Most Improved Safety Award Nomination – Chesapeake Region Safety Council

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Home / Most Improved Safety Award Nomination

Most Improved Safety Award Nomination

The Chesapeake Region Safety Council’s “Most Improved Safety Award” recognizes a member company whose attained an exemplary level of safety performance and has greatly improved their Incident Rate, on a percentage basis (i.e., during this award period compared to previous periods), demonstrating an obvious change in safety practices during the most recent three years (2023 – 2025).

Nominations Closed

Thank you to our 2026 Nominators!

Register as an attendee and join us on June 12, 2026

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Company Information – Step 1 of 4

Section 1

Company Information

Official Company Name *

Please include the company’s full name for the printed plaque

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Fatalities Toolbox process?

Contact Name *

Phone *

Email *

Type of Business *

Primary NAICS Code *

as entered on your OSHA 300A

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Section 2

Safety Performance Data

You must attach the OSHA 300A Summary reports for years 2023, 2024, and 2025 for all work performed by your company. Combine injury data for field and office employees.

Fatalities

2023

2024

2025

Total Recordable Cases

2023

2024

2025

Total Lost Workday Cases

2023

2024

2025

Total Workdays Lost

2023

2024

2025

Total Hours Worked

2023

2024

2025

OSHA 300A Summary Report

Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.

You must attach the OSHA 300A Summary reports for years 2023, 2024, and 2025 for all work performed by your company. Combine injury data for field and office employees.

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Section 3

Key Components Safety Program

This information is to be completed for all submissions
Indicate elements that are contained within your safety program. Provide a copy of your safety program index page and any additional supporting documents related to section 3 responses.

(a) Length of safety orientation for new employees

in minutes

(b) Toolbox safety talks frequency:

Daily
Weekly
Bi-weekly
Monthly
Other

Other: *

(c) Do you have a substance abuse program that includes a drug/ alcohol screening process?

Yes
No

Type of Testing: *

(d) Employer Involvement:

Yes
No

(e) Employer Policy Statement on Safety:

Yes
No

(f) Responsibility for Safety:

Yes
No

(g) Safety Program Goal Setting:

Yes
No

(h) Employer Supervisory Meetings on Safety Issues:

Yes
No

(i) Pre-planning for Job Safety:

Yes
No

(j) Employee Participation:

Yes
No

(k) Safety Rules:

Yes
No

(l) Inspections:

Yes
No

(m) Supervisory Training Topics:

Yes
No

(n) Incident Investigation:

Yes
No

(o) Use of Personal Protective Equipment (PPE):

Yes
No

(p) Safety Program Performance Review:

Yes
No

(q) Current Experience Modification Rate:

Safety Program Index Page

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Provide a copy of your safety program index page and any additional supporting documents related to section 3 responses.

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Email *

Download a PDF Copy of the Nomination Form

Email the completed nomination form and supportive
documentation to safety@chesapeakesc.org.

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Baltimore, MD 21244
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