2021 Safety Management Excellence Award

Public gas systems have one of the best employee safety records over many industries, in no small part due to ongoing emphasis on employee safety among APGA member systems. APGA has developed a program that recognizes public gas systems that excel in employee safety management.

Please fill out the form completely, providing specifics concerning procedures and policies where appropriate. Feel free to use additional sheets if necessary and attach backup documents where indicated. Entries are due no later than May 14, 2021.

If you have any questions regarding this award or nomination form, please contact Erin Kurilla at ekurilla@apga.org.

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* 1. Submission Information:

Contact Name:

System Name:

Contact Email Address:

Contact Phone Number:

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* 2. Please describe your employee safety program:

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* 3. Describe the most effective or innovative aspect of your employee safety program.

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* 4. What is your system’s most significant employee safety accomplishment?

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* 5. Feel free to upload an applicable file that you would like to be reviewed with your submission:
If you have multiple files, please combine them into a single PDF.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 1. Submission Information:

Question Title

* 2. Please describe your employee safety program:

Question Title

* 3. Describe the most effective or innovative aspect of your employee safety program.

Question Title

* 4. What is your system’s most significant employee safety accomplishment?

Question Title

* 5. Feel free to upload an applicable file that you would like to be reviewed with your submission:If you have multiple files, please combine them into a single PDF.

* 5. Feel free to upload an applicable file that you would like to be reviewed with your submission:
If you have multiple files, please combine them into a single PDF.