Division of Industrial Safety & Health 800 S.W.

Jackson Street, Suite 1500 Topeka, KS 66612-1200

Presorted Standard US Postage Paid Permit No. 157 Topeka, KS

296-58 RETURN SERVICE REQUESTED

Kansas 58th Annual Safety & Health Conference

Register Today!

Safety & Health Conference

58th Annual

October 2 - 5, 2007 Hyatt Regency Wichita – Wichita, Kansas
Sponsored by: Kansas Department of Labor Endorsed by: Kansas Hospital Association – Kansas Self-Insurers Association

CONFERENCE INFORMATION AND REGISTRATION
Day/Dates Activities Tuesday & Wednesday, Oct. 2 &3 ...... Two-Day Conference Thursday, October 4 ............................ Day-One – Professional Development Classes Friday, October 5 ................................ Day-Two – Professional Development Classes Note: Special room rates are available until September 10, 2007. Location Hyatt Regency Wichita 400 W. Waterman Wichita, Kansas 67202 (316) 293-1234

AGENDA
DAY ONE - Tuesday, October 2
7:00 a.m. Registration 7:30 a.m. Continental Breakfast 7:50 a.m. Welcome Pat Bush, Safety Director, Westar – Topeka, KS 8:00 a.m. General Session – 90 min. Who Is Responsible for Safety? Carl Potter, CSP, CMC, Potter & Associates International, Inc. – Broken Arrow, OK 9:30 a.m. Break Tim Millspaugh, Fire Marshal, Sedgwick County Fire Department – Wichita, KS  Industrial Hygiene Track Industrial Hygiene Data Management Systems Doug Niemtschk, CIH, Health and Safety Director, Koch Mineral Services, LLC – Wichita, KS  Medical Track Incident Investigation Greg Lenz, CSP, Senior Risk Control Consultant, ESIS Global Risk Control Services, Inc. – Overland Park, KS  Safety & Management Track The Political Incorrectness of Safety Paul Maness, Quality/Safety Supervisor, Farrar Corporation – Norwich, KS

10:00 a.m. Workshops – 50 min.  Boiler Track Changes in the Boiler Burner Industry Gene Tompkins, Director of Engineering, Webster Engineering & Manufacturing Co. – Winfield, KS  Fire/Public Sector Track What’s In Your Can…and why should you care? Jo Oliver, Environmental Project Manager, Sedgwick County – Wichita, KS  Industrial Hygiene Track The Washington Buzz – What’s Happening with OH&S Issues? Aaron Trippler, Director, Government Affairs, American Industrial Hygiene Association – Fairfax, VA  Management & Medical Track What You Need to Have in a Hearing Conservation Program Lou Di Mauro, Medical Enterprises – Omaha, NE  Safety Track Reducing at Risk Behavior Scott Potucek, ISO/Safety Coordinator, Sonoco Hutchinson Mill – Hutchinson, KS

12:00 p.m. Conference Luncheon – 90 min. Awards and Recognition Jim Garner, Secretary, Kansas Department of Labor (KDOL) – Topeka, KS 1:30 p.m. Workshops – 60 min.  Boiler Track (to be announced)  Fire/Public Sector Track Office Ergonomics-One Size Does Not Fit All! Tamara Brandt, Admin. Officer/Ergonomics Coordinator, Sedgwick County – Wichita, KS  Industrial Hygiene Track U.S. Green Building Council: LEED Certification, IEQ and Sustainability Gary Ganson, CIH, CSP, MBA, Environmental Health and Safety Group Manager, Terracon Consultants, Inc. – Lenexa, KS  Management Track Accommodating the Needs of Persons With Disabilities During Emergencies Dr. Michael Fox, SC.D., Associate Professor, KUMC School of Medicine, Department of Health Policy & Management – Kansas City, KS  Medical Track Tuberculosis: Why Should I Care? Phil Griffin, BBA, CPM, Tuberculosis Controller, Kansas Department of Health and Environment – Topeka, KS  Safety Track Safety Management for Supervisors Mitch Ricketts, CSP, Health, Safety & Environmental Quality Coordinator, K-State Research & Extension – Manhattan, KS

