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MIOSHA Comment Card

The mission of MIOSHA is to help protect the safety and health of Michigan workers. Please submit this completed form by using the “Submit” button at the bottom of this page.

How would you rate your overall experience with MIOSHA? * Useful Not Useful

Did you find the staff to be knowledgeable about employee safety and health issues? * Yes No

Did the staff explain how to correct the safety and health hazards they identified? * Yes No NA

Based on the MIOSHA intervention, did you implement specific changes in your workplace, for example, updated a policy/written program, conducted safety/health training, corrected safety/health violations, established hazard recognition system, etc.? Please be specific:

What can MIOSHA do better?

Date of Intervention:

MIOSHA Division *

MIOSHA Representative *

Second MIOSHA Division

Second MIOSHA Representative

Company Name *

Contact Name

Telephone *

Please visit www.michigan.gov/MIOSHA to learn more about the diverse range of services we provide to meet the needs of our customers

Please subscribe to MIOSHA’s electronic mail lists by visiting https://public.govdelivery.com/accounts/MILEO/subscriber/new?qsp=MILEO_