SAFETY QUOTIENT. EMPLOYER REPORT For Hiring, Training & Coaching. June 20, Kelly Sample

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SAFETY QUOTIENT TM EMPLOYER REPORT For Hiring, Training & Coaching Kelly Sample support@talentclick.com June 20, 2017

PART A SAFETY RISK FACTORS Safety Personality Defined This section is a summary of the individual's safety-related personality traits calculated from the assessment questionnaire. Everyone has core personality traits and tendencies or "default settings" that affect behaviors. Default settings can be hard to change, but you can reduce risk by increasing self-awareness & choosing safe behaviors. SQ Score: Kelly Sample's primary traits: 41 Scores range from 0 to 100 Lower scores tend to be riskier Higher scores tend to be safer Impatient Apprehensive Resistant These are the most extreme scores from the personality profile below. Kelly Sample's Safety Personality Profile: Resistant Questions existing rules and processes, may be resistant to feedback. RESISTANT ACCOMMODATING Accommodating Follows rules and processes without questioning. Anxious Quickly feels stress in unexpected or unfamiliar situations. ANXIOUS CALM Calm Even-tempered, stress tolerant, calm under pressure. Impatient Becomes annoyed or irritated when under stress. IMPATIENT PATIENT Patient Not easily frustrated or annoyed by others. Distractible Seeks stimulation and variety. May become distracted. DISTRACTIBLE FOCUSED Focused Less likely to seek stimulation & variety. Able to ignore distractions Impulsive Decides quickly, may underestimate consequences of actions. IMPULSIVE CAUTIOUS Cautious Tends to carefully evaluate situations before deciding. Thrill-Seeking Seeks excitement and adventure, comfortable with uncertainty and risk. THRILL-SEEKING APPREHENSIVE Apprehensive Tends to avoid or be uncomfortable with risk and uncertainty. Kelly Sample's Validity Category: Acceptable If the validity category is "Caution": Interpret the results above with caution Verify results with interview and reference questions Marker: Represents this person's results. The average results of working adults is at the middle point of each dimension. Disclaimer: We cannot predict the occurrence of specific incidents, but only the probability that people will engage in behaviors that increase the likelihood of incidents. These assessment results should always be considered in the context of all available information about a person; do not use this as the sole factor for making employmentrelated decisions. Kelly Sample 06/20/17 2015 TalentClick Workforce Solutions Inc Page 2 of 7

PART B COACHING CONSIDERATIONS Dimension 1: Resistant vs. Accommodating Resistant Questions existing rules and processes, may be resistant to feedback. RESISTANT ACCOMMODATING Accommodating Follows rules and processes without questioning. Kelly Sample scored on the Left Side of Resistant vs. Accommodating. This area measures rule-following and openness to new ideas, re-training and coaching. People who score on the left side tend to question rules or processes and may be resistant to new ideas, re-training or coaching. Able to point out areas for improvement Would not hesitate to stop and question things Would inform others when standard procedures aren t appropriate Tell me about a time when you needed to bend the rules in order to meet a deadline or complete a job. What was the situation and what was the result? Would benefit from knowing the reasons behind rules and the consequences of ignoring them May need extra time to adapt to changes in routine or rules Monitoring of compliance may be necessary, especially with new rules and regulations Give me an example of a time when you had to go through re-training or re-learning and let go of old habits. Describe the situation in detail. Dimension 2: Anxious vs. Calm Anxious Quickly feels stress in unexpected or unfamiliar situations. ANXIOUS CALM Calm Even-tempered, stress tolerant, calm under pressure. Kelly Sample scored in the Mid Range of Anxious vs. Calm. This area measures a person's ability to handle stress and think clearly under pressure. People who score in the mid range can usually handle stress well when in unexpected, uncomfortable or unfamiliar situations. Able to work effectively when under normal levels of stress Seen as balanced and stable Receptive to feedback and coaching Give me an example of a time when you had to complete high pressure or stressful tasks at work. What was the situation and what did you do? Would benefit from feedback and coaching Should be encouraged to build confidence through skill development May need to be reminded to see mistakes as developmental opportunities Give me an example of a time when you had to decide what to do extremely quickly in order to avoid an accident. Describe the situation in detail. Kelly Sample 06/20/17 2015 TalentClick Workforce Solutions Inc Page 3 of 7