11:00 a.m. Workshops – 60 min.  Boiler Track Fundamentals of Boiler Inspection Kenneth Jones, Owner/Operator, Combustion Controls, Inc. – Andover, KS Doug Stanton, Sales & Marketing, Combustion Controls, Inc. – Andover, KS  Fire/Public Sector Track Fire Inspections for Schools or “that darn Fire Marshal”

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AGENDA
2:30 p.m. Break 2:45 p.m. Workshops – 50 min.  Boiler Track Boiler Refractories Mark Schnake, Sr. Application Specialist, HarbisonWalker Refractories Co. – Mexico, MO  Fire/Public Sector Track Trouble Shooting IAQ Problems Tim Phares, CHMM, CEA, CIE, Supervisor, Environmental Service, Wichita Public Schools – USD 259, Wichita, KS  Industrial Hygiene Track Breathe Easier: Tips for Managing a Respiratory Protection Program Diana Czarnecki, Industrial Hygienist, American Airlines – Kansas City, MO  Management Track HAZCOM for Supervisors (Each person attending both hours will receive a certificate of completion, issued by iSi.) Carter H. Moser, Trainer, iSi (integrated solutions, inc.) – Wichita, KS (continues in next session)  Medical Track Drug Testing in the Workplace Dr. Stuart Kagan, Staff Physician and Medical Review Officer, Concentra Health Services – Lenexa, KS  Safety Track Living Through an Industrial Accident Jason Marcum, Program Owner/Administrator– Lockout/ Tagout, Alcoa Aerospace Center – Hutchinson, KS Steve Rangel, President, Envirotek International, – Topeka, KS  Safety Track Add to Your Bottom Line by Utilizing Advanced Medical Employment Testing Brian Richardson, Director of Business Development, Physical Capacity Profile – Salina, KS John Olson, Technical Director, Physical Capacity Profile – Salina, KS

4:55 p.m. Exhibitor Reception – Time to Network

DAY TWO - Wednesday, October 3
7:00 a.m. Registration 7:30 a.m. Continental Breakfast 7:50 a.m. Welcome Steve Zink, CSP, Director, KDOL, Division of Industrial Safety and Health – Topeka, KS 8:00 a.m. General Session – 90 Min. Improving Safety in a Global Company Robert C. Brayley, Executive Director, Environmental, Health & Safety Disability Management, Textron, Inc. – Providence, RI 9:30 a.m. Break 10:00 a.m. Workshops – 50 min.  Boiler Track Installation of Boilers and Pressure Vessels in the State of Kansas Doyle Stone, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Ronald Sleeth, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Charles Wilson III, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS  Fire/Public Sector Track Organizational Causes of Accidents Jeffery Hartle, CFPS, MIFireE, Visiting Asst. Professor of Public Affairs, Park University – Kansas City, MO (continues in next session)  Industrial Hygiene Track Back-Injury Prevention Train-The-Trainer Mitch Ricketts, CSP, Health, Safety & Environmental Quality Coordinator, K-State Research & Extension – Manhattan, KS (continues in next session) **recommended – wear comfortable clothes**  Management Track Preventing Back Injuries and Cumulative Trauma Disorders in the Workplace Dr. Michael McIrvin, Doctor of Chiropractic, The Pain Relief Center – McPherson, KS  Medical Track Fulfilling the Requirements of OSHA’s Bloodborne Pathogen Standard Betsy Gaydess, Industrial Hygienist, KDOL, Division of Industrial Safety and Health – Topeka, KS

3:45 p.m. Workshops – 60 min.  Boiler Track Controls and Safety Devices for Automatically Fired Boilers up to 12,500,000 BTUH Don Jenkins, Chief State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Doyle Stone, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS  Fire/Public Sector Track Work Zone Safety – Who Are We Trying To Protect? Jerry Day, Traffic Operations Supervisor, Sedgwick County-Public Works – Wichita, KS  Industrial Hygiene Track Conducting an Effective Employee Observation Steve Minshall, CIH, Ash Grove Cement – Overland Park, KS  Management Track HAZCOM for Supervisors (Each person attending both hours will receive a certificate of completion, issued by iSi. Carter H. Moser, Trainer, iSi (integrated solutions, inc.) – Wichita, KS (continues from previous session)  Medical Track Proactive Solutions to Indoor Air Quality Mark Law, Vice-President, PCI Mechanical Services – Topeka, KS

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AGENDA
 Safety Track Why SHARP! Raymond Law, EH&S Corporate Coordinator, Cross Manufacturing, Inc. – Lewis, KS Workshops – 60 min. Boiler Track Deaerator Tanks Tom Garbarino, President, BFS Industries – Butner, NC Randy Mettner, Executive Officer, Adjutant General’s Department – Topeka, KS  Safety Track Fall Protection Mike Bliss, Safety Director, Total Electric, Inc. – Wichita, KS

11:00 a.m. 

