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Consultation Request Form

All fields are required unless otherwise stated.

(Optional)  [None] Select a Date Delete the Date


The PA/OSHA Consultation Program made a previous visit to this establishment (Required Field)
The establishment is unionized (Required Field)
Interested In (Required Field)
Number of Employees


Contact Information

Site Address


(Required Field)

(Required Field)

(Required Field)
Mailing Address (provide if different)

  • Pennsylvania OSHA Consultation Office
  • Indiana University of Pennsylvania
    Walsh Hall, Room 210
    302 East Walk
    Indiana, PA 15705
  • Phone: 1-800-382-1241
  • Fax: 724-357-2385
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–12:00 p.m.
  • 1:00 p.m.–4:30 p.m.