EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed. / 6100
Page 1 of 7
FSM 6100
Chapter 40 personnel management
/ Forest Service Manual
santa fe national forest
santa fe, new mexico
fsM 6100
chapteR 40 personnel management
Supplement No.: 6100-91-1
Effective Date: September 30, 1991
Duration: This supplement is effective until superseded or removed.
Approved: alan s. deflerForest Supervisor / Date Approved: 09/30/1991
Posting Instructions: Supplements are numbered consecutively by title and calendar year. Post by document; remove the entire document and replace it with this supplement. Retain this transmittal as the first page(s) of this document. The last supplement to this Title was 69
New Document / 6145.03 / 7 PagesSuperseded Document(s) (Supplement Number and Effective Date) / 6145.03 / 0 Pages
Digest: Establishes Forest Policy on Wellness Program.
6145.03 - SANTA FE NATIONAL FOREST WELLNESS POLICY
1. GOALS AND OBJECTIVES:
a. To educate employees on nutrition, exercise, mental well-being.
b. To increase energy and morale levels.
c. To improve productivity.
d. To reduce stress
e. To reduce employee absence.
f. To reduce injury/illness.
g. Encourage employees to begin and/or continue physical exercise program.
2. BASIC PROVISIONS:
a. The Wellness Program applies to all permanent and long-term temporary employees (NTE one-year, Coop. Ed. Students, TAPER employees, etc.). Participation in certain activities may be extended to enrollees, spouses and short-term temporary employees on a case by case basis.
b. Participation in the Wellness Program will be on a voluntary basis.
c. All activities sponsored as part of the Wellness Program will be designed to protect the Forest Service "public image" by ensuring that sponsored activities will project a high-fitness, non-recreational image.
d. Participation in the Wellness Program is an employee privilege, not a right. Any employee found to abuse the program and/or sponsored activities will be disallowed from further participation or subject to disciplinary action, if appropriate.
e. The Wellness Program may include the following types of activities: Awareness and educational training on wellness related topic, i.e., blood-pressure testing and counseling, cholesterol screening and counseling, stress assessment and management, weight management, safety and injury prevention, smoking cessation, self-defense and protection, health consumerism, cancer prevention, sub-stance abuse issues, fitness/exercise classes, education on AIDS, etc.
f. With supervisory approval, employees are allowed to adjust work schedules to the extend allowed under the forest Maxi-flex Program.
g. The forest may provide payment for participation in health/fitness facility. Proposal for participation must be submitted to the Administrative Services Section Head for review and approval prior to incorporation.
h. Use of official time for participation at sponsored presentations and health-screenings are allowed. Use of official time for exercise it not allowed.
i. Purchase of exercise equipment is not allowed.
j. Use of government-owned building will be allowed to sponsor activities provided: the line officer has documented the decision to sponsor the activity and the benefit to the Forest Service with justification of cost of the activity and risk of liability.
k. Should specific activities require physical examinations in order to participate, the physical examination will be at the employee's expense.
l. The Espanola Ranger District Ranger will appoint a Health Facility Coordinator to monitor participation of the Santa Fe Hot-Shots at the designated health facility. The coordinator will monitor participation, receipt for invoices, and advise the District Ranger when participation does not meet the requirements of this policy.
EFFECTIVE DATE
The effective date of this Supplement is August 1, 1991.
APPROVED
/s/ALAN S. DEFLER
Forest Supervisor
APPENDIX A
PROVISIONS FOR SUPERVISOR OFFICE AND RANGER DISTRICT EMPLOYEE PARTICIPATION IN HEALTH CLUB FACILITY:
THE SANTA FE NF AGREES TO PAY THE $100.00 INITIATION FEE AND MONTHLY FEE FOR PARTICIPATION AT CLUB INTERNATIONAL, 1931 WARNER ST., SANTA FE, NM PROVIDED EMPLOYEES AGREES TO THE FOLLOWING CONDITIONS FOR PARTICIPATION:
1. EMPLOYEE WILL AGREE TO UTILIZE THE HEALTH FACILITY 3 TIMES PER WEEK FOR AT LEAST 1 HOUR PER VISIT.
2. CLUB VISITS WILL BE MONITORED VIA SIGN UP SHEET PROVIDED AT THE FACILITY. CLUB INTERNATIONAL WILL MAINTAIN A FOREST SERVICE SIGN-UP SHEET WHICH EACH PARTICIPANT WILL BE RESPONSIBLE FOR SIGNING. EMPLOYEES WHO DO NOT SIGN-IN WILL NOT RECEIVE CREDIT FOR THE VISIT/WORKOUT. THE ESPANOLA RANGER DISTRICT WILL HAVE A SEPARATE SIGN-IN SHEET FOR HOT-SHOTS & OTHER DISTRICT PERSONNEL.
3. WHEN THE TOTAL USE FALLS BELOW 9 VISITS IN ANY MONTH, THE EMPLOYEE WILL BE NOTIFIED BY THE WELLNESS COORDINATOR, THAT USAGE MUST BE INCREASED TO MAINTAIN THE MEMBERSHIP. IF USAGE DOES NOT INCREASE TO THE REQUIRED MINIMUM WITHIN THE MONTH FOLLOWING NOTIFICATION, EMPLOYEE MEMBERSHIP WILL BE DROPPED.
4. EMPLOYEES MAY REQUEST AN EXCEPTION FROM THESE REQUIREMENTS (FOR A SPECIFIED TIME FRAME) WHEN THE EMPLOYEE IS AWAY FROM THE DUTY STATION SUCH AS TRAINING, ANNUAL LEAVE, FIRE ASSIGNMENT, ETC.