 Fire/Public Sector Track Organizational Causes of Accidents Jeffery Hartle, CFPS, MIFireE, Visiting Asst. Professor of Public Affairs, Park University – Kansas City, MO (continues from previous session)  Industrial Hygiene Track Back-Injury Prevention Train-The-Trainer Mitch Ricketts, CSP, Health, Safety & environmental Quality Coordinator, K-State Research & Extension – Manhattan, KS (continues from previous session)

2:30 p.m. Break 2:45 p.m. Closing General Session – 2 hours “Stress Down with Humor” John Madden, Professional Speaker, Author & Trainer 5:00 p.m. Conference Committee Meeting

DAY Three - Thursday, October 4
Professional Development Classes 8:00 a.m. to 12:00 p.m. Boiler Operator Training and Maintenance Don Jenkins, Chief State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Doyle Stone, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Ronald Sleeth, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Charles Wilson III, Deputy State Boiler Inspector, KDOL, Division of Industrial Safety and Health – Topeka, KS Mitch Whisman, Special Risk Engineer Supervisor, Hartford Steam Boiler Insurance – Bonner Springs, KS Chuck Wilson, President, Safety 1st – Topeka, KS 8:00 a.m. to 12:00 p.m. Hexavalent Chromium in Construction and General Industry Helen Cook, Certified Industrial Hygienist, KDOL, Division of Industrial Safety and Health – Topeka, KS 8:00 a.m. to 5:00 p.m. 10 Hour – General Industry Safety and Health Outreach Training Program Ken Bieker, Safety Consultant, KDOL, Division of Industrial Safety and Health – Topeka, KS Deborah Grow, Safety Consultant, KDOL, Division of Industrial Safety and Health – Topeka, KS Steve Lolley, Safety Consultant, KDOL, Division of Industrial Safety and Health – Topeka, KS Betsy Gaydess, Industrial Hygienist, KDOL, Division of Industrial Safety and Health – Topeka, KS 8:00 a.m. to 5:00 p.m. Safety on OSHA Standards for Spanish Speaking Employees Tina DeLaRosa, Communications Specialist, KDOL, Division of Marketing and Communication – Topeka, KS Jorge DeLaTorre, Supervisor, Safety trainer, Sedgwick County Highway Department – Wichita, KS ¡Atención! The following workshop targets your Spanish speaking employees and those who work with them. All of the information provided will be in Spanish and English.

 Management Track Legal Issues in Construction: One Company’s Perspective John Sherwood, Esq., Corporate Counsel, Sherwood Construction Co., Inc. – Wichita, KS  Medical Track When I’m 64 Dr. Chris Fevurly, Medical Director, Lawrence Memorial Hospital – Lawrence, KS  Safety Track The Voluntary Protection Program (VPP) David McDonnell, Compliance Assistance Specialist, US Department of Labor, OSHA – Wichita, KS 12:00 p.m. Conference Luncheon – 90 min. 1:30 p.m.  Workshops – 60 min. Boiler Track Refractory Repair and Boiler Safety Chuck Wilson, President, Safety 1st – Topeka, KS

 Fire/Public Sector Track Emergency Response on Campus Rex Smith, Director Environmental Health & Safety Education Services, Wichita Area Technical College – Wichita, KS  Industrial Hygiene Track Effective Ventilation Systems Suck Dianna Bryant, CIH, CSP, Associate Professor, University of Central Missouri – Warrensburg, MO  Management Track The Best Way to Conduct a Termination Dr. Lee Tyner, Assistant Professor, University of Central Oklahoma – Edmond, OK  Medical Track Emergency Planning for Pandemic Flu

8:00 a.m. to 5:00 p.m. Ground Hazardous Materials Transportation (DOT) Awareness

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AGENDA
David Cosloy, CHMM, EMT, Instructor, iSi (integrated solutions, inc.) – Wichita, KS.

