Safety Survey Department: _____________ Team: _______ Date: ___________

Instructions: In teams, take time to discuss Safety using the following questions. Be a generous listener. Do not dialogue; rather take turns to actually share what you have answered. If you need more information or clarification ask additional follow-up questions. Use another sheet to record/consolidate the results of your discussions. When your discussions are completed you will present the results to the wider group. Before you discuss take time to read the questions and write down your personal answer. Then proceed with the discussion, paying full attention to the one sharing rather than to your story.

1. Tell about a time when you feel energized, well appreciated, and fulfilled doing a safe act. What was a highpoint, a Safety experience that was especially meaningful to you? Why did that mean so much?

2. What do you like about what's going on with your team on Safety? What's working?

3. What is something that you value about Safety?

4. What do you value most about yourself as a safety person or leader?

5. What is the best thing you have done for Safety?

6. What have your team done to keep the Plants Safety vision at the heart of your daily work?

7. What would you like to have more of on our Safety Programs?

8. What would you like to do differently to improve our Safety Culture?

9. If you had three wishes for our Safety Programs, what would they be?

10. How can Safety Department help? What do you need from them? How can they support you? What training, resources, etc, could they provide to help you be more safe?