PART B COACHING CONSIDERATIONS Dimension 3: Impatient vs. Patient Impatient Becomes annoyed or irritated when under stress. IMPATIENT PATIENT Patient Not easily frustrated or annoyed by others. Kelly Sample scored on the Left Side of Impatient vs. Patient. This area measures a person's level of emotional control and how stress affects how they deal with others. People who score on the left side may become quickly annoyed or irritated by others. Would respond well to positive feedback Will likely be a straightforward and frank communicator Comfortable voicing opinions even if they are unpopular Give me an example of a work situation where someone did something that you found to be extremely annoying. What was the situation? May need to be reminded of the impact his/her actions have on others May need encouragement to let go of grudges and stop taking others' behavior personally May need time to cool off after becoming frustrated Give me an example of a work situation where you became angry about something. What was the situation and how did you handle it? Dimension 4: Distractible vs. Focused Distractible Seeks stimulation and variety. May become distracted. DISTRACTIBLE FOCUSED Focused Less likely to seek stimulation and variety. Able to ignore distractions. Kelly Sample scored in the Mid Range of Distractible vs. Focused. This area measures a person's level of focus and their need for variety and stimulation. People who score in the mid range can usually stay focused without becoming distracted or bored. Able to remain focused and alert Can remain mindful of details Not likely to become bored or distracted easily Tell me about a time when you had to do boring or tedious work. What was the situation and what did you do to stay focused? Would benefit from having some variety in tasks Comfortable when circumstances change May become restless or bored after long periods of repetitive work Tell me about a time when you were distracted and you narrowly avoided an accident. Describe the situation in detail. Kelly Sample 06/20/17 2015 TalentClick Workforce Solutions Inc Page 4 of 7

PART B COACHING CONSIDERATIONS Dimension 5: Impulsive vs. Cautious Impulsive Decides quickly, may underestimate consequences of actions. IMPULSIVE CAUTIOUS Cautious Tends to carefully evaluate situations before deciding. Kelly Sample scored in the Mid Range of Impulsive vs. Cautious. This area measures a person's level of caution when making decisions. People who score in the mid range have an average level of caution and usually evaluate their decisions before acting. Able to take quick action in unusual situations Will consider possible negative consequences of actions Not likely to make quick decisions Give me an example of when you could have done a task quickly but you decided that taking quick action might be too risky. What was the situation and what did you do? May need to be reminded to think through possible negative consequences of actions May need coaching on when to decide quickly and when to decide slowly and carefully Would benefit from learning the mistakes others have made Give me an example when you rushed while doing something and made a mistake as a result. What was the situation and how did it turn out? Dimension 6: Thrill-Seeking vs. Apprehensive Thrill-Seeking Seeks excitement and adventure, comfortable with uncertainty and risk. THRILL-SEEKING APPREHENSIVE Apprehensive Tends to avoid or be uncomfortable with risk and uncertainty. Kelly Sample scored on the Right Side of Thrill-Seeking vs. Apprehensive. This area measures a person's level of excitement seeking. People who score on the right side do not seek excitement and are often uncomfortable with uncertainty and taking risks. Will not tolerate unnecessary risks Able to identify risks that can be avoided Would be able to recognize and point out others' risky behavior Give me an example of a time when you had to take a risk at work that made you uncomfortable. What was the situation and how did you handle it? May be uncomfortable when things are uncertain May find it difficult to take risks even when it is necessary May avoid trying new ways to complete tasks or experimenting with new ideas Tell me about a time when you were distracted and you narrowly avoided an accident. Describe the situation in detail. Kelly Sample 06/20/17 2015 TalentClick Workforce Solutions Inc Page 5 of 7

PART C YOUR COMMITMENT I,, will follow up with Your Name Participant's Name on the following areas for improvement: Behavior 1: Behavior 2: Follow-up date: EMPLOYER SIGNATURE (Your Name) (Your Signature) (Date) Recommended re-assessment date for Kelly Sample: December 20, 2017 Kelly Sample 12-40-1-62-31-99--22 2015 TalentClick Workforce Solutions Inc Page 6 of 7

ABOUT SAFETY QUOTIENT TM SQ TM DEFINED SQ TM is an assessment tool that measures the key personality factors linked to safety outcomes in the workplace SAFETY SELF-AWARENESS Safety Self Awareness is the process of understanding and recognizing how an employee's thoughts, feelings, and behaviors affect safety outcomes. Learn more about the employee's personality Improve safety, productivity & efficiency through selfawareness, coaching and training Achieve a reduction in incident rates and improved safety culture About this Report Purpose Summarize employee's safety risk profile & coaching consideration Content Safety Personality Profile Risks & coaching tips Interview questions Follow up form Keep in mind - Consider other factors that affect safety in addition to personality: Physical & environmental conditions Personal situation (stress, sleep, illness, etc.) 2015 TalentClick Workforce Solutions Inc Page 7 of 7