SWANA awarded the City of San Antonio, Solid Waste Management Department (SWMD) for the 2019 Best Safety Innovation award. As a department consisting of 725 municipal employees with a constant high-risk exposure serving more than 355,000 households weekly, SWMD was selected by its city manager to fully implement a Safety Management System (SMS) that challenged convention, created synergy, and engaged employees at all levels and functions. These efforts reduced accidents by 47%, and injuries by 50%, with a lost-work day-rate reduction of 28%.