Safe + Sound Week Events - V2 | Occupational Safety and Health Administration

OMB Control Number 1218-0269
Expiration date: 08/31/2027

Safe + Sound Week Event Registration Form

Safe + Sound Week is a nationwide event held each August that recognizes the successes of workplace health and safety programs and offers information and ideas on how to keep America's workers safe. Let us know you are participating this year by signing up! To begin, enter your email address and business name, if you have registered before your information will be available for you to select from a drop-down.

The fields indicated with an asterisk (*) are required to complete your registration.

Participant Information:

Email Address:

Name of Business or Organization:

Industry (select all that apply):

Other:

Are you participating in a U.S. State or Territory?:

Yes

Note: Select a State first before entering the City Name.

State/City/Country:

Choose one of the following options for recognition:

Our organization wants to register as a Safe + Sound Week participant and wishes to have our name, city, and state recognized on the Safe + Sound Week map on the website (e.g. ACME Construction – Any town, USA)

Our organization wants to register as a Safe + Sound Week participant, but does not wish to be recognized on the Safe + Sound Week map on the website

Are you hosting an event that is free and open to public?:

Yes, our event is free and open to the public

No, our event is a private event for workers at my workplace

This event is a Nationwide event

Please provide details and contact information:

Event Name:

Event Date:

Event Start Time:

Event End Time:

Event Description:

Event URL:

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

Contact Name:

Contact Email Address or Phone Number:

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 will be added to the public Safe + Sound Week map.

Other:

How far along are you in developing a safety and health program?:

We do not have a safety and health program.

We are just starting our safety and health program.

Our safety and health program includes management leadership, worker participation,and a systematic approach to find and fix hazards.

Our safety and health program follows OSHA's Recommended Practices for Safety and Health Programs.

Our safety and health program is certified to SHARP, VPP, ANSI Z10, and/or ISO 45001.

Other

Other:

Sign me up for the monthly Safe and Sound at Work email listserv. I want to receive communications on resources and upcoming events.

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.

Duplicate submission

We detected that your submission may be a duplicate of registration that was already submitted. Please be aware that additions to the map are not reflected immediately upon registration as they continue to process.

If you still wish to proceed with your registration, select the “SEND” button again to continue.