agc of california€¦ · web viewthe award application package is available online at the agc...

The AGC of California Safety Awards of Excellence recognizes contractors for their outstanding safety programs in the following categories:

Contractor Safety Awards of Excellence based on three categories of worker hours in California Under 200,000 worker hours 200,000 to 500,000 worker hours 500,001 – 1 million worker hours Over 1 million worker hours

Heavy/Civil/Highway Under 200,000 worker hours 200,001 to 500,000 worker hours 500,001 – 1 million worker hours Over 1 million worker hours

Specialty Contractor Under 500,000 worker hours 500,001 – 1 million worker hours Over 1 million worker hours

Safety on a High Hazard Project

Unique Safety Application Individual Safety Effort of a Superintendent or Jobsite Manager Associate Member Contribution to the Industry

Safety Professional of the Year Professional Development Grant

The award application package is available online at the AGC website www.agc-ca.org or by calling AGC of California at (916) 371-2422 starting May 10, 2010. For an electronic document in Microsoft Word, email your request to [email protected]. An awards luncheon will be held during the Fall Conference, November 3-5, in Indian Wells, CA.

Send completed applications to:Safety & Health Council

AGC of California3095 Beacon Blvd.

West Sacramento, CA 95691

For more information, call AGC of California at (916) 371-2422.

Don’t miss out on your opportunity to earn one of the prestigious Safety Awards of Excellence! If you are a first time applicant, contact the AGC of California Safety Office for assistance in completing your

application.

23rd Annual Safety Awards of ExcellenceSponsored by the Safety & Health Council


Company InformationCompany InformationAward RequirementsAward Requirements

http://www.agc-ca.org/

1. Direct your questions about the awards program or about your application to the AGC of California Safety Office at (916) 371-2422, and/or email [email protected].

2. Judging is conducted by a task force of the Safety & Health Council, and includes the Chair and Vice Chair along with representatives from first place winners of the prior year’s competition, a Safety Professional of the Year, a specialty contractor representative and a council member at large.

3. The second round of judging is to be done by a panel which includes industry experts who will then make the final decision on recipients of the Safety Award of Excellence.

4. Application procedures are developed, reviewed, and updated by a task force of the Safety & Health Council each year.

5. Completed applications are kept confidential, reviewed only by the judges then returned to the applicants after the competition.

6. Winners of AGC of California Safety Awards of Excellence are invited to apply for the AGC of America Safety Awards of Excellence program.

7. All applications must be completed and submitted according to the required format and instruc-tions. Applications that do not follow the required format will lose points or be eliminated from the competition. Any questions about the format should be directed to the AGC of California Safety Office.

1. The award is based on calendar year 2009.2. Applicant must be a member of AGC of California in good standing for 2009 and 2010.3. Applicants may not have had a fatality in the year for which they are applying, or between the

applications submittal and the awards event November 3-5, 2010. If you have, please notify AGC of California.

4. Applications must be complete to be accepted. The application must be completely filled out and attachments included to be considered.

5. Each applicant company must have its own autonomous safety program and separately designated safety manager. Companies under the same parent company may not apply in the same category, but may apply in separate categories.

6. If qualified, members may compete in more than one category, but separate applications are required for each category.

7. All awards are based on the member’s construction activities in California only, not subsidiary or out of state operations.

8. Applications must be received in the AGC West Sacramento office no later than August 13th, 2010. 5:00 p.m. late applications cannot be accepted.

9. In the event that applications do not meet minimum criteria for application, judges must eliminate those applicants from the competition.

10. Judges reserve the right not to make awards in any category in which they feel the applicants do not meet exemplary standards.

11. Because applicants may consider such information proprietary and confidential, the Safety and Health Council Judges represent that this data will be treated as such. It will be available for review solely on a need to know basis by the judges in the evaluation of the application.

