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Employment Questionnaire -
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Your information
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Name: |
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Address: |
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ZIP: |
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Phone: |
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Best way to contact? |
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Applying For: |
Professional Safety Associate
Professional Safety Associates are on a jobsite full time working
under a safety manager, and
provide on-site safety for our clients. Safety Associates usually have
less then 5 years of full time
safety experience. PSA's are not sent to a project by
themselves; they will always work
under a PSM or PSS.
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Professional Safety Manager
Professional Safety Managers have at least 5
years of full
time safety experience, they work on a
jobsite and control the day to day safety operations,
including providing education, assist
with engineering, create encouragement, and provides
enforcement.
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Professional Safety Specialist
Professional Safety Specialists have at least 5 years of
full time safety experience, they work on a
jobsite and control the day to day safety operations,
including providing education, assist
with engineering, create encouragement, and provides
enforcement. Specialists have
unique experience in particular areas of safety that
a safety manager can not provide. PSS also
provide onsite audits, incident investigations, expert
witness, and can provide training.
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Experience: |
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Construction Industry |
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Automotive:
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Petroleum:
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Mining:
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Tunneling:
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Airports:
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Steel:
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Residential:
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Commercial:
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General Industry |
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Automotive:
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Petroleum:
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Mining:
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Tunneling:
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Airports:
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Steel:
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Residential:
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Commercial:
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Plant Maintenance:
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Associations/Certifications/Training: |
Confined Space
Cranes, Hoist, Derricks
Excavation
Fall Protection
Fire Protection
Forklift
Hazardous Communications
Heavy Highway
Life Safety Codes
Lifting
Lockout-Tag-Out
Machine Guarding
Man Lifts
MSHA Part 46
MSHA Part 48
NFPA 70E
OCIP/CCIP
OSHA 10 Hour
OSHA 30 Hour
OSHA 500
OSHA 501
OSHA 502
OSHA 503
Over-head Cranes
PPE
Recordkeeping
Rigging
Scissor Lifts
Other:
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Reference 1:
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Name:
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Company:
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Relationship:
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Contact Number:
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Reference 2:
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Name:
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Company:
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Relationship:
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Contact Number:
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Reference 3:
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Name:
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Company:
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Relationship:
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Contact Number:
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