Fall Protection Safety Stand Down
Monday, June 1, 2009
7:00 am
On Construction Jobsites across Tennessee
Registration
___Yes, my firm pledges our commitment to participate in the Fall Protection Safety Stand Down on Monday, June 1st, 2009
§ Company Name:__________________________________________________
§ Name of Main Contact for Stand Down Activities:________________________
§ Phone:______________________ Email:_______________________________
§ How many of your firm’s jobsites do you plan to participate in the Safety Stand Down? ____
§ Your employees and those of your subcontractors are encouraged to participate. Of the total jobsites you referenced above, provide an estimate of individuals who plan to participate in the Safety Stand Down? _______
§ Number of hard hat stickers needed? (while supplies last)_____________
Fax completed form to Associated Builders and Contractors East Tennessee Office,