Application for Participation in Shoes for Crews Instructions Please submit a completed application to for each new department or unit that is requesting participation in the Shoes for Crews program. Name Phone #/e-mail Department ____________________________________________________________ Please list the job titles of the employees you wish to enroll: Please list the specific job duties the above employees perform that present a slip and fall hazard : Briefly describe the slip and fall hazard(s): Please submit this completed application to . Questions? Contact EHS staff at 415.338.2565.
Application for Participation in Shoes for Crews Instructions Please submit a completed application to for each new department or unit that is requesting participation in the Shoes for Crews program. Name Phone #/e-mail Department ____________________________________________________________ Please list the job titles of the employees you wish to enroll: Please list the specific job duties the above employees perform that present a slip and fall hazard : Briefly describe the slip and fall hazard(s): Please submit this completed application to . Questions? Contact EHS staff at 415.338.2565.
Application%20for%20Participation%20in%20Shoes%20for%20Crew_0.docx