What is your job title?
*
What industry segment do you work in?
*
Does your company have ISO Certification?
*
Yes
No
Does your Company use Six Sigma, Lean or other initiatives?
*
Yes
No
Who is in charge of workplace safety and OSHA compliance at your company?
*
Does your company use Fluid Power equipment?
*
Yes
No
What types of Fluid Power equipment does your company use?
What is the average cost of your company's Fluid Power equipment?
Do operators routinely follow all established safety procedures?
*
Yes
No
Do workers ever bleed the lines on Fluid Power equipment?
Yes
No
Does your Company install safety devices on your equipment?
*
Yes
No
What safety devices are installed to protect the equipment?
What safety devices are installed to protect equipment operators?
Has your company's equipment ever experienced a line break?
Yes
No
Was the line break the result of poor equipment maintenance?
Yes
No
What specifically caused the line to break?
In the last 3 yrs, how many line breaks have occurred?
Has anyone ever been injured by a line break?
Yes
No
If someone was injured, what type of injury did they sustain?
Did the line break cause any equipment damage?
Yes
No
If equipment was damaged, please describe the damage.
Did equipment downtime result from a line break?
Yes
No
How many hours/days was the equipment inoperable?
If environmental clean-up was needed, describe what was necessary?
What do you think can be done to reduce workplace hazards, injuries and expenses?
*
Have you provided true and accurate responses on this survey?
*
Yes
No
May we contact you to discuss your survey answers?
*
Yes
No
What is your name?
What is your email address?
What is your phone number?
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