Semi-Annual Report Information

First Half 2019 semi-annual reports are due by July 15, 2019. All companies actively participating in Safety Council are required to submit this report on time.

The form can be printed and completed HERE or completed electronically via the online form below.

Instructions for completing the Semi-annual report are attached in the above link.

If you have further questions, please email or call 330-723-8773.

Medina County Safety Council

Semi-Annual Report * FIRST HALF 2019* January 1, 2019 - June 30, 2019

DUE by July 15, 2019

Submitted by:
Submitted by:
If there were none between January 1, 2019 and June 30, 2019 go back to the most recent injury or illness date resulting in days away from work

*Report all information for the CURRENT SIX MONTH PERIOD ONLY: January 1, 2019 - June 30, 2019

Note: If you report a death, injury or illness resulting in days away from work in the current six month period (item 4 or 5), the most recent date of death, injury or illness must correspond with item 1.

Voucher Purchase

Safety Council lunches may be paid in advance by using vouchers.
Expedite the check-in process at the Monthly Safety Council Meeting.
No Registration Line
No Cash, Check, Credit Card needed at monthly meetings!
Eliminate the need for reimbursement or expense reports after each meeting!

A voucher will allow the representative from your company to by-pass the registration line,
drop off the voucher, sign-in, and proceed into the Safety Council Meeting to begin networking!
Lunch vouchers are $16 each
All on-line orders must be paid by credit card.

Purchase vouchers online here

Check or credit card are also available methods when ordering in the traditional manner via mail-in form.
Click Here for Mail-in Form

After receipt of payment, vouchers will be mailed to the address listed when the order is placed or delivered at the next Safety council meeting.

Vouchers are transferable within your company.
Valid only in the BWC policy year purchased.
Date will be printed on the voucher.
Unused, expired or lost vouchers will not be replaced or refunded.
Questions concerning the Voucher Program or the Medina County Safety Council may be
directed to

Steering Committee

Meet the 2017 - 2018 Safety Steering Committee

Safety Council meetings and seminars are planned by safety professionals, company safety directors, and public safety officers.

Devon Diello
Greater Medina Chamber of Commerce

Nino Piccoli City of Medina
Steering Committee Chair

Tracy Combs Wichert Insurance  
Dallis Conrad Owens Corning Corporation
Nina Fullerton GVS Safety Supply
Paul Magovac Brunswick Hills Township
Janie Parish Wadsworth Chamber of Commerce
Stuart Root A. I. Root Company
Susan Sevy Vexor Technology
Cari Gray, CSP BWC Safety Counsultant Specialist