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d o w n s t a t e i l l i n o i s Occupational Safety & Health Day Occupational Safety & Health Day DIOSH DAY 2015 Wednesday, March 4, 2015 Peoria Civic Center, Peoria, Illinois Occupational Safety and Health Administration 1320 W. Commerce Drive, Suite 800 Peoria, Illinois 61615 24 th Annual
Transcript
Page 1: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

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Occupational Safety & Health Day

Occupational Safety& Health Day

DIOSH DAY2015

Wednesday, March 4, 2015Peoria Civic Center, Peoria, Illinois

Occupational Safety and Health Administration1320 W. Commerce Drive, Suite 800

Peoria, Illinois 61615

24th Annual

Page 2: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

DIOSH Day 20152

DIOSH DAY 2015— Agenda

7:00 a.m. Registration Complimentary Refreshments in Exhibit Area7:00 – 1:30 p.m. Mini Health Fair7:00 – 2:35 p.m. Exhibit Area Open9:00 – 2:00 p.m. Concession Stand8:00 - 8:50 a.m. Breakout Session 19:15 - 11:20 a.m. AM Workshop 9:15 - 10:05 a.m. Breakout Session 2 10:30 - 11:20 a.m. Breakout Session 3 11:20 - 12:40 p.m. Hot Buffet Lunch12:10 p.m. Presentation of Governor’s Award12:40 - 1:30 p.m. Breakout Session 41:50 - 2:40 p.m Breakout Session 5 2:55 - 3:45 p.m. Breakout Session 6

DIOSH Day Mini Health Fair

Breakout SessionsDIOSH DAY 2015

1A OSHA Update - Room 222Nick Walters, OSHA and Tom Bielema, OSHA This session will provide participants information on activities at the Occupational Safety and Health Administration. The presenters will discuss national, regional and local issues along with answering questions.

1B Personal Productivity – Room 401Marvis Meyers, AAIM-Employers’ AssociationDo you have too much to do? Do you feel overwhelmed by the non-stop flood of emails, voicemails, meetings and interruptions? Are you paralyzed by the piles on your desk? Learn how to organize your work area, set priorities, organize your day, deal with interruptions, and combat procrastination and perfectionism. You’ll leave with a lot of simple, but powerful time-saving tips--and a way to reduce your stress.

1C Effective Safety Teams – Room 220Tom Grey, Grey & AssociatesA safety and health team is a group that aids and advises both management and employees on matters of safety and health pertaining to plant or company operations. An effective safety team promotes safety and health attitudes for all, helps spot and correct hazards and unsafe business practices, reviews accident trends, helps educate members in safety work, promotes better relations between management and employees and has a positive effect on absenteeism rates. This program will teach you how to form safety teams as well as how to set and meet the team’s goals.

1D Electrical Myths & Wizardry – Room 135-136Bob LoMastro, The Safety WizardThis session explores the mysteries of electricity in a way you’ll never forget. The debunked myths and mysteries are then related to the safety requirements (OSHA & NFPA Standards) in Bob’s “the Safety Wizard” unique way. Witness the resulting arcs and sparks created when we use improper tools, equipment or approach distances. Recognize the “why” of electrical rules & regulations through stunning dramatic demonstrations and videos of electrical faults and fires.

7:00 a.m. – 1:30 p.m. in Exhibit Hall C

Breakout Session 1 • 8:00 - 8:50 a.m.

Breakout Session 2 • 9:15 - 10:05 a.m.2A Implementing Heat and Cold Programs – Room 222Justin Sternes, OSHADo you really need to include heat and cold exposure as part of your safety and health program? This session will ensure partici-pants are familiar with OSHA’s enforcement action for hazards from the elements. If your employees work outside a climate controlled office, then this session is for you.

2B Air Regulation Update – Room 401Michael Liebert, Trinity ConsultantsThis session will be an update to the current National Ambient Air Quality Standards and status of the areas of the state of Illinois with regard to these standards. The presentation will also touch on new environmental rules both on a Federal level and within the state of Illinois.

Page 3: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

3DIOSH Day 2015

11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety

Breakout Session 3 • 10:30 - 11:20 a.m.

Breakout Session 4 • 12:40 - 1:30 p.m.

2D/3D Advanced Electrical (NFPA 70E Arc Blast) – Room 135-136Bob LoMastro, The Safety WizardThis dynamic session is designed to update safety and commit-tee personnel on the Electrical Safe Work Practices in the NFPA 70 2015 standard. The new version contains significant chang-es in safety programs, hazard assessments, training require-ments and PPE selection. The session explores the changes and how implementing them can improve worker safety.

