Fall Protection Evaluation

Applicant Information

Name(Required)

First Last

Email(Required)

Employer Name(Required)

Employer Address(Required)

Street Address City Province Postal Code

Fall Protection Theory Course Completed

Name of Training Course Provider(Required)

Certificate Date of Training Course(Required)

Upload Your Certificate(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.

Workers are required to submit a copy of their Fall Protection theory training certificate in advance of the MSA onsite Fall Protection Evaluation.