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Safety Professional of the Year

The named individual is hereby nominated for the LMTA Safety Management Council "Safety Professional of the Year" Award as a person responsible for supervising the safety activities of a truck fleet. This person is of high moral character and has devoted his/her career to the field of highway and industrial safety.

The Safety Professional Information Form must be filled out completely and the nomination should be supported by information regarding the nominee's experience, training, activities, recognition and achievements. Fleet information pertaining to the type of fleet, safety program and safety records should also be included. Emphasis should be placed on the most recent years. 

In addition, all nominations must comply with the following rules:

  • Nominee's company must be a member of LMTA and the nominee must be a member of the LMTA Safety Management Council.
  • Any person responsible for supervising truck safety activities is eligible.
  • The completed form is due March 8, 2019.
  • Judging with be based on professional achievements, success in advancing highway and industrial safety within the fleet, relationship and cooperation with government officials, and methods of meeting and solving safety problems facing the nominee's fleet. Also considered will be work and leadership in the safety activities of LMTA and activities in other organizations concerning safety professionals. 
***IMPORTANT: Please have all information available when submitting the form. You will not be able to edit once the form has been submitted.***

Nomination Form for State Safety Professional of the Year

Personal Information

Include nominee's experience, training, activities, recognition, and achievements. Fleet information pertaining to the type of fleet, safety program and safety records should also be included. Particular emphasis should be placed on the most recent years.

Military Record

Please include start and end date

Truck Driving Experience

Previous Employer Information

Driver Certification Agreement

Note that typing your name here is your official signature to agree with the Driver Certification and Agreement above.
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