Please answer all questions. If you answer any questions with a
“No”, please ask you supervisor to help you learn the answers that can
prevent injury to you and others. We care about your safety!
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Yes |
Does not apply |
20 Questions |
No |
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Have you been trained to use the
Personal Protective Equipment (PPE), such as safety glasses,
respirators, hard hats, gloves, you use on your job? |
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Do you know where all the
emergency exits are? |
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In an emergency, do you know where
to go after evacuating the building? |
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Do you know where to shelter at
work during emergency weather conditions |
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Do you know what to do if you see
exposed electrical wires? |
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Do you know what to do if you have
a broken tool? |
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Do you know what to do if a piece
of equipment jams? |
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Do you read the label on
containers before using any chemical? |
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Do you know who to ask if you need
more information about a chemical you use? |
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Have you been trained in proper
lifting techniques? |
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Do you encourage others to work
safely? |
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Do you always use safety glasses
when using hand tools? |
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Do you inspect all tools before
use? |
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Do you know how to report a fire? |
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Do you report unsafe acts and
unsafe conditions? |
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Do you know that 85% of all
accidents are caused by Unsafe Acts by employees? |
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Do you know that “shortcuts” are
unsafe acts? |
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Do you obey all Warning & Danger
signs and tags? |
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Do you know not to attempt to
repair or un-jam equipment unless you are specifically trained and
authorized? |
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Do you know who to ask if you have
any safety related questions? |
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