DOSH Safety & Health Consultation Employer Feedback

1. How did you hear about DOSH Consultation? Please check all that apply.
 

• L&I DOSH compliance inspector
• Other L&I employee
• L&I website
• L&I workshop
• Email from L&I
• Postal letter from L&I
• Others in industry
• Facebook
• X (formerly Twitter)
• Instagram
• Other - Write In Please enter an 'other' value for this selection.

2. Why did you request L&I consultation? Please check all that apply.

• Accident prevention program (APP) review
• New process review
• Updated process review
• New hazard assessment
• Injury prevention (falls, struck by, MSDs, machine guarding, etc.)
• Exposure prevention (chemicals, dust, noise, respiratory protection, etc.)
• Learn new rule requirements
• Check for compliance with rule requirements
• Other - Write In Please enter an 'other' value for this selection.

3. How clearly did the consultant communicate?

• Very clearly
• Clearly
• Not very clearly

Comments

4. How satisfied were you with each of the following?

Space Cell	Very Satisfied	Satisfied	Unsatisfied	Very unsatisfied
Timeliness of the response from the consultant	Timeliness of the response from the consultant: Very Satisfied	Timeliness of the response from the consultant: Satisfied	Timeliness of the response from the consultant: Unsatisfied	Timeliness of the response from the consultant: Very unsatisfied
Service provided by the consultant	Service provided by the consultant: Very Satisfied	Service provided by the consultant: Satisfied	Service provided by the consultant: Unsatisfied	Service provided by the consultant: Very unsatisfied
Explanation of your rights regarding the consultation process	Explanation of your rights regarding the consultation process: Very Satisfied	Explanation of your rights regarding the consultation process: Satisfied	Explanation of your rights regarding the consultation process: Unsatisfied	Explanation of your rights regarding the consultation process: Very unsatisfied
Explanation of your responsibility and timeline to abate identified hazards	Explanation of your responsibility and timeline to abate identified hazards: Very Satisfied	Explanation of your responsibility and timeline to abate identified hazards: Satisfied	Explanation of your responsibility and timeline to abate identified hazards: Unsatisfied	Explanation of your responsibility and timeline to abate identified hazards: Very unsatisfied
Solutions suggested by the consultant	Solutions suggested by the consultant: Very Satisfied	Solutions suggested by the consultant: Satisfied	Solutions suggested by the consultant: Unsatisfied	Solutions suggested by the consultant: Very unsatisfied
Report(s) provided by the consultant	Report(s) provided by the consultant: Very Satisfied	Report(s) provided by the consultant: Satisfied	Report(s) provided by the consultant: Unsatisfied	Report(s) provided by the consultant: Very unsatisfied
Consultation overall	Consultation overall: Very Satisfied	Consultation overall: Satisfied	Consultation overall: Unsatisfied	Consultation overall: Very unsatisfied

Comments

5. How helpful were the following during the consultation?

Space Cell	Very helpful	Somewhat helpful	Not helpful	Not applicable
Review of accident prevention program (APP)	Review of accident prevention program (APP): Very helpful	Review of accident prevention program (APP): Somewhat helpful	Review of accident prevention program (APP): Not helpful	Review of accident prevention program (APP): Not applicable
Review of other applicable written safety programs and policies	Review of other applicable written safety programs and policies: Very helpful	Review of other applicable written safety programs and policies: Somewhat helpful	Review of other applicable written safety programs and policies: Not helpful	Review of other applicable written safety programs and policies: Not applicable
Hazard / risk assessment	Hazard / risk assessment: Very helpful	Hazard / risk assessment: Somewhat helpful	Hazard / risk assessment: Not helpful	Hazard / risk assessment: Not applicable
Suggestions of how to comply with rules	Suggestions of how to comply with rules: Very helpful	Suggestions of how to comply with rules: Somewhat helpful	Suggestions of how to comply with rules: Not helpful	Suggestions of how to comply with rules: Not applicable
Health and safety resources provided	Health and safety resources provided: Very helpful	Health and safety resources provided: Somewhat helpful	Health and safety resources provided: Not helpful	Health and safety resources provided: Not applicable

Comments

6. Were the solutions suggested by the consultant:

Space Cell	Yes	No	Not applicable
Understandable	Understandable: Yes	Understandable: No	Understandable: Not applicable
Able to be accomplished	Able to be accomplished: Yes	Able to be accomplished: No	Able to be accomplished: Not applicable
Likely to make a difference	Likely to make a difference: Yes	Likely to make a difference: No	Likely to make a difference: Not applicable

Comments

7. What changes have you made or will you make to improve safety and health at your company following our visit? Check all that apply.
 

• Annual review of safety program
• Job Hazard Analysis (JHA)
• Accident prevention program (APP)
• Making safety a higher priority
• More employee involvement in safety
• Hazard identification and reduction
• Job planning and set-up
• Training
• Tools or equipment
• Personal protective equipment (PPE)
• Near-miss review and follow-up
• Incident review and follow-up
• Other - Write In Please enter an 'other' value for this selection.

8. Are you likely to recommend L&I consultation to others?

• Yes
• No

Comments