CALL
In an electrical emergency, call 911 and Central Hudson at 845-452-2700. (From outside the 845 area code only, use 800-527-2714.)
In a natural gas emergency,
call 911 and Central Hudson at 800-942-8274.
2. Number of employees (including owner): 0-5 6-10 11-20 21-50 51+ NA
3. What is your primary business? (Check all that apply.)
Agriculture
Carpentry
Cement/Concrete and Masonry
Construction
Electrical
Equipment Rental
Excavation
Farming
Farm Labor Contractor
Farm Supply Services
General Contractor
HVAC
Landscaping
Nursery
Paving
Plumbing
Remodeling/Additions
Road Construction
Roofing/Siding
Tree Trimming
Utility Work
Other (please explain):
4. How will you use these safety materials? (Check all that apply.)
Safety meeting/training
Tailgate/job site meeting
New employee orientation/training
Personal knowledge
Customer knowledge
5. What do you feel are the most important safety topics that need to be covered in training materials?
6. How much do you agree with each of the following statements?
7. Years company has been in business: 0-5 6-10 11-20 21-50 51+
8. Is there another language that would be beneficial to have the materials in?
Internal Use Only
ID
BRC Code
Date (mm/dd/yy)
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