Title Page
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Conducted on
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Prepared by
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Location
Survey
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Number of Good Catches submitted in Quarter
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Provide detail on the 3 Top Good Catches you submitted
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Enter the Number of 1:1 safety Discussions conducted during the quarter
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List the top three items of concern from these discussions
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Is our Safety Initiatives, like WD40 having a impact on Driving ZERO?
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What do the teams think we need to do different to Drive ZERO 2019/2020
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What additional Safety related training do our teams need to be SAFE on our jobsites?
Pulse Report Questionnaire
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What does WD40 mean?
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Rate the effectiveness of the Keeley Companies Safety effort in Driving ZERO (1 being low, 5 being High)
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What additional Safety Training Programs would you like to see Keeley Companies deliver?
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Are you familiar with our Mission and Value?
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Give an example of a value emphasized during this quarter
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Why this value
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Can you give an example of how you live the Mission and Values?
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How would you rate the JHA Communications (1 being low, 5 being High)
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Why did you pick this rating
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Are you familiar with Keeley U and how you can become involved?
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Are you familiar with "Awkwardity"?
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Can you give an example of "Getting Awkward for Safety"
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Give one plus and one delta regarding our Safety efforts on this job
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What can we do better to deliver a SAFE work place?