3A OSHA Emphasis Programs for Safety Hazards – Room 222Mark Rzasa, OSHAMark will address the OSHA emphasis programs for a variety of safety hazards. This session will address amputation, fall, tree trim-ming, powered industrial vehicles, building renovation and more. Mark will provide will provide insight into the questions OSHA in-spectors are going to ask and ensure you are aware of the controls OSHA expects to be in place.

3B OSHA Emphasis Programs for Health Hazards – Room 401Ed Marshall, OSHAEd will address the OSHA emphasis programs for a variety of health hazards. The topics will include the new emphasis program for carbon monoxide and isocyanates. Ed will also discuss OSHAs emphasis programs on lead, silica, hexavalent chrome, and other health hazards.

3C The 2011 “Reforms” of Work Comp in Illinois…What happened? Where are we now? – Room 220Adam Haight, IWIRCThe changes enacted to the Illinois workers’ compensation arena in 2011 were drastic to many, beneficial to some, and devastat-ing to others. So where do you fit? Have you noticed a change at all or even a little? If you had a voice, what would you like to see changed? In this presentation we’ll explore some of the major changes that took place in 2011, what has transpired since then, and where we can go from here to continue to improve the work comp landscape in Illinois.

4A OSHA Recordkeeping and Reporting – Room 222Trish Rankin, OSHAThis session will address the new OSHA recordkeeping and reporting requirements along with a question and answer session to ensure you are recording items in accordance with the standard. If you want to learn about the new reporting requirements or need a refresher, then this is the session for you.

2C What is Safety and How Do You Teach it? – Room 220Ed Dorner, American Society of Safety EngineersIn the early 1970s the safety staff began work on a safety model. This evolved into a working model that became the basis for course development for the new major in safety. This session will explore the origins of safety in the industrial setting and how teaching requirements and regulations have evolved.

Breakout Session 5 • 1:50 - 2:40 p.m.5A Improving your Lockout and Confined Space Entry Program – Room 222Brian Bothast, OSHAOSHA often finds violations with employer’s lockout and con-fined space entry programs. Brian will take you through common violations within these standards. If you want to know when will OSHA apply the lockout standard or you are not sure if you have a confined space, a non-permit space or a space that can be entered under the alternate procedures, then this is the session for you.

5B Zero Waste Program – Room 401Shantanu Pai, ISTCIn this session, Shantanu will talk about program services, including Enhanced Waste Audits, Waste Management Planning, Stakeholder Engagement, Technical Assistance, and Developing New Recycling Markets. The mission is to be a resource for innovative disposal and reuse of materials.

5C Qualitative Fit Testing of Respirators – Room 220Don Garvey, 3MFit-testing of tight-fitting respirator users is required by US OSHA prior to first use of the respirator. However, fit-testing is also an excellent opportunity to reinforce respirator training, demonstrate to the worker the importance of proper donning of the respirator and that a properly used and fitted respirator will provide protec-tion against airborne contaminants. This presentation will discuss qualitative fit-testing using the saccharine or Bitrex procedures and how it can be part of creating an effective respirator program.

4B Temporary Worker Initiative – Room 401Brandy Lozosky, Illinois Department of LaborIn this session, we will address the question: who is responsible for the safety and health of temporary workers? This session focuses on the employer’s responsibility to protect temporary workers. We’ll provide a clear understanding of both the host employer’s and the staffing agencies role in complying with workplace health and safety requirements.

4C Current Issues in Hearing Loss Prevention – Room 220Lee Hager, 3MAfter 40 years of federal regulation, noise-exposed workers continue to lose hearing in “compliant” hearing conservation programs. This presentation will address the issues that underlie this situation, and will focus on new regulations, approaches, and technologies designed and intended to improve hearing conservation program performance.

4D Concussions in the Workplace – Room 135-136Josh Ice, NovaCare RehabilitationIn this session, Josh will share best practices to identify when medical attention is needed.Understanding conditions and warning signs can save lives. According to OSHA’s $afety Pays Program, a Concussion costs an employer $71,777 in direct cost and $78, 954 in indirect costs. Return to Work considerations are important for the employee to make a full recovery and include repeated evaluation and restricted work activities.

