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ISRI Circle of Safety Excellence™ Application
Thank you for your commitment to safety and welcome to the ISRI Circle of Safety Excellence™ application!
There are two steps to the Circle of Safety Excellence™ application process: information input and data entry.
Step 1: The application: The application collects data about your company's general demographics, safety management program, transportation, and commitment to continuous improvement and industry outreach. The ISRI Circle of Safety Excellence™ application requires OSHA data for the current reporting year, plus three (3) years of historical employee injury data. If your company does
NOT
have OSHA data for the current reporting year, plus three (3) years of historical employee injury data, please complete this form to submit your available data.
Step 2: Submission of 4-years of safety data: The data entry section requires OSHA data for the current reporting year, plus three (3) years of historical employee injury data be submitted within 30 days from the date of your initial application. You do not need to complete both steps at the same time, but both MUST be completed for you to become a member of the Circle. If you are currently a member of ISRI's Circle of Safety Excellence™, please submit your safety data for the current reporting year
ONLY
.
NOTE:
Previous safety data is not amendable and provided in a read only format.
Please refer to the Circle of Safety Excellence™ Application Helpful Tips to assist you in completing the application.
If you have any questions about the application process, please contact Lisa Hazell at
circle@isri.org
. Thank you again for your commitment to ISRI and the safety of the recycling industry!
1
General Company Information
2
Commitment to Share Data
3
Safety Management
4
Safety Management Cont.
5
Additional Voluntary Submittal
6
Transportation
...
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1
General Company Information
2
Commitment to Share Data
3
Safety Management
4
Safety Management Cont.
5
Additional Voluntary Submittal
6
Transportation
7
Commitment to Continuous Improvement and Industry Outreach
8
Data Submission
9
Step 2
10
Commitment to Share Data
General Company Information
Company Name
*
Executive Contact
*
First
Last
Safety Manager Contact
*
First
Last
Number of employees
*
Number of facilities that operate within the U.S.
*
Facility Address Documentation
*
Please download this
Excel spreadsheet
and populate it with the address(es) for each of your facilities. Upon completion of the spreadsheet, save it to your computer and upload it to this application.
SIC Number
*
NAICS Number
for more info
*
Primary Commodity processed (Please select one)
*
Electronics
Ferrous Metal
Glass
Non-Ferrous
Paper
Plastics
Tire & Rubber
1
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10