EH&S Employee Questionnaire

Operator Name

Program

Where are these policies located? (Front lobby, communication TV, WCM room, controlled doc database)

What type of training have you received on the policies? (employee meeting, safety alert, orientation, etc.)

List an example of an environmental goal for TEAM Systems (Objectives and Targets document located on the EHS board in the WCM room)

List an example of a safety goal for TEAM Systems (Objectives and Targets document located on the EHS board in the WCM room)

How would you summarize TEAM's Environmental Policy? (COP: Continuous Improvement, Obey the Law, pollution prevention)

Who is responsible for preventing unsafe acts and conditions at TEAM Systems? (everyone is responsible for safety)

How does your job contribute to any environmental impacts? (Ex. scrapped parts, cardboard, hazardous waste, spills, air/ fumes, etc.)

List a safety control that has been put in place in your area (ergonomic controls, guarding, JES/SOS, PPE, job rotation, etc.)

Provide an example of an activity, initiative or improvement done at TEAM to reduce our effect on the environment (scrap tracking, recycle program, laundry for rags/absorbents, etc.)

What steps have you taken to continually improve safety at TEAM Systems? (Follow SWI, CI events, JHSC, suggestion card, open door policy, etc.)

Have you participated in any program/event that improved safety? (employee suggestion, CI events, focus groups, etc.)

Where do you dispose of your trash? (EHS SP 032-1 Waste Mgt Proc. , EHS SP 032-2a,b waste matrix)

What type of PPE is required in your area & how do you ensure they are adequate? (proper handling & storing, proper cleaning, access via vending machine and/or mgr)

What are your options if you feel that your area/job is unsafe? (report to TL/Mgr, right to refuse)

What items do you recycle & where do you take them? (EHS SP 032-1 Waste Mgt Proc.,EHS SP 032-2a,b waste matrix)

What kind of wellness programs does TEAM Systems offer to improve your health? (Weight loss, smoking, blood draws, wellness program, workout room, nurse consultaion, etc.)

What kind of environmental tracking is conducted in your area? (ie. Pride board scrap tracking, oil consumption tracking, resin scrap and regrind, use of scale to weigh scrap in molding, etc.)

How does managment share & communicated safety information to you? (Pride board review, safety alerts, emails, robo calls, employee mtgs, training, etc.)

What would you do if you had a spill or other emergency? (EHS SF 033-2 Notice of spill incident, EHS SP 038 Balk loading offloading)

What are your fire evacuation procedures? (EHS SP 005 Emergency Response flow)

What are your tornado procedures? (EHS SP 005 Emergency Response flow)

Who do you contact with any environmental or safety suggestions or concerns? (EH&S, Mgmt, JHSC, open door, etc.)