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4 DIOSH Day 2015

PresenterBiographies

Breakout Session 6 • 2:55 - 3:45 p.m.

6A Hazard Communication – Room 222Joneen McElligott, OSHAIs your facility ready to meet the hazard communication standard requirements that take effect in 2015? This presentation will ad-dress the new training requirements; changes to the safety data sheet elements, address the new labelling requirements, and ensure participants are familiar with the timeline for implementing the changes.

6B Dealing with Difficult People – Room 401Rob Burns, AAIM-Employers’ AssociationWhen something happens in the workplace that “bugs” us, we often react towards an individual and may even label them as “diffi-cult”. The reality is we are reacting to behaviors and not the people themselves. Learn about the 10 most common non-productive behavior s in the workplace and what to do about them.

6C The Importance of Ergonomics in the Industrial Setting – Room 220Brent Bowers, Deere and CompanyErgonomics is about fitting the job demands to the worker capabil-ity. Implementing a systematic ergonomics program will benefit your business in many ways. You will learn how to reduce work-re-lated musculoskeletal disorders through implementation of ergo-nomics principles and practices. You will also learn how to increase worker productivity, efficiency, and comfort. In this presentation, you will also understand how to measure the maturity of your er-gonomics program and some strategies for making improvements.

6D What is ISO 45001 and How Will it Affect My Current Safety System? – Room 135-136Jason Zotz, Falcon Safety GroupAn ISO supported standard for safety management is finally be-coming a reality. This creates many questions for the work site. How will this affect my current safety management system? Will OHSAS 18001 continue to exist? How will this integrate with ISO 9000 and ISO 14000? All of these questions and more will be answered.

Tom Bielema is the Area Director for the OSHA offices in Peoria and Fairview Heights. He joined OSHA in 1995 and has worked as an Assistant Area Director and Industrial Hygienist. He has also worked as a Safety Director in private industry. Tom is a 1995 graduate of Purdue University with a B.S. in Environmental Health Science/Industrial Hygiene

Brian Bothast is a Lead Safety and Occupational Health Specialist with the Occupational Safety and Health Administration (OSHA) in Peoria, Illinois. He has worked for Caterpillar in the Environmental, Health, and Safety Department and as a Compliance Assistance Specialist and Industrial Hygienist with OSHA. He is a 1988 graduate of Illinois State University with a B.S. in Environmental Health.

Brent Bowers is the Enterprise Ergonomics Program Manager for John Deere. He focuses on engaging engineering disciplines in the establishment of proactive programs, guidelines, and activities to further ergonomics at John Deere. Prior to his work for Deere, Mr. Bow-ers worked in the automotive industry, in semiconductor equipment manufacturing, and on contracts for the Department of Energy and Department of Defense. Mr. Bowers was a NIOSH Fellowship Recipient while completing a Master of Science degree at the University of Utah in Ergonomics and Safety, and has a Bachelor of Science in Mechanical Engineering from the University of Idaho. Mr. Bowers has been an ac-tive member of the American Society of Safety Engineers since 1997.

Rob Burn SPHR brings over twenty years of experience in manage-ment and human resources from the service and industrial sectors. He earned his Masters’ Degree in Business Administration (MBA) from Mor-ris Graduate School of Management, Peoria Campus and his Bachelor’s Degree in Psychology from Illinois State University in Normal, IL. He joined AAIM Employers’ Association in 2010 as HR Practice Leader in Illinois which includes: HR Outsourcing, strategic planning, surveys, AAP’s, HR Assessments, coaching and aligning HR departments with the overall objectives of the organization. He specializes in helping companies utilize their Human Resource capabilities to solve complex problems in a practical manner.

Deputy Chief Michael Claver has over 40 years of experience in the field of Disaster Preparedness and Emergency Management. He recently retired from State Farm Insurance where he was Emergency Operations Manager. During his State Farm career, he supported the company’s response to natural disasters around the country, events of terrorism, and pandemics. He is certified by FEMA as a Unified Com-mand Instructor, Post Earthquake Inspector, and credentialed in the National Incident Management System (NIMS).

Dr. Edmund Dorner taught industrial safety at Illinois State University for 20+ years. He earned his Ph.D. at the University of Illinois. Dr. Dorner is a board Certified Safety Professional by exam and has held that designation for 39 years. He has frequently served on committees for the American Society of Safety Engineers and chaired several of those committees.

