VI. SAFETY MANAGEMENT EXCELLENCE AWARD

This award is given to MEMBER companies who give extensive training on safety to their supervisors, hold monthly safety meetings as well as train most staff in Hazard Recognition and Reporting. The company must also implement a proactive safety plan in the award year and have a company Experience Modification Rate (EMR) of 0.9 or below.

CRITERIA

A. 50% of supervisors have been trained in supervisory safety responsibilities such OSHA 30 or other standardized safety leadership training. Must upload documentation of all training

B. Provide documentation of monthly safety meetings (minimum of 12) in 2024 where information reached 80% of employees, in person or electronically. Documentation should include log of meeting topics, dates held, and rosters.

C. Provide documentation showing proof 90% of employees in non-administrative roles are trained in Hazard Recognition and Reporting.

D. Submit a description of PROACTIVE safety programs implemented in the award year.

E. Submit the company’s Experience Modification Rate (EMR)* from Workers Compensation insurance provider for the award year. Must be 0.9 or below to qualify. If your organization is too small for WSI to calculate your EMR, call us to discuss other qualifications.

F. Must provide total number of employees, including number of supervisors and number of employees in non-administrative roles.

*WSI refers to this as Experience Modifier (MOD) and industry terminology is Experience Modification Rate (EMR). Note that this should be a decimal number not a percentage.

Reporting as:

WPS Award reporting as*

Entire Company

Separate Plant or Division

NDSC Member Company Name (as it will appear on award)*

Separate Plant or Division Name (if applying as separate plant or division)

Street address*

Street address 2

City*

State/Province*

Postal code*

Phone number*

% of supervisors trained in supervisory safety responsibilities*

Number of safety meetings held in 2024 (upload log on bottom of form)*

Total number of employees*

Total number of supervisors*

Total number of employees in non-administrative roles*

% of employees in non-administrative roles trained in Hazard Recognition and Reporting*

Company Experience Modification Rate (EMR) - must be 0.9 or below*

Name of person making the nomination

First Name*

Last Name*

Street address*

address 2

City*

State/Region*

Postal code*

Phone Number*

Email*

Attach documentation of supervisory safety training; monthly safety meetings; and documentation of Hazard Recognition training

File upload

Upload .pdf, Word or Excel file types only