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PLATFORM
HEALTH
SAFETY
ABOUT
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REQUEST
SAFETY CONSULTING
QUOTE
Please provide these details.
First Name
*
Last Name
*
Company Name
*
Company Type
*
Employer
Service Provider
Email
*
Phone Number
*
Contact Preference
*
Phone
Email
Service Interest
*
Safety Analysis
Site Assessment
Custom Safety Plan Creation
Custom Training
Safety Director Service
Other
Has your company developed and implemented a formal safety plan?
*
Yes
No
Has your company been inspected by OSHA within the last 3 years?
*
Yes
No
Do any of your employees use respirators?
*
Yes
No
Number of Locations
*
Primary Operations at Each Location
*
Secondary Operations at Each Location
*
Square Footage of Each Location
*
Estimated number of employees by function across all locations?
*
How many work shifts are there and what are the operating hours at each location?
*
Company Industry
*
Aerospace
Agriculture
Automotive
Cannabis
Construction
Dental
Energy
Healthcare
Manufacturing
Oil & Gas
Refining
Senior Living
Other
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HEALTH
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