Don Garvey, CIH, CSP is an industrial hygienist with the 3M Personal Safety Division in St. Paul, MN and is the construction technical spe-cialist. Prior to 3M, Don was the construction industrial hygienist for The St. Paul Companies. Don has a Master’s degree in environmental health from the University of Washington, Seattle, WA. He is a past chair of the American Industrial Hygiene Association Construction Committee and is a Fellow of the Association. He has published several articles in Professional Safety and is author of the industrial hygiene chapter in the ASSE’s recently published Construction Safety Manage-ment and Engineering 2nd Ed.

Tom Grey is President of Grey and Associates. He 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 manager, and quality control manager in manufacturing, distribution, and trucking industries. His manufacturing experience ranges from automotive, food processing and packaging to consumer products and personal care products. He has been trained in the STOP program, Key Concept to Safety Program, OSHA Outreach, and more.

5D Emergency Preparedness and Emergency Management – Room 135-136Mike Claver, Retired (State Farm)Deputy Chief Claver will be discussing various aspects of prepared-ness and the importance of planning including establishing Public/Private Partnerships, understanding the NIMS structure and the certification process, as well as the importance of personal pre-paredness and being self-sustaining for up to 21 days. Additional topics will include vulnerability assessments and business continu-ity plans and what they can do for your business, understanding how all disasters are local and the competition for resources will be intense, and also understanding the human stresses of prepared-ness and emergency management.

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5DIOSH Day 2015

Adam Haight has lived in the Peoria area since 2005. After graduating from Wartburg College in Iowa with a Bachelor’s Degree in Public Rela-tions, he worked in the Admissions office at Bradley University before starting at IWIRC in March 2008. Adam’s strengths in public speaking and networking have served him well in his position as Director of Business Development. “I have the opportunity to interact with new people every day and to continue to build relationships with existing clients, many of whom have been established since IWIRC opened their doors in 2003. I love working with new companies to ensure that their employees receive the best occupational health services available here at IWIRC.”

Lee Hager brings over 25 years of experience to his position as Hearing Conservation and Detection Specialist for 3M, including consultation with Fortune 50 companies on hearing conservation program effectiveness. He is a certified occupational hearing conservationist (COHC) and has served as chair of the Council for Accreditation in Occupational Hearing Conservation (CAOHC), president of the National Hearing Conservation Association (NHCA), and chair of the Noise Committee and Fellow of the American Industrial Hygiene Association (AIHA). In his role with 3M, he provides technical support on hearing protection issues and hearing protector fit testing, training in hearing loss prevention, support for communication in noise via 3M Peltor technologies, and support for 3M Detection noise, heat stress, and environmental air quality monitoring. He publishes regularly and presents internationally on noise and hearing issues. Most of all, he cares about your ears.

Joshua Ice of NovaCare Rehabilitation is the WorkStrategies Manager for Southern Illinois and Southeast Missouri. He specializes in the treatment of orthopedic injuries of the knee, shoulder and ankle, and is a Certified Ergonomics Assessment Specialist trained from the Back School of Atlanta in 2006. Joshua earned a Bachelor’s Degree with Athletic Training Specialization in 1999 from Southern Illinois University. He is certified in first aide/CPR, first responder/emergency medicine. Josh serves employers providing services to Illinois & Missouri employers that include: Early Intervention/Onsite Triage, WorkRisk/Ergonomic Assessments, WorkTask/Job Analysis, Post-Offer-Employment Testing, Wellness training, and patient care.

Mike Liebert is a Managing Consultant in charge of Trinity’s St. Louis office. He has managed a wide range of projects including regulatory applicability analyses, PSD permit applications, Title V operating permit applications, MACT compliance, air dispersion modeling, ISO 14001 auditing, and Spill Prevention, Control, and Countermeasure (SPCC) planning. He has assisted with permitting and regulatory compliance efforts for facilities in a variety of industries including telecommunica-tions, aerospace, petroleum terminals, power, printing, beverage and chemical manufacturing, and rubber products manufacturing. Prior to joining Trinity, Mike worked for seven years at a large aerospace manu-facturing facility in St. Louis, Missouri in its Environmental Compliance department and also served as Environmental, Health, and Safety Manager for three years at a small chemical manufacturing company in St. Louis. Mike holds a B.S. degree in Civil/Environmental Engineer-ing from the University of Kentucky and an M.S. degree in Engineering Management from Washington University in St. Louis.

