diosh 2006 - DIOSH Day
Transcription
diosh 2006 - DIOSH Day
DIOSH 2006: Safety and Health— Issues and Answers Occupational Safety and Health Administration 2918 Willow Knolls Road, Suite A Peoria, Illinois 61614 dow n s illin oi te a s t 15th Annual Occupational Safety & Health Day DIOSH 2006: Safety and Health— Issues and Answers Wednesday, March 1, 2006 Peoria Civic Center, Peoria, Illinois Breakout Sessions and Workshops DIOSH DAY 2006 DIOSH DAY 2006 — Agenda 7 a.m. Registration Complimentary Refreshments in Exhibit Area 7 a.m. – 3:10 p.m. Exhibit Area Open 8 a.m. – 10:05 a.m. Workshop 1 8 – 8:50 a.m. Breakout Session 1 8:30 a.m. –1 p.m. 9 a.m. 9:15 – 11:20 a.m. 9:15 – 10:05 a.m. 10:30 – 11:20 a.m. Mini Health Fair* Concession Stand Opens Workshop 2 Breakout Session 2 Breakout Session 3 11:20 a.m. – 12:50 p.m. 12:50 – 2:50 p.m. 12:50 – 1:40 p.m. 2 – 2:50 p.m. 3:10 – 4 p.m. Hot Buffet Lunch Workshop 3 Breakout Session 4 Breakout Session 5 Breakout Session 6 Stop by the DIOSH Day Mini Health Fair! This year’s health fair will feature screenings for blood pressure, glucose, body composition, pulmonary lung function, and back/neck pain. Relax with a massage in a special massage chair. Get information on and ask questions about various types of cancer and their prevention. Learn about living and eating healthy. Booths provided by Methodist Wellness Center, Proctor Hospital, Proctor First Care, American Cancer Society, Schelly Chiropractic, and the Coronary Health Improvement Project/Peoria Area Labor Management. 8-10:05 a.m. — Workshop 1 1D/2D How to be Taller, Stronger, Richer and Better Looking! (Part Deux) Leon Platt, MAAC If you aren’t taller, stronger and better balanced by now, then we will try stretching you this time. This highly motivated speaker is back and will address “soft tissue” injuries. He will introduce some hands-on techniques for injury prevention targeting the wrist, shoulder and back. (Workshop 1D/2D) 8-8:50 a.m. Breakout Session 1 (Choose One) 1A OSHA Update John Newquist, OSHA Tim Crouse, Federal OSHA The new Area Director of the Peoria OSHA office will provide an update on the hot topics related to OSHA and downstate Illinois. Included in this session will be an update on whistleblower protection. (Session 1A) 1B Confined Space Entry—Is it Really Necessary? Robert Gonzenbach, IDOL Anthony Gilson, OSHA This presentation will focus on the identification and differentiation between “confined space” and “permit required confined space,” specifically, requirements as set forth in OSHA 29 CFR 1910.146 © (5) and © (7). (Session 1B) 1C Can You Dig It? Call Before You Dig-It’s Free and It’s the Law! Dale Kuhn, JULIE, Inc. Listen to an overview of the Illinois one-call system and a discussion of the Illinois Underground Damage Prevention Act. Normal and emergency locate requests will be discussed as well as recommended excavation practices. Specific examples of poor excavation practices will be presented as well as statistics for the enforcement of the Act and Illinois Commerce Commission. (Session 1C) 9:15 - 11:20 a.m. — Workshop 2 dow n s illin oi te s ta 15th Annual Occupational Safety & Health Day 2 2A/3A Risky Business Mark Briggs, University of Illinois Are you frightened of snakes and spiders lurking in your home, yet willing to light up a cigarette or drive to the corner store without your seat belt? This workshop will focus on the risks that each of us take and how behavior affects choices. Learn to motivate others to assess the true risks of an operation and how to use this information to keep yourself and others safe. (Workshop 2A/3A) 11:20 a.m.-12:50 p.m.— Hot Buffet Lunch 9:15-10:05 a.m. Breakout Session 2 (Choose One) 2B 25 Violations the OSHA Inspectors Did Not Forget! Karl Armstrong, OSHA Brian Bothast, OSHA This session will address 25 different violations that often do not make the list of most commonly violated standards, but would not be overlooked by an OSHA inspector. To learn about these hazards in general industry and construction, you need to attend this session. As a bonus for attending, we may share a few more! (Session 2B) 2C Hot Work — Petroleum Storage Tanks Bill Alderson, Office of the Illinois State Fire Marshal Dale Tanke, Office of the Illinois State Fire Marshal Learn the official regulations to install and maintain underground and aboveground petroleum storage tanks in Illinois. You might think you know it all, but you will more than likely be