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* Required Field
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Your name:
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Email:
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*
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Company:
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Job title:
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Subject:
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The following questionnaire should be completed by a competent staff familiar with all aspects of the company. Many corporations
have multiple work groups that have different training requirements. The needs assessment should be completed for each operational
division of the organization ie: office staff, facilities maintenance, fueling personnel.
Please check the box next to the item that corresponds to your organizations operating characteristics.
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1. Could your employees encounter hazards in their physical environment, such as
heat, radiation, acceptable air to breathe?
Acrylonitrile
Anhydrous Ammonia
Benzene
1-3 Butadiene
Chemical Protection
Coke Oven Emissions
Compressed Gases
Corrosives
Cotton Dust
Ethylene Oxide
Flammable and Combustible Liquids
Formaldehyde
Hexavalent Chromium (CR(VI))
Inorganic Arsenic
Lead in General Industry
Methylene Chloride
4-4’-Methylenedianiline (MDA)
Pesticides
Solvents
Toxic and Hazardous Substances, 13 Carcinogens
Vinyl Chloride
2. Do you have operations that present hazards to workers, requiring the use of
personal protective equipment?
Hearing Conservation
Personal Protective Equipment – Eye and Face Protection
Personal Protective Equipment – Foot Protection
Personal Protective Equipment – Hand Protection
Personal Protective Equipment – Head Protection
3. Do any of your workers handle, mix, or work with specific chemicals?
Acrylonitrile
Anhydrous Ammonia
Benzene
1-3-butadiene
Cadmium
Chemical Protection
Coke Oven emissions
Compressed Gases
Corrosives
Cotton Dust
Flammable and Combustible Liquids
Formaldehyde
Hexavalent chromium (CR(VI))
Inorganic Arsenic
Lead in General Industry
Methylene Chloride
4,4’-Methylenedianiline (MDA)
Pesticides
Solvents
Toxic and Hazardous Substances – 13 Carcinogens
Vinyl Chloride
4. Do you have any employees with exposure to asbestos in the workplace?
Asbestos – Containing Materials in Schools – EPA
Asbestos – Employee Information and Training
Asbestos Abatement Projects: Worker Protection – EPA
5. Do you have employees who work on, near, or with electrical equipment?
Electrical Safety
Electrical Safety – Qualified Person
6. Do you have any employees who work with powered equipment to move materials
around the facility?
Cranes
Cranes, General Industry (Overhead and Mobile)
Forklift Training – General
Golf Cars
Powered Platforms
7. Do your operations include one of the three main types of welding: oxy-fuel gas,
resistance, or arc welding, or do you contract with an outside company to perform work
which might include welding?
Welding, cutting, and brazing
8. Do you want to affect how your workers behave in the workplace?
Behavior-Based Safety
Disaster Recovery
Ergonomics
Ergonomics )Pre-rule-obsolete)
Lifting Techniques
New Employee Orientation
Site Security
Violence in the Workplace
9. Does your facility have any areas that fit the definition of a confined space?
Confined Space (Permit-Required) Attendants
Confined Space (Permit –Required ) Authorized Entrant
Confined Space (Permit – Required) Entry Supervisors
Confined Space (Permit – Required) Rescue and Emergency Services
10. Do you want to provide your workers with an insight to OSHA, the agency?
Introduction to OSHA
Recordkeeping (effective 2009)
Recordkeeping (effective through 2008)
Safety and Health Program Management
11. Does your company engage in any construction activities?
Competent Person for Construction
Concrete and Masonry for Construction
Cranes, Derricks, Hoists, Elevators, and Conveyors for Construction
Electrical Safety for Construction
Excavation for Construction
Fall Protection for Construction
Fire Protection and Prevention for Construction
Hand and Power Tools for Construction
Health Hazards in Construction
Lead Exposure for Construction
Materials Handling, Storage, Use, and Disposal for Construction
Motor Vehicles, Mechanized Equipment for Construction
Personal Protective and Lifesaving Equipment for Construction
Rigging Equipment for Material Handling in Construction
Safety Programs for Construction
Scaffold Safety for Construction
Steel Erection
Welding and Cutting for Construction
Work Zone Safety
12. Have you developed a fire prevention plan, dealing with the actions to be taken in
the eventuality of a fire?
