ASA Midwest Council is a construction trade association of specialty contractors and suppliers serving the construction industry and the community. Our purpose is to improve the construction process through education, advocacy, and collaboration.

ASA Midwest Council Star Safety Program Checklist

After submitting your application you will need to provide the following to complete the process:

 Copy of written Safety and Health program
 Sample of employee training records
 Sample of disciplinary records
 Copy of site inspection documentation

Injury and Illness Logs
 (Year 2012) OSHA Form No. 300, 301 and 300A
 (Year 2013) to date OSHA Form No. 300, 301 and 300A


Signature: __________________________________________

Title: ______________________________________________


Please send to:
Michael Sicking, Safety International, ASA Safety Chairman

Email: [email protected]

Safety International
P.O. 6492
St. Louis, Mo. 63006

Website Sponsors

American Subcontractors Association - Midwest Council

whistle-blower policy | conflict of interest policies for board of directors | dues and collections policy
antitrust policy | code of conduct policy | equal employment opportunity and anti-discrimination policy

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