GLGA Top Workplaces in the Midwest Submission

Contact Information

Name *

Title *

Company Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Email Address *

Phone *

Are you a member of GLGA? *YesNo

Communications & Culture

Does the company acknowledge the employees' non-work milestones? Select all that apply:

Please expand on your "Other" selection.

Does the company acknowledge the employees' work milestones? Select all that apply:

Please expand on your "Other" selection.

Does the company have a peer recognition program? *YesNo

If you answered yes above, please describe the peer recognition program:

Does the company create opportunities for employees to do charitable work in the community and/or sponsor any programs or activities for employees that occur outside of the company? *YesNo

If you answered yes above, please describe the community activity/activities:

Does the company host any special events for employees during the year? For example, parties, special lunches, etc. *YesNo

If you answered yes above, please describe the special events:

Please describe any other employee recognition or honor that has not be elicited by previous questions.

Does the company have an employee value proposition?YesNo

If you answered yes above, please provide us with your employee value proposition.

Who participated in deciding what the employee value proposition should be? Please indicate by job title of those participating.

Does senior management meet with production employees? *YesNo

Please describe the occasions when senior management meets with production employees.

Does the company have any project-based teams or committees? *YesNo

Please describe all project-based teams and committees, and the composition of those committees.

Does the company have job descriptions for each position in each facility? *Option 1Option 2

How often are the job descriptions updated? *AnnuallyEvery two yearsEvery three yearsLess frequently than every three years

Does the company have a performance management system? *YesNo

Please explain all the methods that the company uses to provide employees with feedback about maximizing their performance as well as other matter, and how frequently these forms of feedback are given.

Does the company conduct training for supervisors and managers?YesNo

Please indicate the training provided and how often it is given. Select all that apply:

Does the company provide workplace training to employees on the following topics? Please select all boxes that apply.

Other

Does the company have a mentoring program? This is a peer-to-peer system to help employees assimilate to the company or to have someone that will answer questions and offer help with their jobs. This is not the same as a form apprenticeship training program. *YesNo

If you answer yes to the mentoring question above, please explain the mentoring program:

What is the gender composition of the company's workforce, reflected as a percentage: (total should equal 100%)

Female

Male

What is the age composition of your workforce, reflected as a percentage: (total should equal 100%)

18-25 Years Old

26-35 Years Old

36-55 Years Old

56-65 Years Old

65+ Years Old

What was the involuntary turnover rate for the company across all facilities, reflected as a percentage of your total workforce:

2024

2023

2022

2021

Does the company offer post-employment resources to employees that are involuntarily terminated? *YesNo

If you answered yes above, please describe:

What was the voluntary turnover rate for the company across all facilities, reflected as a percentage of your total workforce:

2024

2023

2022

2021

Has the company experienced a reduction in force with the past two years? *YesNo

Please describe when the RIF(s) occurred and circumstances leading to that action:

When seeking to fill open positions, does the company post job openings internally before posting outside the company? *YesNo

Employee Resources & Benefits

Other

Please explain how the company benchmarks salaries and what data and/or information does the company use to make its analysis. (If applicable)

Does the company provide employees with other, non-salary, non-wage, monetary compensation? This would include bonuses, incentives, profit sharing, etc.? *YesNo

If you answered yes above, please explain.

if you have flyers or other materials promote compensation, please upload these.

No file chosen

Does the company offer paid time off (PTO) with no sick/vacation distinction? For instance, the company has the typical paid time off for vacation and sick in one "bucket" that the employee can use without stating a reason for the leave. *YesNo

Please explain the amount, if it is accrued or given as a lump sum, and how it can be used.

Does the company allow accrued, unused, time to carry over from year-to-year? *YesNo

If you answered yes above, please explain.

Does the company offer a cash buyout to the employee for accrued and unused PTO? Please answer yes or no. *YesNo

If you answered yes above, please explain (optional).