surprised. (Session 2C) 10:30-11:20 a.m. Breakout Session 3 (Choose One) 3B Healthcare — Breathe Easier Tammy Duvendack, Methodist Medical Center of Illinois This session will include a discussion on OSHA challenges specific to the healthcare arena: Bloodborne Pathogen Standard, TB, Respiratory Hygiene. (Session 3B) 3C Construction Update Rob Bonack, OSHA Tom Bielema, OSHA This session will address the local and national emphasis programs and hot topics for the construction industry. Presenters will highlight upcoming standards, new developments, and answer your burning questions. Come visit us, so we don’t have to visit you. (Session 3C) 3D Daycare or the Park, Is Your Child Playing on Safe Equipment? Tom Kalousek, Winnebago County Forest Preserve District As a safety professional or community leader, have you ever been called upon to assess a community playground for hazards? This session will present an executive overview of the two-day National Playground Safety Institute playground safety certification program. Included will be a brief historical look at playgrounds, current injury data, identification of hazards and the development of an effective program for managing safe, yet challenging playground environments. (Session 3D) 12:50-2:50 p.m. — Workshop 3 4A/5A Know White & the Seven Learners Rita Mosley, DCEO Training is a necessary element in developing and maintaining effective hazard control activities. Adult learning concepts and good design affects the impact of that training. This interactive, participant-centered session offers participants the opportunity to learn about ways to reinforce adult learning so that you get the most from training. At the conclusion of this presentation, you will be able to identify seven ways adults learn and eight creative ways to reinforce learning. (Workshop 4A/5A) 12:50-1:40 p.m. Breakout Session 4 (Choose One) 4B Workplace Drug and Alcohol Abuse Programs Jeff Clark, 2 B Safe Inc Learn what information companies are required to include in a drug and alcohol program. Topics covered include the objective, policy, testing protocol, pre-employment screening, post accident testing, reasonable cause testing, refusal to test, and the handling of negative and positive test results. This session will cover basic requirements for a company procedure and post accident/justifiable cause drug/alcohol testing protocol. (Session 4B) 4C Construction Top 10 Allen Durr, Williams Brothers Construction, Inc. Wes Taylor, OSHA This session will address the top ten OSHA citations for general industry and construction. In addition, the speakers will share local statistics and provide participants with solutions for eliminating and controlling hazards at your worksite. (Session 4C) 4D Stay Fit While You Sit Dr. Laura Schelly, Schelly Chiropractic Why can sitting all day make you tired? Why do computer work stations often cause eye strain and muscle aches? Can technology and humans work in complete harmony? The answer is YES. Through ergonomics, learn how to enhance the efficiency, productivity, safety and health of your work setting. Learn how to stay fit while you sit! (Session 4D) 2-2:50 p.m. Breakout Session 5 (Choose One) 5B Cancer Prevention in the Workplace Dr. William Scott, OSF Healthcare Working environments impact our health. Dr. Scott will discuss potential health hazards, ways to improve our work environment, preventing cancer in the workplace, and keeping workers healthy. (Session 5B) Continued on page 4. 3 Breakout Sessions and Workshops— Presenter Biographies 5C What’s Killing Workers? Nick Walters, OSHA In this session, OSHA representatives will address information about recent workplace fatalities and the results of the OSHA inspections. (Session 5C) Bill Alderson is Field Operations Manager for the Office of the Illinois State Fire Marshal in Springfield, Illinois. He holds a B.S. from Sangamon State University. He formerly worked with the Illinois Department of Transportation as an engineering technician and as a sales representative for Steel Tank Manufacturing. For the past 15 years he has been with the Fire Marshal’s Office regulating underground and aboveground tanks throughout the state of Illinois. Continued from page 3. 