General Information

General Rules


Application Requirements Overview

Your application must be submitted in a 1” binder, each of the following sections must be separated by tabs. Application Parts Part I – Company Info & Description of Company Part II – Management Commitment/Emp. Involvement Part III – Description of Safety Program

NOTE: 1. Do not include your safety manual or program NOTE: 2. AGC of America awards require that you use Times New Roman 12 font with 1” margins. If you wish to later use the information from this application to complete the AGCA Award application, you may want to use that format for this application. NOTE: 3. Include electronic pictures of your (project, applicant, award year experience) with your application.

Part One: Company Information Form & Description of Company

Section 1: Please fill in the appropriate fields under the ‘General Information’ section.Section 2: Select what Category your company places in.Section 3: In the ‘Description of Company’ section, please provide a brief description of the

last three types of jobs your company performed.

Part Two: Management Commitment/Employee InvolvementSection 1-5: Please indicate by placing an “X” in the appropriate box as to whether or not your company includes the items in your accident prevention program. Also, please provide an explanation in the notes section at the end of the checklist for any NO or N/A responses.

Part Three: Description of Safety ProgramSection 1: Use this part as a guide to prepare the written description of your safety program.Section 2: Provide no more than two pages describing why you believe your safety program

deserves to win. The percentage number indicated at the beginning of each section of the application is the weighted total points available for that section. The judges can award up to that many points for that section. Applications must be prepared in a 1” tabbed binder. Please, no exceptions!!

Send completed applications to:

Safety & Health CouncilAGC of California

3095 Beacon Blvd.West Sacramento, CA 95691

No later than 5:00 p.m. on Friday, August 13th, 2010.


******************************************************************************


Application Instructions

Completed Applications DueFriday, March 13th, 2009 by 5:00 pm






Safety & Health Council

AGC of California3095 Beacon Blvd.


No later than 5:00 p.m. on Friday, March 13th, 2009.For more information, call AGC of California at

(916) 371-2422.

Section Review and Instructions: **See application for additional instructions**

Completed Applications DueFriday, August 13th, 2010 by 5:00 pm

Has your company experienced an occupational-related fatality event involving an employee(s) of your company during 2009 or 2010?

Yes? Stop here…Your company is ineligible to apply for this year’s award.No? Continue with the application.

If your company has a fatality involving a company employee after submitting this application, but prior to the Safety Awards of Excellence Event in November 2010, you must notify AGC of California. Your company will not be eligible for an award.

Company Name

Primary Contact Person

Address

Title

City

Phone

State/Zip

Fax

Email

Company President/CEO Name

President/CEO Signature

Safety Director Name

Safety Director Signature



PART I:

This page must be complete and in front of the first tab in your application binder

Section 1 Company Information Form

General Information

Self Performed Work percentage: 0-10 11-25 26-50 51-75 Over 75In California, what percentage of your work in 2009 was self performed?

Total Employee-Hours Worked Calendar Year (CY) ‘09

Calendar Year(CY) July ‘10

Total number of lost work-day casesInjuries/Illnesses

(Total in Column H of the OSHA 300 log)

Lost Work-Day Incidence Rate(see formula below)

Total Recordable injury/Illnesses(Totals in columns H, I & J of the OSHA 300 log)

Recordable Incidence Rate(see formula below)

The formula for either rate is: # of (lost workday cases or total recordable cases) * 200,000

Total Employee-hours worked

Building Division:Under 200,000 worker hours

200,001 to 500,000 worker hours

500,001 to 1 Million worker hours

Over 1 Million worker hours

Heavy/Civil/Highway Division:

Under 200,000 worker hours200,001 to 500,000 worker hours500,001 to 1 Million worker hours


Specialty Division:

Under 500,000 worker hours

500,001 to 1 Million worker hours


Application Requirements OverviewApplication Requirements Overview

Section 2: Injury Illness Data and Rates

Section 2: Entry CategoryFriday, March 13th, 2009 by 5:00 pm


Provide a brief description of the last three types of jobs your company performed. No more than one/half page description for all three jobs. NOTE: To assure compliance to length of each narration portion below, any deviation from parameters set forth may result in disqualification.

