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SAFETYSERVICESMANITOBA.CA PREMIER SPONSOR ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS JANUARY 23 JANUARY 24 & 25 2018 VICTORIA INN HOTEL & CONVENTION CENTRE 1808 WELLINGTON AVENUE OCCUPATIONAL HEALTH & SAFETY CONFERENCE safetyservicesmanitoba.ca @SafetyServMB #ssmOHSconf Safety Services Manitoba

Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

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Page 1: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Victoria Inn Hotel & Convention Centre

1808 Wellington Avenue (adjacent to James Armstrong Richardson International Airport)

Safety Services Manitoba Conference Room Rate - $134

To receive the reduced conference rate call 204.786.4801 and quote code #750568.

Accommodation is limited, so register early!

Rob Beal, CRSP TOROMONT CAT

Kent Blackmon, CRSP CITY OF WINNIPEG

Fiona Bugera MAPLE LEAF FOODS

David Erl, CRSP, CHSC SAFETY SERVICES MANITOBA

Elena Gagliardi PLANNERS PLUS INC.

Tracy Hill MANITOBA HARVEST HEMP FOODS

Dana Johnson, CRSP, CHSC SAFETY SERVICES MANITOBA

Kim Keating, CHSC SAFE WORK MANITOBA

Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP

Jeff Olsson, CRSP, CHSC MANITOBA HYDRO

Adam Paoletic, CRSPSAFETY SERVICES MANITOBA

Jacques St. Hilaire, CRSP MANITOBA LIQUOR & LOTTERIES

Anita Zubricki SAFETY SERVICES MANITOBA

Visit safetyservicesmanitoba.ca for conference updates.Join the conversation on Twitter: @SafetyServMB #ssmOHSconf Connect with us on LinkedIn And ‘like’ us on Facebook: Safety Services Manitoba

Register and pay by December 8, 2017 and save $60 per registrant for the two-day conference!

Conference Planning Committee

This conference would not be possible without the support of our sponsors:

Conference Fee Schedule and Registration FormPrior to Dec.

8, 2017Plus GST

(5%) TotalAfter Dec.

8, 2017Plus GST

(5%) Total3-Day Conference, includes AMSP (Tuesday session), Wednesday AND Thursday sessions

$679 $33.95 $712.95 $739 $36.95 $775.95

2-Day Conference, either:• AMSP (Tuesday session) plus

Wednesday OR Thursday• Wednesday AND Thursday sessions

$489 $24.45 $513.45 $549 $27.45 $576.45

1-Day Conference, either:• AMSP (Tuesday session only)• Wednesday session only• Thursday session only

$369 $18.45 $387.45 $399 $19.95 $418.95

Please Note:

1. Payment in full for early bird registration MUST BE RECEIVED BEFORE THE DEADLINE OF DECEMBER 8, 2017.

2. Registration fees include breakfasts and lunches.

3. Each two-day delegate will receive a certificate of attendance only upon request after the conference concludes.

4. Cancellations/Refunds will only be allowed or provided on the following basis: if cancellation is received in writing before

December 8, 2017, you will receive a full refund less a $25 administration fee. NO REFUNDS will be given after December 8,

2017. Substitution of delegates is acceptable. Those who register but did not pay in advance of the start of the conference

and do not attend for any reason will be expected to pay the full fee owing to cover the costs associated with pre-purchasing

materials and meals on their behalf.

5. Please make your cheque payable to “Safety Services Manitoba” and send payment to “Go Promote Safety” c/o Planners Plus

Inc., 106-475 Provencher Blvd., Winnipeg, MB R2J 4A7.

6. For information about registration please contact Tamara Spence, Registration Coordinator, 204.257.5205 or

[email protected].

Please print clearly and ensure all information is provided.

Delegate Name: Position:

Professional Designation (choose all that apply): CRSP CHSC HSP CSO Other:

Company:

Address:

City: Province: Postal Code:

Phone: Fax: Email:

(NOTE: Your registration confirmation and receipt will be sent to the email address provided above.)

Please advise if you have any medically directed dietary requirements and/or allergies.

Please advise if you have any physical limitations that will require assistance onsite.

Cheque enclosed Invoice Visa MasterCard

Card Number:

Expiry Date: / 3 Digit Code:

Name of Cardholder:

Signature:

(NOTE: Charges related to your registration will appear on your credit card as Planners Plus Inc.)

SAFETYSERVICESMANITOBA.CA

PREMIERSPONSOR

ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS

JANUARY 23

JANUARY24 & 25

2018

VICTORIA INN

HOTEL & CONVENTION

CENTRE1808 WELLINGTON AVENUE

OCCUPATIONAL HEALTH & SAFETY CONFERENCE

safetyservicesmanitoba.ca

@SafetyServMB #ssmOHSconf

Safety Services Manitoba

Page 2: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Stream Legend

SL = Safety LeadershipS101 = Safety 101H&W = Health and Wellness

Meet Our Keynote SpeakersConor Cunneen | irishmanspeaks.comConor (“IrishmanSpeaks”) has worked in senior leadership, sales and marketing roles in Ireland, UK and USA. This lyrical Irishman combines the fun that won Chicago Humorous Speaker of the Year with his years of business experience to provide compelling presentations that leave attendees with smiles on their faces, a spring in their step AND memorable takeaways to create an even better and safer workplace.

Stéphane Grenier | hic-cism.comStéphane is a former member of the Canadian Military who retired as a Lieutenant Colonel after serving for just over 29 years and participating in several Canadian missions overseas. Faced with his own undiagnosed post-traumatic stress disorder (PTSD) upon return from Rwanda, he took a personal interest in the way the Canadian Forces was dealing with mental health issues. His work helps to reduce mental health stigma in the workplace, and in 2009 he was awarded a national Champion of Mental Health Award by the Canadian Alliance on Mental Illness and Mental Health.

Faith Wood | imind.caOne of the leading language and persuasion mavens, Faith is an award-winning novelist as well as a communication and conflict consultant. As a former Peace Officer, Faith has first-hand experience with the power of persuasion. She has conducted influence strategy and training for government, education and entrepreneurial organizations globally.

