Regional Administrator Award

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SUBMISSIONS ARE DUE BY MARCH 9TH 2018. YOU MUST BE A VPP SITE IN A REGION VI STATE TO QUALIFY FOR ANY OF THE AWARDS.

Even though awards are for a select geographic region, the conference is open to EVERYONE! All of these forms make use of javascript for error checking.  If your site blocks javascript, use your home machine, a different network, or even most phones work.

INSTRUCTIONS:

Create a document no longer than two pages indicating how your site has excelled in the following categories: [NOTE: SELF NOMINATIONS ARE ACCEPTABLE]

 

Management Commitment

Describe how your site manager/management team has gone above and beyond others to demonstrate their commitment to safety.

 

Innovation in Safety and Health

Describe how your site has used innovation/creativity to accomplish reduced employee exposure to hazards.

 

Proactive Hazard Identification and Correction

Describe your site’s ability to identify hazards and correct them pro-actively.

 

Safety and Health Stewardship

Describe how your site has encouraged/promoted the benefits of safety and health to others in industry. This may or may not be VPP-related.

 

Other Significant Accomplishments

Describe any safety and health related process, event, etc., that you feel demonstrates your site is qualified above all others to receive this award.

 

After creating your document, come back to this page and use the below form to submit your document below.

Regional Administrator Award Submission Form

First Name(*)
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Last Name(*)
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Company Name(*)
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Street Address(*)
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City(*)
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State(*)
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Postal Code(*)
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Email Address(*)
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Phone Number(*)
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Site Name (If different than above Company Name)
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Site City (If different than above)
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FTEs for 2016-2017(*)
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Upload Document(*)
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