Section 3: Entry CategoryFriday, March 13th, 2009 by 5:00 pm


Yes No N/A

Illness & Injury Prevention Program (IIPP) safety & health policy signed by company principal

Designated safety manager trained in safety hazard recognition and risk control

Safety manager reports to executive management

Company policy gives field employees authority to “shut down” a job or operation because of a hazard that presents an eminent danger to employees

Top management participates in recordable incident investigation

Company principal reviews company safety performance report

Oversight project safety inspections conducted by personnel other than project personnel, i.e. senior management, outside consultant or insurance loss control, safety committee

Safety committee meets regularly and includes non-management employees

Implementation/acknowledgement of employee suggestions for improvement

Section 1: Management Commitment/Employee Involvement

ALL INFORMATION WILL REMAIN CONFIDENTIAL

Please indicate by placing an “X” in the appropriate box as to whether or not your company includes the following items in your accident prevention program. There may be items in Part II (checklist) that do not apply to your company. If so, the N/A response would be appropriate (For example, a floor tile subcontractor may not have any need for trenching & excavation safety components. Therefore, N/A would be the appropriate selection.) DO NOT answer NO to one or more of the items in Part II, it will reflect poorly based on the judging criteria. Also, please provide an explanation in the notes section at the end of the checklist for any NO or N/A responses.

Do not include your company safety manual or IIPP

NOTE: Winners will not necessarily have checked “yes” for all items

PART II:

NOTES:


Yes No N/A

Safety & health rules exceed Cal/OSHA requirements (IIPP)

Conduct job hazard analysis

Vehicle driver selection and fleet policy

Root Cause Analysis on All Incidents

Subcontractor Safety Policy

Workplace Violence Policy

Behavior Based Safety Program

Crisis Management Plan

Return to Work Program

Site safety plan for each project

Written Drug & Alcohol Prohibition policy/Substance Abuse policy

Pre-employment drug testing

Pre-employment alcohol testing

Employee Assistance Program

Heat Illness Prevention Program

Permit Procedures and Tracking

Fall Protection Program

Excavation and Trenching Program

Hazardous Communication Program

Code of Safe Practices specific to your work


Section 2: Written Procedures and Programs

Mark the appropriate box next to each item. Check one column for each row. If an element does not apply, mark “N/A”.

Do not include your company safety manual or IIPP NOTE: Winners will not necessarily have checked “yes” for all items

Notes:

No N/A

Formal new hire orientation

Management completes regular professional safety training

Safety manager completes regular safety training

Safety manager is member of AGC of California Safety & Health Council

Safety manager is member of American Society of Safety Engineers or other professional safety organizations

Supervisors complete OSHA 10 &/or Cal/OSHA 8 hour construction safety class and/or other safety classes

Crisis management training

Workplace Violence Prevention

Harassment Training

Diversity Training

Leadership Training

Defensive Driving

Written Cell Phone Policy

Effective Disciplinary Program

Yes No N/A

Weekly safety meetings at all jobsites Daily Job Hazard Analysis

Subcontractor/contractor liaison policy



NOTES:

Section 3: Training and Continuing Education


Every worker, including subcontractor employees, completes safety orientation for each project

At least monthly manager/supervisor/project management safety meetings

Subcontractors submit site-safety plans

Sanctions applied for subcontractor non-compliance with safety standards

Safety & health policy requirements written into contracts to compel subcontractors to meet your safety requirements

Pre-qualification of subcontractors includes safety

Preconstruction safety meetings conducted with subcontractors

Require submission of subcontractor (all tiers) current IIPP

Section 4: Site Safety/Subcontractor Management



Notes:

Yes No N/A

Safety performance recognition program in place Field supervisors are evaluated on safety