Registration Form January 24 & 25, 2018Register online at safetyservicesmanitoba.ca. Workshops are filled on a first come, first served basis – our secure online registration is the best way to reserve your spot and confirm your course selections instantly. Alternatively you can mail this form to the address in Note #5 on the next page.

Delegate Name: ___________________________________________________________________________________________

Please indicate your 1st, 2nd and 3rd choices for each workshop block. We will make every effort to accommodate your choices.

Wednesday, January 24, 20181st 2nd 3rd Session Title Stream

A1:Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

SL

A2: Principles for Excellent Safety Leadership SL

A3: Sleep: The Secret to Safety, Productivity and Quality of Life S101

A4: WHMIS 2015 and GHS S101

A5: Marijuana and the Workplace – Truth or Myth H&W

A6: Cultivating the Habit of Peace in the Workplace (Part 1 of 2) H&W

B1: Understanding Workplace Safety and Health Enforcement SL

B2: Safety Committee Fundamentals SL

B3: Prime Contractor Safety Responsibilities S101

B4: The Challenge of Drug Impaired Driving S101

B5: What on Earth has Happened to My Food?! H&W

B6: Cultivating the Habit of Peace in the Workplace (Part 2 of 2) H&W

Thursday, January 25, 2018C1: Emergency Coordination in Rural Communities SL

C2: Safety Leadership is Like Porridge SL

C3: Dynamics of Collisions (Part 1 of 2) S101

C4: Ergonomics in Motion S101

C5: Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health H&W

C6:The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

H&W

D1: Anatomy of a Fatality SL

D2: SUPERvision: The Key to Felt Leadership SL

D3: Criminal Investigation of Collisions (Part 2 of Session C3) S101

D4: Disability Management: Aligning with Workplace Psychological Health and Safety S101

D5: Occupational Diseases: Things You Need to Know H&W

D6: Introduction to Mindfulness: Living the Now H&W

I also will attend the Assembly of Manitoba Safety Professionals advanced training and conference day (Tuesday, January 23, 2018).

Go Promote Safety (GPS): Your Safety Roadmap Sometimes, we could all use a little guidance. Most of us have used GPS devices to help us get around and point us in the right direction – and that’s the idea behind this year’s conference.

Our conference program is designed to give you more routes to add to “your safety roadmap.” Together, your current efforts and activities and what you’ll learn at the SSM OHS Conference will program your ‘safety GPS’ to help you stay on course and get you where you need to go.

You’ll leave the annual conference ready to “Go Promote Safety” in your workplace.

Who Should Attend?Go Promote Safety is a must-attend event for anyone whose job involves responsibility for safety, health and wellness. This year’s lineup of topics offers insights and tips for senior managers, supervisors, union safety representatives, lead hands, occupational health and safety specialists, safety engineers, loss and risk managers, operations personnel, human resource managers, contractors and consultants.

This year we’re pleased to host the fourth annual Assembly of Manitoba Safety Professionals – an advanced safety and health training and conference day specifically designed to meet the needs of Manitoba’s safety professionals. We’re looking forward to another full day of topics, round-table discussions and speakers – please see the Assembly of Manitoba Safety Professionals insert for more information.

Why You Should AttendThe SSM OHS Conference brings together over 600 delegates who play a role in health and safety in Manitoba and beyond. This is your chance to connect, share ideas and learn with your fellow safety leaders.

• Choose from 24 workshop presentations, selected to help you build a safety culture• Hear keynote speakers Conor Cunneen, Stéphane Grenier and Faith Wood (see their brief bios below and visit the website for more

detailed information)• Explore the latest in health and safety products and services with over 40 exhibitors in our trade show• BCRSP has previously awarded CM points for this event. The current agenda contains 11 technical hours and may be eligible for

BCRSP CM points. See the BCRSP website (bcrsp.ca) for CM point criteria. Please note: The Assembly of Manitoba Safety Professionals includes 6.25 additional technical hours.

Planning Your ConferenceLooking for complete workshop descriptions and speaker biographies? Visit safetyservicesmanitoba.ca

*Legend on Registration Form Page

Wednesday, January 24, 2018Time Event Title Speaker Stream

7:30 am Registration, Tradeshow and Continental Breakfast8:30 am Conference Opening

8:45 am Keynote Presentation The Gift of GAB (Goals, Attitude, Behaviour) Conor Cunneen9:45 am Refreshment Break and Tradeshow

10:15 am Workshop Session A A1 Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

Sue Roth, SAFE Work Manitoba SL

A2 Principles for Excellent Safety Leadership Herb Franz, Kroeker Farms SLA3 Sleep: The Secret to Safety, Productivity and Quality of Life Teresa Johnson, Sleepwell Consulting S101A4 WHMIS 2015 and GHS CCOHS S101A5 Marijuana and the Workplace – Truth or Myth Dan Demers, CannAmm Occupational

Testing ServicesH&W

A6 Cultivating the Habit of Peace in the Workplace (Part 1 of 2) Marianne Farag, Sublimity: Pathways to Peace

H&W

11:30 am Plenary Session Safety Roadmap: Paving the Way to a Culture of Safety Jamie Hall, SAFE Work Manitoba

Noon Lunch and Tradeshow1:15 pm Workshop Session B B1 Understanding Workplace Safety and Health Enforcement Darren James, Workplace Safety &

HealthSL

B2 Safety Committee Fundamentals Jack Slessor, SAFE Work Manitoba SLB3 Prime Contractor Safety Responsibilities Dan Montagnon, SSM S101B4 The Challenge of Drug Impaired Driving Adam Cheadle, MPI S101B5 What on Earth has Happened to My Food?! Sonia Funk, Registered Nutritional

Therapist, The Whole AvocadoH&W

B6 Cultivating the Habit of Peace in the Workplace (Part 2 of 2) Marianne Farag H&W2:30 pm Refreshment Break and Tradeshow3:00 pm Keynote Presentation The Power of Human Interaction Stéphane Grenier4:00 pm Adjourn for the Day Prize Draw

Thursday, January 25, 20188:00 am Registration, Tradeshow and Continental Breakfast8:45 am Day Two Opening9:00 am Keynote Presentation Secrets of Persuasion (Part 1 of 2) Faith Wood

