Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Home Phone

(###)

###

####

Do You Own A Car *

Yes

No

Gender

Male

Female

Prefer Not To Answer

Are You A Student? *

Yes

No

Previous Experience *

Warehouse

Forklift

Assembly

Order Picker

Machine Operation

Shipping/Receiving

Inventory

Packaging

Power Tools

Woodworking

Painting

What Shift Can You Do? *

Day

Afternoon

Night

Acknowledgement and Agreement *

I acknowledge that I have watched and I understand the WHMIS 2015 video.

I acknowledge that I have read and understand the JustLabour Temporary Help Handbook.

I acknowledge that I have read and understand the Worker Health and Safety Awareness Booklet.

1. What does WHMIS stand for? *

Workplace Hazardous Material Information Sheet

Workplace Hazardous Materials Information System

Work Health and Material Information Safety

2. Which statement about Personal protective equipment is false? *

Any device worn or used by a worker to protect against hazards or exposure to chemicals

Protective equipment is the least preferable type of control because the hazard still exists

Includes items such as glue guns, staplers, and printers

3. Which of the following chemical categories is most hazardous? *

2A

1A

3C

4. What does SDS stand for? *

Single Data Sheet

Safety Data Sheet

Secure Dangerous Substances

5. Which item is not one of the three main parts of WHMIS? *

Labels

Overtime

Worker Education

6. Why is it important for you to be trained on WHMIS? *

To have information to protect your health and safety

To get your work done faster

To serve your customers better

7. What does this symbol represent? (🔥) *

Corrosive material

Biohazardous material

Flammable material

8. What should you do if you see a chemical container without a label? *

Ignore it

Report it immediately

Use it carefully