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Print STATE OF DELAWARE WORKPLACE SAFETY PROGRAM QUESTIONNAIRE Please submit your application five months prior to your policy renewal date. Remember to include your inspection fee when mailing. Save.

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How to fill out the DE Workplace Safety Program Questionnaire_DSA online

The DE Workplace Safety Program Questionnaire_DSA is an essential document for ensuring workplace safety standards are met. This guide provides step-by-step instructions on how to effectively complete the questionnaire online.

Follow the steps to successfully complete the questionnaire online.

  1. Click the ‘Get Form’ button to obtain the questionnaire and open it in your chosen digital format.
  2. Begin by entering your general information clearly. This section requires the business name, mailing address, street address, city, zip code, and telephone number. Ensure all information is accurate.
  3. Complete the fields for the person and title completing the form, as well as the contact person if different. This includes their title and date.
  4. Indicate the number of full-time and part-time employees, and specify if any off-site work is conducted. You will also need to enter your business type or SIC code.
  5. If applicable, indicate whether your business is seasonal and provide the dates you are open for business. Fill in your hours and days of operation.
  6. Describe your operation in detail. Include any important factors that reflect how safety is managed within your business.
  7. List all Delaware locations or sites that are covered by your policy. Make sure to include all relevant sites for comprehensive coverage.
  8. Respond to the question about any Workers Compensation claims in the last twelve months. This section is crucial for evaluating safety history.
  9. Review and answer the subsequent sections focusing on safety programs, protective equipment, eye protection, hearing protection, and other relevant areas. Be as detailed as possible to ensure clarity.
  10. Once all sections are completed, check that all information is correct. You can then save your changes. After saving, you can download, print, or share the completed form as needed, or select submit.

Complete your questionnaire online to ensure you meet Delaware's workplace safety standards.

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OSHA's 7 Core Elements of an Effective Safety and Health Program Management Leadership. Worker Participation. Hazard Identification & Assessment. Hazard Prevention & Control. Education & Training Program. Evaluation & Improvement. Management of Contractors / Staffed Employees.

ENGAGE – EDUCATE – EQUIP – EMPOWER – EXPECT – EVALUATE While the 6 E's are more detailed than the traditional Plan Do Check Act (PDCA) of the Lean “Deming Circle” for Continuous Improvement, it is more people oriented than process alone, and employees embrace the inherent value in being Educated and Equipped.

Your safety program should include safety plans, rules, and work procedures for specific operations at your company. The rules should include enforcement procedures, such as disciplinary action or reorientation, that are universally recognized and applied.

Whether you are developing HSMS, conducting a safety awareness workshop, or redesigning a general safety program, you must consider the 5 components of workplace safety: Education, Encouragement, Engineering, Enforcement and Evaluation.

Temporary disability benefits are tax-free weekly benefits representing 70 percent of your gross weekly wage, payable up to 400 weeks. These benefits are payable while you are temporarily unable to work because of a work-related medical condition and under active medical treatment.

To create a culture of workplace safety, focus on the following three areas: ergonomics, fatigue, and fall prevention.

These are known collectively as the "5 Es": Education, Encouragement, Engineering, Enforcement, and Evaluation.

OSHA believes a safety and health program must have the three basic elements of management leadership, worker participation, and a systematic approach to finding and fixing hazards to be effective.

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