Customer Form CUSTOMER FORM Customer Form Your Company Name:*Your Company Address for Cover Page:*Your Contractor License Number(s):Your Business Phone Number:*Name and Title of persons signing the Policy Statement?*Name of your Safety Person?*Cell Phone number of Safety Person?What is the Title given to your front line supervision?*Describe your business operations:*How often do you hold Safety Meetings? Periodically (Varies) Weekly Bi-Weekly Monthly Quarterly Annually For General Contractors. Please select any building trades performed by your employees. I will include Safety Rules & Procedures for those building trades. For instance, if your employees install drywall, select Drywall: Carpentry Concrete - Masonry Drywall Electrical Excavation Fencing Framing HVAC Landscaping Painting Plumbing Roofing Sandblasting Scaffolding Erection Tile Setting Comments:Select the PPE you provide for your employees: Hard Hats Safety Glasses Hearing Protection Respirators High Visibility Safety Vests Fall Protection Equipment Gloves Steel Toed Safety Boots Select Safety Sections Specific To Your Operations:Basic Mandatory OSHA Safety Sections are already included in your manual. Abrasive Wheel Equipment Safety Policy Aerial Lift Safety Policy Ammonia Awareness Policy Asbestos Awareness Policy Assured Equipment Grounding Policy Benzene Awareness Policy Bloodborne Pathogens Exposure Control Plan Cell Tower Fall Protection Plan Cell Tower Vertical Rescue Plan Compressed Air Safety Confined Space/Permit Confined Space Policy Contractor/Subcontractor Working Relations Crane Safety Policy Electrical Safety Awareness Policy Fall Protection Policy Fatigue Management Policy Forklift Policy General Waste Management Policy Hexavalent Chromium Program Housekeeping Policy Hydrogen Sulphide - H2S Safety Awareness Lead Safety Awareness Policy Lockout/Tagout Policy NFPA 70e/Arc Flash Policy Noise/Hearing Protection Policy One Call Policy (Underground Utility Location) Pandemic Preparedness Program Pneumatic Tool Safety Policy Powder Actuated Tool Safety Policy Process Safety Management Policy Radio Frequency Awareness Plan Respiratory Protection Policy Rigging Material Handling Policy Scaffolding Safety Policy Short Service Employee Policy Silica Exposure Control Plan Spill Prevention / Response Policy Stop Work Authority Subcontractor Management Policy Trenching/Shoring/Excavation Policy Welding/Hot Work Policy Working Alone Policy How did you find my site?* Google Search Referral Repeat Customer Other Search How many employees in your company?*For my internal use. Not included in the manual. 0-10 11-50 More Than 50 Please check if you would like a free Fleet Safety Plan: Vehicle Fleet Safety Plan (Non-DOT pickups, vans, autos) DOT Fleet Safety Plan with Drivers Handout Your e-mail address?* This iframe contains the logic required to handle Ajax powered Gravity Forms.