Report Request Form Due to the sensitivity of information in some resources developed for Energy Safety Canada members, Energy Safety Canada requests the below information prior to providing the requested report. Select the report(s) you are requesting. Employer Health and Safety Profile Report Industry Sector Profile Report Issue-Specific Report REQUIRED INFORMATION ABOUT PARTY REQUESTING INFORMATION Organization Name Province Operating In Alberta British Columbia Saskatchewan WCB Industry Code Drilling—oil/gas wells 9600 Drilling—rathole/rig anchor 9904 Drilling—shot hole 9201 Field production operators 6305 Mobile oilfield waste treatment services. 9927 Mud logging services 9900 NDT testing incl visual inspect 51502 Oil and gas—upstream 6300 Oil field maint/construction 6304 Oilfield and industrial hazardous waste mgts 36502 Oilfield downhole services 9911 Oilfield svces—Christmas tree 9921 Oilsands operations 6600 Pipeline transmission—oil/gas 51501 Refining crude oil 36500 Seismic survey 9200 Sulphur process 6501 Trucking service—oilfield 50720 Vacuum removal—wet/dry waste 6306 Well casing services 9915 Well servicing with service rigs 9903 If you're requesting an Issue-specific report, please describe the safety issue you are interested in learning about. Individual Name Business Phone Email
Select the report(s) you are requesting. Employer Health and Safety Profile Report Industry Sector Profile Report Issue-Specific Report REQUIRED INFORMATION ABOUT PARTY REQUESTING INFORMATION Organization Name Province Operating In Alberta British Columbia Saskatchewan WCB Industry Code Drilling—oil/gas wells 9600 Drilling—rathole/rig anchor 9904 Drilling—shot hole 9201 Field production operators 6305 Mobile oilfield waste treatment services. 9927 Mud logging services 9900 NDT testing incl visual inspect 51502 Oil and gas—upstream 6300 Oil field maint/construction 6304 Oilfield and industrial hazardous waste mgts 36502 Oilfield downhole services 9911 Oilfield svces—Christmas tree 9921 Oilsands operations 6600 Pipeline transmission—oil/gas 51501 Refining crude oil 36500 Seismic survey 9200 Sulphur process 6501 Trucking service—oilfield 50720 Vacuum removal—wet/dry waste 6306 Well casing services 9915 Well servicing with service rigs 9903 If you're requesting an Issue-specific report, please describe the safety issue you are interested in learning about. Individual Name Business Phone Email
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