Form OSHA-171 Grantee Quarterly Progress Report

Grantee Quarterly Progress Report

U.S. DEPARTMENT OF LABOR
Occupational Safety and Health Administration

1. GRANTEE NAME

2. GRANT NUMBER

3.REPORTING PERIOD
From:
To:

TRAINING SESSIONS
4. DATE

6. LENGTH

5. LOCATION

(Hours)

NUMBER IN ATTENDANCE
7. EMPLOYEES 8. EMPLOYERS

9. TOTAL

10. TOTAL FOR REPORTING PERIOD
11. PLAN FOR QUARTER
12. PERCENT OF PLAN ACCOMPLISHED
13. GRANTEE SIGNATURE

%

%

%

14. DATE

INSTRUCTIONS
Instructions for the Grantee Quarterly Progress Report (OSHA 171 and Narrative Report) are contained on the reverse of this form.
RETURN THE COMPLETED FORM TO THE OSHA REGIONAL OFFICE ADMINISTERING YOUR GRANT.
PAPERWORK REDUCTION ACT NOTICE
Form Approved. OMB No. 1218-0100. Expires 8/31/2007.

Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. This information is being collected
so that OSHA can monitor grantee progress in meeting grant workplans, to evaluate the overall effectiveness of the grant program, and, when applicable, to
be used as one factor in determining continued funding of the grant. The grant program provides training for employers and employees in the recognition,
avoidance, and prevention of unsafe and unhealthful working conditions in accordance with Section 21(c) of the Occupational Safety and Health Act. This
collection of information is required to obtain or retain a benefit (29 CFR 95.51 (b) and (d)). This collection of information is not confidential. We estimate it will
take an average of 12 hours to complete this information collection, including time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden, to the OSHA Office of Training and Education, 2020 S. Arlington Heights Road,
Arlington Heights, IL 60005.
Previous editions may not be used

OSHA 171 Revised 5/07

INSTRUCTIONS FOR PREPARING GRANTEE QUARTERLY PROGRESS REPORTS
I. FREQUENCY OF REPORTING
A Grantee Quarterly Progress Report (OSHA 171 and Narrative
Report) is to be completed for each grant at the end of each Federal
fiscal quarter. Federal fiscal quarters end on December 31, March 31,
June 30 and September 30. Two copies of each report are to be
received by the Regional Office administering the grant no later than
the thirtieth of the month following the end of the Federal fiscal
quarter, i.e., January 30, April 30, July 30, and October 30.
II. TIME PERIOD COVERED BY REPORTS
Reports will cover only the activities conducted during the quarter for
which the report is being submitted.
III. RECORDKEEPING REQUIREMENTS
Grantees are required to keep records to support the information
contained in the Grantee Quarterly Progress Report. These records
need not be extensive. For example, a sign-in sheet for participants at
a training session that shows whether the participant is an employee or
an employer and notes the date, location, subject and scheduled
beginning and ending time of the session is sufficient documentation.
Records must be kept for three years after grant closeout or final audit,
whichever is later.
IV. METHOD OF REPORTING
Grantees are not required to use form OSHA 171. They may submit
the information in any format so long as the required information is
included (i.e., for each training session the date, location, length, and
numbers attending broken out between employee and employer.)
Grantees may also make arrangements with the Regional Office
administering their grant to use electronic means to transmit the report
to OSHA.

worker who does not meet the definition of an employer. First-line
supervisors are to be included as employees.
5. Item 8. Number in Attendance: Employers. Enter the number
of employers who attended the training session. An employer is a
person, other than a first-line supervisor, who is responsible for the
work flow of two (2) or more persons, including responsibility for
rating the performance of those persons working for the employer.
6. Item 9. Number in Attendance: Total. Enter the total number
who attended the training session. This will generally be the sum of
employees and employers, but may also include attendees who are
neither employees nor employers.
7. Item 10. Total for Reporting Period. Enter the sum of the entries
in each of the columns 4. Employees, 5. Employers, and 6. Total.
8. Item 11. Plan for Quarter. Enter the numbers (employees,
employers, and total) planned to be trained during the quarter. This
information is to be obtained from the approved grant application.
9. Item 12. Percent of Plan Accomplished. Enter the percent line
10 is of line 11.
Line 10 x 100 = Percent of Plan Accomplished
Line 11.
C.

Signature Element.

1. Item 13. Grantee Signature. An authorized staff member of the
grantee is to sign the report.
2. Item 14. Date. Enter the date the report is signed.
VI. NARRATIVE REPORT
In the narrative report, grantees are to provide descriptive information
about their progress in achieving workplans, any deviations from plans,
and important activities. Reports should follow the format below.

A. Identifying Information.

A. Identifying Information. Provide the name of the grantee
organization, the grant number that appears on the Grant Agreement
face sheet for the current grant year, and the reporting period, which
is the first and last dates of the quarter covered by the report, for
example, from 4/1/01 to 6/30/01.

1. Item 1. Grantee Name. Enter the name of the grantee
organization.
2. Item 2. Grant Number. Enter the grant number that appears on
the Grant Agreement face sheet.
3.
Item 3. Reporting Period. Enter the first and last dates of the
quarter covered by the report, for example, from 4/1/01 to 6/30/01.

B. Training. Describe efforts made to reach the target audience to
make them aware of the training and to enroll them in training.
Discuss the training that has been conducted. Provide a summary of
the subject matter, the type of training (e.g., train-the-trainer, hazard
recognition), the results of student evaluations, and who attended (e.g.,
employers, building trades workers).

B Training Sessions

C. Training Materials/Curriculum. Provide information about
training materials in development and any training materials acquired
during the quarter. Describe how completed materials are being used
and who is receiving the materials. Comment on any changes that are
being made to improve the materials as a result of feedback.

V. OSHA FORM 171

A training session is the presentation of occupational safety and health
information to a group of people. Do not count conferences as training
sessions. Use a separate line for each training session. If necessary,
continue on another sheet of paper. Training sessions for the same
group of trainees that are conducted on more than one day are not to be
reported until they are completed. Sessions are to be reported in the
quarter in which they end.
1. Item 4. Date. Enter the date the training session ended.
2. Item 5. Location. Enter the name (or two-letter abbreviation) of
the state where the training session was held.
3. Item 6. Length (Hours). Enter the number of hours the training
sessions lasted. Partial hours should be rounded to the nearest halfhour.
4. Item 7. Number in Attendance: Employees. Enter the number
of employees who attended the training session. An employee is a

D. Other Educational Activities. Discuss any educational activities
that are being conducted other than training or developing training
materials.
Examples include assisting an organization in the
implementation of a safety program or operating library services.
E. Planned vs. Actual. Describe progress in meeting plans as
contained in the approved grant. Specify where plans are not being met
and discuss the corrective action that is being taken to meet plans.
Where corrective actions have already been taken, indicate if they were
successful. In addition, discuss grant successes, either where plans
were exceeded or where significant accomplishments were achieved.