Health and Safety Enquiry
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1
. What health and safety problems concern you right now?
What health and safety problems concern you right now?
I have not had any health and safety training
we do not have fire drills
I do not know what to do in an emergency
we do not have first aiders
I do not know who to report problems to
we have to buy our own safety shoes, masks, overalls, and other items
Other (please specify)
2
. What health problems concern you at work?
What health problems concern you at work?
headaches - most days
aching arms - most days
aching shoulders - most days
aching hands, wrists, fingers - most days
the chemicals I work with cause skin rashes
the chemicals I work with make me cough, wheeze, give me a runny nose, make my asthma worse
I am working very long hours (tell us how long)
I don't get rest breaks
I have a bad back from heavy lifting
Other (please specify)
3
. When was the last time your workplace was inspected?
When was the last time your workplace was inspected?
4
. Are there a lot of accidents?
Are there a lot of accidents?
yes
no
5
. What is your job?
What is your job?
*
6
. What help would you like from London Hazards Centre? We only help people in London. We can talk about problems on the phone, send out information, help you get in touch with official inspectors. All advice is confidential.
What help would you like from London Hazards Centre? We only help people in London. We can talk about problems on the phone, send out information, help you get in touch with official inspectors. All advice is confidential.
*
7
. Tell us about yourself
Tell us about yourself
Name:
Company:
Address 1:
Address 2:
London Borough:
ZIP/Postal Code:
Email Address:
Phone Number:
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