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  • Job Info Form (US Locations Only)

    Location Method:

     
     
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  • Some mock address text

    Address Responses

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    Nearest intersection

    Please enter nearest intersection to assist emergency responders in locating site

    Please enter a valid intersection
    Directions Quality:
  • Select Hospital
    • Click on list item to select
    • Click on list item to select
    • Police
      Sherrif
      Select one of each
  • Final Review

    JOB DETAILS
    Company Name: Job Name:
    Job Address :
    Nearest Intersection :
    Latitude: Longitude:
    EMERGENCY CONTACT INFORMATION
    Fire Department Info: Municipal Police Info: County Sheriff Info:
    Dept Name:

    Phone:
    Dept Name:

    Phone:
    Dept Name:

    Phone:
    EMERGENCY MEDICAL FACILITY:
    Name:
    Address and Phone:

    Directions to Hospital (attach map) :

    Not sure which to choose?

    PDF Version Help

    Click to select preferred PDF version

    The forms library was created as a result of user requests. Feel free to make any suggestions regarding forms you would like to have added. Forms selected will be attached to the same email as the main form.

    Select any additional forms to attach

    Hold Shift key to add multiple forms
    Enter Addresses:

  • Your email has been sent

    The form(s) you selected have been sent to your Inbox.

    You may also now preview and print the main Emergency Services or JHA Form. Any edits made in the browser preview will not be included in the file already sent. You must save as a new file to your computer if any edits are made in the preview.

    Problems, Suggestions and FAQs

    Visit our Emergency Services Locator community forum. Suggestions for forms to add to our library or to improve this service are welcomed as are general safety discussions.

    Please also report any problems you may have encountered, they will receive prompt attention.

    Custom Forms Integration Available

    Programs are available for integrating our Emergency Locator Service with your organization's forms.

    As demands on documentation keep increasing within the industry, several companies have already proven the adminstrative cost savings of such an integration.

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Geocoding is not an exact science!

The address choices may not match the one you entered originally.

Following is what was originally entered on the Job Details form:

12345 Some str, Some place, TT 56789

The geocoder provided address you selected is:

You may edit this address as you see fit. All changes will be automatically saved

Following are the addresses that the various geocode services returned.

Close Help[X]

Locator map help

Why so many choices?

Why some addresses are identical

In many cases the geocoding services will return identical addresses. We make no attempt to compare them for you. Often , however, they do not match which is why we provide multiple geocoding sources.

I don't like where markers are placed

Any marker can be dragged to a position that better suits your needs.

How do I change map zoom?

Three methods to change zoom:
1) Doubleclick on map to zoom in.
2) Use mousewheel while hovering over map.
3) Vertical slider on left of map is a "Zoom Control": Slide middle handle or use "+/-" buttons.

What is the "person" icon?

Drag the icon onto map to activate interactive streetview images. While dragging, any roads that turn blue have streetview available. Once in streetview use mouse drag or white controls to rotate or zoom images. Use "X" in top right of image to close streetview.

I'm having problems

Our aim is to make this service as user friendly as possible. Any problems you might experience will receive prompt attention.
Report a problem
Close Help[X]

Services help

How to select service

Click on hospital or emergency service name in list on right. Green indicates selected.

Why aren't police or sheriff on map?

The hospitals are marked for obvious reasons. We mark the fire dept's as a convenience only. There is no practical purpose for marking police or sherrif locations.

I'm having problems

Our aim is to make this service as user friendly as possible. Any problems you might experience will receive prompt attention.
Report a problem

We need your help with this

When you enter an address in one of the main maps sites, you occasionally get a "Did you mean?" message with multiple address choices given.

When we send an address to the geocoding services they may return multiple results when they are not able to comfortably validate the address sent to them. This is one of the main reasons we use multiple services instead of relying on just one.

Although we are familiar with the issues of finding hard to locate sites, we are not doing this day-to-day. We need as much feedback as possible on how many of these extra results to display and if they have value at all. Some of these results can be in completely different towns or even states.

Click here to show the extra results for

Our database has no listing available. That doesn't mean one doesn't exist.

If you wish to use other resources to locate the service information, you can edit it here.

Whatever is entered here will appear in final PDF. You may also edit the PDF when you receive it.

Our database has no listing available. That doesn't mean one doesn't exist.

If you wish to use other resources to locate the service information, you can edit it here.

Whatever is entered here will appear in final PDF. You may also edit the PDF when you receive it.

Our database has no listing available. That doesn't mean one doesn't exist.

If you wish to use other resources to locate the service information, you can edit it here.

Whatever is entered here will appear in final PDF. You may also edit the PDF when you receive it.

What is a JHA form?

Also known as a JSA, a Job Hazard Analysis (JHA) form is used to document job site hazards and the measures that will be used to mitigate them and keep employees safe. A job site analysis is a mandatory requirement of OSHA. OSHA also requires that emergency services information be readily available to all working on a job site. WirelessEstimator.com provides this Emergency Locator Service and use of our JHA forms free of charge.

Each version includes:

Hospital Details: Name, address and phone for the hospital that you select along with a map printout and written directions from the site.

Police, Fire and Sheriff Departments: name and phone number.

All fields applicable to the Emergency Services Locator are auto filled in a PDF prior to being emailed. Job details page includes extra fields for your job specific contact information. The PDF can be edited any time and saved with any changes made

Map and Contacts Only Version

Just the basics for companies that prefer to use their own JHA. View Sample

JHA with Map - Elevated Work Required Version

A comprehensive Job Hazard Analysis form to be used if elevated work or climbing above 6' is to be performed. View Sample

JHA with Map - NO Elevated Work Required Version

Use this JHA version when no climbing or elevated work will be performed above 6'. View Sample