Near misses are reported and investigated Jobsites are inspected at least weekly by supervisors (check all that apply)

Daily Weekly Other Documented

Company publishes regular safety newsletter or other regular safety communication

Participate in CAL/OSHA , CAL/SHARP Program or VPPC Utilize CAL/OSHA Consultation services


Section 5: Other


Do not include your company safety manual or IIPP

NOTE: Winners will not necessarily have checked “yes” for all items

Notes:


PART III:PART III:

Section 1: Description of Safety Program

Provide no more than two pages (12 font, Times New Roman, with at least 1 inch margins) describing your safety program and your commitment to safety and health with an overview of its implementation, addressing all the criteria that applies. Use this part as a guide to prepare the written description (qualitative description) of your safety program. Please include information about your orientation program, training program, recognition program, innovative practices and those elements described in the following table. Participant Involvement:Consider how the individuals closest to the daily work make decisions that improve safety. Please write about how your project managers/superintendents ensure that everyone is able to participate in the decision making process when it comes to safety. Open discussion:Consider how your project managers/superintendents ensure that there are open discussions about safety – how they communicate their expectations. Please write about a time when your project managers/superintendents made safety a priority in order to push a key project forward. Visible Management Commitment:Consider how your project managers/superintendents perform their daily site activities. Please write about a time when you had to communicate safety expectations to your customer while handling a number of competing priorities like schedule and quality. Be creative. This is your opportunity to demonstrate that “special something” that sets you apart from the others – your core competency in safety. Explain the things that you feel you do better than everyone else. Judges will be evaluating the following, Overview of company safety program, High level of employee involvement in safety, New programs, procedures or resources used by company to promote safety, Management’s involvement/commitment to safety, and Unique program elements used by company to promote and heighten safety awareness.


Harry Eckstein Safety Professional of the Year Award

Award Year 2009

Sponsored by

Completed Applications Due: Friday, Friday, August 13th 2010 by 5:00 pm

The safety profession is made up of men and women who have devoted their careers making our workplaces safer. Some safety professionals go far and above the call of duty in their devotion to preserving quality of life in the workforce. Many go far above and beyond the borders of their employer, distinguishing him or her by giving back to the industry. This very prestigious award exemplifies the most dedicated and innovative professionals and their active participation in the advancement of the safety management process both within their company and in the construction industry. This is an opportunity for the safety professional to be recognized by their company senior management in nomination and by their peers in achieving this award.

General Rules

1. The company CEO or president must nominate candidates for this award.2. A nominee for this award must devote at least 50 percent of his or her duties to Safety and Health.3. Candidate’s duties must be performed for California operations for a member company and a member company must

employ the candidate at the time of nomination and award. The member company must be in good standing for 2009 and 2010.

Eligible candidates may not have received this award in the past five years.All application or nomination packages for award must be complete and submitted in a tabbed binder, with the

following sections:

General Information Form in front of the first tabSection One – Narrative and optional photographs or illustrationsSection Two - Application/Questionnaire ResponsesSection Three - Attachments


Safety & Health CouncilAGC of California


No later than 5:00 p.m. on Friday, August 13th, 2010.



Yes? Stop here…Your company is ineligible to apply for this year’s awardNo? Continue with the application

If your company has a fatality involving a company employee after submitting this application, but prior to the Safety Awards of Excellence Event in November 2010, you must notify AGC of California. Your candidate will not be eligible for this award.

Primary Contact Person Title

Company Name Phone

Address Email

City/State/Zip Fax

Company President/CEO Name Company President/CEO Signature

Company Worker Hours for 2009 Type of Construction


Harry Eckstein Safety Professional of the Year AwardAward Year 2009

General Information Form

General Information

This page must be complete and in front of the first tab in your application binder.


