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Southeastern Construction Owners & Associates Roundtable

TOPS AWARD APPLICATION 2024

Company Physical Address(Required)
Project Title & Location(Required)
Max. file size: 64 MB.
A. Total Hours Worked(Required)
2023
2022
2021
B. # Fatalities **(Required)
2023
2022
2021
C. # Lost Workday Cases(Required)
2023
2022
2021
D. # Restricted Day Cases(Required)
2023
2022
2021
E. # Other Recordable Cases(Required)
2023
2022
2021
F. # Total Recordable Cases (sum of C thru E)(Required)
2023
2022
2021
Experience Modification Ratio (EMR)(Required)
2023
2022
2021
Max. file size: 64 MB.
Part 2: Project Statistics
Provide the following Statistics for the Submitted Project (Most recent three years): Provide work hours and statistical data for all personnel managed by the applicant Companyinclusive of subcontractors for the applicable years.
Submitted Project Start Date(Required)
Submited Project Completion Date(Required)
NOTE: Statistical Data Weighting Factor 80%
Total Hours Managed* (Inclusive of subcontractors)(Required)
2023
2022
2021
# Fatalities (Inclusive of subcontractors)* Immediate disqualification(Required)
2023
2022
2021
# Recordable Cases (Inclusive ofsubcontractors)(Required)
2023
2022
2021
Recordable Incident Rate (TRIR) (Inclusive of subcontractors)(Required)
2023
2022
2021
# OSHA/MSHACitations*** ( Inclusive of subcontractors)(Required)
2023
2022
2021
*** Upload documents providing details of each OSHA/MSHA citation. Emphasising 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 Questionnaire
Safety Leadership / Responsibilities
2. Did the project utilize a full-time safety professional?*(Required)
3. Was the client an active partner in the safety of the submitted project? *(Required)
Safe Execution of the Work
1. Identify the project preplanning activities used:
Pre-Project Risk Assessment/Mitigation Plan(Required)
Daily JSA/Task Planning(Required)
High Hazard Activity(Required)
Other (Provide Desription Below)(Required)
2. Identify Safety Engagement Activities used:
Daily JSA/Task Planning(Required)
Project-Wide Safety Meetings(Required)
Flex & Stretch Program(Required)
"Good Catch" Program(Required)
Behavioral Based Processes (Worker Observation)(Required)
Project Celebrations/Luncheons(Required)
Incentive/Reward Program(s)(Required)
Other (provide description below)(Required)
3. How often were documented safety inspections required?(Required)
4. Documented safety inspections required for:
Corporate Management(Required)
Your Personnel Only
Inclusive of all Sub-trades
Project Management(Required)
Your Personnel Only
Inclusive of all Sub-trades
Site Supervision(Required)
Your Personnel Only
Inclusive of all Sub-trades
Crew Foremen(Required)
Your Personnel Only
Inclusive of all Sub-trades
Designated Safety Representative(Required)
Your Personnel Only
Inclusive of all Sub-trades
Designated Safety Representative
1. Did the project track the following incident data?
First Aid Cases(Required)
Your Personnel Only
Inclusive of all Sub-trades
Property Damage Cases(Required)
Your Personnel Only
Inclusive of all Sub-trades
Near-hit Incidents(Required)
Your Personnel Only
Inclusive of all Sub-trades
Vehicle/Mobile Equipment Incidents(Required)
Your Personnel Only
Inclusive of all Sub-trades
Recordable Cases(Required)
Your Personnel Only
Inclusive of all Sub-trades
Environmental Incidents(Required)
Your Personnel Only
Inclusive of all Sub-trades
Project Best Practices
Vendor/Supplier Recognition
Would you like to nominate your safest project vendor/supplier for recognition?(Required)
Max. file size: 64 MB.
Checking this box allows the SCOAR Safety Committee to share application information with other SCOAR members.
Checking this box allows SCOAR to potentially feature your company if selected in press releases as award winners.
Please enable a valid email address.
Please enter a valid phone number.
Date(Required)
Corporate Officer / Designate Certification I certify that information contained herein has been verified and is accurate.
Date(Required)