2026 Awards for Excellence Nomination Form

Organization *

First Name *

Last Name *

Title *

Address Line 1 *

Address Line 2

City *

State *

Enter required value Ohio

Postal Code *

Phone *

Email *

Management Goals *

Has the senior manager of the entrant facility/company made protection of people and the environment a personal goal?

Enter required value Yes No

Staff Communication *

Has that goal been communicated to all employees?

Enter required value Yes No

Planning and Implementation *

Is implementation of programs to protect people and the environment captured as a key component in the facility's operating plans?

Enter required value Yes No

Management Systems *

Do adequate management systems exist to support full implementation of programs to protect people and the environment, and to require a focus on continuous improvement in the areas of environmental management and protection of people?

Enter required value Yes No

Zero Fatalities *

Has the facility achieved zero fatalities?

Enter required value Yes No

Regulatory Compliance *

Has the facility achieved good regulatory compliance standing resulting in no major enforcement actions, settlement activity, fines or penalties?

Enter required value Yes No

Incidents and Releases *

Has the facility had any fires, explosions or off-site releases resulting in public notification or impact?

Enter required value Yes No

Pollution Prevention *

Has the facility pursued pollution prevention through an on-going program to reduce wastes and releases, giving preference first to source reduction?

Enter required value Yes No

Community Advisory Panel *

During 2025, did this facility have an active Community Advisory Panel or equivalent formal process providing meaningful opportunity for achieving community awareness, exchanging information with the community and receiving feedback from the community?

Enter required value Yes No

Award Category *

Please indicate the area of performance below from the following options:

Environmental Performance - emissions reductions, waste reductions or other reduction or sustainability achievements

Health and Safety Performance - worker safety, customer safety, transportation safety or other health or safety achievements

Security Performance - making facility operations more secure, working with government officials in joint security efforts or other security achievements

Enter required value Environmental Health and Safety Security

Program Description *

Please include below, or email separately, a description of the program or activity you believe exemplifies sustained commitment, excellence and/or innovative approaches to improving performance. Please include the contact information for the individual who can be contacted should additional information or clarification be required. Supplemental materials are encouraged but are not required. Separate descriptions and/or supplemental materials can be uploaded below or emailed to info@ohiochemistry.org.

Short Program Decription *

Please include a shortened version of the program description below highlighting the key elements in 500 characters or less. Please keep in mind this version will be used by our moderators when presenting at the awards ceremony and will be printed in our conference materials as your program description.

Supplemental File Upload

Please upload any additional files or information you would like to share with the judges.

20MB max

Senior Official Name *

Senior Official Title and Facility Name *

Date of Entry *