national excellence in hse awards 2017 … hsse...national excellence in hse awards 2017 american...

National Excellence in HSE Awards 2017

AMERICAN CHAMBER OF COMMERCE OF TRINIDAD AND TOBAGO

Address: 62 Maraval Road, Port of Spain; Mailing Address: P.O. Bag 150, Newtown, Port of Spain

Tel: (868) 622-4466/0340/628-2508; Fax: (868) 628-9428; Email: [email protected]

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Outstanding HSE Project

RATIONALE AND GOAL:

This prestigious award seeks to recognize and inspire small and medium-sized entities who are

committed to HSE excellence! The award is intended to encourage the implementation of formal

HSE management systems by recognizing an outstanding project completed or significantly

completed in 2017 that has resulted in significant and sustainable improvement in the

organization’s occupational safety and health or environmental performance or management

program. Projects must relate to occupational health, safety and environmental activities in the

workplace, facility or immediate vicinity of the facility and must achieve specific positive HSE

impacts beyond legal compliance requirements.

NOTE: The main objective of this Awards Scheme is the promotion of the development and

implementation of robust occupational health and safety and environmental management systems

by the applicant companies and to recognize related achievements. Projects and other activities

designed primarily for engaging persons and groups external to the applicant companies may not

meet the criteria for applying.

SELECTION CRITERIA:

Business Profile

Briefly describe the type of business, principal products and/or services, size of workforce,

including number of employees, contractors, and temporary workers and any other relevant

information. The business profile should include evidence that the organization operates as a

financially viable organization.

mailto:[email protected]





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Section 1: Project Overview:

a. Which of the following main areas is the project in: [ ] Occupational Safety & Health;

[ ] Environmental protection or preservation; [ ] Combination of above – state which categories

Provide a brief description of the project.






Section 2: Results

Provide information on the following:

2017 year to date 2016 2015 2014

1. Lost time accidents (LTA):

a. No. of lost time accidents (LTA) i.e. accidents with human injury which resulted in days away from work (not counting the day of the accident) as certified by a registered Medical Doctor.

b. No. of persons injured (for all the LTAs in the respective year).

c. No. of days lost (for all the LTAs in the respective year).

2. No. of cases of work-related ill-health or disease.

a. No. of persons so affected.

3. No. of OSH Agency citations

4. No. of Administrative Orders under the Environmental Management Act Chapter 35:05

5. No. of Notice of Violations under the Environmental Management Act Chapter 35:05

6. Has the company received any accolades for OSH or Environmental performance? Y/N: Indicate type/nature/name of Awards etc.






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Section 3: Project Details: a. Provide details on the following:

1. Aims and objectives of project.

2. Brief description of project, from conceptualization of project idea to implementation.

3. Time frame of implementation.






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4. People involved: state names and job positions of key personnel involved in the Project,

including the Project Leader.

5. Level of people involvement/engagement.

6. How does this project impact on the HSE performance of your company or relevant entity?

7. What performance indicators are used to assess the success of your project?






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8. How can the project or the benefits from this project be sustained for years to come?

9. What resources did this project utilize: financial, personnel, time?

10. How does this project contribute to a Management Systems approach to OSH/E Management?






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11. Why in your view is this project outstanding from an OSH/E perspective?






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Outstanding HSE Project

APPLICATION FORM

1. Application Organization/Company

Title of Submittal

Name of Organization

Industry Sector:

Energy Manufacturing Services to the Energy Sector

Services to the Non- Energy Sector

Which of the following main areas is the project in?

Occupational Safety & Health

Environmental protection or preservation

Combination of above – state which category

Business Size (according to the number of persons employed):

Small [0 - 49] Medium [50 – 249] Large [250 and greater]

2. Please provide the contact information for the person who should receive all correspondence

Name

Job Title

E-mail

Phone Fax

APPLICATION VERIFICATION


As an executive-level official of the organization named above, I verify that:






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I have reviewed, and our organization meets, the eligibility requirements of the National Excellence

in HSE Awards 2017

I have reviewed the information submitted for consideration for the Award and to the best of my

knowledge neither any untrue statement nor omission of material fact has been made in our

Submittal Package

As required in the review and Award processes, we agree to meet the requirements of the Awards

including, availability for on-site assessment, transfer copyright, and promoting the sharing of our

submittal through the National Excellence in HSE Awards Scheme and related activities.

Signature of Executive-Level Official Title

Printed Name Date


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