Exit this survey >> Safety Rep's Resignation Form 1. Details Question Title * CSP Number Question Title * Date of Resignation Question Title * Name Surname Forename Name of Employer Question Title * Do you have a successor? Yes No Not Sure Question Title * If Yes, please give the following information: Name of Successor Name of Workplace Workplace Address email Address (if known) Question Title * Would you consider taking up the role of safety rep again in the future? Yes No Not Sure Question Title * If you are currently booked on an induction course, which date? Page1 / 2 Next >>