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620-BHE-01-IGOT
WSPS Health and Safety Excellence program
WSPS Health and Safety Excellence program
Terms and Conditions of Participation
1. Employers must submit a completed application to WSPS to be registered into the Excellence program.
2. Employers applying to participate in the Excellence program must have an active account in good standing with WSIB.
An employer that experiences a traumatic fatality will be disqualified during that year from participating in the rebate.
3. Employers can only register with one Program Provider, and cannot switch during their 12 month cycle, unless
approved by WSIB.
4. Employers participating in the Excellence program are required to select one to five topics annually from the
36 topics, as set out in the program guidelines.
5. Employers must complete a needs assessment the first year they participate in the Excellence program; completion
in subsequent years is voluntary.
6. Employers are required to submit evidence to demonstrate they have implemented their chosen topic(s) within
11 months of submission of action plan.
7. Employers must maintain a point of contact with WSPS. If there are any changes, WSPS must be notified.
8. Employers are encouraged to participate in networking activities with other group members.
9. All evidence submitted by the employer will be reviewed by WSIB, with some employers being selected for an
on site validation. If selected, employers must allow WSIB access to all locations under the account number.
10. An employer who declines to participate in an on site validation will not receive any recognition; financial or
non-financial.
11. Employers will only be validated on the topics that evidence is submitted for; if topics are being dropped, the
employer must notify WSPS.
12. Employers and their employees may be asked to participate in questionnaires or surveys as part of the ongoing
Health and Safety Excellence program evaluation.
13. Employers are required to adhere to the Excellence program requirements as outlined in the program guidelines,
current edition.
Company Name:
Owner/Senior Manager Name:
Title:
Email:
*Signature: Date:
*Typed name is equivalent to signature.
