Workplace Safety Goals Assessment Survey
Help us evaluate our organization's progress toward workplace safety goals by sharing your insights and feedback.
Full Name
*
First Name
Last Name
Department or Team
*
Please Select
Operations
Maintenance
Administration
Human Resources
Logistics
Other
How long have you worked at this organization?
*
Please Select
Less than 1 year
1-3 years
4-6 years
7-10 years
More than 10 years
How would you rate the overall safety culture at your workplace?
*
1
2
3
4
5
Please rate your agreement with the following statements regarding workplace safety goals.
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Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I understand our workplace safety goals.
1
2
3
4
5
Management communicates safety priorities clearly.
6
7
8
9
10
I receive adequate safety training.
11
12
13
14
15
Safety is prioritized over productivity.
16
17
18
19
20
Employees are encouraged to report unsafe conditions.
21
22
23
24
25
Which of the following safety goals do you believe have been achieved this year? (Select all that apply)
Zero lost-time injuries
Regular safety training completed
No safety violations reported
Emergency drills conducted
Other
What challenges have you encountered in achieving workplace safety goals?
What actions or resources would help improve workplace safety?
How likely are you to recommend your workplace as a safe environment to others?
*
Not at all likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all likely, 10 is Extremely likely
Please share any additional comments or suggestions regarding workplace safety.
Submit Assessment
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