Craftperson of the Year – Canadian Safety Achievement Awards

Your Name*

First Last

Your Email Address*

Your Phone Number*

Nominee (Craftperson) Information

Full Name of Nominee (Craftperson)*

First Last

Nominee (Craftperson) Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This information will be used to mail prizes if the nominee is selected as the successful candidate.

Nominee Email*

Nominee Phone Number*

Status (please check one):*

Journeyperson

Foreperson

General FP

Trade*

Trade Classification*

Nominee Local Union Information

Local Union*

Local Union Number*

Local Union Business Manager*

Local Union Phone Number*

Local Union Email*

Employer (Nominator) Information

Signatory Employer*

Full Name of Nominator*

First Last

Title of Nominator

Nominator Email*

Nominator Phone Number*

Employer Address*

Street Address Address Line 2 City Province Postal Code

Client Information

Client Company Name*

Questions related to this application may be directed to the individual listed below.

Client Contact Name*

First Last

Client Email*

Client Phone*

Project Information

Agreement Type*

General Presidents Maintenance Agreement (GPMA)

National Maintenance Agreement (NMA)

Special Agreement*

i.e., Project Agreement covering Syncrude or National Maintenance Agreement for Province of Alberta.

Worksite*

Description of Work Scope for the Project*

Biography of Nominee*

Maximum 250 words

Photo of Nominee*

Accepted file types: pdf, jpg, png, Max. file size: 15 MB.

Please attach a high-resolution color photograph (pdf, jpg, png) of the nominee with the completed nomination form.

Performance Criteria

Provide a detailed explanation why the individual is being nominated for this award. This explanation should be based on the nominee’s performance in one or more of the following criteria:

Schedule & Budget*

eg. providing outstanding supervision on the project which contributed to completion ahead of schedule and under budget

Safety & Health*

eg. proposing to address unique safety or health issue which have resulted in a significant reduction in accidents and injuries.

Productivity*

eg. providing a proposal which was implemented and resulted in a significant increase in productivity on a particular project, total craft hours executed on site.

Leadership*

eg. exemplary leadership qualities displayed while working with group/project.

Quality*

eg. providing outstanding craftmanship or workmanship in a particular project.

Quotes*

Please provide quotes from Supervisor(s) or team member(s) regarding the nominee’s outstanding contributions, achievements, or qualities. Personal insights areuseful in the selection process and may be utilized in promotional or marketing materials.

Finalize & Submit Nomination

File Upload

Drop files here or

Accepted file types: pdf, doc, docx, rft, txt, jpg, png, jpeg, Max. file size: 64 MB, Max. files: 3.

You can upload document files to support your nomination. (File type must be pdf, doc, docx, rft, txt, jpg, png or jpeg.)

Signature*

Date*

The selection committee may, at its discretion, request further information, documentation, or clarification from nominees or nominators at any stage of the selection process.

Submit Nomination for Craftperson of the Year

Nominee (Craftperson) Information

Nominee Local Union Information

Employer (Nominator) Information

Client Information

Project Information

Performance Criteria

Finalize & Submit Nomination