Safety Survey (copy)

Overall, I feel safe at my workplace.

Yes No

I understand the importance of wearing my seatbelt.

Yes No

I have been well informed about the dangers of distracted driving and not to use my cell phone while driving.

Yes No

My manager shows their commitment to health and safety by leading by example.

Yes No

I have a good understanding of my company’s health and safety programs and policies.

Yes No

I understand my own health and safety responsibilities in the workplace.

Yes No

I am aware of our facility emergency evacuation plan.

Bay State Workgroup LLC (Coastal Ports) Bay State Workgroup LLC (North/Central) Bay State Workgroup LLC (South/Foxboro) Centennial Workgroup LLC (Boulder) Centennial Workgroup LLC (Denver) Constitution Workgroup LLC (Albany) Constitution Workgroup LLC (Connecticut) Constitution Workgroup LLC (Long Island East) Constitution Workgroup LLC (New York City) Constitution Workgroup LLC (Syracuse) DreamBIG California (Sacramento) Easy Moves Colorado LLC Easy Moves Indiana LLC Easy Moves Missouri LLC (St. Louis) Easy Moves Twin Cities LLC Easy Moves Utah LLC FS Jacksonville LLC (Asheville) FS Jacksonville LLC (Austin) FS Jacksonville LLC (Charleston) FS Jacksonville LLC (Dallas) FS Jacksonville LLC (Florida Central) FS Jacksonville LLC (Jacksonville) FS Jacksonville LLC (Louisiana South) FS Jacksonville LLC (NW Florida) FS Jacksonville LLC (Oahu) FS Jacksonville LLC (Palm Beach) FS Jacksonville LLC (Pensacola) FS Jacksonville LLC (Pinellas) FS Virginia LLC (Allentown/Scranton) FS Virginia LLC (Boise) FS Virginia LLC (Cleveland) FS Virginia LLC (Detroit) FS Virginia LLC (Lancaster/Harrisburg) FS Virginia LLC (Northern Virginia) FS Virginia LLC (Philadelphia North) FS Virginia LLC (Richmond) FS Virginia LLC (Twin Cities) FS Virginia LLC (Virginia Beach) FS Virginia LLC (Washington DC) Flywheel Fraser Valley Accelerator Inc. (Vancouver Island) Flywheel Fraser Valley Accelerator Inc. (Vancouver) Fountain Comfort Group LLC (AC Plus) Fountain Comfort Group LLC (M&S) (Deerfield Beach) Fountain Comfort Group LLC (M&S) (Leesburg) Fountain Comfort Group LLC (MVP) Fountain Comfort Group LLC (Snowbird) Hoosier Junk Removal LLC MCSB Moving Services LLC (Cincinnati) Mountain City Hauling LLC Operation Triangle LLC Peach Tree Dream Team LLC Rubbish and Collectibles Ltd. (Calgary) Rubbish and Collectibles Ltd. (Edmonton) Ruby Hill LLC SWVE Management Holdco. Shack Shine Kansas City LLC Sierra Power Group LLC Southwind Southwind Enterprises, LLC/ KC Junk Spartan Hauling LLC Sun Devil Work Group LLC (Phoenix) Sun Devil Work Group LLC (Tucson) Sunshine Workgroup LLC Thunder Hauling LLC You Move Me LLC (Kansas City) You Move Me Phoenix You Move Me Reno LLC

Our company treats all security concerns with high urgency.

Yes No

All incidents are investigated in a timely manner in order to improve safety in the workplace.

Yes No

Our location has a Safety Ambassador and supports their efforts.

Yes No

I feel well-informed about possible safety hazards at my workplace.

Yes No

What could our organization do more broadly, do to continue to improve safety at our workplace?

Teammate Name

Location *

Position

Calculation

Score

Safety and Fleet Email

example@example.com

General Manager Email

example@example.com

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Teammate Email

example@example.com

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