28thAnnual Construction Safety ExcellenceAwards
Sponsored by the Safety & Health Council
Don’t miss out on your opportunity to earn one of the prestigious Construction Safety ExcellenceAwards!If you area first time applicant, contact the AGC of California Safety Office for assistance in completing your application.
The AGC of California Construction Safety Excellence Awards recognizes contractors for their outstanding safety programs in the following categories:
Contractor Safety Excellence Awards are based on three categories of worker hours in California
- Building
- Under 200,000 worker hours
- 200,000 - 500,000 worker hours
- 500,001 - 1 million worker hours
- Over 1 million worker hours
- Heavy/Civil/Highway
- Under 200,000 worker hours
- 200,001 - 500,000 worker hours
- 500,001 - 1 million worker hours
- Over 1 million worker hours
- Specialty Contractor
- Under 500,000 worker hours
- 500,001 - 1 million worker hours
- Over 1 million worker hours
Harry Eckstein Safety Professional of the Year
Associate Member Contribution to the Industry
Individual Safety Effort of a Project Superintendent
Safety Effort of a Project Team
Safety on a High Hazard Project
Unique Safety Application
The award application package is available online on the AGC Safety and Health CSEA Awards Page, or by calling AGC of California at (916) 371-2422 starting June 1, 2015. The application is available in PDF and Word formats.Completed applications are due by July 17, 2015.
All applications are to be submitted electronically via email to: .
The preliminary round of judging will be at the AGC of California West Sacramento Office for Northern California judges and the AGC of California West Covina Office for Southern California judges on July 23, 2015. The final judging will be live company presentations held onAugust 27, 2015 at the Sheraton Grand in Sacramento.The awards luncheon will be held during the 2015 AGC Annual Conference, October 22 – October 24, 2015 at the Omni Rancho Las Palmas Resort & Spa in Rancho Mirage.
GENERAL INFORMATION
- Direct your questions about the awards program or about your application to the AGC of California Safety Office at (916) 371-2422.
- Judging is conducted by a task force of the Safety & Health Council, and includes the Chair and/or Vice Chair along with representatives from first place winners of the prior year’s competition, a Safety Professional of the Year, a specialty contractor representative, and a council member at large.
- The second round of judging will be a live presentation given by the member company to a panel which includes industry experts who will then make the final decision on theConstruction Safety Excellence Award recipients.
- Application procedures are developed, reviewed, and updated by a task force of the Safety & Health Council each year.
- Completed applications are kept confidential, reviewed only by the judges.
- Winners of AGC of California Construction Safety Excellence Awards are nominated by the AGC of California Chapter for the AGC of America Construction Safety ExcellenceAwards program.
- All applications must be completed and submitted according to the required format and instructionswith theappropriate EntryFee (Page 4). Applications that do not follow the required format will lose points and/or be eliminated from the competition. Any questions about the format should be directed to the AGC of California Safety Office.
GENERAL Rules
- The award is based on calendar year 2014.
- Applicants must be a member of AGC of California in good standing for 2014and 2015.
- Applicants may not have had a fatality in the year for which they are applying, or between the applications submittal and the Safety Awards Luncheon heldduring the AGC Fall Conference. If you have, please notify AGC of California.
- Applications must be complete to be accepted. The application must be completely filled out and attachments included to be considered.Incomplete applications may result in point deduction or disqualification.
- Each applicant company must have its own autonomous safety program and separately designated safety manager. Companies under the same parent company may not apply in the same category, but may apply in separate categories.
- If qualified, members may compete in more than one category, but separate applications are required for each category.Joint Venture projects willnotbe considered for the Construction Safety Excellence Award. It is intended for companies and is not project specific. JV Work Hours should not be included in the hours submitted for competing companies.JV Projects may only compete in the Safety Effort of a Project Team Category.
- All awards are based on the member’s construction activities in California only, not subsidiary or out of state operations.
- Applications must be received in the AGC West Sacramento office no later than July 17, 2015. 5:00 p.m.
- In the event that applications do not meet minimum criteria for application, judges must eliminate those applicants from the competition. Judges reserve the right not to make awards in any category in which they feel the applicants do not meet exemplary standards.
