ScORSA: Re-joining Questionnaire

Name:	Job Title:
Company Name:
Company Web Site Address:
Email Address:	Telephone:
Do you now have, or have you further developed, road risk policies? Please give detail:
Fleet Details:
Number of incidents and value of vehicle damage in the last calendar year (optional):
Number and value of insurance claims (optional):
Number of road traffic offences reported by employees:
Which aspects of being an existing ScORSA member do you consider to be of greatest and least importance? Rank the following in order of importance:	Improved safety
	Improved Company image
	Maximised profit
Have you made changes to your recording systems for vehicle incidents over the past year ?
Did you make use of the Scottish Centre for Healthy Working Lives in seeking advice and/or developing policies?
Have you experienced any resistence from staff to the introduction of new road safety policies? If so, how did you manage to overcome this?
What are the next steps that you plan to implement to improve your company’s road safety record over the coming year?
Do you have any suggestions for improvement/changes to the ScORSA website?
DATA PROTECTION Your personal information will be used by ScORSA/RoSPA solely for the purposes listed below and will not be disclosed to third parties. A ScORSA newsletter containing relevant information to help manage occupational road risk will be sent to members periodically. If you do NOT wish to receive this please tick here.
The information you supply will be used for research and evaluation of the ScORSA initiative and will be useful in identifying best practice which can be shared with other organisations. If you would rather the information was not used in this way, please tick this box.
You also consent to us providing to you information about other services or products from carefully selected third parties. If you do not want to receive such information, please tick this box.

You can contact ScORSA for further information at: info@scorsa.org.uk and you can take advantage of free support and advice to help you develop policies and procedures offered by the Scottish Centre for Healthy Working Lives and by Road Safety Officers.

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ScORSA: Re-joining Questionnaire

Fleet Details: