Question Title

* MUNICIPALITY:

Question Title

* 1. QUARTERLY SAFETY COMMITTEE MEETING

Date

Question Title

* Departments Attending:

Question Title

* Minutes from meeting were submitted to Don Ruprecht?

Question Title

* Injuries/Claims were reviewed?

Question Title

* 2. INSPECTIONS OF FACILITIES, VEHICLES AND MAJOR EQUIPMENT

Check the box for the major Departments who complete documented inspections of their buildings, vehicles, and major pieces of equipment:

Question Title

* 3. ANNUAL MOTOR VEHICLE RECORD VERIFICATIONS:

Question Title

* 4. FORMAL INSTRUCTOR-LED CLASSES, EITHER IN-PERSON OR VIRTUAL:

Check the box for the major Departments whose employees attended at least 1 class this quarter:

Question Title

* 5. ASYNCHRONOUS LEARNING (MSI Live, or Other Recorded Classes and Videos)

Check the box for the Major Departments whose employees attended asynchronous learning:

Question Title

* 6. JOB SITE OBSERVATIONS

Check the box for the major Departments who hold job site briefings, workplace coaching or after-action debriefings:

Question Title

* REPORT SUBMITTED BY:

PLEASE CLICK THE "DONE" BUTTON BELOW. THANK YOU

T