- Because applicants may consider such information proprietary and confidential, the Safety and Health Council Judges represent that this data will be treated as such. It will be available for review solely on a need to know basis by the judges in the evaluation of the application.
- The Signature Box must be signed by the CEO, President, or Owner of your company. Any other signature may result in point deduction or disqualification. Electronic Signatures are acceptable.
- Electronic photos of your project should be included and submitted with your application via email. Application file size must not exceed 5 MB.
Application requirements overview
All applications are to be submitted electronically via email to: .
Application Parts
- Part I – Company Info & Description of Company
- Part II – Management Commitment/Employee Involvement
- Part III – Description of Safety Program
NOTE 1: DO NOT include your safety manual or program
NOTE 2: Include electronic photosand submit viaemail with your application.
NOTE 3: Include the OSHA 300A form for 2013and 2014. Each form must have a company executive
signature to be valid.
NOTE.4: Include the OSHA 300 forms for 2015Year to Date, information. The form must have a company
executive signature to be valid. Please obliterate any confidential information.
NOTE 5: Include the Entry Fee Formwith the application.
Application instructions
Section Review & Instructions **Please see application for additional instructions**
Part I:Company Information Form & Description of Company
Section 1:Please fill in the appropriate fields under the ‘General Information’ section.
Section 2:Select what Category in which your company should compete.
Section 3:In the ‘Description of Company’ section, please provide a brief description of the last three types of jobs your company performed.
Section 4:Please attach your company’s OSHA Logs for this section.
Part II:Management Commitment/Employee Involvement
Section 1-12:Please indicate by placing an “X” in the appropriate box as to whether or not your company includes the items in your accident prevention program. Please provide an explanation in the notes section at the end of the checklist for any NO or N/A responses.Note: Winners will not necessarily have checked “Yes” for all items.
Part III:Description of Safety Program
Section 1:Use this part as a guide to prepare the written description of your safety program.
Section 2:Provide no more than two pages describing why you believe your safety program deserves to win.
Part IV:OSHA 300 Logs
Section 1:Add OSHA 300 Logs either by submitting as a separate attachment or insert into main application document.
Completed applications DUE
Friday, July 17, 2015, 5:00 PM
Submit completed applications to:
For More information, call AGC of California at (916) 371-2422
28th AnnualConstruction Safety ExcellenceAwards Application
Sponsored by the Safety & Health Council
Entry Form
Completed Applications Due: Friday, July 17, 2015; by 5:00 p.m.
To ensure that your Construction Safety ExcellenceAwards Application is successfully processed, please complete this form and submit it along with your application. The application fee is $200 which includes the Building, Heavy/Civil/Highway, and Specialty Divisions along with the High Hazard and Unique Safety Applications.
There is an additional $50 application fee for the Individual Safety Effort of a Project Superintendent, Safety Effort of a Project Team, and Safety Professional of the Year application submissions.PLEASE NOTE: The $50 application fee also applies to the Unique Safety and High Hazard categories if you have chosen not to participate in the Main CSEA award category.
Safety Award Category Selections
$200.00 - Main Entry Application:
- Building
- Heavy/Civil/Highway
- Specialty Contractor
Safety on a High Hazard Project (Optional)
Unique Safety Application (Optional)
$50.00 - Individual Safety Effort of a Project Superintendent
$50.00 - Safety Effort of a Project Team
$50.00 - Harry Eckstein Safety Professional of the Year
$00.00 - Associate Member Contribution to the Industry (No Fee)
28th AnnualConstruction Safety ExcellenceAwards Application
Sponsored by the Safety & Health Council
PART I:
Section 1: Company Information
This page must be completed and placed at the start of your application
Has your company experienced an occupational-related fatality event involving an employee(s) of your company during 2014or 2015? (ReferenceGeneral Rules; Page 2: Section 7)
YESStop here! Your company is ineligible to apply for this year’s award.
NOContinue with application
If your company has a fatality involving a company employee after submitting this application but prior to the Safety Awards event in 2015, you must notify AGC of California. Your company will not be eligible for an award.
