Technical Review Request - KYSafe Training

By submitting the form below, you certify that you are authorized by your employer to request the KY Labor Cabinet, OSH Education and Training conduct a Technical Assistance visit.

Name of Company/Employer (required)

Site Address (required)

Site City (required)

Mailing Address (required)

Mailing City (required)

Mailing Zip Code (required)

Contact Person (required)

Job Title (required)

Phone (required)

Fax

Email (required)

Have you had a Compliance Inspection in the last 12 months? (required)

Yes

If yes, is this case still open? (required)

Yes

Have you had previous surveys by the Division of Education & Training? (required)

Yes

If yes, when?

Type of business and description of process (required)

Please describe the concern or issue you would like assistance with (required)

Check here to certify you are authorized by your employer to request the KY Labor Cabinet, OSH Education and Training conduct a technical assistance visit.

Yes

Authorized employee name (required)

Authorized employee's title (required)

Date of request (required)