Document 93G3o442ON03EanOQmXKOgaX6

Vinyl Institute / /A Division of The Society of The Plastics Industry, Inc. April 1, 1988 TO: Vinyl Institute Health, Safety and Environment Committee Attached are multiple copies of the form being used for the Safety Awards Program that has been reinstituted by the SPI. These forms have been previously sent to that person who is identified as the SPI "Voting Representative" for your company. I have identified that individual below for your company. If you are interested in participating, these forms should be returned to SPI by April 15. JftAA_cUJt Meredith N. Scheck CTL017730 Wayne Interchange Plaza II 155 Route 46 West Wayne, NJ 07470 (201) 890-9299 PLEASE RETURN BY APRIL 15 TO: Mr. R.H. LaLumondier The Society of the Plastics Industry 1275 K Street, NW, Suite 400 Washington, D.C. 20005 SAFETY AWARDS PROGRAM FOR THE PLASTICS INDUSTRY TYPES OF AWARDS 1. Distinguished 2. Achievement 3. Merit ELIGIBILITY Any member of The Society of the Plastics Industry, Inc., in good standing in accordance with The Society of the Plastics Industry, Inc. Bylaws. CRITERIA OF AWARD 1. Distinguished Safety Award--Recognizes plants that have operated without an OSHA recordable injury or illness. 2. Achievement Safety Award--Recognizes plants that have operated without an injury or illness resulting in lost-time or restricted work activity. 3. Merit Safety Award--Recognizes plants that have a Lost Workday Case Incident Rate (LWCI) better than the national average and that have demonstrated a twenty percent (or greater) reduciton in the LWCI rate as compared to the previous year. JUDGING OF AWARD RECIPIENT All judgments concerning a participant's eligibility for the awards will be made by the SPI Technical and Regulatory Affairs Department. All decisions of the judges will be final. DEFINITIONS APPLICABLE TO AWARD ELIGIBILITY All definitions of recordable occupational injuries and illnesses, lost workdays, lost workday cases, work environment, and other key terms used in judging award eligibility are similar to the definitions supplied on OSHA 200 which is the standard form used by employers. Some definitions of key terms are summarized. 1. Recordable Coses--Are those cases which are OSHA recordable including every occupational death, every non-fatal occupational illness, and those non-fatal occupational injuries which involve one or more of the following; loss of consciousness, restriction of work or motion, transfer to another job, or medical treatment (other than first aid). 2. Lost Workday Cases--Are those recordable cases involving days away from work or days of restricted work activity, or both. 3. Lost Workday Case Incidence Rate--A lost workday case incidence rate is defined as the number of lost workday cases per 200,000 employee hours of exposure. Totals from columns 1, 2, 8, 9/200,000 employee exposure hours. 4. Employee Hours of Exposures--Hours of exposure shall be the total number of hours worked by all employees at the work establishment during the calendar year. This figure shall be preferably calculated from payroll records. If such records are not available, the hours of exposure should be estimated upon the basis of the average number of employees and the average number of hours worked by each employee during that period. ADMINISTRATIVE FACTS 1. Please fill out the form in its entirety. 2. Use injury/illness information from OSHA 200 or equivalent. 3. Feel free to make copies for multiple establishments. 4. Return signed and completed forms by April 15th. 5. Winners will be announced after June 1. Presentations will follow. 6. Identifier information will be held confidential. CTL017731 Summary--Occupational Injuries & Illnesses Return to SPI before April 15th, 1988 COMPANY INFORMATION PLANT INFORMATION NAME CITY NEW INFORMATION ADDRESS STATE ZIP REPORTING YEAR: 1987/1986 Fatalities Nonfaui Injuries Type of iNneae Fatal!ties NontataJ illnesses Enter Tout No of Oeetn (1) injuries With Lost Workday* Entar Total No of injuries mvoMng Oay* away from wore or days of restricted work activity or both Enter Total No of mjunee involving day* away from work Enter total number of DAYS away from work (2) 13) (A) Injuries Without Enter Total No of Uneeees tor Each Type Loot Workdays Enter total Enter Ibul No of number of CHECKS it no 2OAYSof entry was meda reatneted m columns t or work activity but the injury reeordaote as defined above If Ifii{ ii !| IfSJ *8 i ii II Si i! \i is !| iK la l! (7) (b)(5) (6) (a) (e) (d) ia> t) s 1 ll 14) illness Related Enter Total No Deaths (St nines**- With Lost workdays Enter Tout No Of iinesscs involving days away from work or days of restricted work activity or both Enter Total No of finesses involving days away from work Enter Taut numoer of OAYSof away from work (91 (10) (IT) Itnesa Without Loot workdays Enter Total number of OAYSof reatneteo work activity Enter Tbui No CHECKS if no entry was made *n cotumna 1 or 9 112) 03) 1987 1986 Average Number of Employees Total Hours Worked----------------------------------------------------------------------------------------------------------- To which segment of the plastics industry does this plant belong? Processor/Fabricator Resin/Material Supplier Machinery/Auxiliary Equipment C Moldmaker If you checked either the processor/fabricator or the moldmaker category above, please check the processes which are applicable to this plant. (A) Blow Molding (B) Calendering (C) Casting (D) Coating (E) Compression Molding (F) Extrusion (G) Foam Molding (H) Injection Molding (I) Laminating (J) Moldmakers C (K) Reaction Injection Molding (L) Reinforced Plastics Processes C (M) Rotational Molding (N) Structural Foam (O) Thermoforming (P) Thermoset Injection Molding (Q) Transfer Molding Plant Manager ___________________________________________________ ________ REPORTER PREPARER Name__________________________________________________________________ Title ___________________________________________________________ Phone # CTL017732