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Workplace Injury Hazard Risk Assessment & Response Readiness

Thank you for taking the first step toward workplace burn injury prevention and management. This assessment evaluates your exposure to multiple workplace hazards—including heat, cold, chemical, electrical, radiation, and mechanical sources—while simultaneously assessing your organization's emergency response capabilities. By understanding both your risk profile and preparedness level, you'll be better positioned to protect your workforce in an environment where immediate access to specialized care can significantly impact injury outcomes.

Upon completion, you'll receive a customized analysis identifying both your workplace risks and opportunities to enhance your injury prevention and emergency response protocols. This assessment is designed to be inclusive of all industries and workplace environments, providing valuable insights for your specific hazard profile.

At the end of this assessment, you will also be given the opportunity to indicate your interest in our pilot program designed for forward-thinking companies who want to use our proven solution in their workplaces. This assessment is expected to take approximately 20 minutes. If you need to look up data for your company, it may take 30 minutes or longer. The form will automatically save your responses in the browser you are using if you need to return to it later.
It is recommended that this assessment be filled out by someone in the company that has safety expertise and access to company injury and cost data. Typically, these are Safety Manager/Environmental Health & Safety (EHS) Directors, Facility Managers, Human Resources Managers, and/or Operations Managers. If you prefer to fill out a paper version (PDF) of this form instead, please contact us at [email protected] to request one.