EmailMe Form - 2019 ISRI COSE Occupational Awards Entry Form

Questions

Estimated number of English as a Second Language (ESL) for employees covered. *

Total number of DART Cases? *

Total number of days away that resulted in a DART incident? *

Estimated number of employees without full time on site EHS personnel at the establishment. *

Does your company use temporary labor? *

Yes

No

Estimated number of temporary workers under the direct supervision of company employees/management. *

Estimated number of EHS staff hours per week for the employees covered. *

Does your company have a contractor safety review program for contractors doing work on site? *

Yes

No

Does your company evaluate temporary worker performance as a basis for internal safety performance stewardship? *

Yes

No

Did your company experience any employee workplace-related fatalities at any of its locations in 2019? Please include number of fatalities. *

Did your company experience any temporary worker workplace related fatalities at any of its locations in 2019? Please include the number of fatalities. *

Did your company experience any employee workplace-related inpatient hospitalizations of one or more employees, amputations, losses of an eyesight at any of its locations in 2019? Please include number. *

Did your company experience any third-party workplace-related fatalities at any of its locations in 2019? Please include number of fatalities. *

Company Information

Questions