Safety Improvement Assessment



The Florida League of Cities is offering the “Supervisor Safety Development” course via webinar. The course is designed to teach supervisors and managers about the advantages of a proactive, managed approach to safety and to provide several practical implementation tools. After the completion of each of the 4 sessions (live or recorded), the participant must submit this form for credit. After the completion of all 4 sessions you will receive a certificate of completion. Instructions: After reviewing the presentation/webinar (either recorded or live), submit this completed document to Nadine Llewellyn at nllewellyn@ for credit. If you have any question you can also reach Nadine at 470-367-1758.Your Name: Your Organization Name: Your Title: Your Email: Your Best Phone Number: Date You Watched the Webinar: Webinar Code (This code is found in the presentation. In other words, you must watch the webinar to actually see the code): Question1: There are three (3) major subsystems that must be dealt with to prevent incidents. What are they? Subsystem 1: Subsystem 2:Subsystem 3:Question 2: List two (2) barriers to communication: Barrier 1:Barrier 2:Question 3: What is the primary reason why I am concerned about safety in my department? (Short answer) Email this completed document to nllewellyn@ ................
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