Section 1: Narrative

Harry Eckstein Safety Professional of the Year AwardAward Year 2009

Please provide a short essay (one to two pages) describing the candidate’s background and accomplishments and why this candidate is deserving of the Harry Eckstein Safety Professional of the Year award. Take this opportunity to draw the judges’ attention to their specific accomplishments and contribution to the industry as well as to the company. In the event that your Safety Professional is a winner, we may use this information in the presentation of their award. You may include photographs or illustrations in this section, behind the narrative page. Include information about specific characteristics or accomplishments that demonstrate that ‘special something’ that sets this candidate apart from others. Important qualities of a deserving candidate include evidence of contribution to the industry as a safety professional, development of a safety culture with a high level of employee involvement and management commitment, continuous improvement, and new and/or unique programs developed by the candidate.

Section 2: Application Questionnaire

1. Description of safety and health duties. Include percentage of time devoted to safety and health duties.2. Length of time as a Safety Professional, include history covering past 10 years or more. You may provide a resume

for this element or a description.3. Education and training, completed or in process.4. Participation in professional safety related organizations, seminars or activities.5. Brief overview of the company’s safety program and nominee’s involvement in its creation and implementation.

Include highlights of exemplary accomplishments.6. New programs developed and implemented by nominee.7. Nominee improvements in company’s safety record or programs under nominee’s leadership.8. Leadership traits that have contributed to nominee’s success as Safety Director, illustrate with example(s).9. Special professional accomplishments in construction safety and contributions to the construction industry

(include publications, presentations, memberships, speeches, etc).

Section 3: Attachments

1. OSHA 300 log 2009 & YTD 2010. (Please DO NOT display any confidential information)2. Verified Experience Modification for past two (2) years.3. Company Safety Program/IIPP table of contents.4. Self - insurance certificate, if self insured.


Harry Eckstein Safety Professional of the Year Award

Award Year 2009

Completed Applications Due: Friday, August 13th, 2010 by 5:00 pm

In memory of Harry Eckstein, the Safety and Health Council is offering a grant of up to $1,000 for professional development in safety for employees of AGC of California member firms. In the absence of college curriculum in Occupational Safety in California, it is the intent of the Safety & Health Council to encourage and facilitate the continued education of its members to increase the safety of our workforce.

Award Criteria

1. The grant can be applied towards professional development in construction safety. Some examples are: AGC of America or AGC of California safety courses Study courses or certification exam expenses for Certified Safety Professional (CSP), Associate Safety

Professional (ASP), Construction Health and Safety Technician (CHST), Occupational Health and Safety Technician (OHST), Safety Trained Supervisor (STS) or Associate in Risk Management (ARM)

OSHA Training Institute courses, for example OSHA 500 Other courses of training or education in Construction Safety

2. Applicant must be currently employed by an AGC of California member firm in good standing3. Job responsibilities must currently include safety, or applicant aspires to be in the safety field4. Professional development is not reimbursed by employer5. Course of education or training funded by this grant will be used on the job

Application InstructionsApplication InstructionsApplication InstructionsApplication InstructionsApplication InstructionsGeneral Rules

Application Instructions

General Rules

In addition to submitting the completed application, include the following:1. Program materials that include the program or course description which the applicant is planning to attend, along with

its cost.2. Letter from employer supporting safety education efforts of applicant as it relates to applicant’s current position or target

position.3. One letter of reference from a professional affiliation (for example, coworker or colleague).4. Applicant’s responses to the application questions in two pages or less describing applicant’s background and goals (as

specified).5. Send completed applications to Safety & Health Council, AGC of California, 3095 Beacon Blvd., West Sacramento, CA

95691 no later than 5:00 p.m. August 13th, 2010.


1. Only one award per person.2. Award determined by the Safety Awards of Excellence judges. The judges’ decision is final.3. A total of $1000 may be awarded as one or more awards.4. Winner will be invited to attend the annual Safety Awards of Excellence event in November, 2010 in Indian Falls, CA. to

receive their award.