5D Surfing the OSHA Website Sue Ellen DeManche, OSHA Brian Bothast, OSHA Learn to navigate the useful information available on the OSHA website. This session will address how to stay updated on new standards, how to access compliance tools, sample programs, and a variety of information that may help you prevent injuries and illnesses. Attending this session could actually help you save time and effort the rest of the year. (Session 5D) 3:10-4 p.m. Breakout Session 6 (Choose One) 6A How to Survive a Safety Audit! (For companies that operate trucks) George Wyness, IDOT This session will offer a discussion on motor carrier safety regulations and what documents are required to be kept on file at a company. If your company owns and/or operates trucks, this will be a very informative fifty minutes. (Session 6A) 6B Lock Out/Tag Out Tom Grey, Human Resources Growth Partners, Inc. You will be guided through meaningful, effective lock-out/tagout training techniques. The light will shine on the best safety practices and change the way your employees approach lock-out/ tag-out procedures. (Session 6B) 6C What Employers Must Know About Multi-Employer Worksites Julie O’Keefe, Armstrong Teasdale, LLP This session explains the responsibilities faced by all employers at work-sites where more than one employer is present. This will be pertinent to both general industry employers who hire contractors to come into the facilities and to all contractors working on construction sites. (Session 6C) 6D Industrial Forklifts Today: A Refresher Look Randy Mahring, Altorfer Rents Get a refresher of today’s regulations, required skills and tips on safety for industrial forklifts. Discussion also includes equipment and personnel issues facing today’s management, anecdotal experiences and helpful tips concerning forklift safety training and enforcement. (Session 6D) Karl Armstrong is a Compliance Officer/Safety Specialist with OSHA at the Peoria area office. In 2003, he joined OSHA after working in the private sector in both construction and industry. He has conducted inspections in a variety of industries, and is experienced in identifying hazards and providing abatement solutions. He is a graduate of Illinois State University with a B.S. in Occupational Safety. Tom Bielema is a 1995 graduate of Purdue University with a B.S. in Environmental Health Science/Industrial Hygiene. He is a Compliance Officer/Industrial Hygienist with the Peoria OSHA office and has conducted inspections in a wide variety of work sites. Rob Bonack is a Compliance Safety and Health Officer with OSHA in Peoria and has conducted inspections in a variety of work sites. He holds a B.S. in Safety, Minor in Environmental Health from Illinois State University, and a B.S. in Professional Aeronautics, Minor in Aviation/ Aerospace Safety from Embry-Riddle Aeronautical University. He is also a safety manger in the Illinois Air National Guard for the 264th Combat Communications Squadron. He served on active duty in the United States Air Force for 10 years prior to joining OSHA. Brian Bothast is a Team Leader with OSHA in Peoria. He has worked for Caterpillar in the Environmental, Health and Safety Department and as an Industrial Hygienist and a Compliance Assistant with OSHA. He has conducted health and safety assessments, training, and hazard evaluations throughout the United States and Europe. He is a 1988 graduate of Illinois State University with a B.S. in Environmental Health. Mark Briggs, CSP, ARM, is Risk Manager for the University of Illinois. With over 20 years of experience in occupational safety and health, he has worked with a variety of companies and organizations to improve employee safety, ensure OSHA compliance, reduce workers compensation, and conduct employee training programs and more. He holds a B.S. in Safety and Accident Prevention. Jeffrey Clark, owner of 2 B Safe, Inc., offers over 20 years of experience in the safety and health fields as well as expertise in the mechanical and construction safety area. He has worked with various industries developing customized safety and health policies and training outlines. He is an authorized OSHA Outreach trainer and conducts contract training throughout many of Illinois’ community colleges. Tim Crouse currently works as a Whistleblower Investigator for Federal OSHA based out of the Peoria area office conducting investigations throughout much of Illinois. Prior to joining OSHA, he spent 15 years with the Indiana OSHA state plan, including four years as an Industrial Hygiene Compliance Officer and Discrimination Investigator, ten years as the Director of Industrial Hygiene Compliance and one year as Acting Deputy Commissioner for IOSHA. He received a B.S. in Public Health from Indiana University and an MBA from Indiana University’s Kelley School of Business. Sue Ellen DeManche is an Industrial Hygienist for OSHA in the Peoria OSHA office. Prior to joining OSHA in 2001, she worked as a consultant in private industry. She received her M.S. in Environmental Health/ Industrial Hygiene from Old Dominion University. 