Typical Questions Used For Employee Interviews to Verify the HSE Programs Implementation and Effectiveness Company: _______________________

Department: ___________________________ Date: ______________________ C = Confirmed N = Not Confirmed U = Uncertain

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Are you expected to report workplace hazardous conditions to your supervisor? Did you receive an HSE orientation when you first started working with this company? Did you understand the content of the orientation? Has anyone reviewed HSE procedures with you? Do you know where you can locate and review the Companys HSE procedures? Are you aware of the rules and regulations that are required on your job? Are safety meetings regularly held in your work area? Are planned general inspections completed on a regular basis in your work area? Are you aware that you should report all accidents and near miss incidents to your supervisor? Have you received any HSE Training over the past year?

C C

N N

U U

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C C C C C C C

N N N N N N N

U U U U U U U