Request a Workplace Safety Consultation visit

Workplace Safety Consultation has safety and health professionals available at no cost to you. Please fill in the following request form if you are interested in receiving a free safety and health consultation at your facility.

Fields marked by * are required and cannot be left blank. If you have any questions, please call (651) 284-5060 or toll-free at 1-800-657-3776.

Establishment information
 
Site address
Mailing address (if different)
 
 
 
 
 
   
 
 
 
 
 
   
 
Employee data (previous 3 years)
 
 
 
 
 
 
 
 
 

Employer contact information