10:00 am Refreshment Break and Tradeshow10:30 am Workshop Session C C1 Emergency Coordination in Rural Communities Karen Timchuk, RM of Cartier SL

C2 Safety Leadership is Like Porridge Wendy Hofford SLC3 Dynamics of Collisions (Part 1 of 2) Larry Dalman, SSM S101C4 Ergonomics In Motion Roland Reenders and Gail Archer-Heese,

SAFE Work ManitobaS101

C5 Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health

Shannon Gander, Life Work Wellness H&W

C6 The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

Lew Bayer, Civility Experts H&W

11:45 am Lunch1:00 pm Workshop Session D D1 Anatomy of a Fatality Tracy Hill, Fresh Hemp Foods SL

D2 SUPERvision: The Key to Felt Leadership Kirk Regular, MAMI SLD3 Criminal Investigation of Collisions (Part 2 of Session C3) Larry Dalman S101D4 Disability Management: Aligning with Workplace Psychological Health

and SafetyCheryl Swanson, SSM S101

D5 Occupational Diseases: Things You Need to Know Dr. Allen Kraut, MFL OHC, U of M H&W

D6 Introduction to Mindfulness: Living the Now Elaine Gerbrandt H&W2:15 pm Refreshment Break2:30 pm Keynote Presentation Secrets of Persuasion (Part 2 of 2) Faith Wood3:30 pm Conference Wrap Up Prize Draw

Page 3: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Stream Legend

SL = Safety LeadershipS101 = Safety 101H&W = Health and Wellness

Meet Our Keynote SpeakersConor Cunneen | irishmanspeaks.comConor (“IrishmanSpeaks”) has worked in senior leadership, sales and marketing roles in Ireland, UK and USA. This lyrical Irishman combines the fun that won Chicago Humorous Speaker of the Year with his years of business experience to provide compelling presentations that leave attendees with smiles on their faces, a spring in their step AND memorable takeaways to create an even better and safer workplace.

Stéphane Grenier | hic-cism.comStéphane is a former member of the Canadian Military who retired as a Lieutenant Colonel after serving for just over 29 years and participating in several Canadian missions overseas. Faced with his own undiagnosed post-traumatic stress disorder (PTSD) upon return from Rwanda, he took a personal interest in the way the Canadian Forces was dealing with mental health issues. His work helps to reduce mental health stigma in the workplace, and in 2009 he was awarded a national Champion of Mental Health Award by the Canadian Alliance on Mental Illness and Mental Health.

Faith Wood | imind.caOne of the leading language and persuasion mavens, Faith is an award-winning novelist as well as a communication and conflict consultant. As a former Peace Officer, Faith has first-hand experience with the power of persuasion. She has conducted influence strategy and training for government, education and entrepreneurial organizations globally.

Registration Form January 24 & 25, 2018Register online at safetyservicesmanitoba.ca. Workshops are filled on a first come, first served basis – our secure online registration is the best way to reserve your spot and confirm your course selections instantly. Alternatively you can mail this form to the address in Note #5 on the next page.

Delegate Name: ___________________________________________________________________________________________

Please indicate your 1st, 2nd and 3rd choices for each workshop block. We will make every effort to accommodate your choices.

Wednesday, January 24, 20181st 2nd 3rd Session Title Stream

A1:Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

SL

A2: Principles for Excellent Safety Leadership SL

A3: Sleep: The Secret to Safety, Productivity and Quality of Life S101

A4: WHMIS 2015 and GHS S101

A5: Marijuana and the Workplace – Truth or Myth H&W

A6: Cultivating the Habit of Peace in the Workplace (Part 1 of 2) H&W

B1: Understanding Workplace Safety and Health Enforcement SL

B2: Safety Committee Fundamentals SL

B3: Prime Contractor Safety Responsibilities S101

B4: The Challenge of Drug Impaired Driving S101

B5: What on Earth has Happened to My Food?! H&W

B6: Cultivating the Habit of Peace in the Workplace (Part 2 of 2) H&W

Thursday, January 25, 2018C1: Emergency Coordination in Rural Communities SL

C2: Safety Leadership is Like Porridge SL

C3: Dynamics of Collisions (Part 1 of 2) S101

C4: Ergonomics in Motion S101

C5: Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health H&W

C6:The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

H&W

D1: Anatomy of a Fatality SL

D2: SUPERvision: The Key to Felt Leadership SL

D3: Criminal Investigation of Collisions (Part 2 of Session C3) S101

D4: Disability Management: Aligning with Workplace Psychological Health and Safety S101

D5: Occupational Diseases: Things You Need to Know H&W

D6: Introduction to Mindfulness: Living the Now H&W

I also will attend the Assembly of Manitoba Safety Professionals advanced training and conference day (Tuesday, January 23, 2018).

Go Promote Safety (GPS): Your Safety Roadmap Sometimes, we could all use a little guidance. Most of us have used GPS devices to help us get around and point us in the right direction – and that’s the idea behind this year’s conference.

Our conference program is designed to give you more routes to add to “your safety roadmap.” Together, your current efforts and activities and what you’ll learn at the SSM OHS Conference will program your ‘safety GPS’ to help you stay on course and get you where you need to go.

You’ll leave the annual conference ready to “Go Promote Safety” in your workplace.

Who Should Attend?Go Promote Safety is a must-attend event for anyone whose job involves responsibility for safety, health and wellness. This year’s lineup of topics offers insights and tips for senior managers, supervisors, union safety representatives, lead hands, occupational health and safety specialists, safety engineers, loss and risk managers, operations personnel, human resource managers, contractors and consultants.

This year we’re pleased to host the fourth annual Assembly of Manitoba Safety Professionals – an advanced safety and health training and conference day specifically designed to meet the needs of Manitoba’s safety professionals. We’re looking forward to another full day of topics, round-table discussions and speakers – please see the Assembly of Manitoba Safety Professionals insert for more information.

Why You Should AttendThe SSM OHS Conference brings together over 600 delegates who play a role in health and safety in Manitoba and beyond. This is your chance to connect, share ideas and learn with your fellow safety leaders.

