BRITISH COLUMBIAMINE SAFETY AWARDSUnderground Mine Awards

Application Form

This year’s awards will be presented at either the

Safety Awards Banquet or a combined

Provincial Mine Rescue & First Aid Competition

&Safety Awards Banquet

We hope you will join us and others from industry as we celebrate your success in safety, the team effort of your employees and the success of those involved in mine rescue thoughout the province.

Each safety award-winning mine will receive three (3) free awards banquet tickets, one for each of the two OHSC Co-chairs and one for the Mine Manager. The award winners will be finalized by April. Should a mine win an award, up to three (3) pre-purchased banquet tickets will be refunded.

We also invite and encourage your attendance at the Provincial Mine Rescue and First Aid Competition to support the teams while enhancing your knowledge about mine rescue . The competition will be held the second Saturday in June from 8 a.m.–4 p.m. in a BC community.

For banquet information, visit www.minesafetyawards.gov.bc.ca

Eligibility and Rules

All permitted mines in B.C. which have accumulated a minimum of 20,000 worker hours (including supervisory and contractor hours), one-third of which are underground, and have no fatalities in the competition year are eligible for the awards. In addition, the property must have operated for at least nine (9) months during the competition year.

At the Chief Inspector of Mines’ discretion, awards will be given to those eligible underground mines which have the lowest injury-frequency rate in the competition period.

Other factors that will be considered in adjudicating awards are lost-time accident frequency rates for the two most recent consecu-tive years and a comparison to the industry average.*

*Industry average is determined by WorkSafeBC’s estimated injury rates. Injury rate is defined by WorkSafeBC as the number of short-term disability claims per 100 person years of WorkSafeBC covered employment. Person years as defined by WorkSafeBC is one year of work in the given industry by one person.

For more information on the application process, eligibility requirements and application criteria, please visit www.minesafetyawards.gov.bc.ca

British Columbia Mine Safety AwardsOffice of the Chief Inspector of Mines

Province of British Columbia

PO Box 9320 Stn Prov GovtVictoria, BC V8W 9N3 Fax: (250) 952-0491

Mine.Safety@gov.bc.ca

Questions?

In 1951 the Small Underground Mine Award was established to recognize safety excellence in small mines. The Large Underground Mine Award was introduced in 2010.

Award application deadline is February 1st.

UNDERGROUND MINE AWARDSAPPLICATION FORM

Return by February1st

Mine Name: Company Name:(as it will appear on award)

Mine Manager’s Name: Mine Manager’s e-mail:

Mailing Address:

Contact Person: Contact e-mail:

Telephone: Fax:

Lost -Time Accident ReportFor complete eligibility requirements and rules, visit www.minesafetyawards.gov.bc.ca

20____ 20____Underground, total #of worker hours(includes supervision and contractor hours)

Surface, total # of worker hours(includes supervision and contractor hours)

Total # of worker hours workedPercentage of worker hours undergroundTotal # of lost-time accidents(Where compensation was paid to the worker)

Total # of lost calendar days due to accidentsTotal # of fatal accidentsLost-time accident frequency rate, Number of lost-time accidents x 200,000 = Number of hours worked

Certification

We, the under-noted company, submit the following in respect to our lost-time accident records as of December 31, 20____, believing it to be a true and accurate statement.

Mine Manager

Name: Signature Date

Please submit award application forms by February 1st

British Columbia Mine Safety Awards

Office of the Chief Inspector of Mines

Province of British Columbia

PO Box 9320 Stn Prov GovtVictoria, BC V8W 9N3

Fax: (250) 952-0491Mine.Safety@gov.bc.ca

Awards Categories

Small and Large Underground Mine Awards

These awards recognize the dedication of industry, unions and workers who are committed to maintaining a high level of health and safety at B.C. mines.

The awards are presented annually by the Chief Inspector of Mines to underground mines for their safety accomplishments in the previous calendar year.

Please check one:

Small Underground Mine Award 10–100 employees or 20,000–240,000 worker hours (2,500–30,000 person shift equivalents) Large Underground Mine Award more than 240,000 worker hours (30,000 person shift equivalents)

Award winners will be requested to submit pictures of the mine site and/or OHS Committee, and information regarding the mine to be showcased at the awards banquet.

For more information on the application process, eligibility requirements and application criteria, please visit www.minesafetyawards.gov.bc.ca