Name (Optional) | [Your Name] |
Department/Job Title | [Your Title] |
Date | [Month Day, Year] |
Please take a few minutes to provide feedback on the use and management of Personal Protective Equipment (PPE) in our workplace. Your input is valuable in ensuring a safe and healthy working environment. Your responses will be kept confidential.
a. Do you use PPE as required for your job?
Yes
No
b. If you answered "No" to the previous question, please specify why:
a. Are the necessary PPE items readily available in your work area?
Yes
No
b. If "No," please describe any difficulties you've encountered in obtaining the required PPE:
a. Is the PPE provided comfortable to wear for extended periods?
Yes
No
b. If "No," please explain any discomfort or fit issues you've experienced:
a. Have you received proper training on the correct usage, care, and maintenance of your PPE?
Yes
No
b. If "No," please provide suggestions for improving PPE training:
a. Do you inspect and maintain your PPE regularly as instructed?
Yes
No
b. If "No," please specify any challenges you face in maintaining and inspecting your PPE:
a. Are you aware of the procedure for reporting damaged or malfunctioning PPE?
Yes
No
b. If "No," please suggest how this process could be better communicated to employees:
On a scale of 1 to 5, with 1 being very dissatisfied and 5 being very satisfied, how would you rate the overall management of PPE in our organization?
1
2
3
4
5
Please provide any additional comments, suggestions, or concerns related to PPE management or safety in the workplace:
Thank you for taking the time to complete this questionnaire. Your feedback is important in helping us improve our PPE management practices and maintain a safe working environment.
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