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Click on the "Yes" button to complete any sections that apply. When you are done press the "Submit" button.
Are you involved in any aspect of chemical transportation?
Yes No


 
 
Do You Have Any Chemicals in the Workplace?
Yes No
Do You Do Construction Work?
Yes No
Do You Have Electrical Sysytems or Equipment Operating or Intending To Operate At 600 Volts or Higher?
Yes No
Do You Have and/or Operate An Elevator?
Yes No
Do You Use Equipment, Machines, Vehicles, or Industrial Trucks?
Yes No
Do You Have A Fire Protection Program?
Yes No
General Industry
Yes No
Do You Perform Logging and/or Sawmill Operations?
Yes No
Do You Operate A Mine?
Yes No
Do You Refine, Store, Transport, or Handle Petroleum, Natural Gas, or Their Products?
Yes No
Do You Perform Ship Building, Repair, and/or Breaking?
Yes No
Do You Work At Telecommunications Centers Or Field installations?
Yes No
Do Employees Work In Tunnels, Shafts, Raises, Inclines, or Underground Chambers, During Excavation, Construction, etc. ?
Yes No