IMPORTANT: The nomination form times out after about two hours. Please save all your answers in a word document on your desktop and then copy and paste them into the form when you are ready to submit. We cannot retrieve lost data.
Young Worker Safety
Note: 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 Award.
About the organization
Brief description of the organization / scope of operations.
In what capacity do you employ young workers? (e.g. largely seasonal or regularly throughout the year) (5 points)
How do you determine what work is suitable for young workers? (5)
Do you conduct a hazard assessment specifically for the types of hazards young workers may encounter? (5)
How does a young worker’s immediate manager as well as upper management demonstrate a commitment to young worker safety? (5)
How do co-workers participate in young worker safety? For example, do you have a mentorship program or buddy system in place? (5)
Please describe your orientation program for young workers? How do you deliver it in a way that resonates with this age group? (10)
What additional training do you offer young workers? (10)
What tools and equipment do you offer young workers so they can do their job safely? (5)
How do you make sure young workers are aware of their fundamental safety rights and communicate safety messages? (10)
How do you engage these workers in safety and make sure it is a priority for them? (10)
Do you educate young workers about more than just traditional safety risks, such as workplace harassment and bullying? (10)
What are some innovative health and safety programs around young worker safety not mentioned above? (10)
What inspires you to make young worker health and safety a priority? (5)
Injury statistics in the last three years (5)
Total number of lost-time claims
Total number of medical aid incidents
Other incidents (with no lost-time and no medical aid)
Total employee hours worked (includes full time, part-time, and casual employees)
If you wish, you can use the space below to provide more information or elaborate
on your injury statistics.
Statement of Truth
- I'm the person named in, and who subscribed in, this application form for Canada's Safest Employers. To the best of my knowledge and belief, the matters and facts in it are true. Where matters specifically stated in it are made upon information and belief, I believe them to be true. I make this declaration conscientiously believing it to be true and knowing that it is of the same force and effects as if made under oath.
I understand if my company is a gold winner we need to participate in a phone interview with a journalist as well as an on-site video shoot. I understand I am not able to see the article or the video prior to publication as they are both pieces of journalism, not personalized marketing items.
Upload documents (Supporting document types - pdf, doc, docx, ppt, and pptx)
A maximum of 10 uploads will be accepted.
Deadline for submission: June 1