Science Research Safety Survey Form
Please complete the Science Research Safety Survey Form to help us assess and improve safety practices in our science research environment.
Your role in the research environment
*
Please Select
Principal Investigator
Graduate Student
Undergraduate Student
Lab Technician
Postdoctoral Researcher
Other
Department or Research Area
*
How would you rate your overall awareness of laboratory safety protocols?
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1
2
3
4
5
How often do you wear appropriate personal protective equipment (PPE) in the lab?
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Always
Most of the time
Sometimes
Rarely
Never
Please indicate your agreement with the following statements about lab safety.
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Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I know the location of emergency equipment (e.g., eyewash, fire extinguisher).
1
2
3
4
5
I am familiar with the procedure for reporting incidents or accidents.
6
7
8
9
10
I feel comfortable raising safety concerns with lab leadership.
11
12
13
14
15
Have you received formal safety training in the past 12 months?
*
Yes
No
How confident are you in handling hazardous chemicals in your lab?
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Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Do you know the proper procedure for disposing of laboratory waste?
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Yes
No
Not sure
Have you witnessed or experienced any safety incidents in your lab in the past year?
*
Yes
No
Please share any additional comments or suggestions regarding research safety.
Submit Survey
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