OFFICAL ENTRY FORM
Attach a copy of this to your entry.
Contact Person:
Title/Position:
Name of organisation:
Postal Address:
Site Address:
Contact Person:
Title/Position:
Telephone:
Email:
Are you part of a subsidiary, branch or section of another organisation?
Yes No
How long have you been trading?
please select
Number of full time employees
please select
Number of part time or seasonal employees
please select
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
ENTRY CATEGORIES
Each business is eligible to enter the ACC Workplace Safety Award and one applicable Business Category
(FTE). NB. You do not have to enter two categories, however only businesses that enter a Business Category
(FTE are eligible for the Supreme Award).
Entry Categories:
please select
Entry Categories:
please select
As an entrant I/we agree to accept and comply with the terms and conditions of entry to the Westpac
Hawke’s Bay Chamber of Commerce Business Awards, including the use of the awards logo and involvement
in promotional activities.
This entry submission is a true and accurate account of the organisations performance at the time of entry.
We confirm that our business is and remains financially viable and to the best of our knowledge meets all
lawful standards.
Director/Owners Name:
Director/Owners Signature
Director/Owners Name
Director/Owners Signature
Date
Click here to enter a date.
Entry deadline 4pm, 29rd September 2017 at the Chamber Office - HBBH, 36 Bridge Street, Ahuriri, Napier
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
ENTRY TEMPLATE
The following is a template to get you started – your best response will be in your words.
EXECUTIVE SUMMARY
Limit Guide: 1 page of text
The purpose of this section is to help the judges establish a quick overview of your business, and to act
as the starting point for your self-assessment. The executive summary supports what you have written
in the rest of your entry and should not contain new information. Pithy and poignant are key guides for
the executive summary.
What the judges are looking for?
 A brief history and description of the organisation
 A statement outlining the distinctive character of the organisation
 A description of what makes the organisation special and an outstanding performer
 A summary of key business achievements and results
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
LEADERSHIP
Points Available 20
Limit Guide: 1 page of text plus charts or graphs
The vision, mission and values of our organisation are:
We developed our vision and values by:
Our strategic goals were developed to align with:
We communicate our vision to our team by:
We demonstrate our values by:
The results we have achieved from this process have been:
What the judges are looking for?
 A strong organisation vision that is communicated clearly to staff and is closely linked to
management decision making
 Staff buy-in to the vision
 The provision of leadership in the way the organisation is run, the way in which it seizes new
opportunities and the way it deals with issues when they arise.
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
PLANNING
Points Available 20
Limit Guide: 1 page of text plus charts or graphs
Our strategic plan can be found in appendix 1
Our goals for the next 3-5 years are:
We developed our strategic plan from:
We review our strategic plan every ………………… or if:
Our target market is ……………….. based on:
We believe we have a strong/weak market position based on and compared with:
In the last year we have achieved ………………………………… strategic goals:
We expect to achieve our 3-5 year goals based on our current competencies, plus ……………….. training
and employment of ………………………………. skills:
What the judges are looking for?
 Application of the strategic planning process to enhance business performance
 The quality of the business plan
 Evidence that the business model is a sustainable one
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
CUSTOMER FOCUS
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
We make decisions and plans based on the information we get from:
The benefits to our organisation from customer feedback are:
We have strong/weak relationships with ………………………… based on:
What the judges are looking for?
 Evidence of the use of customer and market information in decision making
 Evidence that customer requests and complaints are dealt with responsively and effectively
 The market position of the organisation and how it compares with others in similar industries
 Evidence of how and in what areas change and improvement have occurred in response to
changing market needs
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
QUALITY & SYSTEMS
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
We have the following quality management systems in place:
We use these systems to measure:
To maximise quality from our supply chain we:
The improvements we have seen over the last ………….. time are:
Our process for managing faulty products/services is:
Our process for managing complaints is:
What the judges are looking for?
 Design, implementation, management, and improvement of processes for achieving better
performance and quality
 Quality management systems and processes for dealing with faulty products and/or services
 Compliance with regulatory, legal and industry code requirements
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
PEOPLE MANAGEMENT
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
Our recruitment process is:
We minimise the need for recruitment by retaining staff through the following:
And by providing the following training and development:
We demonstrate work life balance by:
Our culture is based on; 3-5 words:
Our organisational health and safety attitude is demonstrated by:
What the judges are looking for?
 Sound human resource practices within the organisation relevant to the industry
 A reward structure that reflects organisational values
 Effective communication practices
 Evidence of a commitment to training and up-skilling
 High staff satisfaction, well-being and motivation
 Excellent health and safety management procedures appropriate to the sector in which you
