inform the joint safety and health committee of all complaints regarding unsafe conditions. The employer also agrees to respond immediately to each allegation of a serious safety or health concern brought to its attention by the Committee, regardless of the source of the allegation. Upon finding that an allegation is valid, the VPP employer shall promptly abate or mitigate the hazard.

H. Affect of VPP on Unprogrammed Activity.

1.  Complaints Filed Against a VPP Participant. A copy of any complaint filed by employees related to work being performed at the site of the VPP employer and filed with MOSH under the Maryland Occupational Safety and Health Act will be treated as a nonformal complaint and forwarded by "fax" to the VPP employer. In accordance with applicable law, the name of a complainant requesting confidentiality will not be revealed. The VPP employer shall investigate these complaints and provide MOSH with a written plan of action according to the following timetable:

a.  Complaints alleging a serious hazard: 4 hours

b.  Complaints alleging an other-than-serious hazard: 3 calendar days

c.  Complaints alleging imminent danger: shall be investigated immediately and a verbal response dispatched within 1 hour, followed by a written report within 2 hours.

Failure to meet these time requirements will place the complaint outside the scope of the VPP. MOSH will respond to such complaints as it would to any complaint of a similar nature. Although occurring on the VPP Pilot site, complaints by contractor employees against their employer do not come under the jurisdiction of these policies. MOSH reserves the right to investigate these complaints outside the VPP Pilot agreement in full accordance with the MOSH Act.

2.  Accidents. MOSH will continue to fully investigate accidents involving death or serious physical harm. These investigations will be conducted outside these policies, in accordance with normal enforcement practices. Violations may result in the issuance of citations and penalties. The scope of such investigations will not be expanded beyond the incident at issue.