Rockwell Automation
Manufacturing Safety Excellence Award Application
Thank you for applying for the Rockwell Automation Manufacturing Safety
Excellence Award. The Rockwell Automation Manufacturing Safety
Excellence Awards are given to companies with exemplary performance in
culture, compliance policies and procedures, and use of automation
technologies to improve worker safety and productivity. Special emphasis
is placed on the collaboration between EH&S and engineering to ensure
compliance, worker safety, and productivity.
Please type your responses directly into this form. Applications may be
submitted electronically as word docs or mailed to the address below.
Please return the completed application and any other pertinent materials
to:
Rockwell Automation
Attn: Steve Ludwig - Safety Excellence Award
1 Allen Bradley Drive
Mayfield Heights, OH 44124
If you submit via email, please place “Rockwell Automation Safety
Excellence Award Application” in the subject line and send to
[email protected]
During the selection process, Rockwell Automation may request to
interview employees or view documentation regarding the accuracy of
answers provided.
GENERAL INFORMATION
1. Company Name:
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2. Headquarters address:
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3. Industry/Product(s)
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4. Number of employees/sites:
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5. Lost-time injury rate for your company and your industry’s average:
[Click to type your response]
6. Number of EHS professionals at your company:
[Click to type your response]
7. Please name any other safety or environmental awards received by your company:
[Click to type your response]
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ESSAY
8. COMPANY/MANAGEMENT PHILOSOPHY REGARDING SAFETY:
a. Explain how safety is a key indicator of business optimization?
[Click to type your response]
b.
Explain how safety is incorporated into the business and strategic plans
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c.
What percentage of senior management compensation is directly affected by
safety metrics?
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d.
How frequently are managers on the plant floor coaching or observing
opportunities for improving safety?
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e.
What percentage of employees is actively involved in safety improvement
initiatives?
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f.
Provide one example that is indicative of management’s dedication to safe
production:
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g.
Explain what prompted your company’s commitment to safety.
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9. RISK MANAGEMENT AND PROCEDURES:
a. High, consistent safety standards are required (select one):
☐ On a plant-by-plant basis, depending on local requirements
☐ At all company locations and throughout the product supply chain as a
requirement of doing business
☒ Throughout the product supply chain as a requirement of doing business.
Further Comments:
b.
Explain how performance management processes include safety
accountability
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c.
How are safety roles, activity and responsibility clearly defined for all
employees?
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d.
Are high, consistent safety standards required to be met for all production
machinery regardless of location (example: requiring machinery adherence to
EN ISO 13849-1/2 even for machinery used outside Europe in US, China,
India, etc)? Explain:
[Click to type your response]
e.
Are documented safety assessments performed during machinery design
phase (rather than post-design) by a qualified safety engineer? Explain:
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f.
What role, if any, does safety play in how your company does business? How
does your company make the business case for safety? Explain:
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g.
Explain how functional safety specifications are developed to improve both
safety and productivity
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h.
Explain how safety and productivity are included in machine, equipment and
work-flow design considerations and provide examples.
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i.
How do you ensure that safety rated control products are used in all safety
applications and control circuits that require them?
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j.
Once installed, how are guarding designs and safety systems validated to
ensure proper risk mitigation?
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k.
Is safety system validation and documentation required to ensure functional
safety was developed by a qualified safety engineer? Explain:
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l.
What processes and procedures exist to ensure that risk assessments of the
safety solutions are made at appropriate intervals upon modifications of the
equipment?
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m. How are machinery suppliers required to provide proof/documentation of risk
assessment, remediation design verification and system validation to ensure
that all machines meet regulatory requirements? Explain:
[Click to type your response]
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ESSAY
10. TECHNOLOGY:
What contemporary safety techniques and technologies are used to optimize both
safety and productivity through the reduction of unscheduled downtime? i.e. improved
diagnostics, safety speed, safe direction, safe torque off, safe position, zone control,
presence sensing via integrated safety systems with standard control/automation?
[Click to type your response]
a.
Describe at least two applications and how these advanced solutions improved
safety and productivity.
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b.
How are energy isolation (LOTO – lockout/tagout) policies and procedures
documented, archived, maintained, communicated and made available to
employees when they are required to perform them? Describe the training
policy and process for existing and new employees on energy isolation.
[Click to type your response]
c.
Where manufacturing intelligence systems are in place, what aspects or KPIs
associated with safety are included in the monitoring, collection, archiving and
analyzing with performance data? Explain how this is used to improve how
safety objectives are integrated with manufacturing performance management.
[Click to type your response]
d.
Explain how your company uses manufacturing intelligence to monitor safety
system performance (MTTFd), diagnostics coverage, and ensure proper safety
system maintenance and validation (MOC – management of change).
[Click to type your response]
e. Describe applications:
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11. How does your EH&S and Engineering departments work together to ensure
worker safety and company standards and/or regulatory compliance?
a. Please offer an example of EHS/Engineering collaboration:
[Click to type your response]
12. What methods do you use to track and verify the effectiveness of your safety
process? Do you use specific leading indicators? Please elaborate.
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13. Can you share an example or examples where your company’s safety policies and
procedures are more strict or stringent than accepted industry standards and/or
governing standards and regulations?
[Click to type your response]
14. Please include any additional information you feel is pertinent here, or enclose it
with the completed questionnaire:
[Click to type your response]
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CONFIRMATION
By signing this application, I certify that all of the information on this application is
correct and complete. I understand that any misrepresentation can result in
disqualification.
Signature:
Sign or type name above to officially sign this application
Name, title, phone number, and email address – if different – of the person who should
be contacted for further information:
Name:
[Click to type your response]
Title:
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Phone Number:
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Email Address:
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Winning companies will be announced at the end of October
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