DAY Four - Friday, October 5
Professional Development Classes (Continued) 8:00 a.m. to 12:00 p.m. 10 Hour – General Industry Safety and Health Outreach Training Program, (Continued)

1:00 p.m. to 5:00 p.m. Ground Hazardous Materials Transportation (DOT) Awareness Refresher David Cosloy, CHMM, EMT, Instructor, iSi (integrated solutions, inc.) – Wichita, KS.

CONFERENCE INFORMATION & REGISTRATION
Continuing Education
Health & Safety Objectives 2007
Who Is Responsible for Safety? • Participant will learn how to take personal responsibility for safety. • Participant will understand why it is important to take personal responsibility for safety. Changes in the Boiler Burner Industry • Participant will learn how the Boiler Burner market continues to change. • Participant will understand how political and economic forces are driving major changes in the business. • Participant will learn how newer technologies have completely changed some market segments. Boiler Refractories • Discussion will include: refractory lining selection criteria, refractory lining repairs, destructive service conditions affecting lining life, and heat-up/cooldown temperature schedules. Controls and Safety Devices for Auto Fired Boilers up to 12,500,000 BTUH • Will cover requirements of ASME CSD-1 for boiler fire and water side controls up to 12,500,000 BTUH. Installation of Boilers and Pressure Vessels in the State of Kansas • Will cover requirements for boiler and pressure vessel installation in Kansas including: new units, relocated vessels, bringing in used vessels from out of state and clearances. Refractory Repair and Boiler Safety • Will learn about boiler safety and how it is related to boiler refractory repair and installation. • • • • What’s In Your Can…and why should you care? Participant will learn about various waste minimization efforts done in Sedgwick County. Learn about latest results of their recycling program Learn about the creation and success of their online waste exchange. Learn about commitments within Sedgwick County government to buy recycled goods. lower lost time at work, lower turnover and lower work comp claims. • Learn practical ways to assess your office workstations for a safer, more productive workforce. Work Zone Safety – Who Are We Trying To Protect? • Participant will learn guidelines pertaining to safely moving traffic/workers in and through work sites using standards from the MUTCD (Manual on Uniform Traffic Control Devices). Organizational Causes of Accidents • Using case studies, the participant will review competing social science theories and common problem areas will be identified. • Participant will learn to identify organizational weaknesses and safety failures. Emergency Response on Campus • Participant will learn what is involved in emergency response – management commitment, establishment of crisis team, analysis of your capabilities and hazards, compliance with regulatory requirements, implementing your plan and training of crisis team. • Would your personnel know what to do in an emergency? The Washington Buzz – What’s Happening with OH&S Issues? • Participant will learn what Congress is doing with the issues. • Participant will learn answers to NIOSH and their involvement in OH&S research. Industrial Hygiene Data Management Systems • Participants learn a variety of techniques from AIHA’s “A Strategy for Assessing Managing Occupational Exposures.” • Participant will learn about: designing industrial hygiene studies, establishing monitoring schedules, and the benefits/challenges of using various computer software in managing industrial hygiene data. U.S. Green Building Council: LEED Certification, IEQ and Sustainability • Participant will learn about LEED benefits including: state of the art strategies for sustainable site development, water savings, energy efficiency, materials selection and indoor environmental quality. • Participant will learn what the EHS Professional can provide: required skills to evaluate a building to achieve the required air quality parameters. • Program will outline and discuss the USGBC Green Building Rating System. Back Injury Prevention Train-The-Trainer • Participant will learn how to care for your back. • Participant will learn how to relieve muscle pain and spasms with simple stretching exercises. • Participant will learn how to pass this knowledge on to others in a fun, informal learning environment. Effective Ventilation Systems Suck • Participant will learn why local exhaust ventilation systems are critical. • Participant will learn why proper design and installation must be confirmed. • Participant will learn some simple low cost solutions that could improve performance.