Does the company offer paid vacation leave that is accrued separately from paid sick leave? For instance, the vacation and sick leaves are in two "buckets" and the employee must identify for what purpose the requested leave is being used. *YesNo

Please explain. For instance, the vacation and sick leaves are in two "buckets" and the employee must identify for what purpose the requested leave is being used.

Please explain the amount, if it is accrued or given as a lump sum, and how it can be used.

Does the company allow accrued, unused, time to carry over from year-to-year? Please explain:

Does the company offer a cash buyout to the employee for accrued and unused vacation time? *YesNo

Please explain your answer (optional).

Does the company offer paid sick leave that is accrued separately from paid vacation leave? *YesNo

If you answered yes above, please explain the amount, if it is accrued or given as a lump sum, and how it can be used.

Does the company allow accrued, unused, time to carry over from year-to-year? *YesNo

If you answered yes above, please explain.

Does the company offer paid parental leave for the birth or adoption of children? This leave can run in conjunction with FMLA, but would be designated separately from other paid leave such as sick/vacation/PTO. *YesNo

If you answered yes above, please describe the amount of parental leave offered, who may use it, the circumstances when it can be used, and any caps to how often it may be taken?

Does the company offer paid bereavement leave? *YesNo

How many days of paid bereavement leave are offered for the following:

Immediate Family (spouse, parent, child, grandparent):

Extended Family (aunt, uncle, cousin, etc.):

Does the company offer paid Jury Duty leave? *YesNo

Please explain the Jury Duty policy and whether there are any caps or restrictions.

Does the company offer a financial benefit to employees on military leave? For instance, an allowance provided for a period of time while an employee is serving. *YesNo

If you answered yes above, please explain the military leave policy and whether there are any caps or restrictions.

Does the company offer any other paid leave? *YesNo

If you answered yes above, please explain any other paid leave that is offered and the details of the program.

Does the company promote career development with education or training? E.G., would the company identify an employee for future management and create a mentoring and educational program to develop that skill? This question seeks information about something other than a tuition reimbursement program? *YesNo

If you answered yes above, please explain the career development program(s).

Does the company offer retirement benefits? Check all that apply:

What is the other type of retirement benefit offered:

Please describe the contribution schedule, amounts, and other relevant information for the retirement benefits offered:

Does the company offer a tuition reimbursement program? *YesNo

Please explain the tuition reimbursement program, including when employees can qualify to use it, any restrictions on the type of courses eligible for reimbursement, any caps on the amount of tuition that is reimbursed, and any other relevant details.

Has your company offered any wellness programs in 2018-present? *YesNo

Please describe the wellness programs offered.

Select

What contribution (if any) does the company make toward these accounts?

FSA:

HSA:

Please answer the following questions about Plan One, in a PERCENTAGE of the total premium.

Premium Contribution by Company

Employee Only

Employee + One

Employee + Multiple

Premium Contribution by Employee

Employee Only

Employee + One

Employee + Multiple

Deductible Paid by Employee

Employee Only

Employee + One

Employee + Multiple

Please answer the following questions about Plan Two, in a PERCENTAGE of the total premium.

Premium Contribution by Company

Employee Only

Employee + One

Employee + Multiple

Premium Contribution by Employee

Employee Only

Employee + One

Employee + Multiple

Deductible Paid by Employee

Employee Only

Employee + One

Employee + Multiple

Please answer the following questions about Plan Three in a PERCENTAGE of the total premium.

Premium Contribution by Company

Employee Only

Employee + One

Employee + Multiple

Premium Contribution by Employee

Employee Only

Employee + One

Employee + Multiple

Deductible Paid by Employee

Employee Only

Employee + One

Employee + Multiple

Please answer the following questions about Plan Four in a PERCENTAGE of the total premium.

Premium Contribution by Company

Employee Only

Employee + One

Employee + Multiple

Premium Contribution by Employee

Employee Only

Employee + One

Employee + Multiple

Deductible Paid by Employee

Employee Only

Employee + One

Employee + Multiple

Does the company offer dental insurance? *YesNo

What percentage does the company pay of the dental insurance premium?

