Stand Up 4 Grain Safety Week

Recognize Your Participation

Thanks for participating in Stand Up 4 Grain Safety Week!

Complete the form below to submit the information about your event, and use this certificate to acknowledge the participation of everyone on your team.

Recognize Participation for 2020 Stand Up Week

Company Name*
Address*
City State / Province / Region Country
Name of Company Contact Person*
First Last
Tell Us Who Participated
Enter # of Managers / Supervisors*
Enter # of Workers*
Enter # of Contractors*
Enter # of Temporary Workers*
Enter # of Producers / Farmworkers*
Enter # of Other Participants
Tell Us About Your Event
Type(s) of Event*
- Demonstration / Presentation
- Guest Speaker
- Safety Topic Discussion
- Training
- Other
Please specify other event type(s).
Amount of Training Time Received*
Enter time in total number of minutes.
Enter # of Worksite Inspections Conducted*
Enter # of Hazards Identified*
Enter # of Hazards Corrected*
Enter # of Self-Audits Conducted*
Enter # of Employees Removed from Hazards*
Time Spent on Safety Activites*
Enter time in total number of minutes.

Recognize Your Participation

Thanks for participating in Stand Up 4 Grain Safety Week!

Recognize Participation for 2020 Stand Up Week

Tell Us Who Participated

Tell Us About Your Event