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KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY...

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Page 1: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

/KCPLPartners in Safety

Page 2: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

KCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM

q KCPLemployeesthatarerequiredtowearsafetyglassesintheirworkare entitledtoONEpairofprescriptionsafetyglassesevery12months.

q KCPLemployeesthatarerequiredtoworkoutdoorswillbeallowedEITHER onepairofprescriptionsafetyglasseswithtintedlensesPLUSonepair withclearlensesORonepairofprescriptionsafetyglasseswithTransition lenses.

q Allprescriptionsafetyglasses,withtheexceptionofwraparoundframes, willhavepermanentlyattachedsideshields.q Thedetailsofwhatisincludedinthisprogramarelistedinthisdocument.

q AnyupgradesbeyondwhatisapprovedintheKCPLprogrammay beaddedattheemployee’sownexpense.Shouldbepaidatthetimethe orderisplaced.

The following procedure and program guidelines are provided to facilitate the ordering process.

Procedure:1) The employee obtains the examination and prescription from their personal optician or eye doctor on their own time.

2) The employee will report to a panel optician and identify themselves as a KCPL employee and will give the optician their KCPL employee number.

3) Optician accesses SEMS for authorization using employee ID number. SEMS card authorized by U.S. Safety to opticians.

4) The optician will complete the order form, as supplied to them by U.S. Safety, then fax the completed form to U.S. Safety.

5) The glasses will be manufactured according to the prescription and will be shipped back to the optician that placed the order.

6) The optician will check the prescription for accuracy then call the employee to come in for fitting and adjustment of the completed glasses.

Note: A change in frame style will require new measurements for bifocal and progressive lens wearers.If you are placing your order at the U.S. Safety Retail Store in Lenexa, KS then you will also pick up your completed order there.

Corporate Safety July 9, 2010

Page 3: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

Kansas City Power & Light Program Includes

KCPLCompanyPaidItems:- Tier 1-6 Safety Frame - Polycarbonate, CR-39 or glass lenses- Single Vision, Bifocal or Trifocal Lens - Any Lens Power/Add Power- Up To Level 2 Progressive - Any Prism- Scratch Resistant Coating - Protective Carrying Case (#2617 or #5967)- Permanent Sideshields (no detachables allowed) - Shipping & Handling (First Class Mail)- Transitions lenses if required to work outdoors - Other upgrades may be added at employee expense only

SINGLEVISION BIFOCAL TRIFOCAL PROGRESSIVE

STRAIGHT-TOP28mm

STRAIGHT-TOP7x28mm Level 1

KCPLDoctorPanel 9/30/10 Doctor Address City State Zip Phone

KansasDr. Harold A. Frieden 727 Commercial Atchison KS 66002 913-367-4989Great Plains Vision LLC 2010 Central Dodge City KS 67801 620-227-8622Steve C. Mitchell Sr. 624 S. National Ft. Scott` KS 66701 620-223-6440U.S. Safety Retail Store 8101 Lenexa Drive Lenexa KS 66214 913-599-5555, ext. 218Dr. Andrew J. Hill 3 South Berkley Louisburg KS 66053 913-837-3636Dr. George Gage 8 South Broadway Louisburg KS 66053 913-837-4611Eyecare Associates of Osawatomie 524 Brown Osawotomie KS 66064 913-256-2176Dr's Herriott and Herriott Ottawa Family Vision Clinic 1302 S. Main St. Ottawa KS 66067 785-242-3707Dr. George Gage 14 East Peoria Paola KS 66071 913-294-4342

Missouri Godshall & Brock Quality Eyecare 2248 S. 7 Highway Blue Springs MO 64014 816-228-1414Dr. John L. Noe 204 W. Chestnut Butler MO 64730 660-679-3261Park Optical, Inc. 1729 E. Ohio St. Clinton MO 64735 660-885-2800Eyecare Specialities 1104 E. Ohio St. Clinton MO 64735 660-885-7116Family Vision Center 701 E. Hospital Road Eldorado Springs MO 64744 417-876-6052SVS Vision 14125 E. 40 Highway Kansas City MO 64136 816-373-0003Bennett Eye Care Midwest 6080 N. Oak Traffic Way Kansas City MO 64118 816-453-5814Gerry Optical 5601 Antioch Road Kansas City MO 64119 816-453-7290Waterman and Linderer 15 W. Franklin Liberty MO 64068 816-781-210020/20 Optical 22 S. Jefferson Ave. Marshall MO 65340 660-886-5584Paul or Harold Poynter 503 Main Maryville MO 64468 660-582-5222Eyecare Professionals, Inc. 111 N. Main St. Nevada MO 64772 417-667-3076Dr. Stephen Christy 1905 Swift Ave. North Kansas City MO 64116 816-221-5939Dr. Bennett 1708 Lafayette Sedalia MO 65301 660-826-6633Fields Eye Site 2320 N. Belt Hwy St. Joseph MO 64056 816-233-5685Dr. M.T. Aldrich 1427 Village Drive St. Joseph MO 64506 816-279-2339John L. Holcomb 1210 Oklahoma Ave. Trenton MO 64683 660-359-2204Eyecare Specialties 601 E. Russell Ave., #A Warrensburg MO 64093 660-747-2020