GENERAL INFORMATION
Company Name: / Company President/CEO Name:Address: / Company President/CEO Email:
City: / Company President/CEO Signature:
State: / Safety Director Name:
Zip Code: / Safety Director Email:
Phone: / Safety Director Signature:
Fax: / Primary Contact Person Name/Title:
AGC of California Company ID Number: / Primary Contact Person Email:
PLEASE NOTE: Written or electronicsignatures must be provided for application to be processed.
Section 2: Entry Category and injury illness data & rates
BUILDING DIVISIONUnder 200,000 work hours
200,001 – 500,000 work hours
500,001 – 1 million work hours
Over 1 million work hours
HEAVY/CIVIL/HIGHWAY DIVISION
Under 200,000 work hours
200,001 – 500,000 work hours
500,001 – 1 million work hours
Over 1 million work hours
SPECIALTY DIVISION
Under 500,000 work hours
500,001 – 1 million work hours
Over 1 million work hours
Calendar Year
2013 / Calendar Year
2014 / Calendar Year (YTD)
July 2015
1. Average Number of Employees
2. % of Self-Performed Hours Worked
3. Total Employee-Hours Worked
4. Total Number of Lost Work-Day Cases Injuries/Illnesses
(Total in Column H of the OSHA 300 Log)
5. Total Restricted Work-Day cases (see formula below)
6. Lost Work-Day Incidence Rate (see formula below)
7. Total Recordable Injury/Illnesses
(Totals in Columns H, I & J of the OSHA 300 Log)
8. Recordable Incidence Rate (see formula below)
9. DART Rate (see formula below)
The formula for either the Lost Work-Day or Recordable Incident rate is:
# of (Lost Work-Day Cases or Total Recordable Cases) x 200,000
Total Employee-Hours Worked
The formula for DART rate is:
# of (Lost Work-Day Cases plus Total Restricted Work-Day Cases) x 200,000
Total Employee-Hours Worked
Section 3: ENTRY CATEGORY
Provide a brief description of the last three types of jobs your company performed. Each job description is limited to half a page including project photo. Project description and image may be inserted into the boxes below.
NOTE: To ensure compliance to length of each narration portion below, any deviation from parameters set forth may result in disqualification.
PART II:
Section 1: Principal Commitment
All information will remain confidential
Please indicate by placing an “X” in the appropriate box as to whether or not your company includes the following items in your accident prevention program. There may be items in Part II (checklist) that do not apply to your company. If so, the N/A response would be appropriate (For example, a floor tile subcontractor may not have any need for trenching & excavation safety components. Therefore, N/A would be the appropriate selection.) Please provide an explanation in the notes section at the end of the checklist for any NO or N/A responses.
Yes / No / N/AWritten Safety & Health Policy signed by company principal with an emphasis on company commitment to Safety & Health
Designated Safety Administrator/Coordinator trained in Safety & Health hazard recognition and management/risk control
Consider safety and health issues as an overriding factor during construction
Company policy gives field employees authority to “shut down” a job or operation because of a hazard that presents an eminent danger to employees
Have an annual safety and health budget, and budget(s) for each job. Funds available to support the safety program on company-wide and project-specific basis
Have safety and health policy or requirements written into contracts to require subcontractors to meet your safety requirements
Utilize a pre-qualification safety and health screening method to select subcontractors, suppliers or vendors
Require a site specific orientation for all subcontractor, vendor, support personnel prior to project access
Control and monitor all safety activities on jobsites
Provide contractual provisions for termination of contractors for unsatisfactory safety performance
Company publishes regular safety newsletter or other regular safety communication
NOTES:
Section 2: Accident Prevention Plan & Procedures
Mark the appropriate box next to each item. Check one column for each row. If an element does not apply, mark “N/A”.
