Questionnaire

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Welcome | Video 1 | Video 2 | Questionnaire

Please complete the short questionnaire below. You will need to have viewed Video 1 – Why Is Safety Important? and Video 2 – Safety At Work – What’s My Legal Obligation? first. It is essential to complete the questionnaire before you attend, as the program is built on the assumption you have completed this pre-program task.

The answers will be reviewed by the facilitator to ensure the program is as relevant as possible. Wesfarmers Insurance will be provided an anonymous high level program summary of all the answers.

You will need to complete the questionnaire in one browser session. You can take as long as needed, but do not close this window. If you close this browser window before pressing “Submit”, your answers will not be saved.

First Name *

Last Name *

Your email address *

Which program are you scheduled for? *

Please check your email if you are unsure which date you are scheduled for.

As a leader, what is important to you regarding safety at Wesfarmers Insurance? *

What two outcomes would you like from this program?

Outcome 1 *

Outcome 2 *

If there was one thing about safety in your organisation and/or business unit that you would like changed, what would it be? *

The following questions relate to Video 2

If you need to watch the video again, click below.

As a leader, what is required to ensure effective due diligence in your area? *

Which of the "Powerful 6" questions for managing risk will be the most effective for your area? *

What are 2 key hazards in your area that may impact the health, safety or wellbeing of your team or those around you? *

If you are human, leave this field blank.