"SAFETY CONSULTANTS SERVING INDUSTRIES SINCE 1989!"  
 

Smith and Associates Environmental Health and Safety Consulting Services

(510) 670-0809

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Industries
Construction
Mining
Wine & Agriculture
General Industry

Services
Staffing Safety Professionals Full/Part Time
ISNetworld Assistance
OCIP Safety Management
Insurance Safety Support
Safety Program/IIPP Development
Auditing
Storm Water Services
More

 

Request Safety Program Review

Please fill out the form below and upload all support documents.

*Required Fields

General Contractor Requesting Review:
*
Subcontractor Company Name:
*
Subcontractor Contact First/Last Name:
*
Email Address:
*
Phone:
( ) - *
Trade/Subcontractor Type:
Typical Type of Work Performed:
Average Number of Employees:

Required Safety Program Submittals

Injury & Illness Prevention Program/IIPP

Does your company have an IIPP?

Instructions: Please upload your IIPP at the bottom of this form. Include the page number that each of the following required elements can be found below.

IIPP must include Cal/OSHA's required eight elements:

1. Responsibility Page #
2. Compliance Page #
3. Communication Page #
4. Hazard Assessment Page #
5. Accident/Exposure Investigation Page #
6. Hazard Correction Page #
7. Training and Instruction Page #
8. Recordkeeping Page #

IIPP Information Link: https://www.dir.ca.gov/dosh/etools/09-031/what.htm


Hazard Communication Program

Does your company have a Hazard Communication Program?

HazCom Information Link: https://www.dir.ca.gov/title8/5194.html


Trade Specific Safety Program(s)


Does your company have Trade Specific Safety Programs?

Trade Specific Program Examples: Fall Protection, Respiratory Protection, Ladder Safety. etc.

CalOSHA Safety Regulation Topics: ttps://www.dir.ca.gov/samples/search/query.htm

Current EMR:
Will you be working on ladders?
Will you be working above 6'?
Will you be working on scaffold?
Will you be working with concrete or concrete products?
Will you be preforming any Hot Work (Welding, Cutting, Grinding)?
Will you be working in public areas?
Will you be directing traffic or receiving deliveries from curb side?

Upload Requested Safety Program(s) Documents
Please upload all IIPP, HazCom, & Trade Specific Program(s):


Comments/Explanations/Requests:
Request Consultation:

 
 

 
 
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