30th Annual National AGC Safety Awards
SUBMIT BY FEBRUARY 7th at Noon to Qualify
Complete your OSHA form 300A “Summary of Work-Related Injuries and Illnesses” for 2019.
Review your OSHA form 300A and note:
Section (G) “Fatality Information”;
Section (H) “Cases with Days Away from Work”;
Section (I) “Cases with Job Transfer or Restriction”;
Section (J) “Other Recordable Cases”; and
Employment Information Section for your company work hours.
Report your company’s numbers from the OSHA form 300A section (G), section (H), section (I), section (J) and work hours to your AGC Chapter contact person, via e-mail, telephone, fax, or mail.
Company Name (as it should appear on the award):
Contact Person (Name and Phone Number):
AGC Division/Construction Type ( Select the AGC Division/Construction Type that accounts for the majority of company work hours.):
Federal & Heavy
Section (G) “Fatality Information”. Number of Fatalities:
Section (H) “Cases with Days Away from Work”. Number of Cases:
Section (I) “Cases with Job Transfer or Restriction”. Number of Cases:
Section (J) “Other Recordable Cases”. Number of Cases:
Employment Information. Total Hours Worked (for selected Construction Type):
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