• Choose from 24 workshop presentations, selected to help you build a safety culture• Hear keynote speakers Conor Cunneen, Stéphane Grenier and Faith Wood (see their brief bios below and visit the website for more

detailed information)• Explore the latest in health and safety products and services with over 40 exhibitors in our trade show• BCRSP has previously awarded CM points for this event. The current agenda contains 11 technical hours and may be eligible for

BCRSP CM points. See the BCRSP website (bcrsp.ca) for CM point criteria. Please note: The Assembly of Manitoba Safety Professionals includes 6.25 additional technical hours.

Planning Your ConferenceLooking for complete workshop descriptions and speaker biographies? Visit safetyservicesmanitoba.ca

*Legend on Registration Form Page

Wednesday, January 24, 2018Time Event Title Speaker Stream

7:30 am Registration, Tradeshow and Continental Breakfast8:30 am Conference Opening

8:45 am Keynote Presentation The Gift of GAB (Goals, Attitude, Behaviour) Conor Cunneen9:45 am Refreshment Break and Tradeshow

10:15 am Workshop Session A A1 Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

Sue Roth, SAFE Work Manitoba SL

A2 Principles for Excellent Safety Leadership Herb Franz, Kroeker Farms SLA3 Sleep: The Secret to Safety, Productivity and Quality of Life Teresa Johnson, Sleepwell Consulting S101A4 WHMIS 2015 and GHS CCOHS S101A5 Marijuana and the Workplace – Truth or Myth Dan Demers, CannAmm Occupational

Testing ServicesH&W

A6 Cultivating the Habit of Peace in the Workplace (Part 1 of 2) Marianne Farag, Sublimity: Pathways to Peace

H&W

11:30 am Plenary Session Safety Roadmap: Paving the Way to a Culture of Safety Jamie Hall, SAFE Work Manitoba

Noon Lunch and Tradeshow1:15 pm Workshop Session B B1 Understanding Workplace Safety and Health Enforcement Darren James, Workplace Safety &

HealthSL

B2 Safety Committee Fundamentals Jack Slessor, SAFE Work Manitoba SLB3 Prime Contractor Safety Responsibilities Dan Montagnon, SSM S101B4 The Challenge of Drug Impaired Driving Adam Cheadle, MPI S101B5 What on Earth has Happened to My Food?! Sonia Funk, Registered Nutritional

Therapist, The Whole AvocadoH&W

B6 Cultivating the Habit of Peace in the Workplace (Part 2 of 2) Marianne Farag H&W2:30 pm Refreshment Break and Tradeshow3:00 pm Keynote Presentation The Power of Human Interaction Stéphane Grenier4:00 pm Adjourn for the Day Prize Draw

Thursday, January 25, 20188:00 am Registration, Tradeshow and Continental Breakfast8:45 am Day Two Opening9:00 am Keynote Presentation Secrets of Persuasion (Part 1 of 2) Faith Wood

10:00 am Refreshment Break and Tradeshow10:30 am Workshop Session C C1 Emergency Coordination in Rural Communities Karen Timchuk, RM of Cartier SL

C2 Safety Leadership is Like Porridge Wendy Hofford SLC3 Dynamics of Collisions (Part 1 of 2) Larry Dalman, SSM S101C4 Ergonomics In Motion Roland Reenders and Gail Archer-Heese,

SAFE Work ManitobaS101

C5 Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health

Shannon Gander, Life Work Wellness H&W

C6 The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

Lew Bayer, Civility Experts H&W

11:45 am Lunch1:00 pm Workshop Session D D1 Anatomy of a Fatality Tracy Hill, Fresh Hemp Foods SL

D2 SUPERvision: The Key to Felt Leadership Kirk Regular, MAMI SLD3 Criminal Investigation of Collisions (Part 2 of Session C3) Larry Dalman S101D4 Disability Management: Aligning with Workplace Psychological Health

and SafetyCheryl Swanson, SSM S101

D5 Occupational Diseases: Things You Need to Know Dr. Allen Kraut, MFL OHC, U of M H&W

D6 Introduction to Mindfulness: Living the Now Elaine Gerbrandt H&W2:15 pm Refreshment Break2:30 pm Keynote Presentation Secrets of Persuasion (Part 2 of 2) Faith Wood3:30 pm Conference Wrap Up Prize Draw

Page 4: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Stream Legend

SL = Safety LeadershipS101 = Safety 101H&W = Health and Wellness

Meet Our Keynote SpeakersConor Cunneen | irishmanspeaks.comConor (“IrishmanSpeaks”) has worked in senior leadership, sales and marketing roles in Ireland, UK and USA. This lyrical Irishman combines the fun that won Chicago Humorous Speaker of the Year with his years of business experience to provide compelling presentations that leave attendees with smiles on their faces, a spring in their step AND memorable takeaways to create an even better and safer workplace.

Stéphane Grenier | hic-cism.comStéphane is a former member of the Canadian Military who retired as a Lieutenant Colonel after serving for just over 29 years and participating in several Canadian missions overseas. Faced with his own undiagnosed post-traumatic stress disorder (PTSD) upon return from Rwanda, he took a personal interest in the way the Canadian Forces was dealing with mental health issues. His work helps to reduce mental health stigma in the workplace, and in 2009 he was awarded a national Champion of Mental Health Award by the Canadian Alliance on Mental Illness and Mental Health.

Faith Wood | imind.caOne of the leading language and persuasion mavens, Faith is an award-winning novelist as well as a communication and conflict consultant. As a former Peace Officer, Faith has first-hand experience with the power of persuasion. She has conducted influence strategy and training for government, education and entrepreneurial organizations globally.

Registration Form January 24 & 25, 2018Register online at safetyservicesmanitoba.ca. Workshops are filled on a first come, first served basis – our secure online registration is the best way to reserve your spot and confirm your course selections instantly. Alternatively you can mail this form to the address in Note #5 on the next page.

Delegate Name: ___________________________________________________________________________________________

Please indicate your 1st, 2nd and 3rd choices for each workshop block. We will make every effort to accommodate your choices.

