ARKAY CONTRACTING SAFETY SURVEY
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Participation in a bi-annual safety survey allows Arkay to hear valuable feedback from workers concerning safety in the workplace and suggestions on how to improve safe work processes.

Answers are private and confidential.
First Name *
Last Name *
Site

Toolbox Talk or Safety Bulletin suggestions:

Do you have any safety concerns? 
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If yes please describe:
Was your concern reported to the site CSO or supervisor?
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Have you ever felt unsafe or bullied/harassed while preforming job duties?   
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If yes please describe:

Workers are required to report any safety, conflict, or other concerns to Arkay for review and resolution.

Do you have valid WHIMIS certification?
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Do you have a respirator in good working condition?
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Do you have a valid fit test record?
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Do you have valid fall protection certification?

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Do you have a valid hearing test?

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If you answered no to any of the above, Arkay management will follow-up.

For Operators, TCP, or other certified positions only:

Do you have valid MEO certifications? 

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Do you have valid TCP certifications?

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List any other certifications held:

Are injury, illness, PPE requests and other safety concerns to be reported to the Arkay safety coordinator? 

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Are worker conflict and HR concerns to be reported to Jim Castle?

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Are GroupHealth benefit concerns to be forwarded to Dave Braun?

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Are payroll administration, vacation requests, leave of absence requests to be forwarded by email to arkay@telus.net? 

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