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 workplaces b. Assessing risk and identifying hazards of workplaces c. Maintaining regular contact with host employers and employees on-site to address concerns d. Provide required personal protective equipment and site specific details of employees roles e. All of the above As an employee you are obligated to:* a. Follow all workplace health & safety instructions provided by employer and host employer b. Report injuries at the end of the week c. Ignore signed hazards if you feel they don’t apply to you d. Maintain personal protective equipment in good working condition e. a) and d) Who is at the highest risk of workplace incidents?* a. Long term employees b. The lunch van operator c. Employees new to the workplace d. Young employees e. None of the above Workplace Health & Safety concerns should be reported to* a. Immediate supervisors b. Engage employer representatives c. Workmates d. a) and b) e. None of the above Personal Protective Equipment is NOT the responsibility of all employees on site to maintain and keep in good working condition* True False It 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* True False When your assigned duty or task role is changed, you should immediately confirm with your supervisor and then contact Engage.* True False A hazard is a situation with the potential to cause harm or damage to the health & safety of* a. People b. Equipment c. the environment d. work premises e. all of the above One of the major hazards at any workplace is poor housekeeping* True False Appropriate Footwear in the work place is essential. What are common elements of appropriate footwear?* a. Steel Cap b. High Ankle Support c. Non-Slip Sole d. Laces or elastic in good condition e. All of the above When working at heights please identify hazards that may present a risk* a. Vertical Reinforcing Bar b. Fences c. Existing structures d. Machinery e. All of the above Consider correct lifting procedure, which of the following is NOT correct?* a. Stand close to the load with feet apart b. Use your legs to lift c. Bend your back and keep knees straight d. Use your feet rather than twisting your body e. All of the above Locating 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. Supervisor b. Engage representative c. Co-worker d. Workplace Health & Safety Officer e. All of the above Failure 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.* True False Confirmation* 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.