operate
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
INNOVATION
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
We encourage new ideas in our organisation by:
The process for taking innovation from an idea to completion is achieved by:
A recent innovation of …………………… produced the following results ………………. The risks were
……………………………… and we overcame them by:
We protect intellectual property by:
What the judges are looking for?
 Use and implementation of innovation and knowledge to enhance business excellence and
organisational performance
 An environment that encourages and rewards innovative employees
 New ideas, systems, procedures or technology that have increased efficiency and/or resulted in the
introduction of improved services or products
 Details of results gained from new ideas and innovations
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
COMMUNITY & INDUSTRY CONTRIBUTION
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
We actively connect with our community by:
We chose these community areas to support by:
We have seen the following results as a result of supporting and strengthening the community:
The benefits to our organisation by connecting with our community have been:
We encourage and support members of our team engaging in social, community or environmental
initiatives by:
What the judges are looking for?
 Recognition of, communication with, and support of community stakeholders
 How your organisation supports the industry/organisation sector(s) in which you operate
 Evidence of the organisation’s support for staff involvement in social, community or environmental
initiatives
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
HEALTH & SAFETY
Points Available 10
Limit Guide: 1 page of text plus charts or graphs
We have the following systems in place to support the health and safety legislative requirements:
We manage the process of superior health and safety:
Our organisational culture encourages safety by:
Our management of health and safety issues is:
What the judges are looking for?
 Recognition of, communication of, and administration of the health and safety legislation
 Integration of positive health and safety procedures in the organisation, employee health and
safety inductions and training
 Evidence of effective positive management of workplace hazards, injury reporting and
investigations
 Evidence of effective positive management of incidence of accidents
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
ENVIRONMENTAL SUSTAINABILITY
Points Available 10
Limit Guide: 1 page of text plus photographs, charts or graphs
In our organisation we actively encourage environmentally sustainable practices by:
As a team we have adopted the following environmentally sustainable practices by:
We have reduced our energy and waste by:
Our team is encouraged to learn more about environmentally sustainable initiatives through:
What the judges are looking for?
 Recognition of , communication of, and support of environmentally sustainable practices
 How your organisation supports the greater environmental sustainability of the Hawke’s Bay region
 Evidence of the organisation’s support for staff involvement in environmentally sustainable projects
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
ACTIVE & HEALTHY WORKPLACE
Points Available 10
Limit Guide: 1 page of text plus photographs, charts or graphs
Our healthy active culture is supported by:
We encourage our teams to be more active and chose healthy options by:
What the judges are looking for?
 Recognition of, communication of, and support of a healthy active workplace
 Evidence of the organisation’s support for staff involvement in activity and healthy practices
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
BUSINESS PERFORMANCE
Points Available 20
Limit Guide: 2 pages of text plus charts or graphs
Our key performance indicators are:
The trends these measurements have shown over the last ** years are:
Our performance over the last ** years has been:
We expect our future performance to be …………………… based on:
We use ……………………. for our financial management:
The benefit of our financial reporting has:
We communicate our triple bottom line (people, place, profit) results to our stakeholders by:
What the judges are looking for?
 Sound financial and operational performance results
 Measurement and management of performance parameters
 Evidence of profitable business growth
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form
Only complete this page if you wish to enter this award
ACC WORKPLACE SAFETY AWARD
Limit Guide: No more than 1500 words total


All businesses are eligible to enter the ACC Workplace Safety Award.
- (Businesses can also SOLELY enter the ACC Award)
To enter for this award, you will need to outline how health and safety policies and practices are
integrated into your business’s activities. Judges will also look at managers and employees who are
proactive in dealing with hazards that arise from the work carried out. Please provide examples.
Business Description:
A brief overview including products, services and staff numbers
Processes:
What processes you have established to identify and manage actual and potential hazards in your workplace (e.g.
an on-site hazard register with reporting of events and near misses, linked to a safety plan)
Integration:
How health and safety practices are integrated into your business operations (e.g. a health and safety component
in you staff induction programme).
Benefits:
The demonstrable benefits to your business of the health and safety programmes you have in place (e.g.) reduced
injury and absenteeism rates).
PLEASE NOTE:

Should you be selected as a finalist for the ACC Workplace Safety Award, ACC will conduct a work
site assessment as part of the judging in Round Two

Further information about workplace safety can be found at the following website
www.acc.co.nz/preventing-injuries/at-work

If you are only entering the ACC Workplace Safety Award, no additional pages of this application
are required.
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PAN PAC Hawke’s Bay Business Awards 2017 | Entry Form