[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-167049-en":3,"doc-seo-167049-105":30,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},167049,1099523885336,"Taylor Morgan","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",1,21,"Paper Templates","Site-Based Participation - Evaluation Report - VPP Worksheet Template","Site-Based Participation Evaluation Report template for documenting an OSHA Voluntary Protection Programs (VPP) on-site review. It captures the purpose and scope, methods of data collection, employee and contractor staffing details, worksite characterization and NAICS classification, hazards and chemical use, injury and illness rates with comparisons, and recent OSHA activity. It also covers evaluation of required VPP elements, areas of excellence, participation recommendations for Star or Merit, and conditional or goal-setting items, plus corporate tracking data sheets.","Site-Based Participation\nEvaluation Report\nCompany Name\nCity, State\nOn-site Evaluation Date\nMonth – Start/End Date, 20XX\nVPP Evaluation Team\nName, Title\nName, Title\nName, Title\nName, Title\nName, Title\n\u000fEXECUTIVE SUMMARY\nI.  Purpose and Scope of Review\nAn on-site review was conducted from \u003CDate>, at the \u003COrganization> in \u003CCity, State>.  The purpose of the evaluation was to determine the site’s \u003Celigibility or continued eligibility> for site-based participation in the Occupational Safety and Health Administration’s (OSHA) Voluntary Protection Programs (VPP).  The VPP Evaluation Team consisted of:\nName, \tTitle/Special Government Employee (SGE), Office, City, State\nName, \tTitle/Special Government Employee (SGE), Office, City, State\nName, \tTitle/Special Government Employee (SGE), Office, City, State\nName, \tTitle/Special Government Employee (SGE), Office, City, State\nName, \tTitle/Special Government Employee (SGE), Office, City, State\nII. Methods of Data Collection\nThe information for this report was obtained from the site’s VPP application, documentation reviewed on-site, interviews with employees and management personnel, annual evaluation reports, and physical observations of the facility.\nIII. Employees at the Worksite\nThere are \u003CXXX> employees working on site.  In addition, there are \u003CXXX> contractor employees on-site performing maintenance, capital projects, guard services, janitorial services, etc.  Employees at the site are represented by the \u003Cinsert union name(s) and local(s)>.  (Employees at the site are not represented by a collective bargaining agent.)  Formal interviews were conducted with \u003CXX >site employees and \u003CXX> contract employees.  Informal interviews were conducted with \u003CXXX> site employees and \u003CXXX> contract employees.\nIV. The Worksite\nThe site is properly classified under North American Industrial Classification System (NAICS) code \u003CXXXXXX>.  Provide a description of the site, e.g., size, location, operation, buildings, etc.  Describe the site’s processes, productions, and applications.  Housekeeping at the facility was considered by the VPP Evaluation Team to be \u003Cplease select one: poor, fair, good or excellent>.\nV. Worksite Hazards\nThe hazards at the site include, but are not limited to \u003Cstate hazards>.  The site \u003Cdoes or does not> use chemicals considered to be highly hazardous and in sufficient quantity to place the site under the Process Safety Management (PSM) Standard.\nVI. Injury and Illness Rates\nThe three\u001eyear Total Case Incidence Rate (TCIR) and Days Away/Restricted/Transferred Case Incidence (DART) rate for the period \u003C20XX-20XX> are \u003CXX> and \u003CXX>, respectively.  The site TCIR is \u003CXX%> \u003Cabove/below>, and the DART rate is \u003CXX%> \u003Cabove/below> the 20XX Bureau of Labor Statistics (BLS) industry average for NAICS code \u003CXXXXXX> for 20XX.\nTeam leader must verify that a comparison has been conducted against the site’s injury and illness rates reviewed during the evaluation and the site’s injury and illness rates reported in its annual self-evaluation.\nVII. OSHA Activity\nThere has been no OSHA inspection activity or fatalities at this site within the past \u003CXX> years.  The site maintains an excellent relationship with its local OSHA Area and Regional offices.\nVIII. Elements of the VPP Review/Program Changes\nThe VPP Evaluation Team has examined each of the required elements of the site’s safety and health management programs.  All VPP requirements have been met and all OSHA standards are appropriately covered.\nBullet summary information of VPP Elements.