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Industrial Safety Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you receive regular safety training in your workplace?
Please select one of the options.
Yes
No
2
Rate the safety measures implemented in your workplace
Please rate from 1 to 10 (10 being the highest).
3
What safety improvements would you suggest in the workplace?
Please provide your answer in the text field below.
4
Are you provided with the necessary safety equipment while working?
Please select one of the options.
Yes
No
Sometimes
5
How often do safety inspections occur in your workplace?
Please select one of the options.
Weekly
Monthly
Quarterly
Yearly
6
Rate the safety communication between workers and supervisors
Please rate the communication from 1 to 10 (10 being the highest).
7
Have you ever reported a safety concern at your workplace?
Please select one of the options.
Yes
No
8
How effective do you find the safety training provided to you?
Please rate from 1 to 10 (10 being the most effective).
9
In your opinion, what are the top safety priorities in the workplace?
Please list your top priorities in the text field below.
10
Do you feel comfortable discussing safety concerns with your supervisor?
Please select one of the options.
Yes
No
Sometimes
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