Safe + Sound Week Pledge Form

NOTE: This form performs best on the latest versions of Google Chrome, Microsoft Edge, and select mobile browsers.

Are you participating in the U.S.?

Note: Please select a State first before entering the City.


Please choose one of the following options for recognition:
Are you hosting an event that is free and open to public?
Please choose one of the following options:

Please provide details and contact information to be posted for the public event:

The website being linked must have a posted privacy policy that clearly describes the organization's information handling practices.

How did you find out about S+S Week?
How far along are you in developing a safety and health program?

Note: All of the details about events that are free or offered at a discounted rate and open to the public will be posted on the public Safe + Sound Week map on the website.

Note: The name of your business or organization and the location, along with your email address (if specified above), will be added to the public Safe + Sound Week map.


If your organization is registering multiple sites/locations, please contact to receive an excel spreadsheet that can be used to submit your information.

Submissions are not added to the map automatically. New additions are reflected within 1-2 business days.

OMB Control Number 1218-0269

Expiration date: 07/31/2024


Public reporting burden for this voluntary collection of information is estimated to average 1 minute per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. OSHA will use this information to evaluate participation in Safe + Sound Week. Persons are not required to respond to the collection of information unless it displays a current valid OMB control number. If you have any comments about this estimate or any other aspects of this data collection, including suggestions for reducing this burden, please send them to or to US Department of Labor, OSHA Directorate of Standards and Guidance N-3609, 200 Constitution Avenue, NW, Washington, DC 20210.


AIHA - Protecting Worker Health
VPP - Voluntary Protection Programs Participants' Association - The Premier Global Safety and Health Organization
ASSP - American Society of Safety Professionals
National Safety Council
CPWR - The Center for Construction Research and Training
NIOSH - National Institute for Occupational Safety and Health