Trial License:
Instructions:
To receive your trial user licence, kindly fill up the following details to the questions below.
You will receive an invitation with the password thereafter.
a)
*
First Name
b)
*
Last Name
c)
*
Title
Select
Mr
Mrs
Ms
Dr
d)
*
EMail Address
e)
*
Position / Job Tilte
f)
*
Organisation Name
g)
*
Business Address
h)
*
Tel
i)
Fax
j)
HandPhone
k)
*
Have you undergone any training in Workplace Safety & Health Risk Assessment?
Yes
No
Not Sure
l)
*
Do you have any Safety Officers in the company?
Yes
No
m)
*
Do you have any colleagues or staff who
have undergone training in Workplace Safety & Health Risk Assessment?
Yes
No
Not Sure
n)
*
What is the primary business activity of your company?
Select
Building & Construction (includes Property/Real Estate)
Government / Public Services / Military
IT (Software / Hardware / ISP Hosting / Networking)
Manufacturing
Medical / Health
Oil & Gas
Retail / Wholesale / Import & Export
Shipbuilding / Ship repair
Transportation(Airline/Rail/Shipping/Warehousing/Logistics)
Telecommunications
Others(Please Specify)
o)
*
How many employees do you have in your workplace?
Select
1000 & above
500 – 999
250-499
100 – 249
50-99
20 – 49
10-19
1-9
p)
*
Do you have any colleagues or staff who have undergone training in Workplace Safety & Health Risk Assessment?
Yes
No
Outsourced
q)
*
What is the name of your colleague or staff who is trained in Workplace Safety & Health Risk Assessment?
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