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* 1. Please provide the following employer information.

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* 2. Please provide a word document with picture(s) of the intervention. If the intervention was training, please provide a copy of the training agenda.

PDF, DOCX, DOC file types only.
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* 3. What equipment or training was implemented?

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* 4. How did the equipment or training improve safety?

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* 5. What feedback has been given from employees regarding the equipment or training?

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* 6. What feedback has been given from clients regarding the equipment or training?

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* 7. For those who utilized training ONLY:

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* 8. Is there any other information you would like us to know regarding the equipment or training?

T