EHS Needs Assessment Profile

EHS NEEDS ASSESSMENT PROFILE (EHS - NAP)

Complete this form and print it as soon as possible!!! It could save your company from being out of compliance! Fax the completed form to (918) 641-0617 and you will be contacted by a regulatory specialist in your area!

Company Name:
Your Name: Title / Position:

Phone: Fax:
Email:

Address:
City: State: Zip:

Industry or Business Description:
Number of Employees (approx.):

COMPLIANCE AREAS OF INTEREST &/OR CONCERN

	YES	MAYBE	NO
1. Need Regulatory Review
EPA-RELATED TURN-KEY COMPLIANCE SERVICES
2. Air Permitting (Title V Mj Source, Mn Source, Emissions Inventory Reporting)
3. Storm Water Runoff Permit
4. Waste Water / Process Water Permit Mgt
5. Env'l Compliance Reporting (SARA Title III, 301-312)
6. Form R Reporting (SARA, 313 - Toxic Release Inventory)
7. HazWaste Mgt. + Annual / Biennial Haz Waste Reporting
8. Risk Mgt. Program for Accidental Release Prevention (112r)
9. Spill Prevention Control & Countermeasure Plan (SPCC)
10. EPA/OSHA/DOT Regulatory Compliance Agenda
11. RCRA HazWaste Training
12. Wetlands Permitting
OSHA-RELATED TURN-KEY COMPLIANCE SERVICES
13. Hazard Communication Training (Employee Right-To-Know)
14. HAZWOPER Training (Internal Emergency Response)
15. Machine-Specific Lockout/Tagout
16. Process Safety Management
17. Industrial Hygiene Services
18. Indoor Air Quality
19. Forklift Training
20. Bloodborne Pathogens
21. Confined Space
22. Respirator Training
23. Ergonomics
24. Integrated Contingency Plan
25. Hearing Conservation
26. MSDS Origination (for original creator of chemical products)
27. Injury/Illness Prevention Program
OTHER TURN-KEY COMPLIANCE SERVICES
28. DOT HazMat Employee Training
29. Facility Compliance Audit
30. Phase I Environmental Site Assessment
31. California Proposition 65 (Safe Drinking Water Act)
32. Texas Only: Source Reduction / Waste Minimization Program
33. Gulf Coast: Oil Spill Prevention & Response Plan
34. Chemical Weapons Initiative
35. Hazardous Materials Business Plan (Calif. Only)
36. Environmental Auditing: ISO-14000 and/or OSHA's VPP
INTERNET-BASED REGULATORY COMPLIANCE MGT.
37. MSDS Compliance MasterMind (Electronic MSDS Mgt.)(MSDSM)
38. Electronic Hazardous Materials Mgt. Program (EHMMP)
39. Vanguard Regulatory Compliance Network (VRCN)
40. Employee Training-Tracking Program (ETTP)

Return to Rate Your Compliance Risk

Print this form and fax to (918) 641-0617
We will see that a regulatory specialist in your area contacts you as soon as possible!