Health & Safety Champion Nomination Form
Health & Safety Champion Nomination Form
Nominee Information
|
Nominee's Name: |
[Name] |
|
Job Title: |
[Position] |
|
Department: |
[Operations] |
|
Email: |
[Email Address] |
|
Contact Number: |
[Contact Information] |
Nominator Information
|
Nominee's Name: |
[Name] |
|
Job Title: |
[Position] |
|
Department: |
[Human Resources] |
|
Email: |
[Email Address] |
|
Contact Number: |
[Contact Information] |
Nomination Details
|
Category |
Details |
|
Safety Awareness Campaign |
[Name of Nominee] spearheaded a safety awareness campaign, including informative sessions and workshops for employees. |
|
Emergency Response Drill |
[Name of Nominee] organized and conducted regular emergency response drills, ensuring all staff were well-trained and prepared. |
|
Hazard Identification Program |
[Name of Nominee] implemented a hazard identification program that resulted in identification and mitigation of potential risks. |
|
Safety Committee Leadership |
[Name of Nominee] led the Safety Committee, fostering a culture of safety by encouraging open communication and collaboration. |
|
Safety Policy Review |
[Name of Nominee] actively participated in the review and improvement of safety policies, ensuring they aligned with industry standards. |
|
Cross-Department Safety Training |
[Name of Nominee] collaborated with various departments to conduct cross-department safety training sessions, promoting a unified safety approach. |
Additional Comments
Provide any additional comments or information that supports the nomination:
[Name of Nominee]'s dedication to safety is evident in his consistent efforts to create a secure workplace. His proactive approach and leadership have significantly contributed to our organization's safety culture.
