Title Page
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Conducted on
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Prepared by
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Location
Survey Questions
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Instructions:
Pre- and Post-Survey Communications Before launching any survey, let local unions and work councils know and see the questions. Involving the unions, work councils and employees who carry influence on the site is great for building trust and sharing accountability for keeping the company a safe place to work. -
1. Over the past week, the company has demonstrated that they care about me and my well being.
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2. Over the past week, I have felt safe while working here.
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3. I believe the company is doing a good job of preventing sick people from entering the site.
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4. If someone I loved or cared about was working for the company right now (son or daughter, sister or brother, best friend), I would feel very confident about their safety.
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5. If asked, I would tell my friends and family that the company’s top priority is providing a safe work environment.
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6. I received every piece of Personal Protective Equipment (PPE) that I felt I needed and requested (such as masks, etc.). If not, what didn’t you receive that you asked for?
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7. I understand and follow the new social distancing rules in the site such as keeping at least 6 feet of distance between me and anyone else.
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8. I have nearby access to a sink or station to wash my hands and/or use hand sanitizer.
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9. I would not come to work if I was feeling symptoms of COVID-19 (fever, cough, unexplained tiredness).
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10. We want to learn more about what we can do your health and safety and the health and safety of your families. What recommendations do you have?
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11. The information the company shared with me before returning to work (mailings, texts, calls) was helpful; I knew what to expect when returning to work.
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