Fire Inspections for Schools or “that darn Fire Marshal” • Participant will learn all State of Kansas requirements for schools in the area of fire inspections. • Participant will learn about requirements for alarm systems, sprinkler systems, evacuation plans, tornado plans, exit signs, exit doors, exit corridors, flammable/combustible liquids, hazardous processes, fire drills and much more. • Participant will know what the inspector will be looking for before they arrive at the school. Office Ergonomics – One Size Does Not Fit All! • Participant will learn about ergonomic principals and their results. Such as: increased productivity, improve safety and health, increase work quality,

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CONFERENCE INFORMATION & REGISTRATION
What You Need to Have in a Hearing Conservation Program • Participant will understand what you need in a hearing conservation program – starting with a noise survey, policy development, audiometric testing, hearing protection record keeping and training. • Speaker will talk about the differences in Standard Threshold Shift and OSHA Recordable Shift. Accommodating the Needs of Persons with Disabilities During Emergencies • Participant will be given an overview of disability, provide case studies and illustrations of some of the challenges person with disabilities face. • A discussion about some of the related challenges businesses and other organizations face in their own efforts to assure accessibility to emergency related activities for all employees or clients. • Participant will learn about approaches offered from other states and from recent research. HAZCOM for Supervisors • Participant will learn their company’s HCS responsibility and what the program should contain including new OSHA initiatives and compliance issues including proposed Globally Harmonized System of Classification (GHS). • Participant will learn how to use labels and material safety data sheets. • Participant will learn how to safely handle hazardous chemicals. Preventing Back Injuries and Cumulative Trauma Disorders in the Workplace • Participants learn how designing a training program which incorporates stretching techniques reduces pain, fatigue and subsequently, lost it injuries. • Speaker will offer tips on how to get employees to buy into the program and how to keep it alive. Legal Issues in Construction: One Company’s Perspective • Participant will learn what to do when OSHA shows up and what to do after a citation is issued. • Participants will be encouraged to share their experiences and what they have learned. Incident Investigation • Participant will be shown an overview of loss investigation techniques to assist the first line supervisors in the process of incident investigations. • Participants will be provided the specific steps necessary to effectively investigate an incident. Tuberculosis: Why Should I Care? • Participant will learn practical insights into the current issues associated with tuberculosis in Kansas. • Speaker will discuss issues effecting the general public and industries in Kansas, focusing on what is most important for safety and protection. Drug Testing in the Workplace • Participant will learn the history of drug testing in the federal program and workplace. • Participant will learn the differences between the screening test, confirmed test, verified test and some pitfalls to avoid. ProActive Solutions to Indoor Air Quality • Participant will learn about RCI technology – a clean and natural process for purifying indoor environments. • Participants will learn the effectiveness of RCI in killing germs, viruses, mold, fungus, etc…. • Participant will learn how many industries are now employing this RCI technology and which ones. When I’m  • Participant will learn the epidemiology of aging effects on common musculoskeletal conditions. • Participant will review evidence of how work interacts or changes the natural process of aging. • Participant will receive recommendations for employers to deal with the effects of aging and fitness for duty. Emergency Planning for Pandemic Flu • Participant will receive an update and overview of where the state stands with planning for a response to a disaster of pandemic influenza. • Participant will review the exercises, issues, training and planning that has occurred over the last year along with any new legislation that has an impact on this response. Reducing at Risk Behavior • Participant will review safety programs that helped Sonoco improve their safety performance. • Participant will understand how reducing human error can be good safety news. • Participant will be presented with ideas that have proven helpful to reduce injuries. • Participant will see an 18 minute Safety video produced by Sonoco. The Political Incorrectness of Safety • Participant will learn how and when to have safety training. • Participant will enjoy a humorous look at why they need to do it! Safety Management for Supervisors • Participants will examine ways to involve employees in the safety process in order to create, accomplish and measure safety objectives that are meaningful to workers. • Participants will receive a training manual that includes a step-by-step plan for developing or revitalizing the company safety program. Add to Your Bottom Line by Utilizing Advanced Medical Employment Testing • Participant will learn about reducing injuries by ensuring employees have the physical strength to safely perform their job responsibilities. • Participants will learn about reducing workers compensation exposure by documenting impairments that an employee brings with them to the workplace per the American Medical Association (AMA) Guides. • Participant will learn about providing pre-injury baseline measurements on an employee, allowing treating professionals to expedite the rehabilitation process. Fall Protection • Participant will learn why we use fall protection. • Participant will learn who should use fall protection. • Participant will learn methods of fall protection (which includes discussion on equipment) The Best Way to Conduct a Termination • Participant will learn tips regarding when to terminate. • Participant will learn why the act of terminating is often more litigious than the decision to terminate. Stress Down with Humor • Participant will learn how to enhance business/social communications with others through humor. • Participant will learn how to solve business/personal problems by getting a different perspective and developing your creative mind. • Participant will learn how to handle predictable stressors in your job and your life. • Participant will learn how to capitalize on the magic of self-effacing humor and accelerate their own success by winning the respect and cooperation of others. Trouble Shooting IAQ Problems • Participant will learn how to effectively assess, characterize and manage indoor air quality concerns that can impact commercial and public buildings. • Participant will be lead through some common IAQ problem solving scenarios.