4 Allen Durr is Safety Director for Williams Brothers Construction, Inc. He received a B.S. in Occupational Safety from Illinois State University. He is a certified CPR instructor, certified AED instructor and an OSHA 500 and OSHA 10-Hour certified trainer. He develops and implements safety programs, performs OSHA audits on job sites, and manages all aspects of workers’ compensation. Tammy Duvendack is Director of Outcomes Management for Methodist Medical Center of Illinois. She also teaches part-time at Bradley University in the Department of Nursing. She has a Ph.D in Educational Administration and Foundation Programs, a M.S. in Medical-Surgical Nursing and a B.S. in Nursing from Bradley University. In her current position she is responsible for organizational quality improvement planning and implementation for Methodist Hospital and 30 physician offices. She oversees the patient safety program for the hospital and physician offices and is in charge of the Infection Control and Sterilization Program for the hospital and physician owned offices. Anthony Gilson is an Industrial Hygienist for OSHA. He holds a B.S. in Health Care Services and has completed graduate work in Environmental Health from George Washington University in Washington D.C. He served as an Environmental Health and Safety officer with the United States Navy for 21 years prior to joining OSHA and is certified as a Radiation Health officer. Robert Gonzenbach is an Industrial Services Hygienist with Illinois Department of Labor. He earned a B.S. in Health & Safety Education as well as his Masters in Occupational Safety & Health at Southern Illinois University. He has been in his current position with IDOL since 1990. He is owner of Southern Safety, an occupational safety/health consulting firm. Thomas Grey is a highly skilled trainer and coach in employer and employee development of safety performances. He has over 28 years of hands-on experience as a former plant manager, human resources manger and quality control manager in manufacturing, distribution and trucking industries. His manufacturing experience ranges from automotive, food processing and packaging, consumer products and personal care products. His extensive background, knowledge and expertise solidify his role as Performance Growth Partners, Inc., Safety Practice Leader. Tom Kalousek is the current chair of the National Playground Safety Institute (NPSI), an official certification program of the National Recreation & Park Association. He has over 35 years of experience in the field of Public Parks, Recreation and Natural Resource Management. He is lead instructor with NPSI and serves on the ASTM-F1487 Standards committee that has been developing safety standards for almost 20 years. He is currently the Executive Director of the Winnebago County Forest Preserve District in Rockford, Illinois. Dale Kunz serves as Damage Prevention Manager for JULIE, Inc., the one-call underground excavation services for the state of Illinois. A native of Canton, Illinois, he graduated from Western Illinois University with a B.S. in Education. He also holds a M.S. and M.B.A. Since 1979, he has held a number of field and management positions in the electric and natural gas utility industry. Prior to joining JULIE, Inc., he served as Executive Director of IMUA where he expanded safety related programs for its members. Since joining JULIE, he is actively involved in promoting safe digging practices and educating the public regarding the Illinois Underground Utility Damage Prevention Act. Randy Mahring is an Account Executive/Safety Trainer for Altorfer Rents, The CAT Rental Store. He has a B.A. from University of Iowa. He is a certified safety trainer for all types of aerial platform lifts and is a certified OSHA trainer. He has trained hundreds of operators on forklifts and aerial lifts in Illinois and Iowa and has worked with many of the labor unions. Rita Mosley is a Certified Hazard Control Manager, a Certified Safety Professional, and holds a M.S. in Communication and Training. She has been