April 11-15, 2022 National Work Zone Awareness Week Safety Stand Down
Join the Georgia Struck-By Alliance to educate field professionals during Work Zone Awareness Week. Proud partners of this safety stand down are the Associated General Contractors of Georgia (AGC Georgia),  CompTrust AGC Mutual Captive Insurance Company, the Georgia Struck By-Alliance membership and leadership at the Region IV OSHA office. Your registration answers will be returned to staff at AGC Georgia. If you have questions about this registration form, please reach out to Rob Garcia at garcia@agcga.org or call him at 678-298-4110.
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Company Name: *
*FIRST* Name of Main Contact for Event Activities *
*LAST* Name of Main Contact for Event Activities *
Direct Phone Number of Main Contact *
Email Address of Main Contact *
How many of your firm's worksites do you plan to participate in this Safety Stand Down? *
Please provide the number of individuals who will participate in the program. -- Your employees and those of any subcontractors are encouraged to participate. *
Type of work performed by your firm  (if not a GC, please list your trade or trades in the Other field.) *
If you are a general contractor, please list the trades that will be participating in the stand down on your worksite(s). If you are a representative of a firm that is NOT a general contractor, please be sure to list your firm's type of work in the ABOVE question. *
States of participating worksites *
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