Name

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* 1. Name

Email address (required answer)

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* 2. Email address (required answer)

Are you a CWU member? Yes/No

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* 3. Are you a CWU member? Yes/No

Are you a CWU Safety Rep (USR/ASR/Branch Safety Officer) (required answer)

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* 4. Are you a CWU Safety Rep (USR/ASR/Branch Safety Officer) (required answer)

During the up & coming re design, do you support keeping a CWU H&S structure above Branch Level (e.g. Regional H&S Committees) Yes/No

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* 5. During the up & coming re design, do you support keeping a CWU H&S structure above Branch Level (e.g. Regional H&S Committees) Yes/No

Do you support the creation of a CWU National Health & Safety Conference? Yes/No

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* 6. Do you support the creation of a CWU National Health & Safety Conference? Yes/No

Do you support the need for a stand-alone dedicated CWU Health, Safety & Environment Dept? Yes/No

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* 7. Do you support the need for a stand-alone dedicated CWU Health, Safety & Environment Dept? Yes/No

Do you support the need for the CWU Health, Safety & Environment Dept to be lead by a full time dedicated National Health, Safety & Environment Officer? Yes/No

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* 8. Do you support the need for the CWU Health, Safety & Environment Dept to be lead by a full time dedicated National Health, Safety & Environment Officer? Yes/No

Do you support the need to expand the CWU Health, Safety & Environment Dept? Yes/No

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* 9. Do you support the need to expand the CWU Health, Safety & Environment Dept? Yes/No

Do you support a merger of the CWU Health, Safety & Environment Dept with any other department in order to cut costs to the Union? Yes/No

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* 10. Do you support a merger of the CWU Health, Safety & Environment Dept with any other department in order to cut costs to the Union? Yes/No

Is H&S at work a key reason for your being active in the CWU and for being a Union member?

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* 11. Is H&S at work a key reason for your being active in the CWU and for being a Union member?

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