Farm Safety and Security Assessment Form
Evaluate key aspects of your farm’s safety and security. Please answer all questions to the best of your knowledge.
How would you rate the overall condition and maintenance of farm equipment?
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1
2
3
4
5
Access to the farm is controlled and monitored.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Adequate outdoor lighting is present in key areas (entrances, storage, pathways).
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Emergency procedures are clearly displayed and accessible.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
How often are safety trainings conducted for staff and workers?
*
Please Select
Monthly
Quarterly
Annually
Never
Farm perimeter is secured with fencing or natural barriers.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Incident reporting and response procedures are in place.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Visitor management (sign-in, escorting, identification) is enforced.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Which safety signage is present on your farm?
*
Hazard warnings
Emergency contacts
No unauthorized access
PPE required
Other
Please provide any additional comments or observations regarding farm safety and security.
Submit Assessment
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