Associated General Contractors of CaliforniaApplication

Harry Eckstein Professional Development Grant – $1,000Filing Deadline August 13th , 2010

Sponsored by

The purpose of this grant is to provide financial support to AGC members for their participation in construction safety and health certification study courses, professional development seminars and educational conferences to improve their professional credentials and enhance their knowledge base. To apply, please follow the attached instructions. Name __________________________________________ Title_______________________________________

Employer ________________________________ Email_____________________________________________

Address _________________________________________________ Daytime Phone_____________________

Describe and itemize how the grant funds would be spent

__________________________________________________________________________________________

List three professional references, include name, affiliation, address and phone:

1. _____________________________________________________________________________

_____________________________________________________________________________

2. _____________________________________________________________________________

_____________________________________________________________________________

3. _____________________________________________________________________________

_____________________________________________________________________________

In two pages or less, answer the questions below. Please type or print legibly. Your application needs to consist of this completed form along with a letter of recommendation, your one-page resume (optional), information about the course of study for which you are seeking the grant with a verification of expenses, and your responses to the questions below.

1. List and describe your professional affiliations and activities

2. Tell us about education and training that you have completed

3. Describe your current job and work history

4. Explain your career goals and how this grant would contribute to reaching your goals

Submit completed application and letters of recommendation no later than August 13th, 2010 to:

AGC of California

Safety & Health Council3095 Beacon Blvd.



23rd Annual Safety Awards of Excellence*Special Safety Award*


*Special Safety Award Categories*

In addition to the Safety Awards of Excellence for a company’s overall safety performance, there are four special award categories. The judges may elect to grant no more than three awards in each category. Each award requires a separate application.

High Hazard Project AwardUnique Safety Application

Individual Safety Effort of a Superintendent or Jobsite ManagerAssociate Member Contribution to Industry Safety

Application SubmissionApplication Submission

Application Submission

General Information

Submit applications to:

Safety and Health CouncilAGC of California


Direct your questions about the awards program or about your application to the AGC of California Safety Office at (916) 371-2422 and/or email [email protected]

Judging is conducted by a panel and includes the Chair and Vice Chair of the Safety and Health Council along with representatives from first place winners of the prior year’s competition, a Safety Professional of the Year, a specialty contractor representative and a council member at large.

Finalists are judged in a second round which may include industry experts. Award procedures are developed and updated annually by the Safety & Health Council. Completed applications are kept confidential, reviewed only by the judges then returned to the applicants after the

competition. All applications must be completed and submitted according to the required format and instructions. Applications that

do not follow the required format will loose points or be eliminated. The award is based on calendar year 2009. Applicant must be a member of AGC of California in good standing for 2009 and 2010.

23rd Annual Safety Awards of Excellence*Special Safety Award*


Applicants may not have had a fatality in the year for which they are applying, or between the application submittal and the awards event in November 2010.

If qualified, members may compete in more than one category, but separate applications are required for each category.

Each applicant company must have its own autonomous safety program and separately designated safety manager. Companies under the same parent company may not apply in the same category,

All awards are based on the member’s construction activities in California only, not subsidiary or out of state operations.

Judges reserve the right not to make awards in any category in which they feel the applicants do not meet exemplary standards.

Electronic pictures of your project should be included with your application.



Name of Safety Application or Project

Company Name Primary Contact Person

Address Title

City Phone

State/Zip Fax

Email


Safety Director Name Safety Director Signature

Application Information FormHigh Hazard Application Award


Company Information

Company InformationCompany InformationCompany InformationCompany Information


Company Information

Safety Excellence on an Individual High Hazard Job

The job must be considered high hazard. For example, a multi-story structure over 36 feet, work occurs in engineered trenches, or where significant danger of serious injury or death can occur. There must be no lost time injuries on the project.

Application

1. Narrative description. Describe the job and what characterizes it as high hazard. 2. Submit injury and illness record for the project.3. Identify the project, and duration of the project. Include number of worker hours.4. Provide a job hazard analysis that includes a description of the hazardous activities and

preventative measures implemented.5. Submission of electronic photos is required with your application.

