Safe + Sound Week Event Registration Form

OMB Control Number 1218-0269
Expiration date: 07/31/2024

NOTE: This form performs best on the latest versions of Google Chrome, Microsoft Edge, and select mobile browsers.

Did you participate in Safe + Sound Week last year?
Are you participating at a U.S. location?

Note: Please select a State first before entering the City.

 

Please choose one of the following options for recognition:
Are you hosting an event that is free and open to public?
Please choose one of the following options:
How did you find out about S+S Week?
How far along are you in developing a safety and health program?

Please provide details and contact information:

The website being linked must have a posted privacy policy that clearly describes the organization's information handling practices.

Note: All of the details about events that are free or offered at a discounted rate and open to the public will be posted on the public Safe + Sound Week map on the website.

Note: The name of your business or organization and the location, along with your email address (if specified above), will be added to the public Safe + Sound Week map.

If your organization is registering more than six (6) sites/locations, please contact safeandsoundcampaign@dol.gov to receive an excel spreadsheet that can be used to submit your information.

Having issues with the registration form or need to edit your information? Send an email to safeandsoundcampaign@dol.gov.

PAPERWORK REDUCTION ACT

Public reporting burden for this voluntary collection of information is estimated to average 3 minute per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. OSHA will use this information to evaluate participation in Safe + Sound Campaign. Persons are not required to respond to the collection of information unless it displays a current valid OMB control number. If you have any comments about this estimate or any other aspects of this data collection, including suggestions for reducing this burden, please send them to OSHAPRA@dol.gov or to US Department of Labor, OSHA Directorate of Standards and Guidance N-3609, 200 Constitution Avenue, NW, Washington, DC 20210.

 

AIHA - Protecting Worker Health
VPP - Voluntary Protection Programs Participants' Association - The Premier Global Safety and Health Organization
ASSP - American Society of Safety Professionals
OSHA
National Safety Council
CPWR - The Center for Construction Research and Training
NIOSH - National Institute for Occupational Safety and Health