employed for the past 25 years with the Illinois Onsite Safety & Health Consultation Program and is currently Manager of Training and Promotions. Prior to the consultation program, she spent 13 years in private industry as a personnel manager and safety director in the metal fabricating industry. John Newquist has a B.S. in Fire Protection and Safety Engineering from the Illinois Institute of Technology and a Masters of Science in Industrial Management from Northern Illinois University. He is a Certified Safety Professional and a Certified Fire Inspector. He has taught hundreds of safety seminars across the country including for the Associated General Contractors, Construction Safety Conference, American Society of Safety Engineers, Building Trade Councils, and the OSHA Training Institute. He has worked for OSHA since 1983 and presently is the Area Director of the Peoria Area Office. Julie O’Keefe is a partner in the law firm of Armstrong, Teasdale, LLP out of St. Louis. She is a graduate of Illinois State University and St. Louis University Law School. Her focus practice is in the areas of OSHA, environmental, regulatory, labor and construction law. She has represented employers and corporations throughout the country. She is a member of the Missouri Bar, US District Court, Eastern District of Missouri, Illinois State Bar Association and she is a frequent presenter for various trade associations and industry groups concerning OSHA and environmental issues. Leon Platt is Safety Director for MACC Safety Inc. He has a B.S. in Speech Therapy from the University of Washington and a B.S. in Physical Therapy from the University of Alaska. He is a member of the ASSE, a member of the AGC of Illinois, and a member of the International Association of Aggregate Producers Safety Committee. He is responsible for implementing the Injury Prevention Process for MACC. Dr. Laura Schelly is a graduate of Illinois Central College and Bradley University. She did her graduate studies at National College of Chiropractic. She has a B.S. in Human Biology and is a Doctor of Chiropractic. Dr. Shelly is a member of the Illinois Chiropractic Society, the Illinois Prairie State Chiropractic Association and was a “40 Leaders Under 40” award recipient in 1995. Dr. William S. Scott is the Medical Director for the Center of Occupational Health at OSF St. Francis Medical Center. Prior to this position, he worked in similar clinics at the University of Oklahoma and Carle Clinic in Urbana, Illinois. He has worked the past 14 years as a specialist in Occupational and Environmental Medicine. Dale Tanke is a Storage Tank Safety Engineer with the Office of the Illinois State Fire Marshal. He holds a B.S. in Civil Engineering from Southern Illinois University in Carbondale. He has worked for the State of Illinois in various capacities for over 26 years. He has been with the State Fire Marshal’s office as a Storage Tank Safety Engineer for the past 16 years. Wes Taylor is a Compliance Assistance Specialist in the Fairview Heights District Office of OSHA. He has previous experience in both the military as a nuclear weapons and explosives safety supervisor as well as the private sector. He has worked for OSHA since 1975. Nick Walters is a Compliance Officer/Safety Specialist for OSHA in the Peoria office. He joined OSHA in 1992 and has conducted numerous inspections in a variety of workplaces. He is a graduate of Northern Illinois University with a B.S. in Industrial Technology/Safety. George Wyness is a graduate of McKendree College in Lebanon, Illinois. After working in both the private and public employment sectors he began his career with the Illinois Department of Transportation, Division of Traffic Safety. As a Compliance Specialist, he is responsible for administering the provisions of the Illinois Motor Carrier Safety and Hazardous Materials Regulations. 5 dow n s illin oi te s ta 15th Annual Occupational Safety & Health Day DIOSH Day DIOSH Day is for employers, employees, and all others interested in safety and health. Experts in the field will present a program on the most current issues in safety and health today. Many governmental agencies will have booths in the exhibit area. This is a great opportunity to get your workplace safety questions answered in a neutral setting. Exhibit Area Take advantage of this opportunity to network with hundreds of other safety professionals and learn about resources available to downstate Illinois businesses and employers. In addition to governmental and nonprofit organizations, more than 40 other exhibitors will demonstrate many useful and innovative products and services to help accomplish your safety and health goals–and you can get your questions answered on the spot by knowledgeable company representatives. Be sure to bring plenty of business cards to network within the local safety and health community. Exhibit Area Hours: 7 a.m.