Title Page
Information
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CASDAP PHASE
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Year conducted
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
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Actual date of CASDAP
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Prepared by
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Name of OHN/OHT
CASDAP
PE 16 Occupational Health
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PE16.1.1 Do you have a written medical surveillance program and local written SOPs for all programs and services required by regulation? 5 CFR 339, DOD 6055.05M, DA PAM 40-11, AR 40-5, AR 40-400, AR 40-66, 29 CFR 1910
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PE 16.1.2 Do you have a written Medical Surveillance program? 5 CFR 339, DOD 6055.05M, DA PAM 40-11
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PE 16.1.3 Are workers enrolled/disenrolled in/from hazard-based medical surveillance programs using data received from IH surveys that require action per regulatory guidance? NGR 40-5; DoD 6055.05M
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PE 16.1.4 Are technician records initiated, maintained, and retired IAW regulatory requirements?AR 40-5, AR 40-400, AR 40-66
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PE 16.1.5 Are you executing your budget according to the spend plan provided to NGB? Current NGB Budget Execution Guidance (BEG), DA PAM 40 -11
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PE 16.1.6 Is the Occ Health module (or other tracking method) being used for data trend analysis of program elements and to validate the budget spend plan? DA PAM 40-11, NG PAM 40-11
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PE 16.1.7 Are current resources utilized in alignment with national strategic priorities? DA PAM 40-11, NG PAM 40-11
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PE 16.2.1 Does the state have adequate staffing with the appropriate training to execute the minimum requirements of a Occupational Health Program? DA PAM 40-11, NG PAM 40-11, 29 CFR 1960.55-58
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PE 16.2.2 Does Occupational Health collaborate with key stakeholders (Safety, IH, HRO, State Surgeon, OHAC)? NGR 40-5, DA PAM 40-11, AR 385-10, 29 CFR 1960.25(d)
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PE 16.4.1 Do you measure the effectiveness of the Occupational Health Program to ensure that it is fiscally and regulatory compliant? DA PAM 40-11, 29 CFR 1960.79
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Is the OHN appointed to appropriate committees? AR 385-10; AR 40-21
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RN license current?
Sign off
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Notes
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On site Representative
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Auditor Signature
