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2020 Safety Champion Online Nomination Form

NOMINATION FORM
2020 Safety Champion of the Year Award
Nomination Deadline – Friday, March 27, 2020
$1000 cash award plus premium prize package

Who Qualifies

Any MERIT Saskatchewan member

Any MERIT Saskatchewan associate member

Information to Include

Required:

Completed nomination form

Letter of recommendation from nominee’s supervisor

Optional:

Relevant pictures

Letters of reference

How to Nominate

All nomination forms found at meritsask.com/events/employee-awards

Use the online form for automatic submission

Email your completed form to info@meritsask.com

2020 Merit Safety Champion of the Year Award

  • Nominee Information

  • Nominator Information

  • Nomination Details

  • • Does the nominee have any “favorite sayings” regarding safety? • When training new employees, what types of things does the nominee stress?
  • • Are morning safety meetings held? • Are there regular learning opportunities for everyone on site to build safety awareness? • Has he or she helped in developing the company’s safety program? • Is the nominee proactive in identifying issues before they cause problems?
  • • What safety related courses and additional training has (s)he taken in the last three years? • Is the nominee involved in company or other safety associations? • Does the nominee provide safety training to others within the company?
  • • How does the nominee spread the word about safety to others on the site?
  • DON’T FORGET TO INCLUDE A LETTER OF RECOMMENDATION FROM THE NOMINEE’S SUPERVISOR IN YOUR NOMINATION PACKAGE. Files should be in PDF format or image format such as JPG, GIF, or PNG.
    Drop files here or
    Accepted file types: pdf, jpg, gif, png.