DIOSH DAY2020

Wednesday, March 4, 2020Peoria Civic Center, Peoria, Illinois

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

Peoria, Illinois 61615

DIOSH Day 20202

DIOSH DAY 2020— Agenda

7:00 a.m. Registration Complimentary Refreshments in Exhibit Area

7:00 – 1:30 p.m. Mini Health Fair7:00 – 2:35 p.m. Exhibit Area Open8:00 - 8:50 a.m. Breakout Session 19:15 - 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 2020

1A Using Odor as an Industrial Hygiene IndicatorKirk Sweetland & Dr. Chris Everts, Wood Environment & Infrastructure Solutions Without special instrumentation, odors are often the only indicator available to sense the presence of a substance in the air. This presentation will discuss the basics of odor perception, the concept of odor thresholds, and explain the types of compounds where odors can provide a suitable warning for worker exposure. The limitations of odors as health warning and compounds where odor thresholds cannot be used as an indicator will also be presented.

1B Identifying & Preventing Workplace Violence Lt. Brad Dixon, Peoria Police DepartmentThis session, facilitated by the Peoria Police Department, will focus on the activities of individuals and organizational culture that enable you to identify and prevent violence in the workplace. By training staff to recognize stages of violent behavior and trigger points, along with equipping them with skills to respond to a situation, you can increase the overall safety of your workplace.

7:00 a.m. – 1:30 p.m. in Exhibit Hall CBlood Pressure/Blood Glucose/Cholesterol*Spirometry Glaucoma*Available until noon. To participate, you must fast 8-12 hours before-hand. Screening descriptions are available at www.wellmobile.com

Breakout Session 1 • 8:00 - 8:50 a.m.

Breakout Session 2 • 9:15 - 10:05 a.m.

2A What’s Going on With Ergonomics?Timothy Pottorff, QP3 Ergosystems“What’s Going on With Ergonomics?” is a wide-ranging talk from a leading Ergonomist about current trends and issues in the Science of Ergonomics such as Exoskeletons, Sit/Stand Workstations, the battle between Employee Capacity and Job Demands, as well as what to keep an eye out for, such as ISO45001, and Artificial Intelligence/Machine Learning.

2B Controlling Legionella in Building Water SystemsBrian Cox, Illinois Department of Public Health and Darrah Dunlap, Illinois Deparment of Public Health Legionella is a naturally occurring bacteria in fresh water environments, but can become a health concern when it grows and spread in human-made building water systems. The key is to make sure that building owners and managers maintain building water systems in order to reduce the risk of Legionella growth and spread. This presentation will offer information and resources on how Legionella grows and spreads in human-made building water systems and highlight industry standards and guidance related to water management programs.

2C Improving A Safety and Health ProgramScott Clarkson, Chief Safety ServicesIf a company wants to see a change in their safety program, then they must be willing to change their approach. This session will define the important components of a Safety and Health Program, diving into the trends and gaps in the industry around Written Programs, Training and Audits/Inspections. Learn how you can: Create an intentional safety and health program. Engage workers in the development and training of safety practices. Increase efficiency and effectiveness of safety teams.

2D OSHA Letters of Interpretation & FAQBrian Bothast, OSHAWho has time to read all of the OSHA letters of interpretations and answers OSHA has given to frequently asked questions? In this session, we are going to try to give you what you need to know about the latest OSHA responses to those technical questions and the answers to some frequently asked questions we think everyone should know.

3A Office of the State Fire Marshall: 201 Life Safety CodeLarry Eaton, Office of the State Fire MarshallThis session will provide an overview of the National Fire Protection Association (NFPA) Life Safety Code 101, which is the minimum Life Safety Code for the State of Illinois. The Office of the State Fire Marshal (OSFM) recently updated and adopted the NFPA 101 Life Safety Code, 2015 Edition. These changes will go into effect on January 1, 2020.

