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* 1. I get excited about going to work.

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* 2. Employees in my organization take the initiative to help other employees when the need arises.

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* 3. Communication between senior leaders and employees is good in my organization.

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* 4. Management within my organization recognizes strong job performance.

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* 5. My supervisor and I have a good working relationship.

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* 6. I am satisfied with the culture of my workplace.

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* 7. Does your Foreman or Superintendent hold you and your crew accountable for safety?

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* 8. Does your Foreman or Superintendent discuss safety incidents and injuries with you and your crew regularly?

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* 9. Do you feel comfortable speaking up when an unsafe condition or behavior is witnessed?

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* 10. Do you feel you receive adequate job safety training including tools and PPE?

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* 11. Is your Foreman or Superintendent more concerned about production than safety?

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* 12. Do you feel that your Foreman or Superintendent cares about your personal safety?

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* 13. Is the company's stop work obligation initiative supported by your Foreman or Superintendent?

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* 14. Does your Foreman or Superintendent share the details of the Weekly Presidents Safety Teams meeting include you in the meeting?

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* 15. When job tasks change, does your Foreman or Superintendent hold another JHA meeting to keep everyone informed?

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* 16. How can the company improve the safety on your project or crew?

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* 17. How often do you perform work tasks, or use work methods, that you are not familiar with

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* 18. Everyone receives the necessary workplace health and safety training when starting a job, changing jobs or using new techniques

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* 19. Workplace health and safety is considered to be at least as important as production and quality

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* 20. I am clear about my rights and responsibilities in relation to workplace health and safety

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* 21. I know how to perform my job in a safe manner

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* 22. If I became aware of a health or safety hazard at my workplace, I know who (at my workplace) I would report it to

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* 23. I know what the necessary precautions are that I should take while doing my job

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* 24. I feel free to voice concerns or make suggestions about workplace health and safety at my job

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* 25. If I notice a workplace hazard, I would point it out to management

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* 26. What does our Company being placed on probation with the Utility mean to you?

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* 27. What is your role at the Company?

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* 28. Describe how familiar you are with The Capacity Model

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