With the right information and tools, we hope to reach and motivate workers and employers to protect themselves, their workplace, and their community.

Please, fill out this brief survey and let us know if you have taken any steps against COVID-19 as more and more of us return to work. Together, we can be Safer at Work. Additional information can be found at www.saferatwork.ca.gov

"*" indicates required fields

Name*
Address
Are you concerned about COVID-19 in the Workplace?*
Does your business use any of the following COVID-19 safety protocols (check all that apply)
This field is for validation purposes and should be left unchanged.