There are four tiers in this program with possible discount rates of 3 Percent, 5 Percent, 7 Percent and 10 Percent.

  • 3 Percent Discount Tier I – Complete a full service, onsite survey and abate all hazards.
  • 5 Percent Discount Tier II – Complete all requirements of the Tier II Health and Safety Program. The Tier II program includes (but may not be limited to) the full onsite survey and obtain a score of two (zero to three scale) on each item on the HSC Tier II program requirements list.
  • 7 Percent Discount Tier III – Complete all requirements of the Tier III Health and Safety Program. The Tier III program includes (but may not be limited to) the full onsite survey, a Workers’ Compensation Experience Modification Rating (EMR) less than the Base Rate and obtain a score of two (zero to three scale) on each item on the HSC Tier III program requirements list.
  • 10 Percent Discount Tier IV – Complete all requirements of the Tier IV Health and Safety Program. The Tier IV program includes (but may not be limited to) the full onsite survey, a Workers’ Compensation Experience Modification Rating (EMR) less than the Base Rate and obtain a score of three on 10 percent of the items on the Tier IV HSC program requirements list and a score of two (zero to three scale) on the remainder of the items on the list.

For all four tiers, the survey may be conducted by Wyoming OSHA Consultation office, Workers’ Compensation Safety and Risk (WCSR) Office, the Wyoming State Mine Inspector, or a qualified third-party health and safety professional approved by the Wyoming Department of Workforce Services. The specific program requirements for each tier are available upon request.

In addition to the tiered requirements above, an employer must meet the following requirements:

  1. Have at least one employee;
  2. Establish and maintain certificates of good standing with Wyoming Workers’ Compensation, Unemployment Insurance and the Wyoming Secretary of State.

Forms & Documents

List of Approved 3rd Party Consultants

As of April 20, 2018, the following have completed the review and approval process for third party consultants that have been approved to conduct visits required for acceptance into the Health & Safety Consultation Employer Discount Program:

VPP, Inc.,

Markus Wesaw
P.O. Box 680, Fort Washakie, WY 82514
m@iv.org
(307)463-0037

Nicholas Kricken

8918 Red Fox Road, Cheyenne WY 82009
kricket8918@bresnan.net
(307) 631-2947

CS Consulting LLC

Steve Dacus
4151 Ten Mile Road, Casper, WY 82604
steved@caspersafety.com
(307) 235-9112

X-OSHA LLC

Jack M. Seybert
Johnstown, Colorado 80534
jack@x-oshallc.com
(970)381-4154

Health & Safety Consultation Request Form

Certificates of “Good Standing” for Wyoming Workers’ Compensation, Unemployment Insurance and the Secretary of State shall be provided to the person(s) conducting the audit (OSHA Consultant, Workers’ Compensation Safety and Risk, State Mine Inspector or private consultant) for them to submit for the discount application to be complete and processed.

Note: By clicking the SUBMIT button, you hereby attest that you have read, understand and agree to the terms of the Health & Safety Consultation Employer Discount Program.

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