1C Electrical Safety-Related Work Practices Steve Geis, LP Management ServicesThis session will address work practices to keep you and your team safe by reducing exposure to major electrical hazards. Topics include the flash protection boundary and limits of this approach; NFPA 70E definitions and tables; and personal protective equipment (PPE) selection and maintenance.

1D OSHA UpdateOSHA Regional Administrator, OSHAThe new Regional Administrator for OSHA Region V has been invited to provide a presentation on OSHA in 2020. This session will address the National and local emphasis programs and provide an overview of OSHA’s focus for 2020.

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

3DIOSH Day 2020

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

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

Breakout Session 5 • 1:50 - 2:40 p.m.

5A Overhead Crane Regulations Explained for Safe OperationJames Lang, CES Crane Equipment & Service, Inc.This presentation will cover OSHA, ASME B30 and CMAA regulations and guidelines to assist Overhead Crane & Hoist users to increase safety and reliability of their equipment and operators. Focus is on OSHA regulations and compliance, best/smartpractices and helpful hints. The attendees will acquire the basic knowledge and information to keep their cranes and hoist running safely while meeting regulatory requirements and extending the life of their equipment.

5B Removing Barricades in Safety BehaviorTom Grey, Grey and Associates

5C Noise Sampling & Effective Hearing ConservationTimothy Kearney, 3M Personal Safety Division

5D Walking Working Surfaces: Docks, Ladders, Fall Hazards & ProtectionMark Rzasa, OSHAThis session will address OSHA standards and enforcement for fall hazards and fall protection, dock protection, ladders and related walking, working surfaces. If you would like to know what OSHA is looking for and how they address these hazards, then this session is for you.

4A It Can Change in an Instant Ginger Dayton, ATI Worksite SolutionsWe know that taking short cuts at work can result in serious injuries, but have you thought about how those injuries would impact your lift with family and friends? This interactive session uses scenarios and demonstrations to show how a work injury could take the fun out of life - impacting you and your interactions with family and friends.

4B Pig Personality Test: Communication in the WorkplaceDonna Moody, AAIM Employers’ AssociationIt does not matter if you work for a company that has 9 employees or 9,000 nor what type of industry, effective communication in the workplace is an essential part of any organization. When a business suffers from poor communication among the employees this generally leads to a number of issues such as misunderstandings, lack of information, poor performance, frustration, increased staff turnover etc. No matter how much experience and expertise you have your ability to communicate effectively can make the difference between great success and simply “getting by.” Effective communication in the workplace does not happen accidentally. It requires time and resource investment. It is a well-crafted and coordinated process and it always starts with you. This session is a fun way to look at ourselves and how we communicate effectively in the workplace.

4C Machine SafeguardingRoger Harrison, Rockford SystemsThis session will introduce your options to comply with OSHA Regulations and the ANSI B11.19 Safety Standard. Safeguarding options covered include: Guards (perimeter and point of operation); Guards (Perimeter and Point of Operation); Devices (Light Curtains, Laser Scanners); Methods (Distance, Location, Opening); Electrical updates for disconnects, starters, emergency-stops; and Recognizing exposure to hazards on your industrial machines.

4D Ask OSHABarry Salerno, Ed Marshall and Trish Rankin, OSHA with Mica Chunes, Illinois Department of LaborOSHA representatives will field questions from participants during this session. If you plan to attend this session, please email your technical questions to bothast.brian@dol.gov by February 17, 2020 to ensure we can provide reference information to all participants.

3B Construction Hazards Everyone Needs to KnowKevin Gorshe, CORE Construction & Brian Bothast, OSHAJust as the title indicates,this session will address a variety of construction related hazards that everyone should recognize. Kevin will also ensure participants understand the systems that can be used to control the hazards.

