Construction Job Site Safety Employment Survey
Help us improve safety by providing your feedback and insights about job site practices.
Full Name
*
First Name
Last Name
Job Title/Role
*
Worksite Location
*
Contact Email
example@example.com
Have you received safety training for your current job site?
*
Yes
No
Please indicate your level of agreement with the following statements regarding job site safety.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Safety procedures are clearly communicated on site
1
2
3
4
5
Personal protective equipment (PPE) is always available
6
7
8
9
10
Supervisors enforce safety rules consistently
11
12
13
14
15
I feel comfortable reporting safety concerns
16
17
18
19
20
How would you rate the overall safety culture at your job site?
*
1
2
3
4
5
Have you witnessed or experienced any safety incidents or near-misses in the past 6 months?
*
Yes
No
If yes, please briefly describe the incident or near-miss.
Which of the following safety measures are regularly practiced at your site? (Select all that apply)
*
Daily safety briefings
Regular equipment inspections
Emergency drills
Hazard reporting system
Other
Do you have suggestions to improve safety at your job site?
Submit Survey
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