Wednesday, January 24, 20181st 2nd 3rd Session Title Stream

A1:Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

SL

A2: Principles for Excellent Safety Leadership SL

A3: Sleep: The Secret to Safety, Productivity and Quality of Life S101

A4: WHMIS 2015 and GHS S101

A5: Marijuana and the Workplace – Truth or Myth H&W

A6: Cultivating the Habit of Peace in the Workplace (Part 1 of 2) H&W

B1: Understanding Workplace Safety and Health Enforcement SL

B2: Safety Committee Fundamentals SL

B3: Prime Contractor Safety Responsibilities S101

B4: The Challenge of Drug Impaired Driving S101

B5: What on Earth has Happened to My Food?! H&W

B6: Cultivating the Habit of Peace in the Workplace (Part 2 of 2) H&W

Thursday, January 25, 2018C1: Emergency Coordination in Rural Communities SL

C2: Safety Leadership is Like Porridge SL

C3: Dynamics of Collisions (Part 1 of 2) S101

C4: Ergonomics in Motion S101

C5: Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health H&W

C6:The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

H&W

D1: Anatomy of a Fatality SL

D2: SUPERvision: The Key to Felt Leadership SL

D3: Criminal Investigation of Collisions (Part 2 of Session C3) S101

D4: Disability Management: Aligning with Workplace Psychological Health and Safety S101

D5: Occupational Diseases: Things You Need to Know H&W

D6: Introduction to Mindfulness: Living the Now H&W

I also will attend the Assembly of Manitoba Safety Professionals advanced training and conference day (Tuesday, January 23, 2018).

Go Promote Safety (GPS): Your Safety Roadmap Sometimes, we could all use a little guidance. Most of us have used GPS devices to help us get around and point us in the right direction – and that’s the idea behind this year’s conference.

Our conference program is designed to give you more routes to add to “your safety roadmap.” Together, your current efforts and activities and what you’ll learn at the SSM OHS Conference will program your ‘safety GPS’ to help you stay on course and get you where you need to go.

You’ll leave the annual conference ready to “Go Promote Safety” in your workplace.

Who Should Attend?Go Promote Safety is a must-attend event for anyone whose job involves responsibility for safety, health and wellness. This year’s lineup of topics offers insights and tips for senior managers, supervisors, union safety representatives, lead hands, occupational health and safety specialists, safety engineers, loss and risk managers, operations personnel, human resource managers, contractors and consultants.

This year we’re pleased to host the fourth annual Assembly of Manitoba Safety Professionals – an advanced safety and health training and conference day specifically designed to meet the needs of Manitoba’s safety professionals. We’re looking forward to another full day of topics, round-table discussions and speakers – please see the Assembly of Manitoba Safety Professionals insert for more information.

Why You Should AttendThe SSM OHS Conference brings together over 600 delegates who play a role in health and safety in Manitoba and beyond. This is your chance to connect, share ideas and learn with your fellow safety leaders.

• Choose from 24 workshop presentations, selected to help you build a safety culture• Hear keynote speakers Conor Cunneen, Stéphane Grenier and Faith Wood (see their brief bios below and visit the website for more

detailed information)• Explore the latest in health and safety products and services with over 40 exhibitors in our trade show• BCRSP has previously awarded CM points for this event. The current agenda contains 11 technical hours and may be eligible for

BCRSP CM points. See the BCRSP website (bcrsp.ca) for CM point criteria. Please note: The Assembly of Manitoba Safety Professionals includes 6.25 additional technical hours.

Planning Your ConferenceLooking for complete workshop descriptions and speaker biographies? Visit safetyservicesmanitoba.ca

*Legend on Registration Form Page

Wednesday, January 24, 2018Time Event Title Speaker Stream

7:30 am Registration, Tradeshow and Continental Breakfast8:30 am Conference Opening

8:45 am Keynote Presentation The Gift of GAB (Goals, Attitude, Behaviour) Conor Cunneen9:45 am Refreshment Break and Tradeshow

10:15 am Workshop Session A A1 Make it the Standard – Improving Safety Culture through the National Standard for Psychological Health and Safety in the Workplace

Sue Roth, SAFE Work Manitoba SL

A2 Principles for Excellent Safety Leadership Herb Franz, Kroeker Farms SLA3 Sleep: The Secret to Safety, Productivity and Quality of Life Teresa Johnson, Sleepwell Consulting S101A4 WHMIS 2015 and GHS CCOHS S101A5 Marijuana and the Workplace – Truth or Myth Dan Demers, CannAmm Occupational

Testing ServicesH&W

A6 Cultivating the Habit of Peace in the Workplace (Part 1 of 2) Marianne Farag, Sublimity: Pathways to Peace

H&W

11:30 am Plenary Session Safety Roadmap: Paving the Way to a Culture of Safety Jamie Hall, SAFE Work Manitoba

Noon Lunch and Tradeshow1:15 pm Workshop Session B B1 Understanding Workplace Safety and Health Enforcement Darren James, Workplace Safety &

HealthSL

B2 Safety Committee Fundamentals Jack Slessor, SAFE Work Manitoba SLB3 Prime Contractor Safety Responsibilities Dan Montagnon, SSM S101B4 The Challenge of Drug Impaired Driving Adam Cheadle, MPI S101B5 What on Earth has Happened to My Food?! Sonia Funk, Registered Nutritional

Therapist, The Whole AvocadoH&W

B6 Cultivating the Habit of Peace in the Workplace (Part 2 of 2) Marianne Farag H&W2:30 pm Refreshment Break and Tradeshow3:00 pm Keynote Presentation The Power of Human Interaction Stéphane Grenier4:00 pm Adjourn for the Day Prize Draw

Thursday, January 25, 20188:00 am Registration, Tradeshow and Continental Breakfast8:45 am Day Two Opening9:00 am Keynote Presentation Secrets of Persuasion (Part 1 of 2) Faith Wood

10:00 am Refreshment Break and Tradeshow10:30 am Workshop Session C C1 Emergency Coordination in Rural Communities Karen Timchuk, RM of Cartier SL

C2 Safety Leadership is Like Porridge Wendy Hofford SLC3 Dynamics of Collisions (Part 1 of 2) Larry Dalman, SSM S101C4 Ergonomics In Motion Roland Reenders and Gail Archer-Heese,

SAFE Work ManitobaS101

C5 Fry No More! Top Resilience Skills that Prevent Burnout and Bolster Mental Health

Shannon Gander, Life Work Wellness H&W

C6 The 30% Solution: How Civility at Work Can Increase Retention, Engagement and Profitability