3C From Enforcer to Ally: Understanding the Psychology of Safety ManagementShae Birkey, Caterpillar Safety ServicesThis presentation will share how to overcome a “safety cop” persona, balancing leadership with collaboration to help participants become trusted safety advisors and create a more engaged safety culture. “There is a spectrum of how safety is managed within organizations, from authoritarian to democratic. Whether we wear the title of ”safety”” or not, how we interact with others in situations regarding establishing safety expectations, performing audits or assessments of work practices, or responding after an incident forms perception about our character. It starts with understanding the biological reflexes of reacting to stressful or challenging safety situations and then adopting cerebral, intellectual habits that are more effective solutions.

3D Combustible DustMark Knesovich, OSHAThis session will address OSHA’s National Emphasis Program on combustible dust, control methods OSHA expects employers to use to control the hazards and examples of OSHA citations that have been issued when employers fail to implement feasible controls.

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Presenter Biographies

Breakout Session 6 • 2:55 - 3:45 p.m.6A Identification and Control of Thermal Hazards In The Work EnvironmentThomas Fuller, Illinois State University & AIHA - Prairie SectionThis session will provide an overview of the most significant occupational thermal hazards experienced in a variety of industries. The course will identify thermal stressors and explain how they negatively impact worker health and safety. Participants will learn to recognize some of the basic environmental and physiological indicators of thermal stress to be applied to any work setting. In addition, some of the latest concepts in thermal hazard assessment and control technology will be introduced.

6B Wellness in the WorkplaceOSF Healthcare

6C Foundational Hazardous MaterialsJim Jaracz, Illinois OSHAHazardous materials is a dynamic topic. Foundational Haz Mat will present safety professionals with information needed to establish a “footing” with the regulations. We will discuss what makes a material hazardous, hazard classifications, OSHA compliance requirements and fundamentals of the Global Harmonization System. A comprehensive list of resources will also be provided to assist participants with organizational needs.

6D Confined Space for Construction & General IndustryBrian Bothast, OSHAIn this session Brian will address both the general industry and construction confined space standards and discuss fatal confined space incidents. Participants will become familiar with common issues OSHA inspectors discover when investigating confined space hazards and the controls and systems OSHA expects employers to have in place prior to entry.

Shae Birkey - Caterpillar Safety Services - has more than 15 years of experience in the Environmental, Health and Safety (EHS) profession working in consulting, governmental, commercial, industrial, and private industry settings. He has a range of work experience, including frontline field positions and corporate man-agement roles, as an EHS subject matter expert, a corporate auditor, and an EHS Facility Manager. Shae applies knowledge from his experiences to his current role as a Safety Adviser and Industry Account Manager with Caterpillar Safety Services. His passion is to educate others on the process of empowering front-line employees, engaging and educating supervisors in positive accountability practices, and supporting leaders to be visibly committed to improving safety culture. He holds a Master of Science degree with an emphasis on leadership skill development from the University of Illinois-Urbana Champaign.

Brian Bothast - OSHA - is a Compliance Assistance 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 an Assistant Area Director and Industrial Hygienist with OSHA. He is a 1988 graduate of Illinois State University with a B.S. in Environmental Health.

Mica Chunes - Illinois Department of Labor - is the Industrial Hygiene Supervisor with the Illinois Department of Labor and has worked for the On-site Safety and Health Consultation Program for 22 years. She has a bachelor’s degree in Environmental Health from Illinois State University.

Scott Clarkson - Chief Safety Services - has been involved in the construction industry for over 15 years. His professional safety experience combined with many years of experience in the Marine Corps gives Scott the ability to effectively and efficiently create, maintain, or consult on company safety programs. In the Marine Corps, Scott dedicated over a decade to developing training, conducting combat operations, and leading Marines in environ-ments both home and abroad.

Brian Cox, P.E. - Illinois Department of Public Health - is a graduate of Southern Illinois University at Carbondale and is a licensed professional engineer. His educational background is in environmental and civil engineering with a focus on water and wastewater treatment. Brian is currently the Manager of the Plumbing and Water Quality Program at Illinois Department of Public Health. The Plumbing and Water Quality Program is cur-rently focused on addressing prominent concerns in building water quality including lead in water, Legionella, and other opportunistic pathogens in premise plumbing. Prior to arriving at IDPH, Brian spent eleven years as an environmental engineer at IEPA, where his primary responsibilities included approving proposed designs for wastewater treatment plants, sewer systems, and issuing wastewater discharge permits.

