Preventing Backovers "Mirror Check" Training Question Title * 1. What State was the "Mirror Check" conducted in? Massachusetts Maine New Hampshire Vermont Rhode Island Connecticut Other (please specify) Question Title * 2. Did you use the electronically distributed material provided for this topic? Yes No Question Title * 3. How much time was spent on the Mirror Check? Less than 15 minutes Less than 30 minutes Less than 60 minutes More than 60 minutes Question Title * 4. Do you think you will provide Preventing Backovers "Mirror Check" training again? yes no Question Title * 5. How many Motor Vehicles/Delivery Trucks were inspected during the Mirror Check? Question Title * 6. How many Fork Trucks/Powered Industrial Equipment were tested during the Mirror Check? Question Title * 7. How many pieces of heavy equipment where inspected during the Mirror Check? Question Title * 8. Overall - What percentage of equipment inspected was found to be defective. 0% 1% - 5% 6% - 10% 11% - 15% Over 16% Defective Equipment Defective Equipment 0% Defective Equipment 1% - 5% Defective Equipment 6% - 10% Defective Equipment 11% - 15% Defective Equipment Over 16% Question Title * 9. How many people were trained at the facility/location during this event? (Required.) Question Title * 10. What type of work does your company do? (Required.) Done