Governor's Lifesaving Awards
Real-life heroes and heroines whose quick thinking and
fast actions saved a life during the past year will be honored at the
conference. Know somebody who saved a life?
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Download and print
the application and guidelines:
Microsoft Word format (30KB)
Adobe Acrobat (PDF) format (12KB) Coming Soon
Governorɮdustrial Safety And Health Advisory Board
- The lifesaving award is available to employees in the state of
Washington who are covered by industrial insurance (State Fund or
Lifesaving act can occur anywhere, 7 days a week, 24 hours a day /font>
- The award shall be for personally performing
urgently required "hands-on" action(s) in a lifesaving
effort. In the case of law enforcement persons, fire fighters, EMTs,
or other similar type professionals, such actions must NOT be
part of their normal duties, but must be above and beyond the line of
To submit nominations, complete the
"application for lifesaving award". Comments should be
brief, concise, specific to incident, and explain how a life was saved.
(If necessary, use a separate sheet to continue with comments.)
The incident detail is to include outcome of
rescue. (If the victim did not survive, a nomination can be made for a
Official documentation in support of the
nomination is required (e.g. doctor, fire department, medics, police,
etc.) Nominators are encouraged to attach any additional supporting
A 35mm COLOR SLIDE or
PHOTOGRAPH of the applicant is required and MUST BE enclosed
or you may send a digital image by E-mail to
Applications should be submitted on the
current form and within the designated time frame.
Lifesaving actions having occurred within the
current time frame will be eligible for nomination (June 1, 2010 and May 31,
The application should be signed by the person
nominating, and be submitted to the Governorɮdustrial Safety and
Health Advisory Board by no later than June 30.
The awards committee of the Governor튠 Industrial Safety and Health Advisory Board will review applications
for contents and timeliness.
The decision of the awards committee is final.
Any further discussion of an application shall be directed to the
chairperson of the awards committee.
For Further Information Contact: Laura Orman (360) 902-5533.
SUBMIT APPLICATION TO:
Governorɮdustrial Safety and
Health Advisory Board
c/o Laura Orman, Lifesaving Award Coordinator
Department of Labor and Industries
PO Box 44650
Olympia WA 98504-4650
Fax: (360) 902-5533
** If the committee is unable to determine from the
application who actually saved the life, no award will be given and the
nomination will be returned to you.