AGHP 2018 Safety Recognition Program

(Performance Period: Jan – Dec 2018)

Recognitions are presented annually to recognize outstanding achievement and efforts in the rope access safety programs of companies.

AGHP Rope Access Safety Recognition Plaque – awarded to the company(ies) with the lowest TRC rate, with a minimum combined 85-point score in leading and trailing safety indicator categories. Additional consideration for awarding for each entrant with a low Days Away and Restricted duty/job Transfer case (DART) rate and with a minimum combined 85-point score in leading and trailing safety indicator categories.

Important Dates

August 31, 2018: All completed applications must be received by 5PM, Eastern Standard Time

September 10-13, 2018: AGHP Rope Access Safety Awards Notification

2018 ROPE ACCESS SAFETY RECOGNITION APPLICATION

Company Name	Contact Name
Company Street Address	Title
City	Contact Phone Number
State/Zip Code	Company Fax Number
Contact Email Address	First Time Entry? Yes or No

To be effective, rope access safety programs must be dynamic, proactive, and engage all levels of a company’s staff. Successful rope access safety programs have two main components: the systematic use of Slope Site Assessments (SSAs) on every project and third-party rope access training. The AGHP Safety Recognition Program is geared to promote these critical criteria.

To be eligible for an AGHP Safety Recognition, both leading and trailing indicators are considered by the review committee. The Total Score is computed as the combined score of Section 1 and Section 2. Scores of less than 85 points are ineligible to be considered.

The final recognitions are determined by a panel of AGHP members (and may include outside experts), which evaluate all applications satisfying the minimum criteria for Recognition eligibility. AGHP reserve the right to request additional documentation during the review process.

Section 1 details a company’s trailing indicators. A trailing indicator is typically based on injury and incident data (i.e., things that have occurred in the past). The trailing indicators used for an AHGP Safety Award are based on OSHA incident rates: the Total Recordable Case (TRC) Rate, and the Days Away and Restricted duty/job Transfer (DART) case rate.

The applicant’s TRC and DART rates must be at or below the most recent published BLS rates for “Specialty Contractors” to earn points. The TRC and DART case rates are each worth 12.5 points. Canadian firms participating in the AGHP Safety Recognition Program should use the Canadian Province Workers Compensation Law and/or Occupational Safety and Health Regulations as described below. Fill in the appropriate table for your company.

Section 2 details leading indicators. Leading indicators are those techniques that your company uses to PREVENT rope access injuries/incidents. Leading indicators include (inspections, training, slope site assessments, accountable activities, etc.) Section 2 contains 15 questions, each worth 5 points for a possible maximum of 75 points, or 75% of the Total Score.

Section 3 contains the required narratives that allow each company to describe the critical elements of your Rope Access Safety program. Be sure to detail those elements of your program that have proven effective in preventing injuries and incidents.

Section 4 contains the summary of your score.

Section 5 contains the required signature and certificate of release page.

Section 1 – Incident Rates

The calculated TRC (Total Recordable Case Rate) and DART (Days Away, Restricted Duty and Job Transfer Case) Rate for the calendar year 2017 are the criteria for this Section. The prior years’ data is collected for trending information only.

To earn points, the applicant company’s TRC & DART rates for 2017 must be at or below published incident rates, as follows:

A TRC rate at or below the published in the 2015 Bureau of Labor Statistics data for Construction Specialty Trade Contractors of 3.7 equals 12.5 points (TRC above published rate = zero points).

A DART rate at or below the published 2015 Bureau of Labor Statistics for Construction Specialty Trade Contractors of 2.1 equals 12.5 points (DART above published rate = zero points).

Source: 2015 Bureau of Labor Statistics Incident Rates (Table 1: Incidence rates of nonfatal occupational injuries and illnesses by case type and ownership, selected industries 2015); Private Industry; Construction; Specialty Trade Contractors- (https://www.bls.gov/news.release/archives/osh_10272016.pdf).

Table 1. Incident Rates for U.S. Companies

2013	2014	2015	2016	2017
Total Hours Worked (all employees)
Total No. OSHA Cases
* TRC Rate
Total No. of OSHA Days Away, Restricted Duty/Job Transfer Cases
* DART Case Rate

* Rate calculation: rate = # cases divided by employee hours worked multiplied by 200,000

Examples:

TRC	5 total OSHA recordables & 465,000 employee hours worked
TRC = (5 / 465,000) x 200,000 = 2.15

DART	2 cases with either restricted duty/job transfer, or, lost time
DART = (2 / 465,000) x 200,000 = 0.86

Table 2. Incident Rates for Canadian Companies

2013	2014	2015	2016	2017
Total Hours Worked (all employees)
Total No. Reportable Healthcare Cases*
TRC Rate **
Total No. of Lost Time or Modified Duty Cases ***
Lost Time Modified Duty Case Rate ***

* As required by Province Workers Compensation Law and/or Occupational Safety & Health Regulations

** Rate calculation: rate = # cases divided by employee hours worked multiplied by 200,000

*** Lost Time or Modified Duty -- the number of individual cases involving a worker who was unable to work at all (due to injury) and the number of cases where the injured worked could work, but at a restricted capacity (i.e. no bending, lifting more than 15 pounds, etc.) or was transferred to another job description (i.e. went from working in the field to working at the shop performing a different task due to the injury).

