Worksite Assessment Guide (continued) Human Resources/Management Number Number employed Job employed part time (hours descriptions full time per week) Contractual available Occupational _________ _________ _________ _________ health nurse Nurse practitioner _________ _________ _________ _________ Licensed practical _________ _________ _________ _________ nurse Physician _________ _________ _________ _________ Industrial hygienist _________ _________ _________ _________ Safety specialist _________ _________ _________ _________ Clerical _________ _________ _________ _________ Ergonomist _________ _________ _________ _________ Other (specify) _________ _________ _________ _________ Describe the corporate/company philosophy and commitment to the occupational/safety program. _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Are there written goals/objectives/policies and procedures regarding operation of the health unit? If yes, describe how these were developed (i.e., decision-making process). _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Describe narratively the management style and line and staff functions that operate with respect to the occupational health and safety program. Attach a diagram of the organizational structure. _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ 346 Guideline continues on next page