Please provide your name:

Your email address

Your telephone number, with area code

Describe your company’s safety accomplishments over the past year.

Describe your company’s journey to the Pinnacle of Safety. What experiences or lessons brought your company to where you are now?

Why is safety a core value at your organization?

What is the biggest obstacle to safety at your organization, and how do you work to overcome it?

How do you instill a sense of safety in employees on an ongoing basis?

How does your organization measure safety?

Where do you see room for improvement?

What goals and objectives did you set and implement to bring you to where you are today?

What role does off-the-job safety play in your organization’s overall safety program?

What types of off-the-job safety and health programs does your organization offer to employees?

What does this award mean to your company?

Additionally, submit the following items:

A copy of your written safety policy statement

DART & TRCR (for the last three completed years)

NAICS for your Industry

Number of employees at your facility

Number of employees company-wide