Ginger Dayton - ATI Worksite Solutions - has over 30 years of experience as a Safety Professional working with clients in the pharmaceutical, infant formula, adult nutritionals, glass, battery and medical device manufacturing industries. She has been involved with a variety of work settings including office, lab, research and development, warehousing and manufacturing. Ginger believes employee engagement is a key component in creating and maintaining a safe work environment.

Lt. Brad Dixon - Peoria Police Department - works with the Special Investigation Division of the Peoria Police Department.

Darrah Dunlap, MPH, REHS/RS - Illinois Department of Public Health - is a Water Quality Specialist with the Illinois Department of Public Health’s Plumbing and Water Quality Program. She is responsible for leading environmental investigations in response to cases of Legionnaires’ disease and other infections or diseases caused by waterborne opportunistic pathogens. Darrah draws on her investigation experiences to emphasize the importance of proactive water management planning in preventing the growth and spread of waterborne opportunistic pathogens and discuss building capacity for response and intervention.

Larry Eaton - Office of the State Fire Marshall - brings to the Office of the State Fire Marshall (OSFM) a broad and well-rounded background gained working in the Fire Service, U.S. Marshal Service, U.S. Dept. of Transportation, and the U.S. Air Force. He graduated from American Military University with a Bachelor’s in Criminal Justice, a Master’s in Fire Service & Homeland Security Management from Southern Illinois University and an MBA from American Military University. Larry is currently pursuing a Doctor of Business Administration with a cognate in Supply Chain Management and Logistics from Liberty University. In the Air Force, Larry was a security officer and canine handler working with explosives and narcotic dogs. From 2004 to 2007, he worked in Afghanistan and Iraq working for the Dept of Defense as a project manager responsible for explosive detection canine contracts. Larry then went back to the safety field (trucking and rail) as a safety consultant, safety director and vice president of safety for a private company until 2016. After serving as Chief of Security at the Chester Mental Health Center, he now oversees and directs all staff within the Fire Prevention Division for OSFM.

Dr. Chris Everts - Wood Environment & Infrastructure Solutions - has four decades of experience as a consultant and academic in environmental engineering, including: surface and groundwater quality, aquatic chemistry, air quality, livestock odor, migration of soil vapors, odor mitigation, and odor assessment.

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Dr. Thomas Fuller - AIHA - ISU Professor - is a Certified Industrial Hygienist and Certified Safety Professional with over 35 years of experience in occupational safety, industrial hygiene, infection control, environmental management, and public health. He has experience in healthcare, nuclear power plants, labor organizations, biopharmaceutical labs, manufacturing, and universities. Dr. Fuller is a member since 2002, and a past Chair, of the American Industrial Hygiene Association (AIHA) Nonionizing Radiation Committee. He is also a member of the Health Care Working Group, Publications Committee, and a founding member of the AIHA Pandemic Planning Team. He is the Vice-Chair of the International Affairs Committee and AIHA Ambassador to France. He is also a member of Workplace Health Without Borders. Dr. Fuller is a Contributing Editor for the American Journal of Nursing, on the board of directors of Health Educators, Inc., and a member of the Editorial Advisory Board of the National Safety Council. Dr. Fuller is a past President of the Board of Directors of the Journal of Occupational and Environmental Health. Dr. Fuller was recently admitted to the International Commission on Occupational Health.

Stephen Geis, OHST, CESCP - LP Management Services - served for 15 years in the US Navy as an Electronics Technician and Maintenance Supervisor in the Nuclear Power Program. He has extensive experience training and leading the reactor control divi-sion on two subs. Stephen also has considerable experience con-ducting safety assessments and developing lockout tagout procedures. Geis is a Certified Heartsaver First Aid and CPR Trainer and is credentialed through NFPA as a CESCP. He is also an authorized OSHA 10- and 30-Hour General Industry Instructor, and a Board Certified OHST.

