{"id":20412,"date":"2025-03-18T10:57:42","date_gmt":"2025-03-18T14:57:42","guid":{"rendered":"https:\/\/www.wcb.mb.ca\/?page_id=20412"},"modified":"2026-05-14T15:36:40","modified_gmt":"2026-05-14T19:36:40","slug":"formulaire-de-mise-en-candidature-prix-sain-et-sauf-au-travail-comite-de-la-securite-et-de-la-sante","status":"publish","type":"page","link":"https:\/\/www.wcb.mb.ca\/fr\/sain-et-sauf-au-travail-manitoba\/prix-sain-et-sauf-au-travail\/formulaire-de-mise-en-candidature-prix-sain-et-sauf-au-travail-comite-de-la-securite-et-de-la-sante\/","title":{"rendered":"Formulaire de mise en candidature\u00a0: Prix SAIN et SAUF au travail \u2013 Comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20412\" class=\"elementor elementor-20412 elementor-10460\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f6e77bc e-flex e-con-boxed e-con e-parent\" data-id=\"f6e77bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e511f6 elementor-widget elementor-widget-st-header-image\" data-id=\"4e511f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-header-image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-headerImage g-layout__padding c-headerImage--noImage\"><div class=\"c-headerImage__container g-layout__maxWidth\"><div class=\"c-headerImage__content\"><div ><h1>SAFEty and Health Committee Award nomination form<\/h1><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-133bc272 e-grid e-con-boxed e-con e-parent\" data-id=\"133bc272\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-10fe6d61 e-con-full e-flex e-con e-child\" data-id=\"10fe6d61\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-183dec8c elementor-widget elementor-widget-text-editor\" data-id=\"183dec8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ce prix est d\u00e9cern\u00e9 \u00e0 un comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9 au travail qui joue un r\u00f4le actif pour am\u00e9liorer la sant\u00e9 et la s\u00e9curit\u00e9 dans son milieu de travail. Les membres du comit\u00e9 travaillent en \u00e9quipe pour diffuser des messages de sant\u00e9 et de s\u00e9curit\u00e9 et r\u00e9soudre les probl\u00e8mes li\u00e9s \u00e0 la sant\u00e9 et la s\u00e9curit\u00e9 d\u00e8s qu\u2019ils surviennent. Les activit\u00e9s du comit\u00e9 permettent de renforcer la culture de s\u00e9curit\u00e9 du milieu de travail.<\/p>\n<p>Les propositions pour le Prix SAIN et SAUF au travail \u2013 Comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9 seront accept\u00e9es pourvu qu\u2019elles soient soumises par toute personne dans le milieu de travail qui n\u2019est pas membre du comit\u00e9.<\/p>\n<p>Pri\u00e8re de remplir le formulaire suivant afin de proposer le comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9 de votre milieu de travail pour le Prix SAIN et SAUF au travail \u2013 Comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9. Nous vous demandons de passer en revue les <a href=\"https:\/\/www.wcb.mb.ca\/fr\/sain-et-sauf-au-travail-manitoba\/prix-sain-et-sauf-au-travail\/criteres-de-soumission-pour-les-prix-sain-et-sauf-au-travail\/\">crit\u00e8res de conformit\u00e9<\/a> pour vous assurer que votre candidat est admissible.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f52e8fd elementor-widget elementor-widget-shortcode\" data-id=\"f52e8fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar 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                <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/20412' data-formid='5' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Le76HopAAAAAEJ08HSQPw8YfPrJNoMSX2REAZVT' data-tabindex='0'><input id=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_3e4bd660fbbdde3592fb2f320f8ce751\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Which committee are you nominating?<\/h3><\/div><div id=\"field_5_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Committee name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_3'>Workplace name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Employer co-chair&#039;s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Worker co-chair&#039;s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Workplace address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_29'>WCB account number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_5_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Nominator information:<\/h3><\/div><div id=\"field_5_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_5_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_28'>Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_27'>Job position<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_5_27' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>Workplace name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_5_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Workplace address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_5_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_5_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_20'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_5_20' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_21'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Why are you nominating this committee for a SAFEty and Health Committee Award?<\/h3><div class='gsection_description' id='gfield_description_5_22'>Please answer these four questions to show how your committee meets the requirements for this award.<\/div><\/div><div id=\"field_5_23\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_23'>What has this safety and health committee accomplished to earn a nomination for a SAFEty and Health Committee Award?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_23' id='input_5_23' class='textarea large'  aria-describedby=\"gfield_description_5_23\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_23'>(max. 200 words)<\/div><\/div><div id=\"field_5_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_24'>Please give at least one example of how the safety and health committee&#039;s members worked as a team to spread safety and health messages in the workplace effectively.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_5_24' class='textarea large'  aria-describedby=\"gfield_description_5_24\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_24'>(max. 200 words)<\/div><\/div><div id=\"field_5_25\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_25'>Please give at least one example of how the safety and health committee&#039;s members worked as a team to resolve a safety and health issue in the workplace.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_5_25' class='textarea large'  aria-describedby=\"gfield_description_5_25\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_25'>(max. 200 words)<\/div><\/div><div id=\"field_5_26\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_26'>Please give at least one example to show how your committee carries out safety and health activities on a regular basis.<span 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data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7cb185 elementor-widget elementor-widget-st-link-list\" data-id=\"7cb185\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-link-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-linkList c-linkList--default c-linkList--default\"><h2 class=\"c-linkList__title\"><span >Liens connexes<\/span><\/h2><div class=\"c-linkList__list\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2fcaf451 elementor-widget elementor-widget-st-cats\" data-id=\"2fcaf451\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-cats.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-ctaList\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>SAFEty and Health Committee Award nomination form Ce prix est d\u00e9cern\u00e9 \u00e0 un comit\u00e9 de la s\u00e9curit\u00e9 et de la sant\u00e9 au travail qui joue un r\u00f4le actif pour am\u00e9liorer la sant\u00e9 et la s\u00e9curit\u00e9 dans son milieu de travail. Les membres du comit\u00e9 travaillent en \u00e9quipe pour diffuser des messages de sant\u00e9 et de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":20407,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-20412","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/20412","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/comments?post=20412"}],"version-history":[{"count":5,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/20412\/revisions"}],"predecessor-version":[{"id":28139,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/20412\/revisions\/28139"}],"up":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/20407"}],"wp:attachment":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/media?parent=20412"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/tags?post=20412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}