- 3:10 p.m. Sponsors American Industrial Hygiene Association, Prairie Section • American Society of Safety Engineers, Central Illinois Chapter • Employers’ Association • Greater Peoria Contractors & Suppliers Association, Inc. • Illinois Department of Labor, Division of Safety Inspection & Education • United States Occupational Safety and Health Administration, Peoria Area Office • Tri-County Construction Labor-Management Council In Cooperation with: Air and Waste Management Association • Associated General Contractors of Illinois • Central Illinois Builders of AGC • Central Illinois Chapter, National Electrical Contractors Association • Central Illinois Chapter of SMACNA • Central Illinois Mason Contractors Association • East Peoria Chamber of Commerce and Tourism • Grain and Feed Association of Illinois • Illinois Association of Environmental Service Companies • Illinois Association of Occupational Health Nurses • Illinois Association of Plumbing, Heating and Cooling Contractors • Illinois Central College/Professional Development Institute • Illinois Chapter, National Electrical Contractors Association • Illinois Department of Commerce and Economic Opportunity • Illinois Fertilizer and Chemical Association • Illinois Manufacturers Association • Illinois Safety Council • Illinois SMACNA • Illinois Society of Professional Farm Managers and Rural Appraisers • Illinois State University, Department of Health Sciences • McLean County Chamber of Commerce • Mechanical Contractors of Central Illinois • Mid-Illini Mechanical Contractors • National Safety Council • Northern Illinois University, College of Engineering and Engineering Technology • Northern Illinois University, Department of Environmental Health and Safety • On-Site Safety and Health Consultation Program, DCEO-OSF (Saint Francis Health Services, Saint James Hospital, Saint Mary’s Hospital, Saint Joseph’s Occupational Health Center) • Peoria Area Chamber of Commerce • Prairie Branch Chapter, APWA • Quad City Chapter, National Electrical Contractors Association • Quad City Chapter, ASSE-Southern Illinois Builders Association • Springfield and Vicinity Sheet Metal Contractors Association • The National Safety Education Center (Northern Illinois University) • University of Illinois Waste Worker Training Program • West Central Illinois Building and Construction Trades Council 6 7 2A/3A Risky Business Mark Briggs, University of Illinois Workshop 2 2C Hot Work Bill Alderson, Office of the Illinois State Fire Marshal Dale Tanke, Office of the Illinois State Fire Marshal 3C Construction Update Rob Bonack, OSHA Tom Bielema, OSHA 2B 25 Violations Karl Armstrong, OSHA Brian Bothast, OSHA 3B Healthcare Tammy Duvendack, RN, PhD, Methodist Medical Center of Illinois 3:10 pm - 4:00 pm Breakout Session 6 2:00 pm - 2:50 pm Breakout Session 5 12:50 pm - 1:40 pm Breakout Session 4 5B Cancer Prevention in the Workplace William Scott, MD, OSF Healthcare 6A How to Survive a Safety Audit! 6B Lock Out/Tag Out Tom Grey, Performance Growth (For companies that operate Partners, Inc. trucks) George Wyness, IDOT 4A/5A Know White & the Seven Learners Rita Mosley, DCEO Workshop 3 4B Workplace Drug & Alcohol Abuse Programs Jeff Clark, 2 B Safe, Inc. 6C Multi-Employer Worksites Julie O’Keefe, Armstrong, Teasdale, LLP 5C What’s Killing Workers? Nick Walters, OSHA 4C How to Beat OSHA’s Top 10 Allen Durr, Williams Brothers Construction Wes Taylor, OSHA 11:20 am - 12:50 pm Hot Buffet Lunch, Hall C—Exhibit Area Open, Hall C—Mini Health Fair Open, Hall C 10:30 am - 11:20 am Breakout Session 3 9:15 am - 10:05 am Breakout Session 2 8:00 am - 8:50 am Breakout Session 1 1C Can You Dig It? Call Before You Dig—It’s Free and It’s the Law! Dale Kuhn, JULIE, Inc. Mini Health Fair, Hall C 8:30 am - 1:00 pm 1B Confined Space Entry—Is it Really Necessary? Tony Gilson, OSHA Robert Gonzenbach, DOL Exhibit Area Open, Hall C 7:00 am - 3:10 pm 1A OSHA Update John Newquist, OSHA Registration Open, Exhibit Hall C — Complimentary Refreshments Available