Okaloosa County BOCC — April 7, 2015 — S&S CEO Certification form Info S&S-20

2012 Safety and Security Reporting Manual Safety and Security Chief Executive Officer Certification form (S&S-20) Overview At the end of the calendar year, each transit agency, except those with an approved Small Systems Waiver, Natural Disaster Waiver, Planning Grants Waiver or Capital Grants Waiver, is required to submit a Safety and Security Chief Executive Officer (CEO) Certification form (S&S-20). This form automatically tallies the number of incidents, injuries and fatalities that your agency reported on S&S-40 forms and the number of incidents and injuries on the S&S-50 forms. By completing the S&S-20, you are attesting that this Safety and Security data is accurate. Only the CEOxxxx user name can submit the S&S-20, which is due at the end of February of the following calendar year. th The system automatically generates the S&S-20 form after January 15 to prevent agencies from inadvertently submitting the form prior to the end of the current reporting calendar year. NTD provides two reports to assist you in preparing to submit the S&S-20:  The Minor Incidents Summary by mode / service report  The Major Incidents Summary by mode / service report You can access these reports via the Reports tab. What has changed from Prior Year 1. No changes. Step-by-step Instructions Completing the Safety and Security CEO Certification form (S&S-20) 1. Log in with the CEO username and password. Safety and Security Chief Executive Officer Certification form (S&S-20) 32