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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Duration: This supplement is effective until superseded or removed.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. DEFLER
Forest 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 Pages
Superseded Document(s)
(Supplement Number and
Effective Date)
6145.03
0 Pages
Digest: Establishes Forest Policy on Wellness Program.
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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FSM 6100
CHAPTER 40 PERSONNEL MANAGEMENT
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., bloodpressure testing and counseling, cholesterol screening and counseling, stress
assessment and management, weight management, safety and injury
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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FSM 6100
CHAPTER 40 PERSONNEL MANAGEMENT
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 healthscreenings 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
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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FSM 6100
CHAPTER 40 PERSONNEL MANAGEMENT
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 HOTSHOTS & 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.
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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FSM 6100
CHAPTER 40 PERSONNEL MANAGEMENT
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
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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CHAPTER 40 PERSONNEL MANAGEMENT
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.
SFNF SUPPLEMENT 6145.03-91-1
EFFECTIVE DATE: 09/30/1991
DURATION: This supplement is effective until superseded or removed.
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FSM 6100
CHAPTER 40 PERSONNEL MANAGEMENT
EMPLOYEE
DATE
SUPERVISOR
REQUEST FOR PARTICIPATION
DATE
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
WELLNESS COORDINATOR
DATE
SUPERVISOR
DATE