Governor S Employee S Safety Awards (GESA) Guidelines

Governor’s Employee Safety Awards (GESA) Guidelines

Introduction The Governor’s Employee Safety Awards (GESA) program was established in 1980, by the Department of General Services (DGS), Office of Risk and Insurance Management (ORIM) to highlight and promote health and safety in the workplace. This distinguished award is signed by the Governor and is presented to State employees and departments in recognition for outstanding contributions to the prevention of illness and injury during the preceding calendar year.

Who’s Eligible State employees and departments.

Award Awards are categorized by Group, Individual, and Departmental. A single “Excellence in Cate Occupational Safety” award will be presented to an individual who makes an outstanding gorie contribution to health and safety resulting in the prevention of workplace injury or illness s and whose primary responsibility is health and safety.

Description Criteria Documentation Required Group awards are presented to The nominees:  Summary of the actions or two or more state employees who project. did one of the following:  Were NOT primarily (and/or) directly  A copy of each employee’s  Acted as an inter- or intra- responsible for safety or specific duty statement (not agency team or task force health programs. State Personnel Board job providing a significant specification). contribution to health and  Made a remarkable and safety resulting in the extensive contribution to the  Submissions require a written prevention of workplace health and safety of other project definition, scope and injuries, accidents, or state employees. (They justification of how the project illnesses. must be able to demonstrate provided a remarkable and the significance of this extensive contribution.  Drove, as a *cohesive work contribution through unit, ** 500,000 cumulative documentation).  Documented project *results, miles without a vehicle such as: accident.  Performed the action, apart Statistics from their job duties, and Reports  Worked, as a *cohesive work during their daily scheduled Samples unit, **500,000 cumulative hours. Pictures hours with one or fewer lost- time injuries.  Completed the action or *If such documentation is not project in the previous available and/or applicable, the *cohesive work unit= a work unit calendar year. nominator must provide a written whose members work together explanation. to complete and attain a goal.  Have not received any other GESA award for this action. **500,000 cumulative hours or miles driven over a period of time reaching the 500,000 hours or miles mark within the previous year to qualify for nomination. Governor’s Employee Safety Awards (GESA) Guidelines

Individual

Description Criteria Documentation Required Individual awards are presented The nominee:  Summary of the actions or to an employee who makes a project. significant contribution to health  Was NOT primarily and safety. (and/or) directly  A copy of the employee’s responsible for health and specific duty statement (not safety programs. State Personnel Board job specification).  Made a remarkable and extensive contribution to the  Submissions require a health and safety of other written project definition, state employees. (They scope and justification of must be able to demonstrate how the project provided a the significance of this remarkable and extensive contribution through contribution. documentation).  Documented project *results,  Performed the action, apart such as: from their job duties, and Statistics during their daily scheduled Reports hours. Samples Pictures  Completed the action or project in the previous *If such documentation is not calendar year. available and/or applicable, the nominator must provide a written  Has not received any other explanation. GESA award for this action.

Departmental

Description Criteria Documentation Required Departmental awards (plaques)  Workers’ compensation  The workers’ compensation are presented to departments awards are based on a five awards are based on for: year trend for reducing information provided by the workers’ compensation claims. Department of Personnel  Reducing work related injuries Administration. If an agency  Reducing vehicle accident does not have its workers’  Reducing vehicle accident rates awards are based on a compensation claims adjusted rates five year trend for reducing by SCIF under the Master vehicle accident claims. Agreement, five years of payroll and claims information must be submitted to ORIM.

 The vehicle accident rates awards are based on the “Request for State Miles Driven” report submitted by departments to ORIM. Governor’s Employee Safety Awards (GESA) Guidelines

Excellence in Occu patio nal Safet y

Description Criteria Documentation Required An Excellence in Occupational The employee was directly  Summary of the actions or Safety awards is presented to an responsible for health and project. occupational safety safety programs. employee/group who makes an  A copy of the employee’s outstanding contribution to  Performed the action, not specific duty statement (not health and safety resulting in the apart from their job duties, State Personnel Board job prevention of workplace injuries, and during their daily specification). accidents or illnesses. scheduled hours.  Submissions require a  The action or project was written project definition, completed in the previous scope and justification of calendar year. how the project provided a  Has not received any other remarkable and extensive GESA award for this action. contribution.

 Documented project results, such as: Statistics Reports Samples Pictures

*If such documentation is not available and/or applicable, the nominator must provide a written explanation.

Action  Complete the attached nomination form and submit it to your department’s health and safety Requ coordinator or designee. ired to Health and Safety Coordinator or designee must: Nomi  Ensure the nomination meets the criteria and documentation requirements. (Incomplete nominations nate may be subject to disqualification).

 Request the department/agency head or designee sign the nomination.

 Submit nominations to the Department of General Services, ORIM, Health and Safety Unit, 707 Third Street, 1st Floor, West Sacramento, CA 95605 or via email at [email protected] * Please reference “GESA SUBMISSION” in the subject line.

Due to ORIM by September 1, 2014

Questions If you have questions, please contact: Tavelle Matteucci, Statewide Health and Safety Program Coordinator Office: (916) 376-5309 Email: [email protected]