Safety Profile Contest

Send us your completed Safety Profile so that we may consider it for our next issue of Safety Smart! Magazine.

Please fill out the form below to submit your profile.

All selected profiles will receive a complimentary Safety Smart! T-shirt. If you're selected, we'll contact you for your photo.

Contest closes July 5, 2008.


1. What safety challenges do you face at work? (This could be anything from lifting or shiftwork to extreme weather conditions or co-worker attitudes, etc.). And how do you handle these challenges?

2. What safety challenges do you face at home? And how do you handle these challenges?

3. How do you handle stress?

4. What's your worst "close call" horror story (not necessarily related to your current job)?

5. What does safety mean to you?


* First Name:
* Last Name:
* Email Address:
Job Title: if other:
* T-Shirt Size: Small Medium Large X-Large
Name of Safety Supervisor:
Supervisor's Title:
* Company Name:
* Company Address:
* City:
* State/Prov.
* State/Prov.
(if not listed above)
* Zip/Postal Code:
* Country:
* Company Phone:
Company Fax:
Does your company subscribe to Safety Smart! Magazine?
Yes No

Would you be interested in a trial subscription to Safety Smart! Magazine?
Yes No

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