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Safety
and Health Program
Assessment Worksheet
If you want to find out how your safety and health
program measures up, take a few minutes to complete the following survey.
For each section, there is a set of questions. Select the answer that most
accurately reflects your workplace system. You will then be able to get a
rating.
There are no right or wrong answers. This check-up will
help identify areas where improvements can be made.
Note: depending on your web browser security options, you may need to "allow blocked content" and "allow pop-up windows" in order for portions
of this assessment form to work properly.
Management Leadership and Employee Participation
Worksite Analysis
Hazard Prevention and Control
Safety and Health Training
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