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ESAC Application Process

ATTENTION: Calling for applications for the Executive Safety Advisory Committee Award.

To ensure that the requirements are fair and equal to all applicants, approval of the award is based on information contained in the employer's injury and illness records maintained and verified in accordance with the recordkeeping requirements of the Kentucky Occupational Safety and Health Program.  All entries must be received no later than May 31.

Cabinets/Departments/Divisions must submit the following documentation:

  • Application
  • OSHA Form 300A Summary
  • Complete Documentation of Total Hours Worked (this is found on the log)

Please note:  Application, logs and documentation must be signed.  The complete application package should be mailed to:

Personnel Cabinet 
State Saftey Program
Attention: Dana Harvey
501 High Street, 3rd Floor
Frankfort, KY 40601

 

 

 

ESAC Application 
(doc - 11K)

 

Last Updated 2/9/2012
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