OhioBWC - Employer - Form: (Industry-Specific Safety Program Post on-site consultation survey) - Introduction

Industry-Specific Safety Program
Post on-site consultation survey (SH-29)

Industry-Specific Safety Program participants who selected on-site consultation/training as one of their loss-prevention activities must complete this survey. The person(s) in the organization in attendance during the consultation should complete this form. It should only take about five minutes to complete.

The SH-29 contains six categories for you to evaluate. You will be asked to rate your company's experience using the scale below.

Rating scale: Excellent; Good; Fair; Poor

Rate your company's experience as honestly as possible. There also is a place for you to provide additional comments.

Required information

  • Policy number
  • Consultation
  • Did you receive a report related to the on-site consultation/training?
  • All survey questions
  • Completed by

If you have all the required information on hand, simply click the start button to begin.