(b) Safety and health
professional audits.
(1) Individuals who
perform the audit or review functions set forth in this section, shall limit
their activities under the standard to the area of their expertise.
(2) All safety and health professionals
granting certifications of effective safety and health programs for employers
under this rule shall comply with the following:
(A) The certification of an employer's safety
and health program shall include an audit which includes both a worksite hazard
assessment and an evaluation of the employer's safety and health
program.
(B) Safety and health
professionals performing worksite hazard assessments shall utilize applicable
state regulations, as well as recognized safe work practices, as the basis for
both the review of worksite safety and health conditions and the recommendation
of corrective measures.
(C) Safety
and health professionals shall not certify their own places of employment or
those workplaces controlled by their employer.
(D) Wherever industrial hygiene sampling is
determined to be necessary during the conduct of the audit, the safety and
health professional shall utilize testing protocols which conform to those
recommended by the National Institute for Occupational Safety and Health
(NIOSH) or HIOSH or both. All sample analyses must be performed by a laboratory
that has been accredited by the American Industrial Hygiene
Association.
(E) The safety and
health professional shall include as part of the overall audit, an opening
conference which shall include a discussion of the following:
(i) The manner in which the audit would be
conducted;
(ii) The information and
other assistance which would be required of the employer in order to allow the
safety and health professional to perform their function;
(iii) The opportunity for participation of
employees or employee representatives in the audit;
(iv) The sampling which might be required as
part of the audit as well as the sampling protocols which would be
utilized;
(v) The requirements of
this standard with regard to the conduct of audit;
(vi) The results of the audit and the
employer's right to not disclose those results to the department; and
(vii) A reiteration of the voluntary nature
of the audit and an explanation that if the employer is uncertain as to their
desire to participate in the safety and health audit and, therefore, wishes to
withdraw from the audit, action may be taken at any time.
(F) Upon completion of the audit
establishment visit, the safety and health professional will conduct a final
closing conference with the employer and employee representatives, if
applicable, to discuss the audit findings and recommendations, as well as any
other information which the safety and health professional intends to include
in the report.
(G) The safety and
health professional shall provide the employer with a written report at the
conclusion of the audit. The written report must be forwarded to the employer
as soon as practicable following completion of the audit but no more than
twenty calendar days from the final closing conference date.
(H) The audit report shall, at a minimum,
contain the following:
(i) The name of the
safety and health professional performing the audit and the department's
certificate number of the safety and health professional. If the report has
been reviewed and approved by another certified safety and health professional
pursuant to subparagraph (K), the department certificate number of that
individual shall also be included;
(ii) The name and location of the
establishment at which the audit was performed;
(iii) The date on which the audit visit was
conducted;
(iv) The name of the
employer for whom the report was prepared;
(v) The activity or activities in which the
establishment is primarily engaged and a comprehensive synopsis of its work
operation;
(vi) The number of
employees at the worksite;
(vii) A
complete review of each of the required elements of the safety and health
program set forth in chapters
12-60 and 12-110 and an assessment of
the employer's compliance with these requirements, including a discussion of
the reasons why the program elements have been determined to be adequately met
or why deficiencies have been identified;
(viii) An identification and description of
all safety and health hazards found at the establishment:
(ix) A description of all monitoring
performed at the establishment, including the methodology used, the
identification of the laboratory processing the sample, and the monitoring
results achieved;
(x)
Recommendations for the correction of all safety and health hazards or
deficiencies noted during the audit, including either a recommended time frame
for correction of each hazard identified or a categorization of the hazards by
severity, utilizing the HIOSH protocols established for this purpose;
and
(xi) A signed statement by the
safety and health professional who conducted the audit and prepared the report
signifying that the information contained in the audit report is technically
accurate and meets the requirements and intent of this standard. If the report
has been reviewed and approved by another party, a similar signed statement
must also be included from that party.
(I) Reporting and recordkeeping audits shall
be maintained by the safety and health professional for a minimum of three
years.
(3) Employers
desiring to receive certifications of effective safety and health programs from
certified safety and health professionals shall submit the following
information to the auditing safety and health professional after the completion
of corrective measures necessary to address hazards and deficiencies noted in
the written audit report. The information shall be made a part of the report
within fifteen working days:
(A) A written
report documenting all measures instituted to correct all safety and health
hazards or deficiencies in the safety and health program which are noted in the
report submitted by the safety and health professional. The report documenting
these measures shall also contain a certified statement from the employer
indicating that the deficiencies have been corrected and the recommendations of
the safety and health professional have been implemented. In lieu of the
employer submitting documentation, the safety and health professional who
conducted the initial audit may include a signed statement attesting to the
employer's compliance during a subsequent audit; and
(B) The name, address, and phone number of
the employer's designated contact person for the purpose of the
audit.
(4) Upon review
of the submission required above, the safety and health professional will make
a determination as to whether the employer has complied with the minimum
requirements of this rule, including the institution of appropriate corrective
actions and is therefore eligible for the premium discount certificate. If
eligible, the safety and health professional shall issue the premium discount
certificate to the employer.
(5)
Establishments that are accepted into any HIOSH-approved achievement
recognition program are eligible for the premium discount
certificate.