Workers Comp - rugs

Please complete this survey by the close of business Tuesday 01/31/12.
Name: 


A red asterisk (*) indicates required questions.

  1. Do you have any rugs/mats in your kitchen? (Please look) *
    Yes
    No


  1. If yes, where are the mats located? (Please check all that apply)
    Near Sinks
    Walk Ins
    Food Prep Area
    Cashier Area
    Steamtable
    Other


  1. Who provided this mat/rug?
    Custodian
    School Administration
    Maintenance
    FNS District Office
    FNS Manager
    FNS Employee provided mat for personal use
    Other
    Don't Know


  1. Comments


  1. School/Manager Name *





FOOD & Nutrition Services
Broward County Public Schools
Sunrise, FL