35+ YEAR SAFE MINING AWARD
35+ YEAR SAFE MINING AWARD NOMINATION FORM
Use this form to nominate persons within your organization that have worked 35+ years, consecutively, without a Lost Time Injury. The recipients will be recognized and presented with an award. The nominee will be recognized on the SCJMHSC website and during the 2022 South Central Joint Mine Health & Safety Conference. The conference is scheduled for April 18-21,2022. Please complete one form for each nominee** and return to: South Central Joint Mine Health Safety Conference email@example.com.