Training Assessment for WHMIS

Company Name

Website

Type of business/industry

Contact Person

Contact Phone Number

Email Address

Number Of Students

Date

Please list in order your priority (1 being the highest, 4 being lowest priority) for the following: Best Price, Time, Compliance, Safety

Best Price

Time

Compliance

Safety

When do you require the training to be conducted?
Within 1 month1 month - 3 months3 months - 6 months6+ months

Have you had previous training?
YesNoUnknown

What methods of training were conducted?
OnlineClassroomOther

What method of training are you looking for?
Custom ClassroomCustom WebinarGeneral Online

Check off the types of hazards that you believe you have in your workplace:
AerosolsFlammable materials (Liquids, Solids or Gases)Corrosives (Acids or Bases)Reactives (Oxidizers or Peroxide)Toxic or poisonous materialsCompressed gasesBiohazardsDusts

Do you maintain your SDS documents internally?
YesNo

If No, which system do you utilize?

Do you have a written spill procedure?
YesNo

Do you have your own Labels for decanted or re-filled containers of chemical products?
YesNo

Are workers trained at procedures for spills, evacuation and all emergencies?
YesNo

Any other specific areas to address in training? Other comments:

**Please have previously completed shipping documents and SDS available in advance of training.**

By completing this form you consent to being added to our mailing list.