Section 2 – Rope Access Program Elements

Each “Yes” is worth 5 points, “No” answers are worth zero points; Section 2 has a possible maximum of 75 points. Items in red marked with an (*) will require further explanation in Section 3.

#	Click if Yes	ITEM
1*	☐	Is there a written rope access safety plan or policy committing the company to proactive rope access safety & health, loss prevention, which is signed by the company principle or senior executive? (Describe or include plan in Section 3).
2*	☐	Does senior management actively participate in the rope access safety & health program? (Describe in Section 3).
3*	☐	Is a Rope Access Safety Director Identified? Is the position full time or part time? Is the Director trained and experienced in rope access safety? (Describe in Section 3).
4	☐	Are safety related duties included in job descriptions and in the performance appraisal process for all rope access management and supervisory positions?
5*	☐	Is there a substance abuse prevention program in place for all rope access personnel that includes testing for 1) pre-hire; 2) random; 3) for cause; and 4) post-incident? (describe in Section 3 if any of the 4 provisions is not in place).
6	☐	Do all job sites using rope access have a safety and health trained “competent person” if/as required by OSHA Standards? (Does not apply to Canadian companies.)
7	☐	Does the rope access safety and health policy incorporate a provision for employees to report unsafe conditions and stop work?
8*	☐	Are your rope access personnel trained through a formal new hire orientation as well as through regular, ongoing training? Cite an example, or describe in Section 3.
9*	☐	For all rope access incidents, are formal reporting and investigation procedures in place, including provisions for communicating lessons learned to all employees? (Describe in Section 3).
10*	☐	Is there a functional rope access safety committee that meets regularly, addressing employee concerns and communicates effective measured to employees? (Describe in Section 3).
11*	☐	Within your company, are rope access near-miss incidents recorded? If yes, please briefly describe the recording process (paper, electronic, of other format) and what is done with the information (i.e. how are the near-misses broadcast to the employees as lessons learned). Please describe if you have achieved a positive benefit from this procedure in Section 3.
12	☐	Are 75% or more of your employees currently trained and certified by a third-party rope access training company? (Number of field employees that do rope access work and have current third-party training/total number of field employees that do rope access work)
13	☐	Are Slope Site Assessments conducted on 75% or more of your rope access projects? Include percentage of sites in the previous year where a slope site assessment was completed (SSAs/total rope access jobs for the previous year) in Section 3.
14	☐	Do you have an approved equipment list for rope access work?
15*	☐	Do you have a formal process in place to retire or discard worn or outdated rope access safety equipment? (Describe in Section 3).
16*	☐	Has the company created or implemented any industry best practices? (Describe in Section 3)

* Items require additional information to be provided in Section 3

SECTION 3

Descriptions of items in Section 2. Please use separate pages, as necessary, to complete your answers.

Item #1:Click or tap here to enter text.

Item #2: Click or tap here to enter text.

Item #3: Click or tap here to enter text.

Item #5: Click or tap here to enter text.

Item #8: Click or tap here to enter text.

Item #9: Click or tap here to enter text.

Item #10: Click or tap here to enter text.

Item #11: Click or tap here to enter text.

Item #15: Click or tap here to enter text.

Item #16: Click or tap here to enter text.

Section 4 – Summary of Scores

TRC Points:	Click or tap here to enter text.

+

DART Points:	Click or tap here to enter text.

Section 1 Score:	= Click or tap here to enter text. (Maximum of 25 points)

+

Section 2 Score: Click or tap here to enter text. (15 points per “yes” answer, maximum of 75 points)

=

Total Score: Click or tap here to enter text.

(Section 1 score + section 2 score, minimum of 85 points to qualify)

Section 5 – Certificate of Release

This form must be completed in full as a requirement of entry for the AGHP Rope Access Safety Recognition Program.

Company Name: Click or tap here to enter text.

I have reviewed the information supplied in the AGHP Rope Access Recognition Program as well as attachments, and I certify that this information is accurate and true to the best of my knowledge.

Furthermore, I grant permission to the AGHP to use the information furnished in this application, including my company name, at the sole discretion of the AGHP staff, in any and all promotion of this or future Rope Access Safety Recognition Programs.

I understand that while this information is not considered confidential, specific details of the material will not be publicly linked directly to my company except in the event that it is required to adequately document or portray primary aspects of my program, and then, it will only be expressed in a positive manner that reflects well on my company.

I acknowledge that I have authority of my company to make these representations.

Form completed by

Name and Title	Email Address

___________________________________________________ ____________________

Name and Title	Email

Date

___________________________________________________ ____________________

Signature	Date

Entry deadline is August 31, 2018. Completed forms and any supporting documents must be received via email to info@GeohazardAssociation.org by 5PM ET on August 31, 2018.