Safety Excellence Award Application - Indiana WEA

Safety Excellence Award Application

Safety Awards of Merit may be given to municipal facilities for Class I, II, III, IV, and industrial facilities. This program is designed to give recognition to all plants which grade high in merit points to such an extent that a plant may sustain a minimum of lost-time accidents and with a good point record could still be eligible for a safety award. Safety experience of each plant will be compiled by the committee and recommendations for awards shall be based on merit points and by accident experience of each plant recorded by the plant superintendent on the year-end safety report.

To be eligible for this award, a plant must complete the Safety Inspection Form and receive an inspection from a safety committee member.

Award Applications must be submitted no later than February 22, 2019, for consideration of awards. Applications received after February 22, 2019, may potentially not be considered for either safety award. Once your application has been received, the committee will forward the self-audit form for review so you will know what to expect during the audit process. Burke Award applicants will also receive an additional request form to gather additional information prior to the audit process. Facilities applying for either award must be accessible for the auditor within a reasonable time frame and be able to accommodate the schedule of the volunteer. 

Applications for 2019 are open.  If you have any questions please contact Kylee Daily

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WHO HAS APPLIED

Facility Name: (As it Should Appear on the Award)
Facility Name: (As it Should Appear on the Award)

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