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Industrial Commission of Arizona

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Industrial Commission of Arizona
Protection of life, health, safety, and welfare of Arizona's workforce

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  • Home
  • Agency Information
    • About Us
    • Commissioners
    • Director's Office
    • Legislation
      • Arizona Statutes
      • Arizona Rules
    • Meetings
      • All Public Meetings
      • Commission Meeting Agendas
      • Meeting Minutes
  • Divisions
    • Administration
      • Accounting
      • Human Resources, Special Services and MIS
      • Self-Insurance and Tax Office
    • Administrative Law Judge (ALJ) Division
    • ADOSH
      • Boiler Section
      • Elevator Section
      • Occupational Safety and Health (OSHA / ADOSH)
      • Research & Statistics (BLS)
    • Claims Division
    • Labor Department
    • Legal Division
    • Medical Resource Office (MRO)
    • Special Fund Division
  • News and Events
    • Public Notices
    • News and Events
  • Resources For
    • Resources for Employees
    • Resources for Employers
    • Resources for Insurers
    • Resources for Medical Providers
    • Resources for ICA Community
  • How Do I
  • Online Services
    • Forms
    • Self Service Center
    • ICA Community
  • Payment Portal
  • OMBUDSMAN
  • Home
  • Consultation Request Form

Consultation Request Form

Instructions

An employer may request a free consultation visit for a facility or workplace location.  This form can be used to make this request. The consultation visit is purely voluntary and can be cancelled before or during the visit.   Hazards identified by the consultant will not result in citations or penalties; however, they must be fixed within an agreed upon time period.  Following the visit, the consultant will prepare a detailed report and send it to the employer electronically or by mail.

This form can be submitted online or it can be submitted to ADOSH by mail, fax, or hand-delivery.

For more information, contact ADOSH toll free at (855) 268-5251 or (602) 542-5795 (Phoenix) or (520) 628-5478 (Tucson).

Sign and Submit Form

Consultation Request Form – Online

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PDF icon ADOSH Consultation Request Form_20200608.pdf

Related Forms

Report a Fatality or Severe Injury Form
Notice of Alleged Safety or Health Hazards Form
Discrimination / Whistleblower Complaint Form
Consultation Request Form
ADOSH Training Request Form
Application for Permit to Install or Alter Elevator Form
Elevator Inspection (PEI) New Application
Request for Boiler Repair Form
Request for Boiler Certificate Form
Boiler Inspector (PBI) Renewal Application
Compliance Assistance Request Form
VPP Pre-Screening Form
SHARP Application Form

Official Website of the State of Arizona

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Contact Us:

Phoenix Office
800 W. Washington Street
Phoenix AZ 85007
602-542-4661

 

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Contact Us:

Tucson Office
2675 E. Broadway Blvd
Tucson AZ 85716
520-628-5188

 

 

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