ESD 113 Employee Safety Incentive Grant

Welcome!

We are excited to announce the ESD 113 Workers’ Compensation Trust Executive Advisory Committee has approved $60,000 in safety grant funding for the 2019/20 school year.

The maximum grant for any one district is $5,000.

Application opens October 1, 2019.

To apply:

Complete the following application
Upload supporting doucments
Click Submit

Note: 2018/2019 grant winners are not eligible for a 2019/2020 Grant.

The deadline for application submission is December 31, 2019

For questions, or assistance please contact:

Robert Pierce, Safety & Health Administrator

Capital Region ESD 113 Workers' Compensation Trust

rpierce@esd113.org

(360) 464-6881

Name *

First Name Last Name

Email *

example@example.com

School District *

Complete the following Questions in 50 words or less:

1. Describe your plan or project for promoting safety and reducing on the job accidents (You will be evaluated on clarity of plan): *

0/50

2. What do you estimate the cost of this project and what would you estimate the impact would be on potentially reducing accident frequency? (You will be evaluated concerning both cost and anticipated benefit): *

0/50

3. Describe your district accident reporting and investigation process (Your process must fit your District Accident Prevention Plan and meet Workers' Compensation Trust Guidelines): *

0/50

4. Describe how your school district participates in the Workers' Compensation Trust's safety program e.g. you have a central safety committee, you provide scheduled employee safety training, you review accident trend data to best address accident prevention strategies (You will be evaluated based on the described use of best practices): *

0/50

Please attach your supporting documents (ie: safety injury reports, item requested research information, other documents which support the information provided in the answers above): *

Browse Files

Grant Amount Requested *

If full funding is not available, is partial funding (less than $5,000) still helpful to you? *

YES, partial funding is worthwhile NO, Unable to complete without full funding

Safety Chair (or designee) signature *

Clear

Superintendent (or designee) signature *

Clear