Department/Unit

• Production

• Maintenance

• Administration

• Other (please specify):                               

Job Role/Title

• Operator

• Supervisor

• Manager

• Other (please specify):                               

Length of Employment

• Less than 1 year

• 1-3 years

• 4-6 years

• 7+ years

Safety is a top priority in our organization.

Management demonstrates a commitment to workplace safety.

Employees are encouraged to participate in safety activities.

I believe that safety concerns are taken seriously by management.

The organization’s safety policies are clearly communicated and easy to understand.

I follow established safety procedures during my daily tasks.

I consistently use the required PPE in my work environment.

Safety updates and information are effectively communicated within my team.

I feel empowered to stop work if I identify a safety hazard.

I observe my colleagues following safety procedures and guidelines.

I am comfortable reporting safety concerns to management.

I am satisfied with the process for reporting incidents.

The organization responds effectively to reported safety concerns.

I believe that reported safety concerns are addressed promptly.

I have received feedback after reporting a safety concern or incident.

The safety training programs provided are effective.

I am well-informed about the safety procedures relevant to my role.

I am given opportunities to participate in additional safety training.

The training I received has prepared me to handle emergencies.

I have access to all necessary safety training materials and resources.

The physical safety conditions of my worksite are:

Safety equipment is accessible when needed.

The ergonomic setup of my workspace is:

The work environment supports safe work practices.

There are sufficient safety resources (e.g., first aid kits, fire extinguishers) available at my worksite.

Leaders in the organization set a good example for safety practices.

I frequently receive constructive feedback on safety practices from leadership.

Leadership encourages me to prioritize safety in my daily tasks.

Leadership visibly supports and participates in safety initiatives.

Leaders provide the necessary resources to maintain a safe work environment.

How would you rate the overall safety culture in our organization?

The safety culture has improved in the past year.

I am confident in the organization’s commitment to improving safety culture.

Employees feel empowered to take ownership of safety.

Safety is integrated into every aspect of our work processes.