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1. What is your title? (Required.)

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2. Are you or someone in your department responsible for OSHA recordables?

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3. What is the workplace area where most employees are injured? (Required.)

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4. Which task areas generate the most injuries at your company? (Required.)

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5. What are the most common types of injuries at your workplace? (Choose three) (Required.)

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6. Which of the following do you think would bring the most improvements in safety to your workplace? (Required.)

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7. Choose the most important reason for safety at your company:

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8. Do you use folding tables at your workplace? (Required.)

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