Nebraska's Safety Companies Application

Nebraska's Safest Companies

This application consists of 6 sections. Applications can be saved and returned to at a later date.  They may take up to 2 hours to complete.

Nebraska's Safest Companies 2015
Awards Recognition Program

Covering the period from January 1, 2014 thru December 31, 2014.
Please complete this application no later than February 20, 2015. All questions must be answered completely, all numbers must be provided in the Injury and Illness Record.

Incomplete applications will not be reviewed.

You will not be able to save the application until the end so please make sure you have time to complete it fully.When entering numbers please do not use commas. Enter as 1000 not 1,000.
Please describe the operations of the organization:
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Please upload copies of your OSHA Log Summaries as requested below. If you are exempt, please provide similar information to support information requested above.
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Does your safety program include the following?
Does your program include the following?
Does your program include these OSHA required programs?
Does your program include the following?
Does your program have any of the following?
It is mandatory for all applicants to answer all five of the following questions.
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Please type the letters and numbers shown in the image.
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National Safety Council,
Nebraska

11620 M Circle

Omaha, NE 68137 

E : safety@safenebraska.org

P : 402.896.0454

F : 402.896.6331

Toll-Free : 800.592.9004 

Office Hours: Mon-Fri 8am - 4:30pm

In Person Registration: Mon-Fri 8am - 5pm

Employee Scheduling Software

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