TOPS Application – SCOAR – Southeast Construction Owners & Associates Roundtable

Provide a brief description of the submitted project/program (approximately 25 words) in the box below, which can be used at the awards ceremony to introduce your company as the award is presented. Upload a separate page if needed.(Required)

Upload an additional page if needed.

Max. file size: 64 MB.

Submitted Project Category: Work hours inclusive of all trade contractors (Select only one category per application)(Required)

Provide the following statistics for the overall company/organization: Data to be taken from OSHA 300/300A (submit copies of OSHA 300/300A Data)

OSHA 300/300A(Required)

Upload copies of OSHA 300/300A below:

Drop files here or

Max. file size: 64 MB, Max. files: 3.

Note: Statistical Data Weighting Factor 20%

North American Standard Industry Classification (NASIC)(Required)

**Corporate fatalities considered in score weighting but do not result in disqualification unless experienced within the TOPS submission year.

Part 2: Project/Program Statistics

Provide the following statistics for the submitted project/program (most recent three years). Provide work hours and statistical data for all personnel managed by the applicant company inclusive of subcontractors for the applicable years.

NOTE: Statistical Data Weighting Factor 80%

Upload necessary files

*** Upload a separate file providing details of each OSHA/MSHA citation. Emphasis on why the citation event occurred, contributing factors, and actions taken to reduce the potential for future occurrence. (NOTE: MSHA citations will be weighted differently from OSHA citations.)

Max. file size: 64 MB.

Part 3: Project/Program Questionnaire

Safety Leadership / Responsibilities

1. Describe corporate commitment to safety on the submitted project/program. Provide examples of corporate/upper management involvement. (150 words maximum. Bulletize responses where possible.)(Required)

a. If yes, list qualifications of the individual:(Required)

b. If no, identify who was assigned Safety-related duties:(Required)

Provide a brief description of client involvement and partnership in the project/program. (Bulletize responses where possible.)

Safe Execution of the Work

1. Identify the project/program preplanning activities used:

If Other was selected above, please provide a description.

2. Identify Safety Engagement Activities used:

If Other was selected above, please provide a description.

Provide brief outline of which were successful and least successful and why. (Bulletize responses where possible)(Required)

Provide brief description of your incentive/reward program and implementation. (Bulletize responses where possible)(Required)

4. Documented safety inspections were required for:

Safety Performance/Communications

1. Did the project track the following incident data?

How were accident/incident cases used/communicated? Frequency?(Required)

Project/Program Best Practices

1. Identify unique safety challenges on the submitted project/program and how they were addressed.(Required)

2. Identify three (3) best practices and/or lessons learned for the submitted project/program.(Required)

Best Practice 2(Required)

Best Practice 3(Required)

Vendor/Supplier Recognition

If so, provide an explanation of why you would recognize their safety performance along with a contact name, address, phone number, and website URL for the nominee.

TOPS Award Application

Part 1: Company Demographics and Statistics

Part 2: Project/Program Statistics

Part 3: Project/Program Questionnaire

Release of Application Information

Submittal Endorsements