Safety Questionnaire Download the Safety Presentation PDF Safety Questionnaire Name* First Last Email* Engage provide safe work systems by*a. Completing site safety assessments of all clients sites and workplacesb. Assessing risk and identifying hazards of workplacesc. Maintaining regular contact with host employers and employees on-site to address concernsd. Provide required personal protective equipment and site specific details of employees rolese. All of the aboveAs an employee you are obligated to:*a. Follow all workplace health & safety instructions provided by employer and host employerb. Report injuries at the end of the weekc. Ignore signed hazards if you feel they don’t apply to youd. Maintain personal protective equipment in good working conditione. a) and d)Who is at the highest risk of workplace incidents?*a. Long term employeesb. The lunch van operatorc. Employees new to the workplaced. Young employeese. None of the aboveWorkplace Health & Safety concerns should be reported to*a. Immediate supervisorsb. Engage employer representativesc. Workmatesd. a) and b)e. None of the abovePersonal Protective Equipment is NOT the responsibility of all employees on site to maintain and keep in good working condition*TrueFalseIt is your responsibility to maintain your fitness for work, if you feel you are unfit for duties on any day you SHOULD declare your condition to Engage*TrueFalseWhen your assigned duty or task role is changed, you should immediately confirm with your supervisor and then contact Engage.*TrueFalseA hazard is a situation with the potential to cause harm or damage to the health & safety of*a. Peopleb. Equipmentc. the environmentd. work premisese. all of the aboveOne of the major hazards at any workplace is poor housekeeping*TrueFalseAppropriate Footwear in the work place is essential. What are common elements of appropriate footwear?*a. Steel Capb. High Ankle Supportc. Non-Slip Soled. Laces or elastic in good conditione. All of the aboveWhen working at heights please identify hazards that may present a risk*a. Vertical Reinforcing Barb. Fencesc. Existing structuresd. Machinerye. All of the aboveConsider correct lifting procedure, which of the following is NOT correct?*a. Stand close to the load with feet apartb. Use your legs to liftc. Bend your back and keep knees straightd. Use your feet rather than twisting your bodye. All of the aboveLocating the first aid station, medical or nurses office is essential when starting a new role at a new workplace, who can you contact if you do not know this information?*a. Supervisorb. Engage representativec. Co-workerd. Workplace Health & Safety Officere. All of the aboveFailure to notify Engage of a workplace incident or accident, including near misses will result in disciplinary action up to and including termination of your contract.*TrueFalseConfirmation* I acknowledge that I have read the Engage Safety Induction presentation and have completed this test without assistance. I agree that I will abide by the safety procedures detailed in the Engage Safety Induction presentation.