Lew Bayer, Civility Experts H&W

11:45 am Lunch1:00 pm Workshop Session D D1 Anatomy of a Fatality Tracy Hill, Fresh Hemp Foods SL

D2 SUPERvision: The Key to Felt Leadership Kirk Regular, MAMI SLD3 Criminal Investigation of Collisions (Part 2 of Session C3) Larry Dalman S101D4 Disability Management: Aligning with Workplace Psychological Health

and SafetyCheryl Swanson, SSM S101

D5 Occupational Diseases: Things You Need to Know Dr. Allen Kraut, MFL OHC, U of M H&W

D6 Introduction to Mindfulness: Living the Now Elaine Gerbrandt H&W2:15 pm Refreshment Break2:30 pm Keynote Presentation Secrets of Persuasion (Part 2 of 2) Faith Wood3:30 pm Conference Wrap Up Prize Draw

Page 5: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Victoria Inn Hotel & Convention Centre

1808 Wellington Avenue (adjacent to James Armstrong Richardson International Airport)

Safety Services Manitoba Conference Room Rate - $134

To receive the reduced conference rate call 204.786.4801 and quote code #750568.

Accommodation is limited, so register early!

Rob Beal, CRSP TOROMONT CAT

Kent Blackmon, CRSP CITY OF WINNIPEG

Fiona Bugera MAPLE LEAF FOODS

David Erl, CRSP, CHSC SAFETY SERVICES MANITOBA

Elena Gagliardi PLANNERS PLUS INC.

Tracy Hill MANITOBA HARVEST HEMP FOODS

Dana Johnson, CRSP, CHSC SAFETY SERVICES MANITOBA

Kim Keating, CHSC SAFE WORK MANITOBA

Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP

Jeff Olsson, CRSP, CHSC MANITOBA HYDRO

Adam Paoletic, CRSPSAFETY SERVICES MANITOBA

Jacques St. Hilaire, CRSP MANITOBA LIQUOR & LOTTERIES

Anita Zubricki SAFETY SERVICES MANITOBA

Visit safetyservicesmanitoba.ca for conference updates.Join the conversation on Twitter: @SafetyServMB #ssmOHSconf Connect with us on LinkedIn And ‘like’ us on Facebook: Safety Services Manitoba

Register and pay by December 8, 2017 and save $60 per registrant for the two-day conference!

Conference Planning Committee

This conference would not be possible without the support of our sponsors:

Conference Fee Schedule and Registration FormPrior to Dec.

8, 2017Plus GST

(5%) TotalAfter Dec.

8, 2017Plus GST

(5%) Total3-Day Conference, includes AMSP (Tuesday session), Wednesday AND Thursday sessions

$679 $33.95 $712.95 $739 $36.95 $775.95

2-Day Conference, either:• AMSP (Tuesday session) plus

Wednesday OR Thursday• Wednesday AND Thursday sessions

$489 $24.45 $513.45 $549 $27.45 $576.45

1-Day Conference, either:• AMSP (Tuesday session only)• Wednesday session only• Thursday session only

$369 $18.45 $387.45 $399 $19.95 $418.95

Please Note:

1. Payment in full for early bird registration MUST BE RECEIVED BEFORE THE DEADLINE OF DECEMBER 8, 2017.

2. Registration fees include breakfasts and lunches.

3. Each two-day delegate will receive a certificate of attendance only upon request after the conference concludes.

4. Cancellations/Refunds will only be allowed or provided on the following basis: if cancellation is received in writing before

December 8, 2017, you will receive a full refund less a $25 administration fee. NO REFUNDS will be given after December 8,

2017. Substitution of delegates is acceptable. Those who register but did not pay in advance of the start of the conference

and do not attend for any reason will be expected to pay the full fee owing to cover the costs associated with pre-purchasing

materials and meals on their behalf.

5. Please make your cheque payable to “Safety Services Manitoba” and send payment to “Go Promote Safety” c/o Planners Plus

Inc., 106-475 Provencher Blvd., Winnipeg, MB R2J 4A7.

6. For information about registration please contact Tamara Spence, Registration Coordinator, 204.257.5205 or

[email protected].

Please print clearly and ensure all information is provided.

Delegate Name: Position:

Professional Designation (choose all that apply): CRSP CHSC HSP CSO Other:

Company:

Address:

City: Province: Postal Code:

Phone: Fax: Email:

(NOTE: Your registration confirmation and receipt will be sent to the email address provided above.)

Please advise if you have any medically directed dietary requirements and/or allergies.

Please advise if you have any physical limitations that will require assistance onsite.

Cheque enclosed Invoice Visa MasterCard

Card Number:

Expiry Date: / 3 Digit Code:

Name of Cardholder:

Signature:

(NOTE: Charges related to your registration will appear on your credit card as Planners Plus Inc.)

SAFETYSERVICESMANITOBA.CA

PREMIERSPONSOR

ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS

JANUARY 23

JANUARY24 & 25

2018

VICTORIA INN

HOTEL & CONVENTION

CENTRE1808 WELLINGTON AVENUE

OCCUPATIONAL HEALTH & SAFETY CONFERENCE

safetyservicesmanitoba.ca

@SafetyServMB #ssmOHSconf

Safety Services Manitoba

Page 6: Conference Fee Schedule and Registration Form€¦ · Kim Keating, CHSC SAFETYSERVICESMANITOBA.CA SAFE WORK MANITOBA Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP Jeff Olsson,

Victoria Inn Hotel & Convention Centre

1808 Wellington Avenue (adjacent to James Armstrong Richardson International Airport)

Safety Services Manitoba Conference Room Rate - $134

To receive the reduced conference rate call 204.786.4801 and quote code #750568.

Accommodation is limited, so register early!

Rob Beal, CRSP TOROMONT CAT

Kent Blackmon, CRSP CITY OF WINNIPEG

Fiona Bugera MAPLE LEAF FOODS

David Erl, CRSP, CHSC SAFETY SERVICES MANITOBA

Elena Gagliardi PLANNERS PLUS INC.

