Speak Up Posters Audit Form

New Ethics and Compliance “Speak Up” Posters were distributed to your facility in June. We need your assistance with ensuring that the posters are hung in accessible and high traffic locations.

You should have received three different types of posters: Quick Reference Poster, Potty Training Poster, and a Myths Poster. The Quick Reference and Myth posters are traditional posters that should be hung in accessible and high traffic locations. The Potty-Training posters are decals with adhesive backing designed to be placed on the inside doors of bathroom stalls.

Local People & Culture Managers and Facility Managers should work together to ensure posters are hung in appropriate locations. Please use the audit form below to document where each poster is hung.

It is your responsibility to monitor the posters and request replacements as necessary. If you need replacement posters or materials at any time or make any changes to the locations of these posters, please contact the Ethics and Compliance Team.

Question Title

* 1. My Role (Team member completing form on behalf of the facility)

Local P&C Manager

Facility Manager

Question Title

* 2. Facility Information

Name of Facility

Facility Address

City

State/Province

ZIP/Postal Code

Country

Question Title

* 3. People and Culture Manager Information

Full Name

Employee ID#

Employee Email Address

Question Title

* 4. Facility Manager Information

Full Name

Employee ID#

Employee Email Address

Question Title

* 5. Describe where the Reference Card Poster is located and how many have been placed in each location. (e.g., Cafeteria x5, Break Room x4, Lobby x2)

Location 1:

Location 2:

Location 3:

Location 4:

Location 5:

Location 6:

Question Title

* 6. Describe where the Myth Poster is located and how many have been placed in each location. (e.g., Cafeteria x5, Break Room x4, Lobby x2)

Location 1:

Location 2:

Location 3:

Location 4:

Location 5:

Location 6:

Question Title

* 7. Describe where the Potty-Training Poster is located and how many have been placed in each location. (e.g., Womens Bathroom x 6, Men's Bathroom x4, Unisex Bathroom x1)

Womens Bathroom:

Men's Bathroom:

Unisex Bathroom:

Question Title

* 8. As the facility leader/P&C manager, I attest that I will ensure the placement of all posters are in the locations documented and are maintained. If additional posters are required, I will contact Ethics and Compliance for assistance.

I Attest