Nate Schreiber

IDC Safety Champion Employee Interview

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Use this Template

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Title Page

Team Member
Lead
Date
Shift
Area

Interview Questions

Material Handling

Do you manipulate heavy products by hand as part of your job?
What would make it possible to remove you from needing to manipulate that by hand?

Tools and Equipment

Do you use a homemade or improper hand tools in your area?
What would make it possible to remove the improper or homemade tool?

Hazard Identification

What are the two biggest hazards in your area? (Product and Process)
What hazards would you point out to someone new to the area?

Housekeeping

How would you rate the cleanliness of your area from 1-10?
What can you do to improve it?

Nate Schreiber

IDC Safety Champion Employee Interview

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.