1. A. Only eligible employers who have a certificate of attendance Form LW-WC-Form No. 1024 issued within the last four years may apply for participation in the Occupational Safety and Health Program.

2. B. An application for participation in the Occupational Safety and Health Program shall consist of the following:

   1. 1. a properly completed Form LW-WC 1021;
   2. 2. a copy of the applicant's OSHA 300 log from the previous year;

   3. 3. a sworn statement that:

      1. a. the company has written safety programs and training documentation as required by OSHA standards relevant to its facility for at least a six-month period;
      2. b. the applicant's lost workday incident rate is less than the national average for its respective Standard Industrial Classification (SIC) code; and
      3. c. the applicant company has experienced no fatalities within the 24 months immediately preceding the date of the application; and
   4. 4. any additional information which the Occupational Safety and Health Section of the Office of Workers' Compensation Administration deems necessary to evaluate the application.

3. C. Application Rejection

   1. 1. The Occupational Safety and Health Section of the Office of Workers' Compensation Administration may reject:

      1. a. any application which does not contain all requested information or which does not reflect a commitment to safety in the workplace; and
      2. b. an application at any time before the initial phase inspection is completed if it is determined that the company's application contained false information or that a fatality has occurred since the application was submitted.
   2. 2. A company whose application is rejected due to a lack of commitment to safety or for an application containing false information shall be allowed to reapply no earlier than 12 months from the date of the rejection notice.
4. D. In scheduling surveys, the OWCA will attempt to schedule on the basis of the date the application is received in the office, but shall also consider the OSHA High Hazard list and geographical location for maximizing scheduling.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1178.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Labor, Office of Workers' Compensation Administration, LR 19:896 (July 1993), amended LR 21:814 (August 1995), amended by the Louisiana Works, Office of Workers' Compensation Administration, LR 52:505 (April 2026).