Eye On Safety Award - Nomination Form
2019 / 2020

Question Title

* 1. Award Type

Daily Champion - $10.00 Tim Hortons Voucher – This award recognizes individuals for safe or secure practices as part of their daily job functions. Individuals are recognized immediately.

Safety Champion - Individual $50.00 Tim Hortons Voucher – This award recognizes actions that go beyond expectations to improve the culture of safety and security at the airport.

Question Title

* 2. Nominee Information

Name

Company/Department

Job Title/Position

E-mail

Phone

Question Title

* 3. Nominator Information

Name

Company/Department

Job Title/Position

E-mail

Phone

Question Title

* 4. Supervisor of Nominee

Name

Company/Department

Job Title/Position

E-mail

Phone

Question Title

* 5. Select the award you are nominating for:

Safest Manager/Supervisor - Individual Award

Safest Worker - Individual Award

Safest Action - Individual Award

Best Safety Practices - Organization Award

Best Safety Project - Organization Award

Question Title

* 6. Why do you feel the nominee should be considered for the award category you have selected? (Please try to explain in detail considering award criteria)

Question Title

* 7. DISCLAIMER - I consent to the GTAA collecting, using and disclosing any personal information for purposes related to assessing applications for awards, to administer the Recognition program and to the Toronto Pearson Safety Program.
I confirm that the information provided in this application form is complete and correct. I agree to the terms and conditions of the Toronto Pearson Safety and Security Award Recognition Program as described in the application guidelines.