Penske Leasing Associate Safety Program Survey-QRTag - January 2026

January 2026 — Situational Awareness

The following questions were covered in the monthly safety meeting. If you have not had your safety meeting during the first week of the month, ask your location manager to hold the meeting so you can answer the survey questions correctly.

(Your responses are confidential and will only be reported in aggregate to the Penske Safety Team. No Penske associate will receive information on individual responses.)

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* 1. True or False? Maintaining situational awareness can reduce your risk of suffering an on-the-job injury.

True

False

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* 2. True or False? It’s still possible to maintain situational awareness when you’re distracted.

True

False

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* 3. True or False? Fatigue can interfere with our ability to maintain situational awareness.

True

False

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* 4. My suggestion(s) to reduce accidents in my shop are: (Describe)

Please fill out your personal and location information, as well as enter your name into the drawing for a $150 VISA gift card! An associate will be chosen at random from each Area.

We thank you for your participation!

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* 5. Associate Name and Title:

Name:

Title:

SSO#:

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* 6. Associate Location #: example: 0011-10 (must appear with the hyphen after the first 4 numbers)

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* 7. What is your work location phone number?

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* 8. Name and address (to be included in the Gift Card drawing). This is where we will ship your card if you win. No PO Boxes.

Name:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country: (If not US)

Email Address:

Phone Number: