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  5. Safety Survey - 2013
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Exit Survey
 
 
Thank you for agreeing to participate in FPI’s annual Safety Survey! Responses will be aggregated and made available only to those companies who participate in the survey.* Company-specific data will be kept strictly confidential.

Please complete the survey by Friday, February 28, 2014 to be included in the results. Participants will receive the results by the end of March.

Thank you!

* Please note that all participants will receive the results for all facilities. Member companies will receive two additional reports: (1) table presenting the range of converters' 2013 incidence rates from the highest to the lowest for each category, and (2) table with comparison of 2012 and 2013 incidence rates.
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Name:
   
 
 
 
Company
   
 
 
 
Facility (City, State)
   
 
 
 
Email Address
   
 
 
 
Please indicate which material(s) you are converting in this facility (please select all that apply):
 
Paper
 
Plastic
 
Aluminum
 
Alternative (PLA, bagasse, etc.)

 
 
 
(G) Total number of deaths
   
 
 
 
(H) Total number of cases with days away from work
   
 
 
 
(I) Total number of cases with job transfer or restriction
   
 
 
 
(J) Total number of other recordable cases