| 1 |  | I believe our Company has an effective process for reporting unsafe conditions. |
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| 2 | | Local management provides adequate procedures for preventing personal injury. |
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| 3 | | My Company has a successful process in place to identify any person who may pose a risk on the job due to unsafe behaviors. |
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| 4 | | My Company's safety investigation reports are communicated to all employees as a lesson learned. |
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| 5 | | Submission of a safety concern is acknowledged in a timely manner. |
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| 6 | | My Company managers encourage reporting any safety discrepancies. |
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| 7 | | I am comfortable reporting safety concerns without fear of local or senior management reprisal. |
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| 8 | | Anyone found to intentionally violate standards or safety rules is corrected. |
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| 9 | | Deliberate violations of standard operating procedures are rare in my department or work area. |
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| 10 | | Senior Management (Hospital or Aviation Corporate or Division Level) supports a climate that promotes safety. |
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