I am nominating (Name of Individual / Organization): *
For (Name of Project / Initiative / Safety Effort): *
Nominee’s Name: *
Nominee’s Address:
Nominee’s City:
Nominee’s Phone: *
Nominee’s Email: *
My Name: *
My Address:
My Phone: *
My Email: *
I am submitting my nomination for the category of: *
Powerline Safety
Worker Safety
Consumer and Home Safety
Describe the project / initiative / safety effort Consider including why it was it needed; the safety issue it addressed; and who was most impacted – for example, the public, your community or the workplace. Responses can be provided in sentence or bullet form. Additional pages can be submitted separately if required. (Max 1,200 words) *
What was the electrical safety impact? Describe how the project / initiative / safety effort was successful. When possible, please include testimonials, references, customer experiences, videos, research, results and/or metrics. Responses can be provided in sentence or bullet form. Additional pages can be submitted separately if required. (Max 1,200 words) *
What makes this initiative stand out? Tell us why this nomination should be considered for an Ontario Electrical Safety Award. Responses can be provided in sentence or bullet form. Additional pages can be submitted separately if required. (Max 1,200 words) *
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