Test - SEAA - Missouri Association of Manufacturers

Corporate Address: *

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Facility Address: *

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AWARD CATEGORIES

Select one award category per application. MAM Safety Excellence Award Committee reserves the right to change the award category for any application.

Award Categories *

Safety Innovation Award (Corporate, Multi-site or Single-site) Most Improved (Corporate, Multi-site or Single-site) Safety Manufacturing Company of the Year (Corporate, Multi-site or Single-site) Leader of the Pack (Corporate, Multi-site or Single-site) Horizon Award (Individual –or– Corporate, Multi-site or Single-site) Safety Champion of the Year (Individual) Safety Professional of the Year (Individual)

Data represents (select one): *

Corporate (all facilities) Multi-site (two or more facilities) Single-site (one facility)

Full-time Employees *

Part-time Employees *

Percentage of Temporary Employees: *

Total hours worked (calendar year)

Number of recordable nonfatal work-related injuries and illnesses

Number of days away from work cases

Number of job transfer or restricted work activity cases

Experience Modification

2015 *

Untitled *

2016 *

Untitled *

2017 *

Untitled *

2018 SAFETY EXCELLENCE AWARDS APPLICATION

AWARD CATEGORIES