Fire Brigades
Fire Extinguishers
Fire Prevention Plan
13. Do you have any employees assigned to provide first aid or Bloodborne pathogen
clean-up?
Bloodborne Pathogens – First Responder
Bloodborne Pathogens – General
First Aid
14. Do you have hazardous substances at your facility that could require and
emergency clean-up OR is your company involved in cleanup or corrective actions at
uncontrolled hazardous waste sites?
HAZWOPER – Emergency Response for the First Responder (Awareness Level)
HAZWOPER – Emergency Response for the First Responder (Operations Level)
HAZWOPER – Emergency Response for the Hazardous Materials Specialist
HAZWOPER – Emergency Response for the Hazardous Materials Technician
HAZWOPER – Emergency Response for the On-Scene Incident Commander
HAZWOPER – General Site Workers
HAZWOPER – Management and Supervisor
HAZWOPER – Occasional Workers, On-Site
HAZWOPER – Regular On-Site Workers
HAZWOPER – TSD Workers
15. Do you have any workers with exposures or potential for exposure to hazardous
chemicals?
Hazard Communication – Chemical Specific
Hazard Communication – General
Hazard Communication – Retraining
Laboratory Standard
16. Do you have employees who dispense liquefied petroleum gas or with functions of
installing, removing, operating, maintaining process or equipment that use LP gas?
Liquid Petroleum Gas
17. Do your operations involve machinery or equipment in which the unexpected
energization or startup of the machines or equipment, or release of stored energy during
repair or maintenance, could cause injury to employees?
Lockout/Tagout – Affected Employees
Lockout/Tagout – Authorized Employees
Lockout/Tagout – Other Employees
Lockout/Tagout – Refresher Training
18. Does your facility have a threshold quantity of a highly hazardous chemical, i.e., a
substance regulated under 29 CFR 1910.119?
Process Safety Management – Contractors
Process Safety Management – Initial Training
Process Safety Management – Refresher Training
Risk Management Program
19. Do employees use hand or portable powered tools, OR operate machinery with
rotating parts, reciprocating motions, or transverse motions?
Hand and Portable Powered Tools
Machine Guarding
20. Does the potential exist for workers to be injured during slips, trips, or falls from
walking/working surfaces at your facility?
Fall Protection
Floor and Wall Openings
Ladders and Stairs
Slips, Trips, and Falls
Walking-Working Surfaces
21. Do operations at your facility call for any employees to perform diving tasks?
Dive Team Qualifications of /General Requirements
22. Do your employees install, operate, maintain, rearrange or remove
telecommunications equipment in a telecommunication center or at field installations?
Telecommunications
23. Do your operations involve any kind of logging operations, including marking trees
for harvesting, using chainsaws, cutting trees down, delimbing, debarking, chipping,
yarding, and so on?
Logging Operations –First Aid & CPR
Logging Operations – General Requirements
Logging Operations - Machinery
Logging Operations – Tree Harvesting
24. If you are a general industry employer, have you informed your employees about
common musculoskeletal disorders and how to report them?
Ergonomics (Rule-Based-obsolete)
25. Does your company operate vehicles with a gross vehicle weight, gross vehicle
weight rating, gross combination weight, or gross combination weight rating of 10,001
pounds or more?
Accident Procedures
Cargo Securement
Driver Logs
Hour of Service: Property-Carrying Vehicles
Log auditing: Property-Carrying Vehicles
Preventive maintenance
Vehicle breakdown and road repair
Vehicle inspections
26. Does your company operate vehicles with a gross combination weight rating of
26,001 pounds or more including a towed unit with a gross vehicle weight rating of more
than 10,000 pounds?
Alcohol & Drugs – Driver
Alcohol & Drugs – Supervisor (Alcohol)
Alcohol & Drugs – Supervisor (Drugs)
27. Does your company operate vehicles with a gross vehicle weight rating of 26,001
pounds or more?
