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Governor's Workplace Safety Award Application

We invite your organization to participate in the Governor's Workplace Safety Awards, which recognize South Dakota employers for excellence in safety.

In addition to providing injury data, you'll also complete the Safety Program Evaluation Scorecard. The scorecard was developed by a team of experienced safety professionals. It measures progress in implementing a comprehensive safety program. The application is a secure page, and all information you provide is confidential. Your total points on the scorecard and your incidence rates will be calculated for you automatically. After submitting your application, you will receive a confirmation e-mail that will include your total points for the scorecard.

You may elect to submit separate applications for various establishments/branches within your organization if the reporting units have ten or more employees each and maintain their safety results separately within your organization.

If you are submitting more than one application, be sure to enter a DISTINCT "Company Name" in each application, e.g. by adding the location or the function of the unit to your company name. (This is especially important if your divisions are at the same address.)
* Examples * how to distinguish by location and by function

Please review the additional important guidelines and information linked below before applying.

Choosing an NAICS code
Years of data required
Definition of DART cases and OSHA recordable cases
Formulas used to calculate incidence rates
About the Safety Program Evaluation Scorecard
Award categories and judging
If you have questions

For more information, call 605-361-7785 / 1-800-952-5539 or email us at [email protected].


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