TACA Safety Contest Entry Form- Aggregate Transport/ Tanker Division

TACA Safety Contest Entry Rules and Form
AGGREGATE TRANSPORT/ TANKER DIVISION
Annual Summary of Injuries and D.O.T. Reportable - Calendar Year 2020

DEADLINE IS MAY 3, 2021.
1. The Safety Contest will cover the calendar year 2020.
2. All members with plants located in the state of Texas are eligible to participate. Participants will be judged as independent operating units not by company. This may be as a single plant or may be several plants using a floating truck fleet. Participants cannot use the same information to enter as a single plant and as a floating truck fleet.
3. Each participating unit must submit the total number of actual miles driven, total number of recordable injuries and total number of reportable accidents* involving aggregate transport/tanker trucks. Using these statistics and the formula in number five, calculate your incident rate.
4. Reports are to be submitted annually on forms furnished by the Association.
5. Recognition will be based on Incident Rate.
  Incident Rate = Total Reportable Accidents (*OSHA Standard Recordable Injuries & D.O.T*) x 1,000,000 ÷ Total number of actual miles driven
6. The plant having lowest Incident Rate in its group for the year will be recognized. Where more than one plant within the group has the same Incident Rate, rank will be determined according to the number of actual miles driven No participant will be recognized with an incident ratio higher than 0.75. Any fatality is a disqualifying event.
7. Awards will be made to the unit with the lowest Incident Rate in each of the following groups:
  Group 6A                                                       Over 90 Trucks
  Group 5A                                                       61 to 90 Trucks
  Group 4A                                                       31 to 60 Trucks
  Group 3A                                                       16 to 30 Trucks
  Group 2A                                                       8 to 15 Trucks
  Group A                                                         1 to 7 Trucks
8. Awards will be given to the winner and runner-up in each group. All plants with Zero Lost Time will receive a Zero Lost Time Certificate.
  
  *Reportable accidents:
  1) Fatalities
  2) Injuries treated immediately away from the scene of the accident
  3) Vehicle towed away from scene of accident
  
  *OSHA Standard Recordable Injury – Injured employee unable to return to next scheduled duties.
Please fill all blanks on this form. Incomplete forms will be disqualified. Entries due May 3, 2021.
Plant Identification
Plant Name *
Location *
Company Name *
Address *
Phone Number *
Total Number of Miles Driven in 2020 *
Total Number of Aggregate and Tanker Trucks Operated in 2020 *
Injuries Occurring in Calendar Year 2020
a. Number of Non-Fatal Recordable Injuries *
b. Number of Fatalities *
c. Number of Reportable Accidents (D.O.T.*) Involving Aggregate Transport/ Tanker Trucks *
Incident Rate *
Incident Rate = Total Reportable Accidents (OSHA Standard Recordable Injuries & D.O.T.) x 1,000,000/Total Number of Actual Miles Driven
Last Lost Time Accident
Month/Day/Year *
Contact and Verification
Name *
Person completing the form
Title *
Person completing the form
Email *
example@example.com
Date *
Verification

I verfy that all of the above information is accurate to the best of my knowledge.
Please verify that you are human *
Should be Empty:

TACA Safety Contest Entry Rules and Form

AGGREGATE TRANSPORT/ TANKER DIVISION

Annual Summary of Injuries and D.O.T. Reportable - Calendar Year 2020

Please fill all blanks on this form. Incomplete forms will be disqualified. Entries due May 3, 2021.

Plant Identification

Injuries Occurring in Calendar Year 2020

Last Lost Time Accident

Contact and Verification