Safety-Aware 2026 Registration

Event Name *

Event Date (First Choice) *

Event Date (Second Choice) *

Event Date (Third Choice) *

*Make sure the event date is at least one month away from the registration date
*There's no guarantee the date you prefer is available. Safetyware team will contact you for date confirmation.

Time Slots *

Company Name *

Address (Line 1) *

Address (Line 2)

City *

State *

Zip *

Country *

Your Name (PIC) *

Job Position *

Write in full (eg. Safety Officer, Head of HSE, HSE Executive, etc.)

Phone Number *

Your Email *

Which of the following services do you need for the event? *

Safety Talks

Products Demonstration

Mini Games

Safety Talks topics

Respirator fit testing & selection

Hazard assessment for correct glove selection

Types of safety shoes and their applications

Importance of using safety cutters correctly

Others (we will contact you for the topic you prefers

Choose maximum of 2 topics

What hazards do you need protection in your facility.

eg. Chemical Protection, Hand Protection, Hearing Protection, Foot Protection, etc.

Mini Games

Find the Prize – Anti-Cut Gloves Challenge

Test Your Reaction – Custom Interactive Module

Let’s Build It – Safety Helmet Assembly Challenge

Safety Quiz – General Safety Knowledge Assessment

Choose maximum of 2 games

For the Safety Talk, does the room have a projector, screen, and sound system? *

Yes

No

Not Applicable

Are there accessible power points near the booth area? *

Yes

No

Not Applicable

Safety Quiz requires power outlet

Can we do a site visit and setup a day earlier before the event? *

Yes

No

Do our team vehicles require pre-registration or a gate pass? *

Yes

No

If the event is not on the Ground Floor, is there a service lift available for our equipment? *

Yes

No

Not Applicable

Campaign *

About Safety-Aware

Safety-Aware Registration

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