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Safety Awards Application

Eligibility for the Safety Awards Program is accomplished by completing the following:
  • Member Company submits the Energy Workforce Annual Safety Awards Application form by the established deadline: June 9, 2023
  • Participating member has been an active Member in good standing for the entire calendar contest year
  • Participating Member has reported a minimum of 10,000 exposure hours during the calendar year of the contest
1.Member Company Name (one submission per company)(Required.)
2.Company Contact(Required.)
3.Number of Exposure Hours for 2022(Required.)
4.Company Size
Injuries and illnesses that are recordable are those that result in:
  • Death
  • Loss of consciousness
  • Days away from work
  • Restricted work activity or job transfer
  • Medical treatment beyond first aid
  • Significant cases as diagnosed by a physician or other licensed health care professional
5.Number of Recordable Incidents by Category
6.Total Recordable Incident Rate in 2022
The formula used for calculating an incident rate is as follows:
Total # of recordable injuries and illness x 200,000 manhours divided by
Total exposure hours worked = Incident Rate
All participating members with total recordable incident rate decreasing 25% or more of the previous year’s total recordable incident rate incidence rate will be presented a "President's Recognition of Safety Improvement".
7.Total Recordable Incident Rate in 2021