Awards Of Merit And Honor Application Page 2
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2Award of Merit/Honor Application Form Instructions
To encourage and reward quality in safety and health, the Utah Safety Council has established the “Award of Merit” and the “Award of
Honor.” These awards are given to companies that have excelled in workplace safety performance. The company must be a member
of the Utah Safety Council. Entries are reviewed by representatives of the Utah Safety Council Board of Directors. The awards are
presented annually at the Utah Safety Council Annual Meeting.
If your company doesn’t achieve a rate lower than the national average we still want to see your application. Beginning in
2016 the Utah Safety Council will be giving out the Most Improved Safety Performance Award to the company that had the
greatest decrease in their incident rates. Please apply regard-less of your results.
All information provided will be kept in strict confidence, but the Utah Safety Council reserves the right to publicize the names of award
winners.
A. Eligibility:
The Workplace Safety Awards program is open to all members of the Utah Safety Council. Please use care to provide the correct
information. Data must be submitted for three full consecutive calendar years. Incorrect data could cause your entry to be disqualified.
Award of Merit
To be considered for the Award of Merit, your organization’s incidence rate must be lower than the national average for your industry,
continuous safety performance improvement must be demonstrated and essential elements of a safety and health program must be
in place.
Award recipients must meet all of the following criteria:
•
Absence of work-related fatalities during the reporting periods.
•
Improvement in safety each year over the last three years as measured by recordable cases and incidence rates, or,
•
Sustained levels of excellence as demonstrated by rates that are consistently below BLS statistics.
•
Affirmative answers to Safety Program Summary (see application)
Award of Honor
Achievement of all Award of Merit criteria plus exceptional accomplishment for reduction of injury and illness in the workplace. This
award will be given to one organization each year that has met the minimum criteria and has exceeded the performance of all other
entries. The Utah Safety Council reserves the right to consider any other factor related to this award, i.e. size of company, industrial
classification, most improved rates, etc.
B. Your SIC or NAICS Code:
For the purposes of these Awards, you must provide your SIC or NAICS code. If you do not know your SIC or NAICS code, contact
your Workers Compensation carrier or visit
C. A Note on Recordkeeping (“Minor Injuries”):
If an incident occurs from a work activity or an exposure in the work environment, and is an injury which does NOT involve restriction of
work or motion, loss of consciousness or Medical treatment (other than first aid) then the incident should not be recorded on the OSHA
300 Log. For more information on recording and reporting requirements, see Title 29 of the Code of Federal Regulations, Part 1904.
D. If Your Company is not Required to Keep OSHA 300 Logs:
Your company is exempt from maintaining OSHA 300 Logs if your SIC/NAICS code is exempt or if you did not have 11 or more
employees at any one time during the calendar year. To participate in the Awards Program, you must provide us with the required
information requested on the Entry Form. The information may then be taken from other company records but must be reported in a
similar format as on the OSHA Logs. The OSHA Form 300 is available at You must ALSO provide certification from your
workers compensation insurance carrier.
E. Extracting Data from OSHA Form 300
1.
Average Number of Employees on Payroll. Calculate the number of employees (full-time, part-time, temporary, seasonal, etc.)
on your payroll at the end of each month; sum each month's total and divide by 12 to get the average number of employees on
your payroll.
2.
Total Number of Employee Hours Worked. The actual number of hours worked during the calendar year by all employees, full-
time, part-time, temporary, seasonal, etc. (Do not give weekly or monthly numbers.)
3.
Total number of cases involving days away from work OSHA Form 300 - Use the total figure from column H
4.
Total number of recordable cases OSHA Form 300 - Use columns H, I and J
F. In order to be considered for these awards you must submit:
•
A completed application form.
•
Copies of OSHA forms for each of the three reporting years.
•
Certification from your workers compensation insurance carrier (if your company is exempt from maintaining OSHA logs).
Entries must be received no later than July 1, 2016.
Utah Safety Council i Workplace Safety Awards Program i 1574 West 1700 South, Salt Lake City, UT 84104
P: 801.746.SAFE (7233) i F: 801.478.0884 i
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