Workplace Health & Safety Survey

In your job how often do you… *

NeverOnce a yearEvery 6 monthsEvery 3 monthsEvery MonthsEvery WeekEvery DayDK/NA
Manually lift, carry, push items heavier that 20kg at least 10 times during the day.
Do repetitive movements with your hands or wrists for at least 3 hours during the day.
Perform work tasks or use work methods that you are not familiar with.
Interact with hazardous substances such as chemicals, flammable liquids and gases.
Work in a bent, twisted or awkward work posture.
Work at a height that is 2 metres or more above the ground or floor.
Work in noise levels that are so high that you have to raise your voice when talking to people less than 1 metre away.
Experience being bullied or harassed at work.
Stand for more than 2 hours continuously.

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
Everyone receives the necessary Workplace Health & Safety training when starting a job, changing jobs or using new techniques.
There is regular communication between Employees and Management about safety issues.
Systems are in place to prevent and deal with hazards at work.
Workplace Health & Safety is considered to be at least as important as production and quality.
There is an active and effective Health & Safety Committee and/or a worker Health & Safety representative.
Incidents and Accidents are investigated quickly in order to improve workplace health & safety.
Communication about workplace health & safety procedures is done in a way that I can understand.

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
I am clear about my Employer's rights and responsibilities in relation to Workplace Health & Safety
I know how to perform my job in a safe manner.
If I became aware of a Health & Safety hazard at my Workplace I know who (at my Workplace) I would report it to.
I have the knowledge to assist in responding to any Health & Safety concerns at my Workplace.
I know what the necessary precautions are that I should take while doing my job.

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
I feel free to voice concerns or make suggestions about Workplace Health & Safety at my job.
If I notice a Workplace hazard I would point it out to management
I know that I can stop work if I think something is unsafe and Management will not give me a hard time.
If my work environment was unsafe I would not say anything and hope that the situation eventually improves (reverse scored).
I have enough time to complete my work tasks safely.

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
The sanitary facilities are adequate for the current workforce and are of a satisfactory standard.
The canteen facilities are adequate for the current workforce and are of a satisfactory standard.
The temperature and ventilation within the Workshop are satisfactory for the work processes being undertaken.

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
I am aware of the procedure to be followed in the event of an accident or injury.
I am aware that all accidents or injuries must be reported and details entered into the Accident Register.
I am aware of the which staff are qualified First Aiders.
I am aware of the location of all First Aid Kits

At my Workplace … *

Strongly AgreeAgreeDisagreeStrongly DisagreeDK/NA
I would recognise the Fire Alarm signal
I am aware of the procedure to be followed in the event of a Fire Alarm
I am aware of the location of Fire Exits
I am aware of the location of Fire Points and Extinguishers

Please feel free to include any comments you feel are appropriate.