MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS DIVISION OF LABOR STANDARDS MISSOURI WORKERS’ SAFETY PROGRAM Dear Missouri Employer: Are you aware that Missouri law §287.123, RSMo, requires your workers’ compensation insurance carrier to provide you with comprehensive safety management resources upon your request? These required services, provided free of charge by most insurance carriers, include: Assisting you with the development of a comprehensive safety and health program, which pertains to your specific needs Reviewing your written safety programs or assisting with establishing written programs Performing a safety and health audit, which includes on-site inspection and consultations Providing you with resources for case file management Providing you with education and assistance in the development of transitional duty programs Additional assistance with workplace safety is available to you directly from the Missouri Workers’ Safety Program. This public program is dedicated to assisting Missouri employers in reducing the number of occupational injuries and illnesses in workplaces. Services are offered to all Missouri employers who seek assistance in evaluating their current safety, health and loss prevention programs or who wish to establish new programs. The Workers’ Safety Program does not issue citations, levy fines or make any reports to OSHA. In addition to providing safety assistance to employers, the Program also reviews and certifies the insurance carrier safety programs referenced above. The Program offers the following services free of charge and without obligation: Safety consultants from the Program are available to visit with you at your convenience. Answers are provided to your questions regarding such topics as experience modifiers, workers’ compensation laws and methods to reduce your workers’ compensation premiums. Safety videos are available free of charge through the Program’s lending library. A list of available safety consultants/engineers certified by the State of Missouri is available on the Program’s website. If you are interested in receiving assistance from your workers’ compensation carrier, or from the Missouri Workers’ Safety Program, please fill out and return the “Request for Services” form. Your request will be forwarded to your workers’ compensation insurance carrier on your behalf if assistance from them is requested. We look forward to hearing from you and working with your company. LSWSP-6-3 (08-07) AI American LegalNet, Inc. www.FormsWorkflow.com