Alcohol & Drugs – Driver
Alcohol & Drugs – Supervisor (Alcohol)
Alcohol & Drugs – Supervisor (Drugs)
28. Does your company operate vehicles that transport hazardous materials in a type
or quantity which requires placarding?
Accident Procedures
Alcohol & Drugs – Driver
Alcohol & Drugs – Supervisor (Alcohol)
Alcohol & Drugs – Supervisor (Drugs)
Driver Logs
Hours of Service: Property-Carrying Vehicles
Log Auditing: Property-Carrying Vehicles
Preventive Maintenance
Vehicle Breakdown and Road repair
Vehicle Inspections
29. Does your company operate vehicles designed or used to transport 9 to 15
passengers (including the driver) for direct compensation within a 75 air mile radius of the
driver’s work reporting location?
Accident Procedures
30. Does your company operate vehicles designed or used to transport 9 to 15
passengers (including the driver) beyond a 75 air mile radius of the driver’s work reporting
location?
Accident Procedures
Driver Logs
Hours of service: Passenger-Carrying Vehicles
Log Auditing: Passenger-Carrying Vehicles
Preventative Maintenance
Vehicle Breakdown and Road Repair
Vehicle Inspections
31. Does your company operate vehicles designed to transport more than 15
passengers (including the driver)?
Accident Procedures
Driver Logs
Hours of service: Passenger-Carrying Vehicles
Log Auditing: Passenger-Carrying Vehicles
Preventative Maintenance
Vehicle Breakdown and Road Repair
Vehicle Inspection
Alcohol & Drugs – Driver
Alcohol & Drugs – Supervisor (Alcohol)
Alcohol & Drugs – Supervisor (Drugs)
32. Do you have interstate drivers who have less than one year of experience
operating a commercial motor vehicle requiring a commercial driver’s license?
Entry Level Driver
33. Do you want to review safe driving techniques?
Backing
Company Vehicle Safety
Cornering techniques
Defensive driving
Driving grades
Emergency maneuvers
Extreme driving conditions
Hazard perception
Night driving
Sharing the highway
Skid control
Speed and space management
34. Do you want to review driver-specific workplace safety issues?
Back/Lifting
Slips, Trips, Falls
35. Do you want to review Fire Prevention?
Fire Prevention
36. Is professionalism and appropriate customer service an issue with your drivers?
The Professional Driver
37. Does your company transport/ship hazmat?
Hazmat – HMR- Overview
38. Does your company have employees requiring hazmat training?
Employee Security
Facility Security (General )
Hazmat-Bulk Packaging
Hazmat-Driver Training and Security
Hazmat-Driving and Parking
Hazmat-Elevated Temperature Materials
Hazmat-Emergency Response Information
Hazmat-HMR Overview
Hazmat- Hazard Classification
Hazmat-Hazardous Materials Table
Hazmat-Hazardous Substances
Hazmat-Incident Reporting
Hazmat-Labeling-General Information
Hazmat-Labeling Guidelines
Hazmat-Loading and Unloading
Hazmat-Marine Pollutants
Hazmat-Marking-General Information
Hazmat-Marking Bulk Packaging
Hazmat-Marking Non-Bulk Packaging
Hazmat-Materials of trade exceptions
Hazmat-Non-bulk packaging
Hazmat-Packaging-General Information
Hazmat-Placarding exceptions
Hazmat-Placarding guidelines
Hazmat-Registration
Hazmat-Shipping Papers – How to Complete
Hazmat-Training for Hazmat Employees
RSPA Security Advisory (Obsolete)
Safety and Security
Trip Planning
39. Does your company ship/transport quantities of hazmat requiring placards?
Hazmat-Bulk Packaging
Hazmat-Placarding Exceptions
Hazmat-Placarding Guidelines
Hazmat-Registration
40. Does your company transport hazardous materials that are only used in support of
your business?
Hazmat-Materials of Trade Exception
41. Have your employees received security training?
Employee Security
Facility Security – General
FMCSA Security Talking Points (Obsolete)
Hazmat- Driver Training and Security
Safety and Security
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