IOSH South Wales BranchSafety, Health and Well-Being Awards 2020

Safety, Health and Well-Being Improvement Initiative AwardSubmission Instructions: Submission closing date: 6th April 2020 Please submit your entry by completion of this form then converted to PDF format along with a maximum of 3 pieces

of supporting evidence to: swalesaward@ioshnetworks.com Entries must be clearly marked as: South Wales branch awards 2020 Entries should include a photo of the nominee Entries should include the nominees / company’s contact details The implementation of this initiative must have taken place within the last 3 years. Any campaigns launched prior

to 1st February 2017 are not eligible for entry. By submitting this information you are confirming that you have permission to share the information and evidence with

the judges and relevant individuals as part of the awards. By submitting this information you are giving consent for its use by the IOSH South Wales Branch for the purposes of

its awards process. By submitting this nomination you are confirming that the nominee has been made aware and has given their consent

to the nomination Once nominations have been submitted, they will be assessed by a panel of judges and a shortlist will then be

created. Shortlisted nominees will be contacted prior to the Annual AGM, and winners for each category will be announced during the awards ceremony, which will be held after the Annual AGM.

Submission Overview:This category is designed to recognise the implementation of an initiative that has led to significant improvements to the safety and/or health of persons or premises. Entries should demonstrate a clear goal vision, or a link to a long-term plan, or may underpin IOSH priority areas:Musculoskeletal disorders (MSDs)Non-health (incident) related fatalities (falls from height, hit by moving objects, transport safety)Occupational CancerRehabilitation – back to workSustainability and human capital Wellbeing (physical and mental strengthEntries should also be linked to the South Wales branch, either by:

I. the nominee (who is a member of the Branch), and/or;II. the initiative is linked to an Organisation within the South Wales area.

Name of initiativeName of nominating person / company inc IOSH membership no Nominating person / company preferred contact details

Submission Criteria:Q1. In no more than 250 words, please provide details on why the initiative was created and what were the aim(s) of this initiative. (30 Points)

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IOSH South Wales BranchSafety, Health and Well-Being Awards 2020

Safety, Health and Well-Being Improvement Initiative AwardQ2. In no more than 250 words, please tell us how you implemented the initiative and include details on any partners or key stakeholders that were collaborated with. (30 Points)

Q3. In no more than 250 words, please detail the outcome of the initiative and how it influenced standards and culture within an Organisation; including evidence of any measurable improvement to health, safety, fire safety or wellbeing for individuals or premises. (30 Points)

Q4. In no more than 50 words, please write a profile/summary of your campaign. This will be used for the judging panel as well as for publicity purposes on the Awards night(10 Points)

For official use onlyPoints awarded to each question:

Q1 Out of possible 30 pointsQ2 Out of possible 30 pointsQ3 Out of possible 30 pointsQ4 Out of possible 10 pointsTotal Out of possible 100 points

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