Page 4: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

TitmusTR301S

Eye/Bridge Size - 48-19-140; 50-19-145; 52-19-145Temples - 140, 145 Spring Hinge with adjustable nose pads

GrayBrown

TitmusPC264

Eye/Bridge Size - 50-20-140; 52-20-145Temples - 140, 145Spring Hingewith adjustable nose pads

GunmetalAntique Goldtone

Antique Brown

TortoisePewter

GoldtoneBrown

CharcoalGoldtone

Tortoise

Black

HudsonST4

Eye/Bridge Size - 58-15-145; 61-15-150Temples - 145,150Spring Hinges with adjustable nose pads

HudsonST3

Eye/Bridge Size - 60-15-145; 63-15-150 Temples - 145,150 Spring Hinges with adjustable nose pads

HudsonST1

Eye/Bridge Size - 50-19-145; 53-19-145; 56-19-150 Temples - 140, 145, 150Spring Hingeswith adjustable soft silicone nose pads

CharcoalBrown

BrownCharcoal

TortoiseAntique Brown

Charcoal

Kansas City Power & Light Suggested Frame Selection

TortoiseAntique Brown

Charcoal

CS65

Sideshieldisavailableinclearandgray.

CS64

PSS-13

PSS-14

TitmusPC250

Eye/Bridge Size - 54-16-140; 56-16, 18-145;58-18-145Temples - 140, 145 58with adjustable nose pads

HudsonDG90

Eye/Bridge Size – 47-19-145; 50-19-150 Temples - 140, 145, 150Spring hingesadjustable soft silicone nose pads

HudsonST2

Eye/Bridge Size - 50-19-145; 53-19-145; 56-19-150Temples - 140, 145, 150 Spring Hingeswith adjustable soft silicone nose pads

PSS-85

CS82 PSS-85

PSS-6

BrownCharcoal

Khaki

HudsonVL-6

Eye/Bridge Size - 47-20-145; 50-20-150 Temples - 145, 150Spring hinges with adjustable nose pads

PSS-50

10/11

Black

Black

U.S.SafetyBlackstone955

Eye/Bridge Size - 60-16-135Temples - 135Rx restrictions apply

U.S.SafetyPantera

Eye/Bridge Size – 61-18-140 Temples - 140 Rx restrictions apply

U.S.SafetyBlackstone934

Eye/Bridge Size - 60-16-135Temples- 135Rx restrictions apply

Page 5: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

HudsonVL1

Eye/Bridge Size - 47-20-145; 50-20-150Temples - 140, 145, 150Spring Hinges Adjustable nose pads

CharcoalBrown

HudsonVL2

Eye/Bridge Size - 47-20-145; 50-20-150Temples - 140, 145, 150Spring Hinges Adjustable nose pads

BrownCharcoal

HudsonVL3

Eye/Bridge Size - 49-19-145; 52-19-150Temples - 140, 145, 150Spring Hinges Adjustable nose pads

CharcoalBrown

TitmusFC707

Eye/Bridge Size - 50-21-140; 52-21-145Temples - 140, 145 Adjustable nose pads

Antique BrownDark Gunmetal

TitmusFC706

Eye/Bridge Size - 49-20-140; 51-20-145Temples - 140, 145 Adjustable nose pads

Antique Silver MatteAntique Brown

TitmusBC115

Eye/Bridge Size - 48-20-140; 51-20-145Temples - 140, 145Spring Hinges Adjustable nose pads

Dark BronzeDark Steel

TitmusBC109

Eye/Bridge Size - 49-19-135; 51-19-140; 53-19-140Temples - 135, 140Spring HingesAdjustable nose pads

Antique Gold Demi-Amber

Demi-Red

HudsonSL2

Eye/Bridge Size - 47-20-145; 50-20-150Temples- 145, 150Adjustable nose pads

CharcoalBrown

TitmusBC101

Eye/Bridge Size - 54-17-140; 56-17-145; 58-17-150Temples - 140, 145, 150Spring HingesAdjustable nose pads

TitmusFC705

Eye/Bridge Size - 50-19-140; 52-19-145Temples - 140, 145

Demi-GrayDemi-Amber

Goldtone

Kansas City Power & Light Suggested Frame Selection

GrayBrown

PSS-85

Sideshieldisavailableinclearandgray.

