On-site Safety Course Request Form

We'll Come On-Site to Train Your Team

Got a group to train?

Take the on-site option – Convenient, Flexible and Effective!

Our certified trainers can:

• Deliver any of our safety training courses wherever and whenever you choose.
• Customize the content and learning activities to include your organization's policies, procedures and forms.

Specially Arranged Courses

Is there training that your company needs that is not listed on our website? Give us a call or fill out our online request form. We have a great resource of certified professionals that can help customize and deliver training to meet your specific needs.

Don't have accommodations at your organization to hold a training class? Depending on availability, the Utah Safety Council's training center has three classroom sizes to meet your needs. Our training center is located at 1574 West 1700 South, Salt Lake City, UT 84104.

Scheduling

On-site or specially arranged classes can be scheduled as needed on weekdays or weekends by filling out this request form or by contacting the appropriate program manager at 801.746.SAFE (7233) or by sending them an email.

• Occupational Safety Program Manager, occupational@utahsafetycouncil.org
• Refinery Program Manager, refinery@utahsafetycouncil.org
• MSHA Program Manager, msha@utahsafetycouncil.org
• Emergency Care Program Manager, emergencycare@utahsafetycouncil.org
• Traffic Safety Program Manger, traffic@utahsafetycouncil.org

Requested Course

Course Name*
Number of Participants*
Location*

Requested Course Dates**

Date 1*
Date 2*
Date 3*
_{**Depends on instructor availability}
Start Time*
Additional Comments

* I understand that course availability is contingent on instructor availability and classroom availability.

 * I understand that there may be additional traveling expenses.

 * I understand the On-site or Specially Arranged Course Cancellation Policy.

If you need to cancel or re-schedule your course please do so at least three business days prior to your on-site or specially arranged course. If you cancel less than three business days before your on-site or specially scheduled course you will be charged 50% of the quoted course amount. If you do not cancel within the allotted time, or fail to show up to the course you will be charged the full amount.

Members of the Utah Safety Council have the option to be billed for specially arranged and on-site classes. Non-Member companies must pay for their course in full before the scheduled course is held.