Canada’s Safest Employers Awards 2023 - Key Media Inc. Nomination

The WSIB Award for Canada’s Best Health & Safety Culture

This award recognizes the organization in any industry with the strongest health and safety culture in the country — a culture that not only permeates the workplace, but extends into the employer’s community, networks and areas of influence to make health and safety a priority for all.

Technical Guidelines

The information you include in this form will be the only documentation provided to the judging panel for winner selection. All finalist submissions will remain confidential and are protected by the Non-Disclosure Agreement signed by all judges, and will only be shared with the judging panel except where stated otherwise. You can save your submission as a draft and return to it multiple times, however, we recommend that you save your work externally and upload your entire submission once complete, to avoid any loss of data that can be caused by possible technical/server/connectivity issues. Please adhere to the due date of Friday, April 21st, 2023 11:59 pm ET. By submitting this form and the information within it, you confirm you have the right to do so on behalf of the finalist individual or organization and you verify that all information within it is true, complete and accurate.

Organization *

Industry: *

Number of full time employees in Canada *

Contact person *

Job title *

Contact email *

Contact phone *

Kindly upload a Company Logo (if finalist is a company) or Formal Headshot (if finalist is an individual)- Upload Limit: 5MB; 5000 pixels by 5000 pixels; PNG, JPEG or PDF formats only *

1. Eligibility:

a. Have you been an employer in Canada for the last ten years or more? *

Yes

b. Do you have more than 20 employees?: *

Yes

c. Are you willing to administer an employee perception survey provided by the Canada’s Safest Employers organizing committee to your workforce should you be shortlisted? (See FAQ section for details.): *

Yes

nNote: If you answered No to any of the questions above, you are not eligible to participate in the selection process for Canada’s Safest Employers Awardsn

d. Are you willing to have an auditor from Workplace Safety and Prevention Services come to you workplace to conduct a one-day audit, which includes focus group with staff, site tour and C-suite interview?: *

Yes

(If yes, please explain. If no, write N/A) *

e. In the last five years, has your company been charged under occupational health and safety, workers' compensation and/or the Criminal Code legislation? (If yes, please give details): *

Yes

(If yes, please explain. If no, write N/A) *

f. In the last five years, have you incurred any workplace fatalities? (If yes, please explain): *

Yes

(If yes, please explain. If no, write N/A) *

2. In fewer than 500 words, summarize how your organization has inspired transformative behaviours within your areas of influence. What is a positive demonstration of your culture in action? What are the best aspects of your organization’s culture? *

3. In fewer than 500 words, describe how your organization incorporates the values of health and safety culture into the corporate business model, including how health and safety targets are aligned to revenue and performance. *

4. In fewer than 500 words, provide evidence demonstrating that organization leaders practice the health and safety values promoted by the company and effectively lead by examples or Walk the talk. *

5. In fewer than 500 words, describe your organization's internal responsibility system. How does it align with corporate values, targets and business goals? What criteria are used to evaluate effective functioning? Please provide a specific example that demonstrates commitment across the organization (senior management to front line staff) towards the internal responsibility system. *

6. In fewer than 500 words, describe how management demonstrates corporate social responsibility. Are CSR and health and safety system improvement goals and targets shared publicly? *

7. In fewer than 500 words, describe which health and safety leading indicators are captured by your organization and how that information is used to reinforce and revise current practices. Provide an example of this in practice. *

8. In fewer than 500 words, what metrics and key performance indicators does the organization currently use to evaluate the health and safety program? How frequently are they captured and how do they align with metric used to evaluate business performance? How are they communicated to staff? *

10. Injury Statistics in the last three years

Lost-time injury (LTI rate)

2020 *

2021 *

2022 *

If you wish, you may upload any supplementary materials to support your answers. - Upload Limit: 5GB in total; PNG, JPEG, PDF, DOC formats only

Nominator Name: *

Nominator Job Title: *

Nominator Organization: *

Nominator Email: *

Nominator Telephone: *