Health & Safety Champion Nomination Form

Nominee's Name:

[Name]

Job Title:

[Position]

Department:

[Operations]

Email:

[Email Address]

Contact Number:

[Contact Information]

Nominee's Name:

[Name]

Job Title:

[Position]

Department:

[Human Resources]

Email:

[Email Address]

Contact Number:

[Contact Information]

Category

Details

Safety Awareness Campaign

[Name of Nominee] spearheaded a safety awareness campaign, including informative sessions and workshops for employees.

Emergency Response Drill

[Name of Nominee] organized and conducted regular emergency response drills, ensuring all staff were well-trained and prepared.

Hazard Identification Program

[Name of Nominee] implemented a hazard identification program that resulted in identification and mitigation of potential risks.

Safety Committee Leadership

[Name of Nominee] led the Safety Committee, fostering a culture of safety by encouraging open communication and collaboration.

Safety Policy Review

[Name of Nominee] actively participated in the review and improvement of safety policies, ensuring they aligned with industry standards.

Cross-Department Safety Training

[Name of Nominee] collaborated with various departments to conduct cross-department safety training sessions, promoting a unified safety approach.