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["OSHA Challenge"]
["Administrator Annual Report"]
[]
["Included in this spreadsheet are:",{"$nulls":6}," "]
[]
["Tab 1.    Administrator Annual Report"]
["Tab 2.    Summary of Participant Injury and Illness Rates - Autofills"]
["Tabs 3 - 12.  Individual Participant Information "]
[]
["1.) Some fields in this spreadsheet are programmed to fill these forms automatically.  "]
["Do not manually enter data into these fields.  All of Tab 2 autofills. "]
["2.) The year has been entered in all applicable boxes."]
["3.) Each participant is to have their own tab.  If you have more than 10 participants, copy the file"]
["of blank annual reports before entering information first.  Ensure that you have enough annual"]
["report files for the total number of your participants."]
["4.) Ensure that all fields are filled in correctly."]
["5.) Remember to submit an updated OCTPS for each participant along with this summary."]
["6.) Ensure that the data inputted are consistent and accurate."]
[]
["To access these documents, please click on the tabs at the bottom of this form."]
[]
["The OSHA Challenge Administrator must prepare the Administrator Annual Report each year along with an OSHA Challenge Tracking Participant Status (OCTPS) form for each participant.  Both the annual report and all OCTPS forms must be submitted electronically to your OSHA Challenge Liaison no later than February 15 each year."]

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["OSHA Challenge"]
["Administrator's Annual Report"]
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["Administrator Name",{"$nulls":4},"Year"]
[" ",{"$nulls":4},"CY2011"]
[]
["Section 1.  Administrator Information Update"]
["Name"]
["Site Address "]
["City, State, Zip"]
["Section 2.  Administrator Contact Information Update"]
["Administrator Contact Name"]
["Administrator Contact Title"]
["Administrator Contact Phone Number"]
["Administrator Contact Fax Number"]
["Administrator Contact E-mail Address"]
["Section 3.  Coordinator Contact Information Update"]
["Coordinator Contact Name"]
["Coordinator Contact Title"]
["Coordinator Contact Phone Number"]
["Coordinator Contact Fax Number"]
["Coordinator Contact E-mail Address"]
["Section 4.  Participant Information Updates"]
[]
[]
[]
["Section 5.  Input from Challenge Administrators"]
["1.) Please provide a couple of examples of significant achievements accomplished by your Challenge participants during the past year."]
{"$rows_empty":8}
["2.)Do you have any suggestions for improving OSHA Challenge?"]
[" "]
{"$rows_empty":7}
["OSHA Challenge"]
["Administrator's Annual Report"]
["3.) Additional comments:"]
[" "]
{"$rows_empty":8}
["Form Approved"]
["OMB# 1218 – 0239                                                                                          Expires 09-30-2014"]
["Public reporting burden for this collection of information is voluntary and is estimated to average 20"]
["hours per response, including the time for reviewing instruction, 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 Office of Partnerships and Recognition,"]
["Department of Labor, Room N-3700, 200 Constitution Avenue, N.W., Washington, DC 20210.  "]

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["Significant Achievements and Milestones"]
["Describe any significant achievements/milestones accomplished by your participants during the past year. "]

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