5. ONCE AN EMPLOYEE MEMBERSHIP IS DROPPED, THE EMPLOYEE WILL NOT BE PERMITTED TO ACCESS THE HEALTH/CLUB FACILITY UNDER THE FOREST WELLNESS PROGRAM (AT GOVERNMENT EXPENSE) FOR MINIMUM OF SIX MONTHS. ONCE THE SIX MONTH PERIOD HAS ELAPSED THE EMPLOYEE MAY REQUEST ACCESS TO THE PROGRAM THROUGH HIS/HER SUPERVISOR. A SECOND RECORD OF FAILURE TO MEET THE MINIMUM USE CRITERIA IN ANY CALENDAR YEAR WILL PROHIBIT FUTURE USE OF THE PROGRAM.
6. IF THE EMPLOYEE OR THEIR SUPERVISOR NOTIFIES THE WELLNESS COORDINATOR, BY THE 25TH OF THE MONTH THAT THE EMPLOYEE WILL NOT BE ABLE TO PARTICIPATE THE FOLLOWING MONTH, THIS WILL NOT COUNT AS A "DROP" UNDER THE PROVISIONS OUTLINED IN ITEM 5.
APPENDIX B
SANTA FE NATIONAL FOREST
WELLNESS POLICY
AGREEMENT PARTICIPATION
I AGREE TO UTILIZE THE AGREED UPON HEALTH/FITNESS FACILITY THREE TIMES A WEEK TO PARTICIPATE IN THE PHYSICAL EXERCISE COMPONENT OF THE FOREST WELLNESS PROGRAM.
I UNDERSTAND THAT SHOULD USAGE FALL BELOW NINE VISITS IN ANY MONTH, MY MEMBERSHIP AT THE HEALTH/FITNESS FACILITY WILL BE DROPPED FOR A MINIMUM OF SIX MONTHS.
I UNDERSTAND THAT THE CORPORATE MEMBERSHIP IS FOR EMPLOYEES. SHOULD MY FAMILY WISH TO ATTEND, I WILL HAVE TO MAKE ARRANGEMENTS WITH THE HEALTH/FITNESS FACILITY SEPARATE FROM ANY ARRANGEMENT THE FOREST SERVICE HAS MADE WITH THE FACILITY. HOWEVER, THE $100.00 INITIATION FEE MAY BE WAIVED.
I UNDERSTAND THAT NY INJURIES/ILLNESS INCURRED ARE NOT COVERED UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT WHICH PROVIDES COMPENSATION BENEFITS FOR DISABILITY DUE TO PERSONAL INJURY/OCCUPATIONAL DISEASE SUSTAINED WHILE IN THE PERFORMANCE OF DUTY.
I ASSUME FULL RESPONSIBILITY FOR ANY INJURY OR DAMAGES WHICH MAY OCCUR TO ME WHILE PARTICIPATING IN THE PHYSICAL FITNESS ACTIVITIES (OF MY CHOICE) AS PROVIDED UNDER THE FOREST WELLNESS PROGRAM. I RELEASE THE SANTA FE NATIONAL FOREST FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHT OR CAUSE OF ACTION, AND FUTURE CLAIMS RELATIVE TO ANY INJURY I MIGHT INCUR UNDER THE WELLNESS PROGRAM.
I EXPRESSLY STATE THAT I AM PHYSICALLY ABLE TO UNDERTAKE ANY AND ALL PHYSICAL EXERCISE, USE OF ALL FACILITIES, OR INSTRUCTED ACTIVITIES WHICH I PARTICIPATE IN.
I AGREE TO ABIDE BY ALL RULES AND REGULATIONS OF THE FACILITY AND UNDERSTAND THAT FAILURE TO COMPLY WIHT THEIR RULES AND REGULATIONS MAY RESULT IN PERMANENT REVOCATION OF MEMBERSHIP UNDER THE PROVISIONS OF THE FOREST WELLNESS PROGRAM.
APPENDIX C
SANTA FE NATIONAL FOREST
WELLNESS POLICY
WAIVER OF LIABILITY/INFORMED CONSENT
I UNDERSTAND THAT PARTICIPATION IS STRICTLY VOLUNTARY AND,
THEREFORE AT MY OWN RISK. I EXPRESSLY STATE THAT I AM
PHYSICALLY ABLE TO UNDERTAKE THEPHYSICAL EXERTION REQUIRED
AS PART OF THIS CLASS.I ASSUME FULL RESPONSIBILITY FOR ANY
INJURY OR DAMAGES WHICH MAY OCCUR TO ME WHILE PARTICIPATING
IN (SPONSORED WELLNESS ACTIVITY)
PROVIDED UNDER THE FOREST WELLNESS PROGRAM. I RELEASE THE
SANTA FE NATIONAL FOREST FROM ANY AND ALL CLAIMS, DEMANDS,
DAMAGES, RIGHT OR CAUSE OF ACTION AND FUTURE CLAIMS RELATIVE
TO PARTICIPATION IN THE ABOVE MENTIONED WELLNESS ACTIVITY.
EMPLOYEE DATE SUPERVISOR DATE
REQUEST FOR PARTICIPATION APPROVED
DENIED
WELLNESS COORDINATOR DATE
I AGREE TO VERIFY COVERAGE BY THE 25TH DAY OF THE MONTH, PRIOR TO THE MONTH OF COVERAGE, WITH THE WELLNESS COORDINATOR. OTHERWISE, I UNDERSTAND THAT IF I CHOOSE TO PARTICIPATE I WILL BE CHARGED THE "NON-CORPORATE" RATE BY THE FACILITY
EMPLOYEE DATE SUPERVISOR DATE
WELLNESS COORDINATOR DATE