ACTIVITY 7:00 am TIME DIOSH DAY 2006 6D Fork Trucks/Material Handling Randy Mahring, Altorfer Inc. 5D Surfing the OSHA Website SueEllen DeManche, OSHA Brian Bothast, OSHA 4D Stay Fit While You Sit Laura Schelley, DC, Schelley Chiropractic 3D Playground, Park Safety Tom Kalousek, Winnebago County Forest Preserve District 1D/2D How to be Taller, Stronger, Richer and Better Looking! (Part Deux) Leon Platt, MAAC Workshop 1 SCHEDULE Take advantage of this opportunity to network with hundreds of other safety professionals and learn about resources available to downstate Illinois businesses and employers. In addition to governmental and nonprofit organizations, more than 40 other exhibitors will demonstrate many useful and innovative products and services to help accomplish your safety and health goals–and you can get your questions answered on the spot by knowledgeable company representatives. Be sure to bring plenty of business cards to network within the local safety and health community. Exhibit A rea H ours : 7 a . m.-3:15 p . m. (Closed during Welcome and Opening Remarks) Early registration is encouraged, but on-site registration is available. Take advantage of a $50 discount for reservations made by February 22. Fees must be paid by cash, check, or credit card (MasterCard or Visa) at the time of registration. Reservations are transferable but not refundable. Confirmation and check-in information will be faxed to each individual registrant, so it is imperative that you provide a fax number. Reservations should be addressed to DIOSH Day and are accepted in the following manner: • By fax (with MasterCard or Visa) to: 309-637-3300 • By mail (with check* or MasterCard or Visa) to: 401 NE Jefferson Avenue, Peoria, IL 61603 • In person (with cash, check*, or MasterCard or Visa) at: 401 NE Jefferson Avenue, Peoria, IL 61603 *Make checks payable to DIOSH Day. For more information visit our website at www.DIOSHDay.com or call 1-877-DIOSH-DAY (346-7432). If special accommodations are needed, please notify the DIOSH registrar in advance. form n s illin oi te s ta dow R egistration 15th Annual 15th A nnual D ownstate I llinois O ccupational S afety and H ealth D ay Occupational Safety W ednesday , M arch 1, 2006 & Health Day Only one registrant per form; photocopy form for additional registrants. Please check one box: ___ Full Registration. Fee: $100 per person ($150 after February 22)—Includes morning refreshments, mini health fair, choice of break-out sessions, handouts, entrance to the exhibit hall, and hot buffet lunch. ____ Full Registration for Full-time Students. ____ Trade Show only. Fee: $10 per person Fee: $35 per person—Includes morning refreshments, Mini Health Fair, choice of breakout sessions, handouts, entrance to the exhibit hall, and hot buffet lunch. Please provide the following information. We must have your fax number in order to send confirmation and check-in information. Please print legibly. Name______________________________________________________________________________________________________ Title______________________________________________________________________________________________________ Company__________________________________________________________________________________________________ Street_____________________________________________________________________________________________________ City_________________________________________________________State __________________ Zip _______________ Phone (____)__________________ Fax (____)_____________________ E-MAIL ___________________________________ ___ MasterCard ___Visa Account #_________________________________________________ Exp. Date _____________ Cardholder’s Name _________________________________________Signature _______________________________________ Please indicate at right each breakout session you plan to attend by circling your choice next to each session. This information will be used strictly to assist in advance planning for determining classroom size and reproducing handout material. Handout materials may be limited. You will not be held to attend the session you indicated; you may change your mind at any time. CEUs available from Illinois Central College. 11/05 32559 8.5M Session 1: Session 2: Session 3: Session 4: Session 5: Session 6: 1A 2A/3A Workshop 2 4A/5A Workshop 3 6A 1B 2B 3B 4B 5B 6B 1C 2C 3C 4C 5C 6C 1D/2D Workshop 1 3D 4D 5D 6D
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