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CONFERENCE INFORMATION AND REGISTRATION
Breathe Easier: Tips for Managing a Respiratory Protection Program • Participant will learn key elements of a respiratory protection program and practical aspects of the day-to-day management. • Participants will gain information and resources to initiate the update, review, and effective management of their respirator program. • Topics covered in this session include: choosing the right respirator, the importance of education, fit testing, cartridge life expectancy, respirator care, and program surveillance. Fulfilling the Requirements of OSHA’s Bloodborne Pathogen Standard • Participant will learn how abiding by the bloodborne pathogen standard will help prevent accidental exposures to bloodborne illnesses. • This program will assist the participant in identifying what elements of the standard they will be required to implement at their facility. Fundamentals of Boiler Inspection • Participant will learn the steps involved with the preparation of a boiler inspection. • Participant will learn what to look for during an inspection and how to test controls. Hexavalent Chromium in Construction and General Industry • Participant will be acquainted with the New OSHA Hexavalent Chromium Standards as they apply to Construction and Private Industry. • Participant will gain an understanding of how to evaluate and control Hexavalent Chromium Hazards. 10 Hour - General Industry Safety and Health Outreach Training Program. • Participants will be introduced to OSHA walking surfaces, egress and fire protection, hazardous materials, machine guarding, electrical, hazard communication, lockout/tagout, personal protective equipment and record keeping. • Trainers are authorized and students will receive course completion cards issued by OSHA.

EXHIBITORS!
Exhibit space sales for next year’s conference begin in April 2008. Contact Dena Ackors at 785-29-8 or Dena.Ackors@dol.ks.gov to get more information and increase your ad exposure.

EMPLOYERS
How safe is your workplace? Schedule a FREE safety consultation and find out! Let us help you evaluate your workplace and control hazards. No citations, No penalties, No charge! And it’s all confidential. Contact Lisa Hoffman at 785-29-2251 or Lisa.Hoffman@dol.ks.gov to find out more.

REGISTRATION
Attendee(s) Information
1. Name:____________________________________________ Company Address:___________________________________ City:____________________ State:_____ Zip Code:_________ Phone:___________________ E-mail:___________________ Company Name:_____________________________________ Job Title:___________________________________________ Name on name tag:__________________________________ 2. Name:____________________________________________ Company Address:___________________________________ City:____________________ State:_____ Zip Code:_________ Phone:___________________ E-mail:___________________ Company Name:_____________________________________ Job Title:___________________________________________ Name on name tag:__________________________________

Event Disclaimer: Views expressed by speakers are not necessarily the views of the Kansas Department of Labor (KDOL). All speaker appearances are contingent upon availability. KDOL reserves the right to substitute or cancel speakers as needed.

