The balanced scorecard is an effective tool for the evaluation and monitoring of financial and non-financial performance (customers, internal processes and organizational learning) within companies. It allows transforming the company’s vision and its strategy to operational, measurable, and manageable indicators. However, this tool hasn’t taken yet into account the aspects of health, safety, and environment at its outlook appearance. This paper propose a strategy to integrate health, safety, and environment indicators to the new Balanced Scorecard by explaining the cause and effect relationship between its six perspectives using the DEMATEL approach (Decision Making Trial and Evaluation Laboratory).