Tracy Hill MANITOBA HARVEST HEMP FOODS

Dana Johnson, CRSP, CHSC SAFETY SERVICES MANITOBA

Kim Keating, CHSC SAFE WORK MANITOBA

Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP

Jeff Olsson, CRSP, CHSC MANITOBA HYDRO

Adam Paoletic, CRSPSAFETY SERVICES MANITOBA

Jacques St. Hilaire, CRSP MANITOBA LIQUOR & LOTTERIES

Anita Zubricki SAFETY SERVICES MANITOBA

Visit safetyservicesmanitoba.ca for conference updates.Join the conversation on Twitter: @SafetyServMB #ssmOHSconf Connect with us on LinkedIn And ‘like’ us on Facebook: Safety Services Manitoba

Register and pay by December 8, 2017 and save $60 per registrant for the two-day conference!

Conference Planning Committee

This conference would not be possible without the support of our sponsors:

Conference Fee Schedule and Registration FormPrior to Dec.

8, 2017Plus GST

(5%) TotalAfter Dec.

8, 2017Plus GST

(5%) Total3-Day Conference, includes AMSP (Tuesday session), Wednesday AND Thursday sessions

$679 $33.95 $712.95 $739 $36.95 $775.95

2-Day Conference, either:• AMSP (Tuesday session) plus

Wednesday OR Thursday• Wednesday AND Thursday sessions

$489 $24.45 $513.45 $549 $27.45 $576.45

1-Day Conference, either:• AMSP (Tuesday session only)• Wednesday session only• Thursday session only

$369 $18.45 $387.45 $399 $19.95 $418.95

Please Note:

1. Payment in full for early bird registration MUST BE RECEIVED BEFORE THE DEADLINE OF DECEMBER 8, 2017.

2. Registration fees include breakfasts and lunches.

3. Each two-day delegate will receive a certificate of attendance only upon request after the conference concludes.

4. Cancellations/Refunds will only be allowed or provided on the following basis: if cancellation is received in writing before

December 8, 2017, you will receive a full refund less a $25 administration fee. NO REFUNDS will be given after December 8,

2017. Substitution of delegates is acceptable. Those who register but did not pay in advance of the start of the conference

and do not attend for any reason will be expected to pay the full fee owing to cover the costs associated with pre-purchasing

materials and meals on their behalf.

5. Please make your cheque payable to “Safety Services Manitoba” and send payment to “Go Promote Safety” c/o Planners Plus

Inc., 106-475 Provencher Blvd., Winnipeg, MB R2J 4A7.

6. For information about registration please contact Tamara Spence, Registration Coordinator, 204.257.5205 or

[email protected].

Please print clearly and ensure all information is provided.

Delegate Name: Position:

Professional Designation (choose all that apply): CRSP CHSC HSP CSO Other:

Company:

Address:

City: Province: Postal Code:

Phone: Fax: Email:

(NOTE: Your registration confirmation and receipt will be sent to the email address provided above.)

Please advise if you have any medically directed dietary requirements and/or allergies.

Please advise if you have any physical limitations that will require assistance onsite.

Cheque enclosed Invoice Visa MasterCard

Card Number:

Expiry Date: / 3 Digit Code:

Name of Cardholder:

Signature:

(NOTE: Charges related to your registration will appear on your credit card as Planners Plus Inc.)

SAFETYSERVICESMANITOBA.CA

PREMIERSPONSOR

ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS

JANUARY 23

JANUARY24 & 25

2018

VICTORIA INN

HOTEL & CONVENTION

CENTRE1808 WELLINGTON AVENUE

OCCUPATIONAL HEALTH & SAFETY CONFERENCE

safetyservicesmanitoba.ca

@SafetyServMB #ssmOHSconf

Safety Services Manitoba

Victoria Inn Hotel & Convention Centre

1808 Wellington Avenue (adjacent to James Armstrong Richardson International Airport)

Safety Services Manitoba Conference Room Rate - $134

To receive the reduced conference rate call 204.786.4801 and quote code #750568.

Accommodation is limited, so register early!

Rob Beal, CRSP TOROMONT CAT

Kent Blackmon, CRSP CITY OF WINNIPEG

Fiona Bugera MAPLE LEAF FOODS

David Erl, CRSP, CHSC SAFETY SERVICES MANITOBA

Elena Gagliardi PLANNERS PLUS INC.

Tracy Hill MANITOBA HARVEST HEMP FOODS

Dana Johnson, CRSP, CHSC SAFETY SERVICES MANITOBA

Kim Keating, CHSC SAFE WORK MANITOBA

Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP

Jeff Olsson, CRSP, CHSC MANITOBA HYDRO

Adam Paoletic, CRSPSAFETY SERVICES MANITOBA

Jacques St. Hilaire, CRSP MANITOBA LIQUOR & LOTTERIES

Anita Zubricki SAFETY SERVICES MANITOBA

Visit safetyservicesmanitoba.ca for conference updates.Join the conversation on Twitter: @SafetyServMB #ssmOHSconf Connect with us on LinkedIn And ‘like’ us on Facebook: Safety Services Manitoba

Register and pay by December 8, 2017 and save $60 per registrant for the two-day conference!

Conference Planning Committee

This conference would not be possible without the support of our sponsors:

Conference Fee Schedule and Registration FormPrior to Dec.

8, 2017Plus GST

(5%) TotalAfter Dec.

8, 2017Plus GST

(5%) Total3-Day Conference, includes AMSP (Tuesday session), Wednesday AND Thursday sessions

$679 $33.95 $712.95 $739 $36.95 $775.95

2-Day Conference, either:• AMSP (Tuesday session) plus

Wednesday OR Thursday• Wednesday AND Thursday sessions

$489 $24.45 $513.45 $549 $27.45 $576.45

1-Day Conference, either:• AMSP (Tuesday session only)• Wednesday session only• Thursday session only

$369 $18.45 $387.45 $399 $19.95 $418.95

Please Note:

1. Payment in full for early bird registration MUST BE RECEIVED BEFORE THE DEADLINE OF DECEMBER 8, 2017.

2. Registration fees include breakfasts and lunches.

3. Each two-day delegate will receive a certificate of attendance only upon request after the conference concludes.

4. Cancellations/Refunds will only be allowed or provided on the following basis: if cancellation is received in writing before

December 8, 2017, you will receive a full refund less a $25 administration fee. NO REFUNDS will be given after December 8,

2017. Substitution of delegates is acceptable. Those who register but did not pay in advance of the start of the conference

and do not attend for any reason will be expected to pay the full fee owing to cover the costs associated with pre-purchasing

materials and meals on their behalf.

