Excellence in Safety Nomination

Safety Dawgs is a program to recognize members of the campus community for making positive contributions to safety. Safety Dawgs go the extra mile and take the initiative to prevent incidents, mitigate hazards, and promote a safe environment. All Safety Dawgs must achieve the following core criteria:

Enact a positive contribution to safety.
The positive contribution is proactive and aims to prevent workplace incidents.
The positive contribution extends beyond the normal scope of duties.

In recognition of their efforts, Safety Dawgs will be awarded an Excellence in Safety Challenge Coin and be invited to the annual awards luncheon. Each month, EH&S will spotlight a Safety Dawg and present them with additional prizes. All Safety Dawgs will also be entered as candidates for the Annual Excellence in Safety Awards.

Nominee's First Name

Nominee's Last Name

Nominee's Position Title

Nominee's Department

Nominee's NetID

Description of Safety Achievement

How did the nominee make a positive contribution to safety?

Was the positive contribution proactive and aimed at preventing workplace incidents?

Did the positive contribution extend beyond the normal scope of duties?

Nominator's Name

Send me a copy of my responses

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