Superintendent/ Manager Name

Company Name Primary Contact person

Address Title

City Phone

State/Zip Fax

Email




Award Requirements

Application Information FormUnique Safety Application Award




Company Information

Company Information

Unique Safety Application

This award recognizes companies that have designed a unique or creative system or systems to address a safety hazard and/or provides employee safety in unusual situations.

Application

1. Narrative description. Describe the safety challenge and the unique system developed to address it. Explain the benefits of the application

2. Identify the project.3. Submission of photos or illustrations/drawings is required.

Superintendent/Manager

Company Name Primary Contact Person

Address Title

City Phone

State/Zip Fax

Email



Application Information FormIndividual Safety Effort of a Superintendent or Jobsite Manager

This page must be complete and in front of the first tab in your application binder. Has your company experienced an occupational-related fatality event involving an employee(s) of your company during 2009 or 2010?


Award RequirementsAward RequirementsAward RequirementsAward RequirementsAward RequirementsAward RequirementsAward RequirementsAward RequirementsAward Requirements

This award is designed to recognize a company Superintendent or Manager whose job is not primarily safety related, but rather jobsite management. The company CEO/President must nominate an individual for this award. The duties must be performed for California operations for a member company. In order to qualify, the nominee has to have displayed positive efforts in safety, improvement in safety performance and involved others in their commitment to safety on the job.

Application

Submit evidence or description of safety and/or incident record for projects under the supervision of nominee.

No willful CAL/OSHA citations under the candidate’s supervision. Describe how this individual has displayed commitment to safety and health and involved others in that

commitment on projects. Describe other contributions nominee has made to the safety of the jobsite or the company. Submission of electronic photos is recommended but not required and should be included on your

application.


Application




application.


Application




application.


Application




application.


Application




application.

Company Information

Awards Requirement


Individual Safety Effort of a Superintendent or Jobsite Manager



Application

Submit evidence or description of safety and/or incident record for projects under the supervision of

nominee. No willful CAL/OSHA citations under the candidate’s supervision. Describe how this individual has displayed commitment to safety and health and involved others in

that commitment on projects. Describe other contributions nominee has made to the safety of the jobsite or the company. Submission of electronic photos is recommended but not required and should be included on your

application.



Completed Applications Due: Friday, March 13th, 2009 by 5:00 pm

Completed Applications Due: Friday, March 13th, 2009 by 5:00 pm

Please submit a maximum of a two-page summary supporting why your candidate should be considered for this award. You must include, but are not limited to the following:

Safety Leadership (i.e. project recognition programs, discipline programs, orientation program, etc.) Description of candidates effective safety practices. Safety Training that is project specific. Safety Certifications and/or Awards. Safety Leadership (i.e. project recognition programs, discipline programs, orientation program, etc.) Description of candidates effective safety practices. Describe the type of supervision activities, to include subcontractor activities.

Nominated by (Name and Contact Information)

Associate Member Company Name Company President/CEO Name

Address Title

City Phone

State/Zip Fax

Email

Nominating Signature

Company Information

Awards Requirement

Application Information FormAssociate Member Contribution to Industry Safety






Recognizing that many of our Associate members provide exemplary health and safety related service to our contractor members; the committee would like to recognize those who provide valuable support. Contractor members are invited to nominate Associate members for this award. Associate members are encouraged and invited to apply for this award as well. The award is based on service to the industry rather than the safety accomplishments with in the associate member company.

Application

1. Describe how the firm or individual has demonstrated commitment to construction safety and

involved others in that commitment.2. Provide examples of how the nominee has supported contractor members’ safety programs and/or

industry safety.3. Letters of support are encouraged.4. Submission of photos is recommended but not required.


agc of california€¦ · web viewthe award application package is available online at the agc...

Documents