PPE Feedback Questionnaire

Employee Information:

Name (Optional)	[Your Name]
Department/Job Title	[Your Title]
Date	[Month Day, Year]

Instructions:

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.

1. PPE Usage:

a. Do you use PPE as required for your job?

• Yes

• No

b. If you answered "No" to the previous question, please specify why:

2. PPE Availability:

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:

3. PPE Comfort and Fit:

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:

4. PPE Training:

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:

5. PPE Maintenance and Inspection:

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:

6. Reporting PPE Issues:

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:

7. Overall Satisfaction:

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

8. Additional Comment:

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.

Health & Safety Templates @ Template.net