Enterprise Exemplary Award 2016



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Champion Award 2016



(To be nominated by bizSAFE Enterprise Exemplary Award Applicant)

  • Please ensure all required evidence is submitted. Incomplete submissions will not be considered.

  • Auditor’s verification is not required for Part 3.





1) bizSAFE Champion Award


    1. Applicants of the bizSAFE Enterprise Exemplary Award must nominate an employee for the bizSAFE Champion Award as part of their submission.




    1. The bizSAFE Champion Award recognises individuals who have been key players in improving safety and health performances in their workplaces. These individuals are employees who are key drivers of the bizSAFE programme in their organisations.




    1. Applicants are to read the criteria and instructions contained herewith and submit the application in its entirety before the closing date on
      Friday, 14 August 2015, 4.00pm.



  1. Criteria for bizSAFE Champion Award

The bizSAFE Champion Nominee must fulfill the following criteria:




  • Attended either bizSAFE Level 2 and/or bizSAFE Level 4 course and/or its equivalent

  • Championed the Risk Management process in the organisation

  • Active in driving the bizSAFE programme & WSH programmes/ committees/ innovation teams in the organisation

  • Full time employee of the company applying for the bizSAFE Enterprise Exemplary Award

  • Must NOT hold a position from the top two tiers of the organisation chart


General Information

Please key in the details before printing on A4 sized paper. This section must be signed. The copy in the CD need not have electronic signatures.




PARTICULARS OF NOMINEE

Name

     

Designation

     

NRIC / FIN No.

     

Date of Birth

     

Contact Number

DID:      

Mobile:      

Email Address

     

Date Joined Organisation

     



SAFETY AND HEALTH TRAINING COURSES, SEMINARS AND WORKSHOPS ATTENDED BY THE NOMINEE (SCANNED COPIES OF CERTIFICATES ISSUED TO BE IN THE CD)

No

Name of course, seminars or workshop

Organiser or Training Provider

Course Date

     

     

e.g. bizSAFE Level 2 and/or 4

     

     

     

     



     

     

     

     



     

     

(expand table in separate copy if necessary)


Assessment for bizSAFE Champion Award

The bizSAFE Champion will be evaluated based on the following criteria. Please submit the supporting documentary evidence (to include coloured photos in your answers, if any):




  1. RM / WSHMS implementation: Efforts to implement Risk Management for their organisation (within 500 words).

     




  1. Improvement to organisation’s WSH performance: Efforts in encouraging WSH participation and involvement efforts in the organisation (within 500 words).

     



  1. bizSAFE Awareness in the organisation: Efforts in creating awareness for bizSAFE programme within the organisation (within 500 words).

     



  1. Bonus initiatives: Achievements / contributions which are beyond his or her responsibilities as an employee of an organisation (within 500 words).

     

I affirm that all statements and information given by me in this form are true and correct to the best of my knowledge. I further affirm that I have not withheld/ misrepresented any material facts. I understand that if I make any false or misleading statement in this form, I may be disqualified from the bizSAFE Awards.

______________________________ ___________



Signature of Champion Nominee Date

_______________________________ ___________



Signature of Top Management / CEO Date

Part 4

Application Submission Checklist


No. 

Item

Tick Here

I

Part 1- Eligibility Checklist and General Information

(hardcopy, completed and signed by Applicant)






II

Part 2- Hardcopy of:




III

Part 3- Nomination for bizSAFE Champion Award

(hardcopy, completed and signed by Nominee and Top Management)






IV

CD submission containing:



  • Part 1 (completed and signed by Applicant)

  • Part 2 (completed and signed by Applicant)
    All documentary evidence required under Part 2

  • Part 3 (completed and signed by Nominee and Top Management)
    All documentary evidence required under Part 3



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