Form OSHA 171 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
CONTACT HOURS

NUMBER IN ATTENDANCE
4. DATE

5. LOCATION

6. EMPLOYEES

11. TOTAL FOR REPORTING PERIOD

0

7. EMPLOYERS

0

8. TOTAL

9. CLASS LENGTH
(in quarter hours)

10. TOTAL

0

0.00

12. PLAN FOR QUARTER
13. PERCENT OF PLAN ACCOMPLISHED
14. GRANTEE SIGNATURE
(Name of the Project Director. Submit via Project Director's email.)

15. 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 11/30/2020
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 14 hours to complete this information collection, including time
for reviewing instructions, searching existing datasources, gathering and maintaining 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 Directorate of Training and Education, 2020 S. Arlington Heights Road, Arlington Heights, IL 60005, and/or to the
Department of Labor, Office of IRM Policy, Room N-1301, 100 Constitution Avenue, NW, Washington, DC 20210.
Previous editions may not be used

OSHA 171 Revised November 30, 2017

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. An electronic copy of each report is 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. 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, training subject,
trainer’s name(s) and scheduled beginning and ending time of the session is
sufficient documentation. Attendees should include legible first and last
names and the sign-in sheet should be signed by the trainer(s) to verify
accuracy. Records must be kept for three years after grant closeout or final
audit, whichever is later.
IV.   METHOD OF REPORTING
Grantees are required to submit form OSHA 171 in electronic format to their
Regional Office by the end of the fiscal quarter as described in I.
FREQUENCY OF REPORTING. All sections for the form must be filled out
completely.
V.   OSHA FORM 171
A.  Identifying Information.
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 Sessions
A training session is the presentation of occupational safety and health
information to a group of people. Do not count conferences or needs
assessments as training sessions. Use a separate line for each training
session. If necessary, continue on an additional form. 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. A separate OSHA FORM 171 is required to be
submitted for each type (or tier) of training conducted in a quarter.
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. Number in Attendance: Employees. Enter the number of who
employees who attended the training session. An employee is a worker
does not meet the definition of an employer. First-line supervisors
are to be included as employees. Attendees not covered under the OSH
Act cannot be counted.
4.        Item 7. 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. Attendees not
covered under the OSH Act cannot be counted.
5.        Item 8. Number in Attendance: Total. Enter the sum of the entries in
each of the columns 6. Employees and 7. Employers. This is calculated
automatically in the electronic form once the number of contact hours
for the training session is completed for column 9. Class Length.
6.        Item 9. Contact Hours: Class Length (in quarter hours). Enter the
number of contact hours for each training session. Training less than .5
hours cannot be counted. Partial hours should be rounded to the nearest
quarter hour, for example, 1.25, 1.5, or 1.75.

OMB No. 1218-0100

7.        Item 10. Contact Hours: Total. Enter the total number of employees
and employers who attended the training multiplied by the total number
of contact hours for the training session. This is calculated
automatically in the electronic form.
8.        Item 11. Total for Reporting Period. Enter the sum of the entries in each
of the columns 6. Employees, 7. Employers, 8. Total and 10. Total.
This is calculated automatically in the electronic form.
9.       Item 12. Plan for Quarter. Enter the total numbers (employees and
employers) planned to be trained and the total number of planned
contact hours during the quarter. This information is to be obtained
from the approved grant application.
10.     Item 13. Percent of Plan Accomplished. Enter the percent line 11 is of
line 12. This is calculated automatically in the electronic form.
C.  Signature Element.
1.        Item 14. Grantee Signature. Electronic signature is considered the typed
name of an authorized staff member of the grantee and the form
forwarded to the Regional office via the authorized staff member’s
organizational email address.
2.        Item 15. 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 work plans, any deviations from plans, and
important activities. Reports should follow the format below.
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.
B.       Capacity Building Activities (Required by Capacity Building Grants
only). Describe institutional capacity building activities conducted
during the quarter. Compare the timeframe of the activities to those
presented in the approved grant application.
C.       Needs Assessment (Required by Capacity Building Grants only).
Describe the needs assessment process conducted during the quarter,
the results of the needs assessment or update, and how the results will
be used to develop training materials and training, as applicable.
D.       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 conducted during the quarter. Provide a summary of the subject
matter, the type of training (e.g., train-the-trainer, hazard recognition),
and who attended (e.g., employers, building trades workers).
E.       Training Materials/Curriculum. Provide information about training
materials in development and any training or assessment 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.
F.       Evaluation Activities. Discuss evaluation activities conducted during the
quarter. Describe the results of the Level 1, 2, and 3 evaluations
obtained. Only Capacity Building Developmental grants are required to
conduct Level 3 evaluations. Results should be summarized in the
report.
G.       Other Educational Activities. Discuss any educational activities that are
being conducted other than training or developing training materials.
Examples include on-site consultation, assisting an organization in the
implementation of a safety program, or operating library services.
H.       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.

Previous Editions may not be used

OSHA 171 Revised August 31, 2014