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NATURE OF REQUEST *

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Name *

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Business / Organization Name *

Email *

Phone *

Physical Address *

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City

State / Province / Region

Postal Code

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Further Information Required. *

Please describe the Information with which we can assist.

Type of Service Required *

Describe "Other" Service Required *

Project Management / Support *

Please select Type of Project Management / Suppoert

Please describe "Other" Support Service Type *

Total Number of Emeployees *

Total Number of Employees including Temporary and Permanent at Head Office and all Current Sites

Structural Integrity Inspection *

Please provide this following information in order that we can proerly assist you with your request.

Please describe "Other" Type of Structure *

Building Class *

Please describe "Other" Building Class *

Number of Structures / Buildings *

Number of seperate conventional buildings

Structures / Building Type *

Estimated Age of Building *

Wall Frame Type *

Wall Structure Type *

Please Describe "Other" Wall Type *

Roof Structure *

Please Describe "Other" Roof Structure *

Roof Cladding

Please Describe "Other" Roof Cladding *

Is there a Basement / Cellar or Crawlspace? *

Is there an Attic or Rafter Crawlspace *

Are there any Elevators / Lifts or Escalators? *

If Elevator / Lift, please advise use. *

Persons Only
Goods Only
Combined Persons and Goods

Potential External Impacts *

Please Describe "Other" Potential External Impacts

Do you have building approval for all facets of the existing structures *

Can the approved drawings be made available on site if required? *

Legal Compliance Audit Type *

Occupational Health and Safety Compliance Assessment
Environmental Compliance Assessment
Other

Legal Compliance Audits include all related legislation at National, Provincial and Local levels.

Please Describe "Other" Legal Compliance Type *

Number of Offices / Sites *

Management System Applicable *

ISO 9001
ISO 14001
ISO 45001
Other

Please Describe *

Management System Development Type *

Do you intend seeking Management System International Certification? *

Please describe the Scope of Services you provide. *

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