PSS-50 CS96

PSS-85

CS60

CS60

CS60

PSS-50

C101

CS94

Charcoal

TitmusSW06E

Eye/Bridge Size - 457-16-125Temples - 125 Sideshields Integrated

Matte Brown with orange tips

Matte Black withyellow tips

U.S.SafetyHunter

Eye/Bridge Size - 62-17-135Temples - 135Rx restrictions apply

TitmusSW07WI

Eye/Bridge Size - 60-13-127Temples - 127 Sideshields Integrated

BlueBrown

Gunmetal

Page 6: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

BlackDemi

Desert SandSilver

BodySpecsBSG4

Eye/Bridge Size - 63-18-120Temples - 120

Kansas City Power & Light Suggested Frame Selection

BodySpecsBSG

Eye/Bridge Size - 68-19-110Temples - 110

BodySpecsBSG2

Eye/Bridge Size - 61-16-110Temples - 110

BlackPurple

RedSilver

BodySpecsMAXIM

Eye/Bridge Size - 53-26

WileyXAIRRAGE

Eye/Bridge Size - 65-15Temples - 120

WileyXROUT

Eye/Bridge Size - 65.5-16.5Temples - 120

WileyXBRICK

Eye/Bridge Size - 62.5-18Temples - 120

Gloss BlackMatte Black

Crystal Metallic

WileyXJAKE

Eye/Bridge Size - 65-15Temples - 125

WileyXCURVE

Eye/Bridge Size - 60-17Temples - 120

Gloss Black

Gloss Black

Gloss BlackMatte Black

Crystal MetallicCrystal Bronze

Gloss BlackBrown Fade

Wiley X Supply Division only

Page 7: KCPL Partners in Safety72.3.171.36/media_vault/documents/1335819710.pdfKCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM q KCPL employees that are required to wear safety glasses in their

Karen Kono, RN, COHNManager, Safety & Medical

4400 E. Front St. - Kansas City, MO 64120-1039Tel: 816-245-3948 - Fax: 816-245-3930 - Cell: 816-896-7828

[email protected]

KCPL Customer Service Representative: Rene Grandberry, 800-821-5218, ext. 291

INCLUDED

Tier TITMUS WILEY X HUDSON ON-GUARD U.S. SAFETY Rx Inserts

1-4

5

6

8

EL1, EL2, EL3, SL1, SL2, SL3, SL920, SL921, VL1, VL2, VL3, VL4, VL5, VL6

DG20

DG49, DG50, DG51, DG55, DG63, DG88, DG89, DG90, DG91, DG92, DG93, DG94, DG95, DG96, MS1, ST1, ST2, ST3, ST4

Phoenix, Aviator, Glider, Hornet DX, Lancer, Legend XT, Roanoke, Newport, Pantera, 110, 410, 420, 430, InfraSpec

Body Specs - BSG, BSG2, BSG3, BSG4, Hoops, Zappa, Z001

Guard-Dogs Insert, Hornet DX Insert, Legend XT Insert, North65 Insert, Stealth Goggle Insert, Uvex XC Insert

Avon0046

MPD, SP83, SC2000, SC900, 70F, 3003, BC101, BC102, BC104, BC109, BC115, FC601, FC702, FC703, FC704, FC705, FC706, FC707, FC709, SC910, SC915, SW06, SW06E, SW07, TM10

PC8A, PC261, PC264, PC266, PC267, PC268, PC269, PC280

PC250, TR301S, TR302S, TR303, TR304, TR305, TR306S, TR307S, TR308S, TR309S, TR310S, TR311S, TR312S

27S, 34S, 42, 43, 43S, 68S, 69, 70, 71, 78, 79, 79S, 85, 91, 92, 93, 94, 95, 101, 102, 104, 105, 106, 106S, 112, 113, 114, 137S, 250S, SG200, SG201, SG232, SG300, SG301, SG302, SG303

16, 17, 18, 19, 20, 31, 32, 34, 45, 45NP, 53, 54, 56, 65, 72, 80, 81, 82, 84, 86, 87, 90, 103, 313, SG107, SG108, SG110, SG111, SG121, SG122

16C, 30, 31C, 35, 36, 108, 115, 116, 125, 126, 133, 135, 143, 144, 145, 150, 301, 302, 303, 304, 305, 307, 309, 309NP, 310, 310NP, 311, 312, 312NP, 314, 317, 318, 321, 322, SG101, SG102, SG103, SG104, SG105, SG106, SG115, SG118, SG120, SG130, SG131, SG228

Route, Brick, Airrage, Jake, Curve

Tiered Frame ScheduleTo view the complete frame selection go to www.ussafety.com/kcpl


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