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Contact Us
EHS-Questionnaire form
EHS-Questionnaire form
Company Name
*
Contact person name?
*
Contact person Phone number?
Contact person Email ID?
*
The contact person Designation
Your company located in?
*
Select the modules of your requirement:
*
Incident Management
Permit To Work
Change Management
Near miss
Risk assessment
Loto System
Visitor Management
Sustainability
Employees training tracker
Safety Audit
Meeting Goal
Write the number of users?
*
Number of production plant required?
*
On which platform would you like to use the software? Select the below option
*
Mobile app
Website
Both Mobile and Website
Do you required yearly maintenance support?
*
Yes
No
Do you required training support for the EHS software?
*
Yes
No
Do you require EHS solution on?
*
Cloud
On Premise
Looking for monthly or Annual Subscription?
*
Mention your expected budget for the EHS Software?
*
How soon you are planning to implement the software?
*
If you are human, leave this field blank.
Submit
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