Khutala Safety and Productivity Warriors

Khutala Safety & Productivity Warriors Nomination

Question 1(Required)

Please enter your name and surname

Question 2(Required)

Please enter your employee number

Question 3(Required)

Please enter your company number

Question 4(Required)

Please enter your department

Question 5(Required)

Please enter your job title

Question 6(Required)

Please enter your contact number

Question 7

Please enter your email address (if any)

Nomination Category(Required)

Please select which category you are entering for:

Nominee Details

Please enter the name and surname of the nominee

Motivation

Please describe why you would like to nominate this person (What has the nominee done to improve safety & productivity, etc.).