Download the application form document template then return to this page and upload your application using the online form below.
OBJECTIVE: To formally recognize VPP Employees who give their time, effort, and talents to promote worker health and safety within Region VI area of VPP sites.
CRITERIA: You can have participated as a Mentor, Outreach representative, or as a SGE. You must have completed 2 of any of the following within the calendar year 2022.
a. Participate on a VPP On-site Evaluation Team
b. Assist the Regional VPP Manager with the review of a site’s VPP application.
c. Assist the Regional VPP Manager/OSHA VPP Coordinator with the review of VPP sites’ Annual Self-Evaluation Report.
d. Serve as an instructor/co-instructor for the SGE Course.
e. Serve as an instructor/co-instructor for the VPP Application Workshop.
f. Provide on-site mentoring to a potential or reapproving VPP site outside of your own company/organization.
g. Present a VPP or related safety and health topic at a Regional or National VPPPA Conference.
Help us recognize your efforts and contribution to the Region VI area of VPP sites. The Board appreciates your time, effort, and input in serving you as members of the VPP program.