Agricultural Social Risk Assessment Questionnaire Form
Please complete this assessment to help identify and address social risk factors in your agricultural operations.
Type of agricultural operation
*
Please Select
Crop farming
Livestock
Mixed farming
Other
Number of workers (including seasonal)
*
How would you rate worker access to safe working conditions?
*
1
2
3
4
5
Community engagement activities are regularly conducted.
*
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Please rate the following social risk factors:
*
Rows
Low risk
Moderate risk
High risk
Child labor
1
2
3
Forced labor
4
5
6
Gender discrimination
7
8
9
Land tenure disputes
10
11
12
Lack of grievance mechanisms
13
14
15
How accessible are training and education programs for workers?
*
Very accessible
Somewhat accessible
Not accessible
How would you rate gender equity among workers?
*
1
2
3
4
5
Are grievance mechanisms available to all workers?
*
Yes
No
Not sure
How often are social risk assessments conducted?
*
Please Select
Annually
Every 2-3 years
Less frequently
Never
Additional comments (optional)
Submit Assessment
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