Bob LoMastro is a former Green Beret, Navy Hospital Corpsman & Supervisor of the National Safety Council’s Safety Training Institute. He holds a Masters Degree in Safety Management & Engineering and first developed his unique teaching style as an instructor at the Naval School of Health Sciences. As President of LoMastro & Associates, Inc. he draws upon a career spanning over 30 years of teaching safety and health related topics in both general industry and construction.

Brandy Lozosky is the Marketing and Training Coordinator for the Illinois Department of Labor (IDOL) – she holds over 15 years of marketing experience in the public and private sectors. Ms. Lozosky is a previous Fair Labor Standards Compliance Officer at IDOL. Prior to her tenure at IDOL, Ms. Lozosky worked at the Illinois Department of Public Aid as the KidCare Outreach Coordinator, then went on to open and sell a restaurant and a manufacturing company. Ms. Lozosky holds a Bachelor’s of Arts degree in Marketing from Illinois State University.

Ed Marshall is an Industrial Hygienist in the Peoria Area OSHA office. He is a graduate of Illinois State University with a B.S. in Environmental Health and has worked for OSHA since 2007. His prior work experience includes public health, clinical laboratory and military service.

Joneen McElligott is an Industrial Hygienist in the Peoria Area OSHA office. She holds a Juris Doctorate, Masters of Science in Chemistry, and Bachelor’s degrees in Chemistry and Psychology. Her prior work experience includes safety, health, environmental, and hazardous materials transportation management in government research, health-care, and agricultural facilities.

Marvis Meyers is Vice President of Training and Organization Development for AAIM. In her role with AAIM, Meyers manages the public, customized, on-site training programs and organization development consulting. Marvis works with members to understand their training and organizational needs and develop a customized solution that helps them achieve their organizational objectives. Prior to joining AAIM, Marvis was the manager of training and organization development at Covidien (Tyco Healthcare) where she managed the managerial training function for all of Tyco Healthcare domestically. Marvis is an experienced executive coach and personal productivity coach working with managers and executives in the areas of strategic planning, team building, project management, personal productivity, and communication skills.

Shantanu Pai joined the Illinois Sustainable Technology Center (ISTC) in September 2013 and is a visiting waste research specialist at the ISTC main office in Champaign. Shantanu is a recent graduate from the University of Wisconsin Stevens Point with a BS in Waste and Soils Resources and a minor in Communications. Shantanu was a research assistant at the Center for Land Use and Planning as well as the Center for Waste Education at the University of Wisconsin-Stevens Point. Re-search interests include fate and transport of waste materials through market driven initiatives, role of affluence and directed public policy in solid waste management, and solid waste industry in the developing world.

Trish Rankin is a Safety and Health Compliance Officer with the Peoria OSHA office. She joined OSHA in 1998 and has conducted inspections in a wide variety of industries. She is a graduate of Illinois State University with a B. S. in Construction Management.

Mark Rzasa is a Safety Compliance Officer in the Peoria Area OSHA office. He is a graduate of the University of Dubuque with a B.S. in Environmental Science and has worked for OSHA since 2007. His prior work experience was as an Environmental, Health, and Safety Manager in the mining industry.

Justin Sternes is an Industrial Hygienist in the Peoria Area OSHA office. He has worked in that capacity since 2001 and conducted inspections in a variety of industries including process safety management. He re-ceived a B.S. in Environmental Science from the University of Dubuque.

Nick Walters, Regional Administrator joined OSHA in 1992 and has worked as the Area Director for the OSHA offices in Peoria and Fairview Heights, Regional Audit Team leader and as a Compliance Safety and Health officer. He is a graduate of Northern Illinois University with a B.S. in Industrial Technology/Safety.

Jason Zotz holds a Bachelor’s of Science in Environmental Health from Iowa Wesleyan College. He has over 10 years’ experience in safety covering a wide variety of areas including General Industry, Explosives, and construction. Jason’s efforts in implementing safety systems such as OHSAS 18001, and Process Safety Management have allowed com-panies to address safety as a way of doing business vs. compliance.

Page 6: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

AAIM Employers’ Association • American Industrial Hygiene Association, Prairie Section • American Society of Safety Engineers, Central Illinois Chapter • Greater Peoria Contractors & Suppliers Association, Inc. • Illinois Department of Labor, Division of Safety Inspection & Education • IMEC • United States Occupational Safety and Health Administration, Peoria Area Office

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.

6

DIOSH Day

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: 7:00 a.m.-2:35 p.m.