Does the company offer vision insurance? *YesNo

What percentage does the company pay of the vision insurance premium?

es the company offer an Employee Assistance Plan (EAP)? *YesNo

Does the company offer employee life insurance? *YesNo

What percentage of the premium is paid (if any) by the company?

Does the company offer disability insurance? *YesNo

What type of disability insurance is offered and what, if any, is the company's contribution to the premium?

Work Environment

Does the company have a break room or designated space for employees to gather to eat or rest? *YesNo

What amenities are in the break room or designated space?

General / Program Management

Does the company have a designated safety committee that conducts regular meetings about company environmental, health, and safety programs and issues. *YesNo

Please provide the job titles of each person on the safety committee and how often the safety committee meets.

Does the company have a general safety policy? If yes, please provide a copy of the policy in the supporting documentation. *YesNo

Has the company been inspected by OSHA in the past five years? *YesNo

Has the company been cited by OSHA for violations occurring in the past three years? *YesNo

If you answered yes above, please provide the first page of your citation to the email below..

jlyman@glga.info

Does the company have a dress code that addresses safety concerns? *YesNo

If you answered yes above, please send the dress code policy to the email below..

jlyman@glga.info

What is the company's Experience Modification Rate?

Injury & Illness

Does the company keep injury and illness records per OSHA requirements?YesNo

If you answered yes above, If yes, please provide the most recent Form 300A summary with your supporting documentation to the email below..

jlyman@glga.info

If you answered no above, please explain why you do not have Form 300A?

Emergency Action

Does the company have a written emergency action plan? *YesNo

If you answered yes above, please send the written plan with your supporting documentation to the email below.

jlyman@glga.info

Powered Industrial Trucks

Do the employees operate powered industrial trucks, i.e.: pallet jacks, fork lifts, roll clamp trucks. *YesNo

How often do these employees receive training? Please provide the training sign in sheet with the supporting documentation.

Are all powered industrial trucks (i.e.: forlifts, pallet jacks, roll clamp trucks) inspected? *YesNo

How frequently are powered industrial trucks inspected? Please provide a checklist with the supporting documentation.

Personal Protective Equipment

Are all of the employees who are engaged in material handling required to wear steel-toed safety shoes? *YesNo

If you answered yes above, please provide the policy that reflects this requirement in the supporting documentation.

No file chosen

Has a personal protective equipment (PPE) hazard assessment been conducted for the company? *YesNo

Does the hazard assessment identify proper personal protective equipment for the employees? Please provide your assessment with the supporting documentation.(*Required) *YesNo

Please provide your assessment with the supporting documentation. (*Required) *

No file chosen

Are employees trained on the proper use and management of personal protective equipment? *YesNo

Please provide your training documents with the supporting documentation.

No file chosen

Hearing Conservation

Is a hearing conservation program required at the facility? *YesNo

If you answered yes above, please describe the program and provide any written details with the supporting documentation. If you answered now above, please explain why the company does not require a hearing conservation program.

First Aid

Has the company determined the amount of time necessary for emergency responders to reach each facility? *YesNo

What is the amount of time necessary for emergency responders to reach each facility? *Under three minutes3-4 minutesMore than four minutesOther:

Other

Does the company have a formal first aid program? *YesNo

If you answered yes above, please provide the policy or training records with the supporting documentation.

No file chosen

Temporary Workers

Does the company use temporary workers on the production floor? *YesNo

Does the company train temporary workers on applicable safety requirements before they begin work? *YesNo

If yes, please provide training information with the supporting documentation.

No file chosen

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GLGA Top Workplaces in the Midwest Submission

Contact Information

Company Information

Communications & Culture

Employee Resources & Benefits

Work Environment

General / Program Management

Injury & Illness

Emergency Action

Powered Industrial Trucks

Personal Protective Equipment

Hearing Conservation

First Aid

Temporary Workers

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