Information
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Candidate Name:
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Position Under Consideration:
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Location:
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Interviewer:
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Select date
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Instructions: The Heath & Safety Representative or designee should use this interview guide during the interview process to determine the candidates safety focus and accountability. The interviewer may substitute at home or during summer jobs for candidates that are new to the workforce or who otherwise possess the basic qualifications to perform these essential functions of the job. The interviewer notes, ratings and final summary should be captured on this form. Please retain all interview notes in the job file for this position.
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1= No Evidence of Safety Focus 2= Some Evidence of Safety Focus 3= Solid Evidence of Safety Focus 4= Strong Evidence of Safety Focus
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1. Give me an example of how you have improved safety at work? <br><br>(Intent is to determine what level of active involvement the candidate has had in improving the safety of his/her immediate environment.)
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Notes:
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2. Has there been a situation at home or within the workplace where you have observed a potential safety risk that no one else seem to consider? If so how, did you rectify the situation? <br><br>(Intent- A candidate should have the capability and confidence to independently assess environmental or safety risks. He or she should also have self assurance to state his or her opinion and have good decision making skills.)
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Notes:
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3. What are some of the most important things you do or have done in order to keep yourself safe in the workplace?<br><br>(Intent-Open ended question allows the candidate to expand on other safety activities he or she has been involved in.)
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Notes:
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4. Tell me about a time when you saw another employee working in an unsafe manner? What did you do?<br><br>(Intent- To determine whether the candidate would speak up promptly and demonstrate concern for a fellow employee.)
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Notes:
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5. Tell me about a time when you had to make a quick decision to prevent a dangerous safety situation from becoming a crisis?<br><br>(Intent- To determine wether the candidate exhibited an intuitive reaction to protecting life and property when personal safety is at stake.)
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Notes:
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6. Give me an example of a time when you needed external assistance for a safety issue. How did you find someone to assist you?<br><br>(Intent- To determine if candidate demonstrates an understanding of situations which may require outside assistance and the means of engaging suitably qualified people.)
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Notes:
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Interviewer's Summary Comments:
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Recommended for Hire (Score of 12 or better)
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Not Recommended for Hire (Score of 11 or less)
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Interviewer's Signature