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CONFERENCE INFORMATION AND REGISTRATION
Registration Selections
 Conference Plus Professional Development Class (PDC)
Note: Options selected within this category include, the twoday conference, a PDC, meals, breaks, materials and functions. Supplemental PDCs are available at an additional cost (priced next to each) and are not available for purchase at the Early Full Registration rate. ____ Early Full Registration (*received by Sept. 14) ($190) ____ Full Registration ($215) Select one of the following PDCs: ____ Boiler Operator Training and Maintenance ____ 10 Hour General Industry Safety and Health Outreach Training Program ____ Hexavalent Chromium in Construction and General industry ____ Safety on OSHA Standards for Spanish Speaking Employees ____ Ground Hazardous Materials Transportation (DOT) Awareness - Supplemental ($200) Awareness Refresher - Supplemental ($150) ____ Ground Hazardous Materials Transportation (DOT) Extra Meal(s) Tuesday and Wednesday ___ Continental Breakfast - Tues. .......@ $10 each = $_________ . ___ Continental Breakfast - Wed. ........@ $10 each = $_________ ___ Lunch - Tues. ................................@ $21 each = $_________ ___ Lunch - Wed. ................................@ $21 each = $_________ Payment Selection Payment is due when registration is submitted. Make checks and money orders payable to the Kansas Safety and Health Conference. Mail to: Kansas Safety and Health Conference 800 SW Jackson, Suite 1500 Topeka, KS 66612-1200 Registration Alert! Save 10% when registering three or more persons at the same time. This offer is valid only if all registrations are mailed together and payment is made using a single Visa or MasterCard. Offer does not include a discount on extra meal purchases. ___ Check/Money Order (KDOL FEIN is 48-6029925). ___ Interfund Voucher - This selection is available to Kansas state agencies only. Payment must be made within SOKI. Deduct 10 percent prior to making SOKI payment if registering three or more employees at the same time. (KDOL agency number is 296-000000-00). ___ MasterCard or Visa. We encourage you to use our Web site at www.dol.ks.gov/events and select online registration. If you choose to mail credit card payment complete the following: _____ MasterCard _____ Visa 16-digit card number and 4-digit expiration date: Print the name of the cardholder (as shown on the card): _______________________________________________ * To receive a reduced rate, mailed registration must be postmarked and online registration must be entered by midnight September 1. Any selection containing a choice of Supplemental PDC is not included in reduced rates. Special Needs - All reasonable attempts will be made to accommodate special needs. Needs can be written below or telephoned in advance to Dena Ackors at 785-296-4386. Persons who require special needs are encouraged to report them prior to the event.

 Two-Day Registration (Does not include PDC)
Note: Includes meals, breaks, materials and functions. ____ Early Two-Day Registration (*received by Sept. 14) ($155) ____ Two-Day Registration ($185)

 Single-Day Registration
Note: Includes meal, breaks materials and functions on the day selected. ____ Tuesday ($95) ____ Wednesday ($95)

 Professional Development Class (PDC) Only
Note: Classes selected within this category include breaks, and materials. Supplemental PDCs are available at an additional cost (priced next to each) and are not available for purchase at the Early PDC Registration rate. ____ Early PDC Registration (*received by Sept. 14) ($0) ____ PDC Registration ($55) Select one of the following PDCs: ____ Boiler Operator Training and Maintenance ____ 10 Hour General Industry Safety and Health Outreach Training Program ____ Hexavalent Chromium in Construction and General industry ____ Safety on OSHA Standards for Spanish Speaking Employees ____ Ground Hazardous Materials Transportation (DOT) Awareness - Supplemental ($200) Awareness Refresher - Supplemental ($150) -8____ Ground Hazardous Materials Transportation (DOT)

Total Amount Enclosed: $_____________________________ Refund Policy A request for refund must be made in writing and received two weeks prior to the event. Businesses must include their company’s Federal Employer Identification Number. Individuals must include their Social Security Number. A $25 processing fee will be deducted from all refunds.

Safety & Health

G

LF TOURNAMENT
October 1, 2007
Sim Park Municipal Golf Course 220 W. Murdock – Wichita, KS 67202

ENTRY DEADLINE: SEPTEMBER 26, 2007!
 Muligans can be purchased  A reception will be held at the clubhouse immediately after the event. Tournament fees: Contact: Send all entries to: Make checks payable to: $45.00 per person or $180.00 per team (includes green fees, cart, prizes and reception) Russ Eckert at 316-268-4395 if you have any questions Dena Ackors Kansas Department of Labor 800 SW Jackson, Suite 1500 Topeka, Kansas 66612-1200 KS Safety & Health

GOLF TOURNAMENT REGISTRATION
Four Person Scramble – Best Ball Format
 I/we want to participate in the 2007 Safety & Health Golf Tournament. 

List ALL Players, Single or Team
Single players or incomplete teams will be matched with other players and notified at the tournament. 1. Team Captain’s Name: ___________________________________ Phone:_______________________ _ E-Mail Address: _________________________________________ Fax:_________________________ Address: (street) ______________________________________________________________________ (city) ____________________________________ (state)__________________ (zip)_______________ 2. Player’s Name__________________________________________ Phone:________________________ 3. Player’s Name__________________________________________ Phone:________________________ 4. Player’s Name__________________________________________ Phone:________________________ REGISTRATION is at 12:00 Noon DRESS CODE: Collared Shirts SHOTGUN starts at 1:00 p.m. No Cut-off Shorts SOFTSPIKES ONLY