Kevin Gorshe - CORE Construction - is the Regional Safety Director for CORE Construction in Peoria, IL. He graduated through Illinois State University’s Safety Program in 2011 as the Program Scholar. Kevin is a Certified Safety Professional (CSP), an Occupational Safety and Health Technician (OHST), a Safety Management Specialist (SMS) and a Certified Healthcare Constructor (CHC). In 2017, Kevin was the recipient of the Governor’s Occupational Safety and Health Award. Prior to joining the construction industry, Kevin had experience within the general industry as a Safety and Human Resources Manager for an Environmental Contracting and Plant Maintenance organization.

Tom Grey - Grey and Associates - is President of Grey and Associates. He is a highly skilled trainer and coach in employer and employee development of safety performances. He has 30 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.

Roger Harrison - Rockford System - is an industrial safeguarding expert with extensive training experience spanning more than 25 years, as well as an accomplished speaker and author. He has led Rockford Systems training program for many years where he has educated thousands of safety directors, plant managers and insurance professionals on the fundamentals of machine safeguarding based on current OSHA/ANSI standards and industry best practices.

Jim Jaracz - Illinois OSHA - is a safety consultant with Illinois OSHA’s On-Site Consultation Program. His background is primarily in fire protection and general industry. Jim earned a Master of Science degree in occupational safety and maintains several fire and safety related certifications.

Mark Knesovich - OSHA - is currently a Certified Industrial Hygienist in OSHA’s Region V Regional Office Enforcement Programs Unit. As part of his overall duties, Mark oversees the issuance of general duty clause violations under the OSHA Act involving combustible dust hazards in Region V. Mark has been involved with OSHA’s Combustible Dust National Emphasis Program since 2008 by conducting inspections, reviewing enforcement cases, working with OSHA attorneys (solicitors) on litigation matters, providing training, and assisting with abatement strategies. Prior to joining the US DOL in 2005, Mark attended Purdue University receiving a B.S. and M.S. in industrial hygiene.

Jim Lang - CES Crane Equipment & Service, Inc. - has 30 years of experience in the crane & hoist industry. He has served as a member of the Management Committee for the National Commission for the Certification of Crane Operators (NCCCO) for over 15 years. Jim was awarded the 2013 Crane Innovator of the Year Award from the AIST (Association for Iron and Steel Technology). He also served as Past General Manager of a Crane Training Institute that trained over 10,000 students each year. CES Crane Equipment & Service, Inc. is a crane manufacturer with a specialty in Patented Track, Single Girder, Double Girder and Jib Crane products.

Ed Marshall - OSHA - is currently an Assistant Area Director at the Peoria Area OSHA Office. He has been an Industrial Hygienist with OSHA for over 12 years with a special emphasis on Process Safety Management, Bloodborne Pathogens and health hazards in construction among others. Prior to joining OSHA, Ed gained experience in various health-related roles in the US Army and a local health department.

Donna Moody - AAIM Employers’ Association - is an expert on cultural diversity, an inspirational and humorous motivator who empowers people of all backgrounds to improve. She has been a Diversity Consultant for over 20 years in higher education and civic communities. In addition to her position at AAIM Employers’ Association, she is an adjunct professor at St. Louis University providing instruction in the areas of Human Resources, Team Dynamics, Interpersonal Communication, Cross Cultural Competency, Diversity, Public Speaking and Leadership. Donna holds a bachelor’s degree from St. Louis University and a master’s degree from Webster University. Both are in Human Resources and Industrial Relations.

