Massamont On-Site Loss Control Seminars
*Name:
Title:
Department:
Town or Organization:
PO Box:
Street Address:
*City/Town:
*State
*Zip:
Phone:
*Email:
Select ONE program to be presented. Enter three dates for consideration
Topic Program Accident Trending All Accident Investigation All Bloodborne Pathogen Awareness All Custodians – Back Injury Prevention Metrogard - Diplomax Defensive Driving – Vehicle Operator All Ergonomic Assessment All True Cost of Accidents workshop All Fire Safety All Hazard Identification and Assessment All Machine Guarding of Equipment All Right-to-Know and HAZCOM All Self-Audit Assistance All Teacher Safety Metrogard - Diplomax Playground Safety Metrogard - Diplomax Woodworking Safety Metrogard - Diplomax Spill Control and Prevention Splash - PowerWrap HAZMAT Training Splash - PowerWrap DOT HAZWHAPPER Training Splash - PowerWrap
Enter three possible dates to have your program presented.
1st Date Choice:	for more information, contact: Laurie Shaw Coordinator, Loss Control Training lshaw@massamontinsurance.com 800.444.3916 x 639
2nd Date Choice
3rd Date Choice:
Thank you for registering!