Food Processing Worker Health and Safety Survey
Help us assess and improve workplace health and safety in our food processing facility.
Full Name
*
First Name
Last Name
Job Title/Position
*
Department or Work Area
*
Please Select
Production
Packaging
Quality Control
Maintenance
Sanitation
Other
How long have you worked in your current position?
*
Please Select
Less than 6 months
6 months to 1 year
1-3 years
More than 3 years
Have you received health and safety training specific to your job?
*
Yes, within the last year
Yes, more than a year ago
No
Please rate the following aspects of workplace health and safety.
*
Rows
Excellent
Good
Fair
Poor
Availability of Personal Protective Equipment (PPE)
1
2
3
4
Cleanliness of work area
5
6
7
8
Clarity of safety instructions
9
10
11
12
Access to first aid
13
14
15
16
Reporting process for hazards
17
18
19
20
Which types of Personal Protective Equipment (PPE) are you provided with? (Select all that apply)
*
Gloves
Hair nets/caps
Face masks
Aprons/gowns
Safety shoes/boots
Other
Have you experienced or witnessed any workplace accidents or near misses in the past year?
*
Yes, I have experienced
Yes, I have witnessed
No
How confident are you in reporting safety concerns or hazards to your supervisor?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Please provide any suggestions or comments to improve health and safety in your workplace.
Submit Survey
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