Workplace Safety Consultation visit

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

Company/establishment name required

Site address

Address
City	State MN	ZIP code
Fax	Phone

Mailing information (if different)

Address
City	State	ZIP code
Fax	Phone

Ownership required

Number of employees in establishment required

Total number of employees in state required

SIC code required

(search)

or

Description of business

indicates required field.

Employer contact information

Name

	First name
	Last name
	Salutation

Title

E-mail address required

indicates required field.

Click the button below to submit this request.