Achievement in Safety Leadership

Awarded to an individual (safety leader or craft worker) who has demonstrated a commitment to inspiring change and/or revising a safety program or process. This individual proactively identifies and mitigates risks, is a champion of training and education, and is dedicated to working safely and inspiring others to do so.

Nomination to include examples of individual’s commitment to active safety training, work site hazard identification, and control programs.

1. Your Information (Nominator)

Nominator's Name *

First

Last

Nominator's Title

Nominator's Phone Number *

Nominator's Email *

2. Nominee (Award Recipient) Information

Information about the safety or craft professional who you are nominating for this award.

First and Last Name

Email

Phone number

Position or Job Title

Company Name *

Name of company where this safety professional is employed.

Company website *

Company Size *

• under 100 employees
• 101-1000 employees
• 1000+ employees

3. Reason for Nomination

Please provide up to three specific examples of this individual's commitment to active safety training, work site hazard identification and control programs. *

5. Please share any other examples of how this individual/company fosters management and employee participation in safety programming.

Examples of this individual's safety achievements.

Nominate