California FACE Online Publication Evaluation Form
1. Which California FACE publication (investigative report number or factsheet title) are you responding to? (required response)
2. What
best
describes your position? (Check only one)
employee
manager/supervisor
business owner
health & safety professional
healthcare practitioner
researcher
educator
other (specify)
3. What best describes where you work? (Check only one)
construction
manufacturing
services
wholesale or retail trade
transportation
public utilities, communications
mining
academia
labor organization
government agency
other (specify)
4. Overall, how would you rate this publication?
Excellent
Good
Fair
Poor
Don't know
5. Do you think the publication is easy to understand?
Yes
No
Somewhat
Don't know
6. Do you think the recommendations could be put into practice?
Yes
No
Somewhat
Don't know
7. How will you use this publication? (Check all that apply)
distribute directly to workers
post on bulletin board
use in worker safety/training meeting
distribute to company owners/operators
payroll stuffer
use in technical, vocation, or secondary education programs
use in state, county, or community outreach efforts
use to increase own knowledge
file for future reference
will not use it
other (specify)
8. Has this publication prompted you to change work safety practices?
yes
no
not applicable
9. Additional comments, recommendations, or suggestions
If you would like to receive e-mail notifications of future California FACE work-related fatality investigation reports or factsheets, please complete the information below:
Name
E-mail address
Please press SUBMIT FORM below when finished. Thank you for your time!
Build forms with
FormSite.com