Free Request for Consultation - Arizona


File Size: 136.2 kB
Pages: 1
Date: March 19, 2009
File Format: PDF
State: Arizona
Category: Workers Compensation
Word Count: 129 Words, 873 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ica.state.az.us/forms/adosh/consultationRequest.pdf

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THE INDUSTRIAL COMMISSION OF ARIZONA ARIZONA DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
Consultation and Training Request Form Date: Company Name: Type of Operation: Company Address: City: Contact Person: Phone Number: Requested Service: If training. desired course: Have you used our services before: Comments / Special Requests: Yes No State:

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AZ

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The ADOSH consultation and training services are provided free of charge to employers in Arizona. These services are offered to assist employers in maintaining compliance with OSHA standards. Employers utilizing these services do not receive citations or penalties for hazards identified by consultants but are expected to correct such hazards. 800 W. Washington St. Phoeniz, AZ 85007 602-542-1769 602-542-1614 (Fax) 2675 E. Broadway Rd. Tucson, AZ 85716 520-628-5478 520-322-8008 (Fax)