\nManagement Leadership and Employee Involvement\nWorksite Analysis\nHazard Prevention and Control\nSafety and Health Training\n\u003CFor Reapproval evaluations>, discuss significant program or site changes since the last visit.  A bulleted list is acceptable.  [For Star reapproval evaluations recommending One-Year Conditional, add the following sentence:  Refer to Section XI for discussion of safety and health management program corrections.]\n\u003CIncentive Programs>The site ","cbCaim0uM8L4rn0E","https://ap.wps.com/l/cbCaim0uM8L4rn0E","docx",119413,31,"English","en",105,"# Executive Summary\n## Purpose and Scope of Review\n## Methods of Data Collection\n## Employees at the Worksite\n## The Worksite\n## Worksite Hazards\n## Injury and Illness Rates\n## OSHA Activity\n## Elements of the VPP Review/Program Changes\n## Areas of Excellence\n## Recommendation for Participation\n## Goals (if applicable)","[{\"question\":\"What is the purpose of the Site-Based Participation evaluation report?\",\"answer\":\"It documents an on-site review to determine the site’s eligibility or continued eligibility for OSHA VPP site-based participation.\"},{\"question\":\"How is information collected for this report?\",\"answer\":\"Information comes from the site’s VPP application, on-site documentation review, employee and management interviews, annual evaluation reports, and physical observations of the facility.\"},{\"question\":\"What outcomes does the report include after the VPP review?\",\"answer\":\"It records assessed VPP elements, identifies areas of excellence, and provides a recommendation for participation in the OSHA VPP Star or Merit program, including any conditional goals or rate-reduction plans when applicable.\"}]","Site-Based Participation - Evaluation Report - VPP Worksheet Template | DOCX",1788207304,11,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"site-based-participation-evaluation-report-vpp-worksheet-template","",{"@graph":36,"@context":85},[37,54,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":50},"https://docshare.wps.com/template/paper-templates/",3,{"item":52,"name":14,"@type":43,"position":53},"https://docshare.wps.com/template/site-based-participation-evaluation-report-vpp-worksheet-template/167049/",4,{"url":52,"name":14,"@type":55,"author":56,"headline":14,"publisher":58,"fileFormat":61,"inLanguage":23,"description":15,"dateModified":62,"datePublished":62,"encodingFormat":61,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-08-31",true,{"@type":65,"interactionType":66,"userInteractionCount":4},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is the purpose of the Site-Based Participation evaluation report?","Question",{"text":75,"@type":76},"It documents an on-site review to determine the site’s eligibility or continued eligibility for OSHA VPP site-based participation.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How is information collected for this report?",{"text":80,"@type":76},"Information comes from the site’s VPP application, on-site documentation review, employee and management interviews, annual evaluation reports, and physical observations of the facility.",{"name":82,"@type":73,"acceptedAnswer":83},"What outcomes does the report include after the VPP review?",{"text":84,"@type":76},"It records assessed VPP elements, identifies areas of excellence, and provides a recommendation for participation in the OSHA VPP Star or Merit program, including any conditional goals or rate-reduction plans when applicable.","https://schema.org",{"og:url":52,"og:type":87,"og:title":14,"og:site_name":59,"og:description":15},"article",{"robots":89,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,102,107,112,117,122,127,130],{"id":29,"doc_module":11,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Presentations",90,"presentations",{"id":98,"doc_module":11,"doc_module_name":46,"category_name":99,"show_sort_weight":100,"slug":101},12,"Resumes",80,"resumes",{"id":103,"doc_module":11,"doc_module_name":46,"category_name":104,"show_sort_weight":105,"slug":106},14,"Invoices",70,"invoices",{"id":108,"doc_module":11,"doc_module_name":46,"category_name":109,"show_sort_weight":110,"slug":111},15,"Posters",60,"posters",{"id":113,"doc_module":11,"doc_module_name":46,"category_name":114,"show_sort_weight":115,"slug":116},16,"Social Media",50,"social-media",{"id":118,"doc_module":11,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},17,"Forms",40,"forms",{"id":123,"doc_module":11,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},18,"Letters",30,"letters",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":128,"slug":129},5,"papers-templates",{"id":131,"doc_module":11,"doc_module_name":46,"category_name":132,"show_sort_weight":4,"slug":133},158,"General","general-158"]