Entry Form

 

Safety Representative of the Year 2022

The Safety Representative of the Year Award is a competition to find the person who has made positive advances in workplace health and safety which resulted in positive outcomes for the organisation that s/he represents.

The person selected should NOT be someone who manages health and safety but rather someone who is a Safety Representative or member of a safety committee - someone who represents the workforce and not only plays a pro-active role in highlighting health and safety issues but suggests and/or implements solutions to particular problems or issues.

To win the Award there are no hard and fast criteria. The judges will be interested in details of specific contributions a Safety Representative has made which resulted in positive advances in workplace health and safety.

  • Such contributions might include cases where a Safety Representative has:
  • Identified a situation which might have resulted in injury or ill health and which has been remedied
  • Found a solution to a specific workplace problem, for example, a manual handling or a transport problem
  • Helped to rectify an ergonomic problem, for example, given advice for the best conditions for VDU/DSE
  • Identified health and safety training needs or made a major contribution to health and safety training
  • Raised the level of health and safety awareness in the organisation
  • Organised initiatives to promote employee wellbeing, health promotion, etc.
An emphasis will be placed on the contribution made by the Safety Representative during the current and preceding year.

THE AWARD

The Safety Representative of the Year winner will be presented with a Certificate and a €600 cheque sponsored by The CPL Institute. The prize will be presented to the overall winner at the NISO Annual Awards Presentation Dinner on Friday, 11 November 2022, in the Galmont Hotel & Spa, Lough Atalia Road, Galway.

HOW TO ENTER

To nominate someone or to enter directly, please complete the entry form below, which must be signed by a manager.

DEADLINE DATE

Completed forms should be submitted to NISO not later than 30 September 2022.

THE JUDGES

The competition will be judged by a panel of experts in health and safety, including a representative from NISO and The CPL Institute. One winner will be selected and offered a place at the NISO Annual Awards Presentation Dinner.

Contact Details for Nominee, Proposer and your Organisation

Normally a line manager or Safety Manager / Officer will nominate a Safety Representative or Safety Committee member or other non Management employee for the Award of Safety Representative of the Year Award.
Name of the employee who is being nominated for Safety Representative of the Year.
Job title of the employee who is being nominated for Safety Representative of the Year. Only enter Safety Representative if that is your official job title.
Email address of the employee who is being nominated for Safety Representative of the Year.
Mobile phone number of the employee who is being nominated for Safety Representative of the Year.
Name of proposer (Nominee's manager / supervisor or Safety Manager / Officer or a member of Management) who is nominating the Safety Representative of the Year.
Job title of the proposer who is nominating the Safety Representative of the Year.
Telephone number of the proposer who is nominating the Safety Representative of the Year.
Mobile number of the proposer who is nominating the Safety Representative of the Year.
Email address of the proposer who is nominating the Safety Representative of the Year.
Name of the organisation that the nominee and proposer are employed by
What does the organisation do?
Declaration that the nominee is aware of this application(Required)
I have made the nominee named above aware that I am entering him/ her for the Safety Representative of the Year Award and that the information that I am about to supply about the nominee is truthful and honest.
Data Statement(Required)
NISO may store the information you provide on its database / server and fully respects the confidentiality of any personal data provided. NISO will share the data supplied with The Cpl Institute and other members of the adjudication panel external to NISO to facilitate the adjudication process. NISO will use the data provided for administering the Award competition and may use the data from time to time to inform you of matters relating to the Safety Representative of the Year Award. I agree to the terms as to how my personal data will be used. We will be unable to process your application without you agreeing to the above terms. Please tick the box to indicate that you understand how we will use your data responsibly.

Entry Form Questions

Drop files here or
Accepted file types: jpg, pdf, Max. file size: 10 MB, Max. files: 5.
    Please include the Nominee's name on all Filenames uploaded. Documents should be PDFs and photographs should be JPGs. No more than five files should be uploaded and the maximum file size is 10mb.

    Thank you

    Please click submit below to enter the Safety Representative of the Year Award. We will be in touch with you after the closing date and at least 10 days prior to of Awards Presentation date.