Environmental Engineering Reference
In-Depth Information
tABle 20.3
training needs Assessment Instrument
sAFety And heAlth trAInIng needs Assessment
In.trying.to.determine.the.safety.and.health.training.needs.for.supervisors.and.workers.at.XYZ.
Company,.we.are.asking.you.to.give.us.assistance.by.completing.the.following.questionnaire..Please.
place.on.the.back.of.this.sheet.under.“Other.Comments”.any.guidance.or.concerns.which.you.have.
. I.. In.order.to.provide.you.with.an.opportunity.to.have.input.on.XYZ's.safety.and.health.training,.
select.only.12.of.the.following.topics.that.you.deem.most.important.for.such.a.training.program.
. .
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.Safety.and.Health.Management.
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.Tracking.Safety.Performance
. .
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.Ergonomics. .
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.Ladder.Safety
. .
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.Welding.and.Cutting.Safety. .
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.Fall.Protection
. .
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.Electrical.Safety. .
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.Crane.Safety
. .
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.Lifting.Safety. .
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.Hazardous.Chemicals
. .
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.Conined.Spaces. .
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.Mobile.Equipment
. .
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.Hazard.Communications. .
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.Powered.Industrial.Trucks
. .
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.Mobile.Work.Platforms.and.Lifts.
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.Working.around.Water
. .
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.Haulage.Equipment. .
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.Material.Handling
. .
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.Fire.Prevention.and.Protection. .
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.Industrial.Hygiene
. .
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.Environmental.Management. .
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.Accident.Investigation
. .
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.Promoting.Safety.and.Health. .
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.Walking.and.Working.Surfaces
. .
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.Rigging.Safety. .
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.Personal.Protective.Equipment
. .
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.Safety.and.Health.Training. .
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.Equipment.and.Machine.Guarding
. .
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.Scaffolding.Safety. .
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.Motivating.Safety.and.Health
. .
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.Communicating.Safety.and.Health.
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.Lockout/Tagout
. .
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.Hand.and.Power.Tool.Safety. .
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.Accountability.and.Responsibility.for.Safety
. . . . . and.Health
. II.. Are.there.any.other.speciic.topics.that.you.think.should.be.covered.that.were.not.part.of.the.
previous.list?
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
III.. List.and.rank.the.ive.most.important.topics.to.you.(1.would.be.the.most.important.and.5.the.least.
important):
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
.IV.. How.should.the.training.be.conducted.to.make.it.most.effective?
. . . ________________________________________________________________________________
. . . ________________________________________________________________________________
. V.. How.long.should.each.training.module.last?
. . . ________________________________________________________________________________
.VI.. OTHER.COMMENTS:.What.other.recommendations.or.guidance.do.you.have.for.the.training?
.
. . ________________________________________________________________________________
.
. . ________________________________________________________________________________
