SAS Award

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SUBMISSIONS ARE DUE BY MARCH 9TH 2018. YOU MUST BE A VPP SITE IN A REGION VI STATE TO QUALIFY FOR ANY OF THE AWARDS.

Even though awards are for a select geographic region, the conference is open to EVERYONE! All of these forms make use of javascript for error checking.  If your site blocks javascript, use your home machine, a different network, or even most phones work.

Star Among Stars Entry Form

Note: This form REQUIRES THE USE OF JAVASCRIPT. If javascript is being blocked by your worksite, use a different non-work network or a different computer such as your home computer (It even works with most phones!) If you do not receive a qualifying score in the Level of Recognition field, this form will NOT let you submit the entry. Filling in your VPPPA Member ID will auto populate your company information if it has been provided to us. Otherwise you can just type it in yourself. Filling in the NAICS code for your industry WILL automatically fill in your industry information including the average industry rates that you are comparing against.

RULES: Download Rules IMPORTANT RULE CHANGE FOR SITES WITH INCENTIVE PROGRAMS. READ RULE 1 LOCATED IN THE RULES DOCUMENT!
2015 RATE TABLE: Download 2015 Rate Table (Check to see if your NAICS code has changed)
2016 RATE TABLE: Download 2016 Rate Table (Check to see if your NAICS code has changed)

Your Region VI OSHA Regional Area Rep is Bill Klingbeil. Questions related to the rules and qualifications should be directed towards him.

Office: OSHA Region VI
Rep: Bill Klingbeil
Voice: (972) 850-4159
Fax: (972) 850-4149


Contact Information

Your Name(*)
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Your Phone Number(*)
xxx-xxx-xxxx

Your Email Address(*)
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Company Information

VPPPA Site ID
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Enter your location's VPPPA site ID if you are a VPPPA member.

Company Name(*)
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Address 1(*)
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Address 2
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City(*)
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State(*)
AR,LA,NM,OK,TX

(Enter your 2 character state) AR,LA,NM,OK,TX

Zip Code(*)
USA Zip Code Only - No Zip Extension

Site Phone Number(*)
xxx-xxx-xxxx

Injury/Illness Statistics

Comparison Year(*)
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Select the year you wish to compare your rates to.

NAICS Code(*)
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Enter the code that best fits your industry

Industry(*)
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Total Cases (TCIR)
Injury/Illness Rates for 2017(*)
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BLS Industry Average(*)
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Auto Calculated

Percent Below BLS Average(*)
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Auto Calculated

Days Away/Restricted/Transferred Cases (DART)
Injury/Illness Rates for 2017(*)
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BLS Industry Average(*)
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Auto Calculated

Percent Below BLS Average(*)
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Auto Calculated

Has your site experienced a fatality (including contractor) in the past year?(*)
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Did your site qualify for recognition based on Rule 11 in either of the two previous years?(*)
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Does the site utilize an incentive program?(*)
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If the site has an incentive program, does it meet the requirements of Rule #1?(*)
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Rule 11
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Level of Recognition

Recognition Level
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Shipping Information

Note: All awards are being delivered this year. Please confirm that your numbers qualify for an award before proceeding beyond this point. Your company site will be recognized during the awards presentation at the conference. Members of your site will be asked to pose for photos with an award replica. Enter the address you want the award shipped to below.

Address(*)
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Address 2
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ATTN:
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City(*)
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State(*)
AR,LA,NM,OK,TX

(Enter your 2 character state) AR,LA,NM,OK,TX

Zip(*)
USA Zip Code Only - No Zip Extension

Verify

Prove you are human(*)
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4+8=?

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