Fleet Depot Risk Survey Form
Please complete this survey to help us assess risk conditions and operational hazards at your fleet depot.
Depot Name
*
Depot Location
*
How would you rate the overall safety of this depot?
*
1
2
3
4
5
Please rate the following risk factors at this depot:
*
Rows
Low
Moderate
High
Fire hazard
1
2
3
Spill/leak risk
4
5
6
Equipment malfunction
7
8
9
Poor lighting
10
11
12
Unauthorized access
13
14
15
How frequently are safety inspections conducted?
*
Weekly
Monthly
Quarterly
Annually
Not conducted
Are emergency exits clearly marked and accessible?
*
Yes
No
Partially
How would you rate staff training on safety protocols?
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
All hazardous materials are properly stored.
16
17
18
19
20
Incident reporting procedures are clear.
21
22
23
24
25
Personal protective equipment is available.
26
27
28
29
30
There is adequate signage for risks.
31
32
33
34
35
Are there any additional hazards or concerns not covered above?
Name of person completing this survey
*
First Name
Last Name
Submit Survey
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