Fire Officer Safety Assessment Survey
Help us assess and improve safety standards for fire officers by completing this comprehensive survey.
Full Name
*
First Name
Last Name
Station / Department
*
Position / Rank
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Personal Protective Equipment (PPE) Availability and Condition
*
Rows
Availability
Condition
Helmet
1
2
Gloves
3
4
Boots
5
6
Protective Clothing
7
8
Respirator/SCBA
9
10
How would you rate the adequacy of safety training provided to fire officers?
*
1
2
3
4
5
Are standard operating procedures (SOPs) for emergency situations clearly communicated and accessible?
*
Yes
No
Partially
Workplace Hazard Assessment
*
Rows
Hazard Present
Adequate Controls in Place
Slips, Trips, and Falls
11
12
Electrical Hazards
13
14
Chemical Exposure
15
16
Fire Hazards
17
18
Confined Spaces
19
20
How effective are incident reporting and follow-up procedures?
*
Not Effective
1
2
3
4
Highly Effective
5
1 is Not Effective, 5 is Highly Effective
How would you describe the overall safety culture in your department?
*
Excellent
Good
Fair
Needs Improvement
Please provide any additional comments or suggestions to improve fire officer safety.
Submit Assessment
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