Congratulations! You have taken the first step toward recognizing a fellow employee for their outstanding safety practices. Below is a fillable form to gather details about the event where your coworker/s demonstrated knowledge of VM safety procedures and took action. After submitting this form, the VM safety team will reach out before a recognition presentation. Thank you for taking time to celebrate safety in the workplace.

  1. Name of the person being recognized and yourself. These are required fields
  2. Fill out boxes for follow up. Fill out at least one of the boxes providing additional contact information for a Safety team member to follow up.
  3. Select mode of transportation and fill in reason for recognition and location of actions. These are required fields.
  4. Upload image. You may upload an image that is relevant to this report.
  5. Click Submit to file the report.