Yes / No / N/AProvide safety and health rules that are equal to OSHA standards
Provide safety and health rules that exceed OSHA standards
Required Job Hazard Analysis (JHA) Job-specific tasks
Company-wide Hazard Communication coordinator
A Job-specific Hazard Communication coordinator
Standard procedure to inform and receive information from other contractors on the same jobsite
New-Hire Orientation
How to report injuries and unsafe conditions and work practices
An overview of the company’s safety and health requirements
Location of first-aid kits/facilities
Use and care of Personal Protective Equipment (PPE)
Actions to take in the event of emergencies
Overviews of the company’s discipline procedures and enforcement policy
Company’s roles and responsibilities in the safety program
Employee Training and Documentation that includes:
Have personnel on each job trained in first-aid CPR
Supervisors with OSHA extensive (i.e. 10/30-hr) hazard recognition/competent person training certification
Fall Protection Systems
Forklift operator training certification and evaluation
Competent person safety training applicable for your business (i.e., Scaffolds, trenching and excavations, etc.)
Fire Prevention
Hazard Communication
Defensive Driving
Use of Personal Protective Equipment (PPE) and Respirators
Confined Space Hazards
Asbestos Hazard Awareness
Lead Hazard Awareness
Silica Dust Hazard Awareness
Manual Lifting Hazard Awareness
Section 2: Accident Prevention Plan & Procedures (continued)
Mark the appropriate box next to each item. Check one column for each row. If an element does not apply, mark “N/A”.
Yes / No / N/AElectrical Hazards, including Lockout/Tagout procedures
Site-specific risks and hazard awareness
Traffic Zone Hazard Awareness and Flagging
Permit Procedures and Tracking
Provide Safety Training in a language other than English
Provide written material and signs in language other than English
A Written Policy or Procedure that includes:
Fall ProtectionPlan
Blood borne Pathogens Exposure Control Plan
Heat Illness Prevention Program
Fire Prevention and Emergency Action Plan
Asbestos and Lead Procedures
Trenching and Excavation Procedures
Traffic Control Plan
Vehicle Driver Selection and Fleet Safety Policy
Assured Equipment Grounding or GFCI Program
Disciplinary Procedures and Enforcement of Subcontractor Safety
Workplace Violence and Harassment policy
Explosives and Detonation Safety Plan
Pre-lift cranes or hoisting equipment plan
Behavior-based observations and reporting
Lockout/Tagout of hazardous energy sources
Quality Assurance/Quality Control Plan
Demolition Plan
Muscle Strain Prevention Program
Root Cause Analysis on All Incidents
Permit-Required Confined Space Entry Procedures
Hazardous Communication Program
Written Cell Phone Policy
Code of Safe Practices
Safety Performance Recognition Program
NOTES:
Section 3: Designated Safety Coordinator/Manager/Committee
Mark the appropriate box next to each item. Check one column for each row. If an element does not apply, mark “N/A”.
Yes / No / N/ASafety responsibilities clearly defined in writing
Reports to executive management or executive committee
Attends management and project safety meetings
Safety Professionalis member of AGC of California Safety & Health Council
Safety Professionalis member of American Society of Safety Engineers or other professional safety organizations
Has degree or professional certificates in safety and health
Conducts and records safety inspections
Conducts and records accident investigations
Crisis Management Training
Diversity Training
Leadership Training
Makes decisions on Safety Procedures and Policies
NOTES:
Section 4: Emergency Procedures and First Aid/CPR
Mark the appropriate box next to each item. Check one column for each row. If an element does not apply, mark “N/A”.
Yes / No / N/AFirst aid and CPR Certifications (Current and Up-to-Date)
Written emergency procedure plan for evacuation
Crisis Management Plan
Have the appropriate/adequate first-aid supplies and equipment on a jobsite
Have an emergency rescue plan in place for a fall and caught-in-between victim (i.e. falls, excavations, confined space, etc)
Section 5: Inspections, Accident Investigations, and Reports
Yes / No / N/AMaintain safety and health recordkeeping requirements
Provide safety inspection and accident investigation procedures
Injury accidents are investigated promptly after an occurrence and a report is presented
Accident reports are reviewed regularly to determine corrections
Require safety and health inspections of each jobsite at least weekly by the supervisor
Safety and health issues are discussed and addressed at each job progress meeting with the other contractors
Require safety and health inspections of each jobsite by the company safety director or project manager at least monthly
An investigation procedure in place for near misses
Daily site inspections conducted by competent person
Site inspections documented
NOTES:
Section 6: Consistent Use of Safety Posters and Posted Information