Environmental Health and Safety

Environmental Health and Safety

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Referral for Ergonomic Consultation
Employee Information
Please select one option. If Other is selected, enter the reason in the brief description field below.
Safety Officer Details
Supervisor Information
The personal information on this form is collected under the authority of the Royal Charter of 1841, as amended. Upon successful completion of the course, personal information collected on this form will be used to generate training records and could be shared with the Departmental Safety Officer. If you have any questions or concerns about the information collected or how it will be used, please contact the Department of Environmental Health and Safety by telephone at 613-533-2999.
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