Fill out this form if you are requesting a Puataunofo workshop at your workplace.

Purpose

Puataunofo Come Home Safely is an educational programme designed to engage and equip workers and businesses in higher-risk industries so everyone can come home safely. We aim to make sessions relevant to your work and workforce.

Privacy

We collect the information below to understand your needs and plan delivery. We may also use de-identified information to improve and report on the programme. Your information will be handled in line with WorkSafe’s privacy policy

If you have any questions, please email puataunofocomehomesafely@worksafe.govt.nz

1. Your details
2. About your work
What industry do you operate in? Select all that apply
Site addresses or regions
Eg day, night, seasonal, multiple shifts
3. What would you like the workshop to focus on?
Audience (select all that apply)
Will you require separate workshops for the different audience groups?
From your observation of your overall workplace, how do you rate your health and safety culture?
Your key risks and topics (select all that apply)
Briefly describe any recent incidents, near misses, or improvements you’re seeking
4. Outcomes and logistics
Eg stronger toolbox talks, better PPE use, safer machine interactions, improved worker voice
Dates or months of availability
5. Your workforce support needs

These questions are optional. They help us make the session clear and practical for everyone. Please do not include personal details.

Are there any factors that might affect how your team understands health and safety information? Select all that apply
Language support for delivery (we can adapt slides and delivery for some languages)
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