Timothy Pottorff - QP3 Ergosystems - MSIE, CIE, ARM is a Certified Industrial Ergonomist with both BS and MS degrees in Industrial Engineering and has worked in professional roles with companies such as United Parcel Service, Texas Instruments, Alcoa, and Zurich Services Corporation. In 2017 he founded QP3 ErgoSystems, a full-service risk consulting company. During his long career he has worked with thousands of leading companies around the world to improve their operations via the application of business metrics and has conducted approximately 25,000 industrial and office assessments. Pottorff has facilitated full-length ergonomics courses to hundreds of engineers and ergonomics team members at leading companies in Asia, Europe, and the Americas. He has authored numerous articles for publications and has presented numerous technical ergonomics topics at professional Ergonomics and Safety conferences.

Trish Rankin - OSHA - is an Assistant Area Director with the Peoria Area OSHA Office. Trish joined OSHA in 1998 and has worked as a Safety Compliance Officer where she conducted workplace inspections in a wide variety of industries, including general industry and construction. She received a B.S. in Construction Management from Illinois State University.

Mark Rzasa - OSHA - 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

Barry Salerno - OSHA - serves as Area Director with the U.S. Department of Labor (OSHA) in Peoria and has served in a managerial position for the past 20 years. Prior to that, his Industrial Hygiene field experience conducting inspections in a wide variety of industries for over 10 years enables him to understand the hazards, recommend corrective action and promote the agency mission ensuring safe and healthful workplace for every working man and woman. Barry is a graduate of Ball State University with a B.S. in Biology and an Associates in Chemistry.

Kirk Sweetland - Wood Environment & Infrastructure Solutions - has more than 45 years of experience in the EH&S field including: laboratory analysis, solid and hazardous waste management, environmental compliance, and air pollution control. His experience with industrial hygiene has focused on indoor air quality, workplace exposure, Process Safety Management (PSM), and chemical and industrial process evaluations, and ISO 14001 environmental compliance certification.

AAIM Employers’ Association • American Industrial Hygiene Association, Prairie Section • American Society of Safety Professionals, Central Illinois Chapter • Greater Peoria Contractors & Suppliers Association, Inc. • Illinois OSHA • 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.

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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

Ameren Illinois Energy Efficiency Program • Associated General Contractors of Illinois • Caterpillar Inc. • 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 • Grain and Feed Association of Illinois • Illinois Association of Plumbing, Heating and Cooling Contractors • Illinois Chapter, National Electrical Contractors Association • Illinois Farm Bureau - Illinois Agricultural Association • Illinois Fertilizer & Chemical Association • Illinois Manufacturers Association • Illinois Municipal League Risk Management Association • Illinois Society of Professional Farm Managers & Rural Appraisers • Illinois State University, Department of Health Sciences • Mid-Illini Mechanical Contractors Association • Mid Illinois Chapter of the Risk and Insurance Management Society • Northern Illinois University - National Safety Education Center • On-Site Safety and Health Consultation Program, DCEO • OSF Center for Occupational Health • Peoria Area Chamber of Commerce • Prairie Branch, APWA • Quad City Chapter, National Electrical Contractors Association • Southern Illinois Builders Association of AGC • 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:

DIOSH Day 2020

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, 2020.

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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.

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.

DIOSH DAY 2020Early registration is encouraged, but on-site registration is available. Take advantage of a $50 discount for reservations made by February 26. 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 S.W. Water, Suite 205,

Peoria, IL 61602• In person (with cash, check*, or Credit Card) at: 401 S.W. Water, Suite

205, Peoria, IL 61602*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

___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 2019. 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 3C 3DSession 4: 4A 4B 4C 4DSession 5: 5A 5B 5C 5DSession 6: 6A 6C 6D

1D

6B

2D

29th AnnuAl DownstAte IllInoIs occupAtIonAl sAfety AnD heAlth DAy weDnesDAy, MArch 4, 2020 • 7 A.M. - 3:45 p.M.Only one registrant per form; photocopy form for additional registrants. Please check one:___ Full Registration. Fee: $120/person($170 after February 26)—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