2011 National AGC Safety Awards Entry Form

 

 

Company
Your Name
Your Title
Your Email
State
   
Please report the following from your OSHA Form 300A:

Section (G) “Fatality Information”; Number of Fatalities

Section (H) “Cases with Days Away from Work”; Number of Cases

Section (I) “Cases with Job Transfer or Restriction”; Number of Cases

Section (J) “Other Recordable Cases”; and Number of Cases

Employment Information Section for company work hours. Total Company work hours
Percent of Total Business:            
%  Building
%  Industrial
%  Highway
%  Residential
%  Other:
   

Comments:

What role(s), initiatives, or programs would you like to see AGC of DC pursue in safety education or training in the future?