Contractors Safety Information Sheet Presented by: Matt Hodge, KBR Houston Business Roundtable 2011 Safety Excellence Award Training

Houston Business Roundtable 2011 Safety Excellence Award Training  Six Sections  Nominated By  Name of Firm  Type of Business  Company Description  OSHA Information  Contact Information

Nominated by: ABC Chemicals *Note: If your firm has received several nominations, copy this form and complete one for each project site  Fill out one form for each project site you have been nominated for. Section 1: Nominated By

Name of your firm exactly as you wish it published on any brochures, plaques, etc.: Contact Name:Title: AddressCity/State/Zip Phone:Fax:  Name of company as you would like to see it on awards.  Contact name needs to be someone that can answer questions. Section 2: Name of Firm

 Check the category for which you want to be considered. Section 3: Type of Business

Company Description (Type of work/service your company does) _______________________________________________________________________________ _______________________________________________________________________________  Need a good description of work/service your company performs. Section 4: Company Description

 Data needed for both: Nominated worksite. Total company (All work in the US) Section 5: OSHA Information

 Contact name needs to be someone that can answer questions.  Make certain contact information is correct. Section 6: Contact Information

Safety Awards Initial Evaluation Form Houston Business Roundtable 2011 Safety Excellence Award Training

Houston Business Roundtable 2010 Safety Excellence Award Training Consist of a four page document

Safety Awards Initial Evaluation Form  Six Sections  General Information  Safety, Health & Environmental Performance  Safety, Health & Environmental Management  Safety, Health & Environmental Programs/Procedures  Safety, Health & Environmental Training  Information Submittal

Section 1: General Information GENERAL INFORMATION 1.Company Name:Telephone: Fax: Street Address: Mailing Address: Web site: Contact Person: Telephone: Fax: 2. Parent Company Name:  Once again double check contact information.

Section 2: Safety, Health & Environmental Performance

Section 3: Safety, Health & Environmental Management

Section 4: Safety, Health & Environmental Programs/Procedures

Section 5: Safety, Health & Environmental Training

Section 6: Information Submittal  Provide copies of checked items applicable to your company’s work.

Section 5: Information Submittal Need name and title of Company Officer responsible for accuracy of this document. Don’t forget to include your company’s actual Best Practice

Overview Fill out Contractor Information Sheet for each project site that nominated you. Complete the Safety Awards Initial Form. Need copies of checked items applicable to your company’s work either: Electronic Copies (Disk) Hard Copies NO S OR FAXES! (Will not be accepted)

Overview Continued If submitting a disk make sure: Content is organized. Can open all material with a common program. Need hard copies of Information Sheet and Initial Evaluation Form with the disk.

Overview Continued Please submit all Information by: Hand delivering or, Mailing to: Houston Business Roundtable 8031 Airport Blvd. Suite 118 Houston Texas, By: 4:00 PM Monday, January 31, 2011 NO EXCEPTIONS!

Houston Business Roundtable 2011 Safety Excellence Award Training