Please complete the form below and your details will be emailed to us.

Please complete the form below and your details will be emailed to us. The form will automatically be printed on submission of the form and this copy MUST be signed and submitted via courier to the address stated at the bottom of the page. Do NOT submit the pdf version of the Application Form, it is for reference purposes only.

To view the 2008 TPM Award guidelines please download the PDF.

	1.1 Company name: 1.2 Company Plant Name (if different): 1.3 Address of Plant: Address line 1: Address line 2: City: Postcode: Country:
	2. People Information
	2.1 Plant Senior Manager (Plant Manager, MD, CEO) Name: Title: Contact Telephone: Email Address: 2.2 Plant Contact for TPM (Normal contact person for TPM matters) Name: Title: Contact Telephone: FAX No: Email Address: 2.3 Finance Contact (To whom invoices and other finance matters may be addressed) Name: Title: Contact Telephone: Email Address:
	3. Awards Category for which application is being made Please select one from the list
	Award for TPM Excellence, Category A Special Award for TPM Achievement Award for TPM Excellence, Category B Advanced Special Award for TPM Achievement Award for Excellence in Consistent TPM Commitment Award for World-class TPM Achievement
	4. Additional Plant Information
	4.1 Product Range: 4.2 Annual Turnover (State Currency): 4.3 Number of Employees: 4.4 Total Size of Site (m2): 4.5 Number of days required to complete the assessment:
	5. Name of Consultant(s) The name of your regular consultant and also the name(s) of any other person(s) performing consulting services such as one day consulting, special visit and Health check are requested
	Name of Consultant Name of the Consulting Firm
This is required to avoid any risk of a conflict of interest between a consultant and that same person being appointed as an assessor.
	6. Local Information
	6.1 Nearest Airport Name: 6.2 Travelling time from Airport to Plant: 6.3 Suggested Hotel where assessors may stay: Name: Address: Hotel Contact Telephone: 6.4 Travelling time from Airport to Hotel: 6.5 Travelling time from Hotel to Plant:
	7. TPM Information
	7.1 Do you already have a TPM Award? YES  NO 7.2 If YES, Category of Award: 7.3 Year of Award 7.4 For 2008 First Stage Assessment please indicate your preferred weeks (Please mark 5 weeks in order of preference)
	Week Your Choice Week Your Choice Week Your Choice 14 March 31-April 4 19 May 5-9 24 June 9-13 15 April 7-11 20 May 12-16 25 June 16-20 16 April 14-18 21 May 19-23 26 June 23-27 17 April 21-25 22 May 26-30 27 June 30-July 4 18 April 28-May 2 23 June 2-6 28 July 7-11
	7.5 Please list any Holidays and Plant Closure dates during the Assessment Period:
	8. Serious Accidents
	Have you had any serious accidents in the last 12 months? (Please tick appropriate box) YES NO If YES, Accident Report must be attached
	Signature Date Please print name Title
Please Note: An original application form will automatically be printed when the above form is submitted. The form MUST be signed and submitted by courier to the address below in time to meet the deadline.
	TPM Office SMMT Industry Forum 2410 Regents Court, The Crescent, Birmingham Business Park Birmingham B37 7YE, United Kingdom TEL: +44 (0) 121 717 6600 FAX: +44 (0) 121 717 6699 TPM Contact: Tomomi Austin-Bailey (Mrs) E-mail: tpmoffice@industryforum.co.uk Telephone: +44 (0)121 717 6619