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Home
MEMBERSHIP
Our Members
Member Benefits
Membership Dues
Apply for Membership
Trailblazer Referral Program
Member Spotlight Form
Member Directory
MEMBER TOOLS
Hiring With Career Plug
Job Board
Steel Pros Training Portal
Craft Training & Apprenticeship
Worker's Comp Insurance
EVENTS & AWARDS
Upcoming Events
SEAA Convention & Trade Show
Trade Show Exhibitor Info
GOLF TOURNAMENTS
>
Dave Schulz Memorial Golf Tournament
George Pocock Memorial Golf Tournament
Career Fair
Meetings
Webinar Registration
Awards
>
Project of the Year
Craft Training Award Submission
Safety Excellence Award Submission
William Davis Service Award
Person of the Year
Past Winners
NEWS
Industry & Safety Info
Publications
Connector Archives
Webinar Archives
Photo Gallery
Subscribe
RESOURCES
Safety Stand-Down
Steel Day
Hard Hat Sticker Contest
Downloads
Industry Links
MEMBER DIRECTORY
ABOUT SEAA
Steel Strong!
Leadership
Our History
Get Involved
Contact Us
Login
The purpose of this award is to acknowledge and reward those companies who have implemented pro-active programs and goals to create safe and healthy work environments to better our industry.
The identity of each company's submission will be confidential and withheld from the award judges. For privacy purposes, upon submission the SEAA office will assign the company's application a unique number. Any data furnished in this application will not be made public at any time and will only be used as a metric to base award recognition.
Submissions are now closed.
*
Indicates required field
Company Name
*
Contact Name
*
First
Last
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
1. List your company's Interstate Experience Modification Rate for the three most recent years. If EMR rate exceeds 1.00 in any of the three years (or is increasing), a letter of explanation, including proactive planning, will be required.
Year
*
EMR
*
Year
*
EMR
*
Year
*
EMR
*
Upload letter of explanation (if applicable)
*
Max file size: 20MB
2. Please use the data that will be used for 2022 OSHA 300A Summary Log to complete the following
information:*
A. Total number of recordables on OSHA 300A form:
*
Recordable Incident Rate
*
B. Total number of Lost Time on OSHA 300A form:
*
Lost Time Incident Rate
*
C. Total number of DART on OSHA 300A form:
*
DART
*
D. Total number of OTHER on OSHA 300A form
*
E. Employee hours worked last year
*
F. Average number of employees
*
G. Were there any fatalities?
*
Yes
No
If yes, how many fatalities?
*
3. Have You had any OSHA citations for the calendar year 2022?
*
If so, what severity?
*
Serious
Da Minimus
Failure to Abate
Repeat
Other
4. Do you have a written safety program, including a Hazard Communication Policy? Please select yes or no.
*
Yes
No
If yes, enclose a copy of Table of Contents. Points will be deducted if not submitted.
*
Max file size: 20MB
5. When was the last revision of your Health & Safety Policy?
*
6. Are the costs of individual accidents kept? Please answer yes or no.
*
Yes
No
If yes, how are the costs reported?
*
7. Do you have an orientation program for new hires? Please answer yes or no. Select One
*
Yes
No
If yes, describe the orientation program briefly:
*
8. Do you submit site specific safety plans? Please answer yes or no. Select One
*
Yes
No
If yes, how often do you submit site specific safety plans?
*
*Please provide a SSSP cover page & table of contents for a project in 2022. Points will be deducted if not submitted.
*
Max file size: 20MB
9. Do you have a disciplinary program? Select One
*
Yes
No
Please provide a safety related “write up” for the year 2022. Points will be deducted if not submitted.
*
Max file size: 20MB
10. Do you conduct frequent project safety inspections? Please answer yes or no.
*
Yes
No
If yes, how often do you perform project safety inspections?
*
11. Do you have a 100% Fall Protection 6’ and above policy for all projects? Please answer yes or no.
*
Yes
No
12. Do you have a daily Stretch & Flex program? Please answer yes or no.
*
Yes
No
13. Do you require supervisors to perform daily JSA Job Safety Analysis or Pre-Task meetings? Please answer yes or no.
*
Yes
No
Please provide a site pre task or JSA from 2022. Points will be deducted if not submitted.
*
Max file size: 20MB
14. Do you have a Behavioral Based Safety Program?
*
Yes
No
If you do have a behavioral based program, how are they reported AND what do you do with the information?
*
15. Do you provide the following training for all Ironworkers? Choose Any:
*
Fall Protection
GHS Hazcom
Silica
OSHA 10
OSHA 30
Connector Hazard Training
Other
If other, describe here:
*
*Please provide supporting documentation. Examples are: Sign in sheets or employee training records
Upload File
*
Max file size: 20MB
Upload File
*
Max file size: 20MB
Upload File
*
Max file size: 20MB
Upload File
*
Max file size: 20MB
Upload Current Company High-Res Logo
*
Max file size: 20MB
Upload Team Photo (if you have one-- not required)
*
Max file size: 20MB
If you're having trouble submitting this form, you can e-Mail your responses and supporting files to
bryttany@seaa.net
.
Submissions Are Closed