Department of Labor and Industry

Request Safety Bureau Services

Safety & Health Bureau Service Request Form

Choose the form concerning the service you are requesting below.

Request an On-Site Safety Consultation

Information Regarding Your Safety Consultation Request

To send your on-site safety consultation request via email, please complete this form and click the "Send Request" button. A Safety and Health Specialist will contact you soon regarding your consultation.

All safety consultations are conducted free of charge.

Type of Entity *
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Name of Entity *
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Type of Industry *
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Hours of Operation
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What is the time period you would like this consultation to take place?
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Contact's Name *
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Address *
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City *
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Zip Code *
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Phone Number *
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Email *
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Request Safety Training

Request Workplace Safety Training

The Montana Safety and Health Bureau offers free on-site safety training.  Before training begins, we require a walkthrough to observe your work environment.  This helps us customize the training to meet your specific needs. 

Please submit training requests at least 30 days in advance of your desired date.

Shortly after this form is submitted, you will be contacted by a Safety and Health Specialist regarding your walkthrough and training.

 

Company Information

Type of Entity *
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Company Name *
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Address *
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City *
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Contact's Name *
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Phone Number *
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Email
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Training Information

Number of Employees to be Trained *
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Requested Safety Topic *
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Desired Date of Observation *
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Desired Date of Training *
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Report a Workplace Safety Hazard

Report a Workplace Safety Hazard

The following safety concern notification form is for public entity employees only. A Public entity is defined as any state or local government or any department, agency, special purpose district, or other instrumentality of one or more state or local governments.

Complete the following form and then use the Submit button to e-mail your safety concern to the Montana Safety and Health Bureau.

Type of Entity *
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If you are an employee of a private entity You cannot use this form. Click Here

If your complaint is concerning the health or sanitation of a private entity such as a restaurant do not use this form. Click Here

Has this condition been brought to the attention of your employer or supervisor?
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If no, why?
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Please give us some information about the public entity and safety concern.
Date
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Name of Public Entity *
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Type of Work *
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Address *
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City *
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Zip *
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Phone Number *
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Description of Safety Concern *
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Please give us some information about yourself. We must have your information to update you about actions taken regarding this notification.
Name of Complainant *
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Address *
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City *
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Zip *
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Phone Number *
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Email
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By checking this box I am confirming that all events and conditions given in this form are true and all information is accurate and given to the best of my knowledge.
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Montana Whistle Blower Protection

  • 17-8-412 Prohibitions on employers -- employee remedies.
    A governmental entity or private entity may not adopt or enforce a rule, regulation, or policy preventing an employee from disclosing information to a government or law enforcement agency with regard to or from acting in furtherance of an investigation of a violation.
  • 50-71-123 Retaliation prohibited.
    A public sector employer may not retaliate against a public sector employee.

Montana Safety Statutes

Contact Information

Safety and Health Bureau
P.O. Box 1728
Helena, MT 59624-1728
Phone: (406) 444-6401