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*ISNetworld® Safety Program Questionnaire A United States

* Required Fields

* Company Name: As you want it to Print in your Safety Program
* Contact Person:  
* Business Phone:  
* Cell Phone:  
* Email:  
* Username and Password for ISNetworld® Account Log in.
* Username: Case Sensitive - must be exact
* Password: Case Sensitive - must be exact
Re-enter password

Check List - Submission to ISNetworld® - Please fill out the questions below in order for us to complete your ISNetworld® Safety Program requirements for the RAVS process.
What is the time frame between :
Safety Meetings  
Routine Safety Checks  
Who is your RSO - Responsible Safety Officer for your company? (This is the person in charge of your company's safety program.

RSO Name:

  
Who is the name of the person who will be the “Safety Director” if different from the RSO person.

Safety Director:

What is the title of the supervisor or person who will be conducting the safety meetings? (Safety Director / Foreman / Jobsite Forman / Owner / Field Supervisor) Enter the name on the next line.

Safety Officer:

  

The date that you want to state that your safety programs were created

Date Created:

  

In the sections below in the chapters that ask for a specific name - please supply or list the RSO or the individual's name who is responsible for that chapter / section. In most cases we are able to use the term "Competent Person" if you do not have a specific name to insert.

If you are not required to submit for a specific chapter / section, please fill out the information in case that chapter / section is added to your required safety program. This will help expedite any further updates. Chapters / Sections not listed do not require any further specific information.
Bloodborne Pathogens Name of Qualified First Aid / CPR Person on-site.
Name of "competent person" who will be responsible for all the “Behavior Based Safety” Implementation.
Behavior Based Safety Program:  
Confined Space / Permit Confined Space: (insert your list of Employees including: Authorized entrants, attendants, entry supervisors, persons who test or monitor the atmosphere in a permit space. * A copy of a Permit may be required.
Confined Space Names: Please list all names
Crane Operator - Offshore Name of Qualified Person
Crane Operator - Onshore Name of Qualified Person
Discipline Name of company Representative
Fall Protection Name of "competent person" responsible for all fall safety issues
Fire Protections / Extinguishers Name of Qualified Person
First Aid / CPR

Name of Qualified Person
Grounding Conductor Program Name of Qualified Person
HAZCOM MSDS (Material Safety Data Sheet) Master List
Complete Hazardous Chemicals List may be requested
Ladder Safety Name of Qualified Person
Lockout / Tagout

Name of "competent person" who will be responsible for all lockout / tagout exposure controls and safety issues. Please include list of safety equipment and controls.
Name of "competent person" who will be responsible for “NORM” or “Naturally Occurring Radioactive Materials” Implementation.
NORM:  
PPE Assessments / PPE List of employees / Equipment / Exposure
Scaffolds Name of "competent person" who will be responsible for all fall protection safety.
Trenching / Shoring / Excavations Name of Qualified Person
Welding, Cutting, Hot Work Name of Qualifed Person

What is your timeline? Are you in a big rush to get this uploaded and approved. We normally can upload your safety programs within 2-3 days at the latest. Although if you need it right away we can get it done possibly today or within 24 hours.

Comments:

After filling out this form you will be directed to our secure shopping cart for payment.

 

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OSHA Compliance Group, Inc. is an independent company, with no agenda other than to help you get approved by Third-Party Prequalification Providers such as ISNetworld®, PEC Premier®, PICS® Auditing, Safety Council Solutions® and others.

OSHA Compliance Group, Inc. is in no way endorsed, sponsored or approved by, or otherwise affiliated with, ISNetworld®.
*ISN®, ISNetworld® and RAVS® are registered trademarks of ISN Software Corporation.


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