Sponsors

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 Plumbing, Heating and Cooling Contractors • Illinois Central College/Professional Development Institute • Illinois Chapter, National Electrical Contractors Association • Illinois Farm Bureau - Illinois Agricultural Association • Illinois Fertilizer and Chemical Association • Illinois Manufacturers Association • Illinois Municipal League Risk Management Association • Illinois State Chapter, APWA • Illinois State University, Department of Health Sciences • McLean Chamber of Commerce • Mechanical Contractors of Central Illinois • Mid-Illini Mechanical Contractors • On-Site Safety and Health Consultation Program, DCEO • OSF, Center for Occupational Health • Quad City Chapter, National Electrical Contractors Association • Southern Illinois Builders Association of AGC • Springfield and Vicinity Sheet Metal Contractors Association • State Farm Insurance Company • Tri-County Construction Labor-Management Council • University of Illinois Hazardous Materials Training Program • West Central Illinois Building and Construction Trades Council

In Cooperation with:

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Occupational Safety & Health Day

Occupational Safety& Health Day

24th Annual

DIOSH Day 2015

Annual Governor’s Award for

Contributions in Health and Safety

This award will be presented to a person who has made significant contributions in the areas of safety and/or health through training and/or research which have had a lasting impact on workers in the downstate Illinois area.

Nominations are accepted from:1) Someone making the nomination, or2) Self-nomination.Nomination forms are available at www.dioshday.com and should be submitted no later than January 2, 2015.

Page 7: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

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Page 8: DIOSH DAY 2015 DIOSH Day Brochure.pdfDIOSH Day 2015 3 11:20 - 12:40 p.m. Hot Buffet Lunch and Presentation of Governor’s Award for Contributions in Health and Safety Breakout Session

24th AnnuAl DownstAte IllInoIs occupAtIonAl sAfety AnD heAlth DAy Wednesday, March 4, 2015 • 7 a.M. - 3:45 p.M.Only one registrant per form; photocopy form for additional registrants. Please check one:___ Full Registration. Fee: $110/person($160 after February 25)—Includes morningrefreshments, mini health fair, choice of break-out sessions, handouts, entranceto the exhibit hall, and hot buffet lunch.

Please provide the following information. We must have your e-mail address in order to send confirmation and check-in information. Please print legibly.

NAME

TITLE

COMPANY

STREET

CITY STATE ZIP

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. 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.

PHONE (____)__________________ E-MAIL ___________________________________________________________

___ MasterCard ___Visa ___Discover Account #____________________________________________________

Exp. Date ________________ CVV/Security Code_________________Cardholder’s Name ____________________________________________ Signature _______________________________________________

____ Full Registration for Full-time Students. Fee: $35/person—Includes morning refreshments, Mini Health Fair, choice of breakout sessions, handouts, entrance to the exhibit hall, and hot buffet lunch.

____ Trade Show only. Fee: $10/person

DIOSH DAY 2015Early registration is encouraged, but on-site registration is available. Take advantage of a $50 discount for reservations made by February 25. Fees must be paid by cash, check, or credit card at the time of

registration. Reservations are transferable but not refundable. Confirmation and check-in information is e-mailed to each individual registrant, so it is imperative that you provide an e-mail address.

Online registrations are preferred. Registrations will also be accepted by mail or in person:

• Online at www.DIOSHDay.com• By mail (with check* or Credit Card) to: 401 NE Jefferson Avenue,

Peoria, IL 61603• In person (with cash, check*, or Credit Card) at: 401 NE Jefferson Av-

enue, 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 (877-346-7432). If special accommodations are needed, please notify the DIOSH registrar in advance.

Registration FormOnline Registration at www.DIOSHDay.com d

ow

ns t a t e i l l i n o i s

Occupational Safety & Health Day

Occupational Safety& Health Day

24th Annual

___Diner’s Club ____American Express

Make your nomination for the Governor’s Health & Safety Award. Nomination form available on the DIOSH Day website.

Privacy Statement: All DIOSH Day related correspondence and materials will be emailed or mailed to the address provided on the registration form. This information will also be provided to exhibitors participating in DIOSH Day 2015. If you do NOT want your information provided to exhibitors, please check here o

Session 1: 1A 1B 1CSession 2: 2A 2B 2CSession 3: 3A 3B 3CSession 4: 4A 4B 4C 4DSession 5: 5A 5B 5C 5DSession 6: 6A 6C 6D

1D

6B

2D/3D


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