New Enrollment Forms

In an effort to reduce the number of workplace accidents and to share resources and information on accident prevention, risk management and workers’ compensation in Ohio, BWC’s Division of Safety & Hygiene and your local safety council co-sponsor this service.

Enrollment Date: * This field is required

Company Name: * This field is required

Street: * This field is required

City: * This field is required

Zip: * This field is required

Phone: * This field is required

Email: *

A valid email address is required

Average number of employees: * This field is required

Type of work: *

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BWC policy number: * This field is required

First Name:

Last Name:

In signing this enrollment form, the employer makes a commitment to send representatives to the majority of safety council meetings and to submit semi-annual reports by the deadline dates.

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Mailing Address:
P.O. Box 153
Ontario, Ohio 44862

Phone: (419) 525-0615

Meeting Location: location-

OSHA Website
BWC Website

Office Hours:
Tues. & Thurs.
9:00am - 12:00pm

Email:
businessmanager@richlandcountysafetycouncil.com

Our BWC Representatives:
Stacy Harrington, Employer Service Specialist- (419)529-7603: David Meronk, Industrial Safety Consultant Specialist (Division of Safety & Hygiene)-419.564.1101 and John McClain, Division of Safety & Hygiene Industrial Hygienist -567 204 8915.