141 South Avenue, Suite 203, Fanwood, NJ 07023; Tel.: 908.322.2720; Email: SafetyWorks@revelationsafety.com
  Home
  About RSS
  RSS Team
  Clients & Results
  RSS Practice Areas
  Flash Safety Alerts
  Reference Library
  Safety Toolbox
  Helpful Links
  Q&A
  Join the RSS Team
  Safety Advice
  Contact Us

Request a Complimentary Analysis of Your Safety Improvement Opportunities


Many of our clients have benefited from working with RSS to develop a formal safety program that reduces employee lost time and injuries, and improves employee morale.
Discover how a formal safety program can cut your costs and improve your bottom line. Request a complimentary analysis by RSS of your business performance safety improvement opportunities.
Please provide us with the following information and we will send you a complimentary Safety Improvement Analysis by return email.

To help us understand your needs and provide better services, please take a moment and complete the following fields. * required fields

1) Personal & Company Information
First Name: * Last Name: *
Title: * Company: *
Address: * Address2:  
City: * State/Province: *
Zipcode: *  Country: *
Phone : * Email: *
Industry SIC code:  
Your Company's PreTax income as a percent of Sales * %

2) Using the following table, please tell us the number of workers compensation, general liability, and property claims and the respective total incurred cost per year (for each line of insurance coverage) for the prior three years.
Annual Loss Experience
# of Workers Comp Claims:
Total Incurred Cost of WC Claims:
# of General Liability Claims:
Total Incurred Cost of GL Claims:
# of Property Claims (>$2500):
Total Incurred Cost of Property Claims:
Most recent full year:  
1 year prior:  
2 years prior:  

3 ) Submit Information                            
 

^ return to top