New Mexico
Environment Department

Contact Information:
(505) 827-2855 MAIN // 1-800-219-6157 (toll free)
Environmental Emergencies:
505-827-9329 (24 hrs)

Request Consultation Form

 

REQUEST FOR CONSULTATION SERVICES FORM

The Consultation Section of New Mexico provides no cost consultation services to New Mexico employers upon request. Consultants assist employers in evaluating safety and health programs. Comprehensive consultations visits evaluate all aspects of an employeru2019s safety and health program and provide guidance on incorporating safety and health management into their daily operations. Your only obligation is a commitment to correcting serious job safety and health hazards in a timely manner. You agree to make a commitment when returning this signed request form along with the last 3 years of your OSHA 300s and 300As. Please complete the following to request onsite consultation. This information will assist us in evaluating your request. Someone from the Consultation Section may contact you if additional information is needed.
  • EMPLOYER INFORMATION:

  • (If different from site or physical address)
  • Public or Private sector employer
  • FOR APPROVAL BY A COMPANY OFFICER OR SUPERVISOR (MUST BE SIGNED):

  • Date Format: MM slash DD slash YYYY
  • FOR APPROVAL BY A COMPANY OFFICER OR SUPERVISOR (MUST BE SIGNED):