5. Please make your cheque payable to “Safety Services Manitoba” and send payment to “Go Promote Safety” c/o Planners Plus

Inc., 106-475 Provencher Blvd., Winnipeg, MB R2J 4A7.

6. For information about registration please contact Tamara Spence, Registration Coordinator, 204.257.5205 or

[email protected].

Please print clearly and ensure all information is provided.

Delegate Name: Position:

Professional Designation (choose all that apply): CRSP CHSC HSP CSO Other:

Company:

Address:

City: Province: Postal Code:

Phone: Fax: Email:

(NOTE: Your registration confirmation and receipt will be sent to the email address provided above.)

Please advise if you have any medically directed dietary requirements and/or allergies.

Please advise if you have any physical limitations that will require assistance onsite.

Cheque enclosed Invoice Visa MasterCard

Card Number:

Expiry Date: / 3 Digit Code:

Name of Cardholder:

Signature:

(NOTE: Charges related to your registration will appear on your credit card as Planners Plus Inc.)

SAFETYSERVICESMANITOBA.CA

PREMIERSPONSOR

ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS

JANUARY 23

JANUARY24 & 25

2018

VICTORIA INN

HOTEL & CONVENTION

CENTRE1808 WELLINGTON AVENUE

OCCUPATIONAL HEALTH & SAFETY CONFERENCE

safetyservicesmanitoba.ca

@SafetyServMB #ssmOHSconf

Safety Services Manitoba

Victoria Inn Hotel & Convention Centre

1808 Wellington Avenue (adjacent to James Armstrong Richardson International Airport)

Safety Services Manitoba Conference Room Rate - $134

To receive the reduced conference rate call 204.786.4801 and quote code #750568.

Accommodation is limited, so register early!

Rob Beal, CRSP TOROMONT CAT

Kent Blackmon, CRSP CITY OF WINNIPEG

Fiona Bugera MAPLE LEAF FOODS

David Erl, CRSP, CHSC SAFETY SERVICES MANITOBA

Elena Gagliardi PLANNERS PLUS INC.

Tracy Hill MANITOBA HARVEST HEMP FOODS

Dana Johnson, CRSP, CHSC SAFETY SERVICES MANITOBA

Kim Keating, CHSC SAFE WORK MANITOBA

Gary L’Heureux, CRSP DAY & ROSS TRANSPORTATION GROUP

Jeff Olsson, CRSP, CHSC MANITOBA HYDRO

Adam Paoletic, CRSPSAFETY SERVICES MANITOBA

Jacques St. Hilaire, CRSP MANITOBA LIQUOR & LOTTERIES

Anita Zubricki SAFETY SERVICES MANITOBA

Visit safetyservicesmanitoba.ca for conference updates.Join the conversation on Twitter: @SafetyServMB #ssmOHSconf Connect with us on LinkedIn And ‘like’ us on Facebook: Safety Services Manitoba

Register and pay by December 8, 2017 and save $60 per registrant for the two-day conference!

Conference Planning Committee

This conference would not be possible without the support of our sponsors:

Conference Fee Schedule and Registration FormPrior to Dec.

8, 2017Plus GST

(5%) TotalAfter Dec.

8, 2017Plus GST

(5%) Total3-Day Conference, includes AMSP (Tuesday session), Wednesday AND Thursday sessions

$679 $33.95 $712.95 $739 $36.95 $775.95

2-Day Conference, either:• AMSP (Tuesday session) plus

Wednesday OR Thursday• Wednesday AND Thursday sessions

$489 $24.45 $513.45 $549 $27.45 $576.45

1-Day Conference, either:• AMSP (Tuesday session only)• Wednesday session only• Thursday session only

$369 $18.45 $387.45 $399 $19.95 $418.95

Please Note:

1. Payment in full for early bird registration MUST BE RECEIVED BEFORE THE DEADLINE OF DECEMBER 8, 2017.

2. Registration fees include breakfasts and lunches.

3. Each two-day delegate will receive a certificate of attendance only upon request after the conference concludes.

4. Cancellations/Refunds will only be allowed or provided on the following basis: if cancellation is received in writing before

December 8, 2017, you will receive a full refund less a $25 administration fee. NO REFUNDS will be given after December 8,

2017. Substitution of delegates is acceptable. Those who register but did not pay in advance of the start of the conference

and do not attend for any reason will be expected to pay the full fee owing to cover the costs associated with pre-purchasing

materials and meals on their behalf.

5. Please make your cheque payable to “Safety Services Manitoba” and send payment to “Go Promote Safety” c/o Planners Plus

Inc., 106-475 Provencher Blvd., Winnipeg, MB R2J 4A7.

6. For information about registration please contact Tamara Spence, Registration Coordinator, 204.257.5205 or

[email protected].

Please print clearly and ensure all information is provided.

Delegate Name: Position:

Professional Designation (choose all that apply): CRSP CHSC HSP CSO Other:

Company:

Address:

City: Province: Postal Code:

Phone: Fax: Email:

(NOTE: Your registration confirmation and receipt will be sent to the email address provided above.)

Please advise if you have any medically directed dietary requirements and/or allergies.

Please advise if you have any physical limitations that will require assistance onsite.

Cheque enclosed Invoice Visa MasterCard

Card Number:

Expiry Date: / 3 Digit Code:

Name of Cardholder:

Signature:

(NOTE: Charges related to your registration will appear on your credit card as Planners Plus Inc.)

SAFETYSERVICESMANITOBA.CA

PREMIERSPONSOR

ASSEMBLY OF MANITOBA SAFETY PROFESSIONALS

JANUARY 23

JANUARY24 & 25

2018

VICTORIA INN

HOTEL & CONVENTION

CENTRE1808 WELLINGTON AVENUE

OCCUPATIONAL HEALTH & SAFETY CONFERENCE

safetyservicesmanitoba.ca

@SafetyServMB #ssmOHSconf

Safety Services Manitoba