Online Order Request
For emergency manpower please contact us at 855-To-Man-Up (855-866-2687)
Please tell us a little about who is placing the order
Person requesting manpower
Your Email address
Your Phone number
Enter the best number to reach you
Who is your PLS Account Manager?
Tell us about your project
Project Title and Address
What is your project and where would you like to man up? (Name, Address, City, ST, ZIP)
Who will our PROs report to?
What is the Supervisors name, contact number and email address?
Supervisors Contact Number
Supervisors Email Address
Requested Start Date:
What day do you need the PLS Pro(s) to start?
Estimated End Date:
How long do you anticipate the assignment will last?
Estimated daily schedule (i.e. 7:00AM - 4:00PM)
Hours per week
Estimated hours worked each week
Is there a PO # for this project?
If there is please provide it here:
List any specific order requirements: (check all that apply)
Aerial Lift Cert
CCS / MICCS / COATS card
Confined Space Cert
Scissor Lift Cert
Nail Gun Cert
Hilti Gun Cert
Respirator Fit Test
Fire Watch Cert
Describe any unusual tasks or potential hazards: (check all that apply)
Slips / Trips
Trench / Excavation Work
Moving Heavy Equipment
Working at Heights
Working with High Voltage
Working with Equipment
Working off Ladder
Working off Scaffold
Please list special PPE Required:
PLS will provide a hardhat, safety glasses, cut resistant gloves, hi-vis vest, hearing protection, a fall protection harness and lanyard. Is anything required above and beyond what PLS provides?
Does this project provide a site orientation? If YES, please provide details such as the dates and times the orientation is offered.
Special Site Instructions
Please list if any
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