Which of the following items will enhance safety for you, your family and employees? (mark all that apply) Patience Task Preparation Safety Equipment Getter-Done attitude All of the above
What one item is involved in a large percentage of agricultural accidents and/or near misses?
Your attitude as an owner/manager towards safety controls what? Your behavior Your Employee's behavior Your wife's attitude Families safety behavior Please make a selection.
The purpose of the Montana Safety Culture Act is to: Make sure State Fund gets their money Encourage workers and employers to create a workplace safety philosophy Create an increase in workers compensation rates
An adequate safety program is one that only makes sure: fire suppression systems, first aide stations, eye safety goggles, and ear protectors are available for all workers. True False Please make a selection.
How many years must an employer keep records of safety activities and program participation of employees? 1 Year 3 Years 5 Years 6 Years 7 Years Please make a selection.
Agricultural operations with more than five (5) employees must have a safety committee that meets at least quarterly. True False Please make a selection.
MT Safety Culture Act requires at a minimum which of the following: Provide all new employees with a general safety orientation Provide job-specific or task-specific safety training before employees perform that job or task. Offer continuing, regular, refresher safety training Provide annual self-inspection or hazard assessment that identify unsafe work practices or conditions, the corrective actions needed and document corrective action taken Develop a safety awareness program Document and maintain records of safety activities and who participated All of the above Please make a selection.
To be incompliance with the MT Safety Culture Act all your records must be sent to the MT State Workers Compensation Bureau? True False Please make a selection.
An operation that only hires one employee for a short time each year does not need to have a safety program under the rules of the MT Safety Culture Act True False Please make a selection. Write or attach your current Farm/Ranch Safety Policy Statement: A value is required.
Farm/Ranch Name: A value is required.
Owner/operator: A value is required.
Address: A value is required.
City: A value is required.
State: A value is required.
Zip: A value is required.
Phone: A value is required.
Member of which Agricultural Association:
MT Farm Bureau MT Stockgrowers MT Grain Growers MT Farmers Union MT Cattleman's MT Woolgrowers MT Pork Producers MT Organic
State Fund Policy Number:
Policy Renewal Date:
