Corporate booking

Company name/customer number *

The type of survey:

1)Transport Agency
Truck/Bus/TaxiShipping STCW ManilaRailway (Not train driver)

2)Certificate of fitness for service according to the Swedish Work Environment Authority
Working at heightThermosets: epoxy, isocyanatesFibrosis-causing dust: asbestos, silica, dustVibrationNight work

Indicate the number of persons to be surveyed (minimum): *

Indicate the number of persons to be surveyed (max): *

Would you like to visit you on site or at our clinic?

Please indicate which week you would like the survey on *

Please indicate an option on week *

Name and Surname *

E-mail *

Telephone number

Address *

Other information (e.g. invoice reference):

I accept the terms Data Policy *