Safety - Employee Survey Sample #7

Dear Employee:


Welcome to the Employee Survey. We are on a journey to create a workplace that encourages success! A critical component of creating this culture is building a business you recognize as being a great place to work and one that provides you with challenge and recognition. We want to build a thriving and successful business that provides motivation and satisfaction. In order to do so we need to assess how we are doing and understand your thoughts, views and feelings.

We have developed this survey with questions tailored for our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment and allow you to make positive suggestions for improvement.

The survey is web-based, quick and simple to complete which allows fast reporting and analysis. To ensure your anonymity, the survey is being hosted by an external organization. You will not be required to identify yourself. We want to be very clear that we will not be able to attribute this data to any specific individual and it is not our intention to do so.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

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Safety	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My team leader promotes shared responsibility for identifying and mitigating hazards. (Click here to add a comment)
Managers gather necessary training materials to administer comprehensive safety orientation/training. (Click here to add a comment)
The department head ensures all employees handling hazardous materials are properly trained. (Click here to add a comment)
My manager identifies potential hazards before they lead to incidents and takes steps to eliminate or control them. (Click here to add a comment)
The supervisor evaluates whether PPE requirements remain appropriate as tasks, equipment, or hazards change. (Click here to add a comment)
If [Participant Name] were to make improvements in Safety, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Equipment	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
We have received adequate training on the proper use of heavy equipment. (Click here to add a comment)
All employees in my department conduct pre- and post-trip assessments of the equipment (Click here to add a comment)
I am provided with tools and equipment that are up-to-date (Click here to add a comment)
I know how to perform preventative maintenance on the equipment (Click here to add a comment)
The Company provides training for operating new equipment (Click here to add a comment)
If [Participant Name] were to make improvements in Equipment, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Career Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Job promotions are awarded based on merit (Click here to add a comment)
Working in this department has helped me discover new strengths and explore career directions I hadn't considered before. (Click here to add a comment)
I have been given more responsibilities since when I started (Click here to add a comment)
My development goals are structured to ensure they reflect department interests and organizational needs. (Click here to add a comment)
The Company offers an excellent leadership development program (Click here to add a comment)
If [Participant Name] were to make improvements in Career Development, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Supervision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Managers are open to listening to others (Click here to add a comment)
My supervisor uses persuasion rather than threats of disciplinary action (Click here to add a comment)
Supervisors in my department successfully mediate conflicts between employees (Click here to add a comment)
Supervisors determine the training and development needs of employees and staff (Click here to add a comment)
Supervisors communicate the goals and expectations for the team (Click here to add a comment)
If [Participant Name] were to make improvements in Supervision, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
CompanyName is an ethical company. (Click here to add a comment)
Cross-cultural mentorship is encouraged to foster learning and bridge perspectives across generations and backgrounds. (Click here to add a comment)
Clear lines of authority help to ensure actions are made with the appropriate approvals. (Click here to add a comment)
Team members celebrate each other's contributions and recognize helpfulness as a performance strength. (Click here to add a comment)
Employees receive regular training on company policies, legal compliance, and industry regulations. (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My manager creates a timeline to fulfill the organization's vision (Click here to add a comment)
Leadership is effective in establishing the direction and strategy for the organization (Click here to add a comment)
Our department creates a vision to align corporate strategies with the organization's value system (Click here to add a comment)
The project manager designs strategies that mirror the organization's unified vision (Click here to add a comment)
People in my department are adept at identifying underlying problems within the organization and are capable of envisioning innovative and effective solutions to address these issues (Click here to add a comment)
If [Participant Name] were to make improvements in Vision, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Turnover	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I would describe my department as toxic (Click here to add a comment)
Our department is able to attract and retain excellent employees (Click here to add a comment)
The recent terminations in our department were from a reduction in force (Click here to add a comment)
There is a lack of opportunities in the company (Click here to add a comment)
The level of benefits offered by the Company helps to reduce turnover (Click here to add a comment)
If [Participant Name] were to make improvements in Turnover, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Employee Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The EAP enables supervisors to focus their efforts on the job instead of dealing with employee issues. (Click here to add a comment)
The services offered by the EAP help improve employee performance through reduced absences and tardiness. (Click here to add a comment)
All requests for services receive prompt and respectful responses. (Click here to add a comment)
I am able to reach someone quickly when I have questions or need to use the service. (Click here to add a comment)
I can use the EAP when I need help. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Assistance Program, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?
Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am recognized whenever I do a good job (Click here to add a comment)
My Supervisor praises me for a job well done (Click here to add a comment)
Everyone has a chance to be recognized. (Click here to add a comment)
My rewards package is representative of my job performance (Click here to add a comment)
The rewards and recognition I receive are attractive and competitive (Click here to add a comment)
If [Participant Name] were to make improvements in Rewards/Recognition, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

46. What changes would you like to see in your benefit plans? Please note that some of these may increase premium rates. Please check all that apply.

    Add a higher deductible plan ($1,000 - $2,500) Increase vision care Increase dental care Add wellness program (weight loss, nutrition, smoking cessation programs, etc.) Add a Medical Spending Account (MSA) (allows employees to enroll in a high deductible health plan, and then [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)

    
    
    
47. What changes would you be willing to accept in order to help hold down premium increases? Please check all that apply.

    Higher annual deductibles (the amount you pay out-of-pocket before benefits begin) Higher office visit co pays (the dollar amount you pay for office visits) Higher prescription drug co pays (the dollar amount you pay for prescription drugs) More network restrictions (smaller group of doctors and specialists to choose from) No dental coverage Other, please specify

    
    
    
48. How often would you like to participate in after hours company event?
    

    Every other month Quarterly Twice a year Just the Christmas Party

    
    
    
49. How would you rate your satisfaction with the communication between you and [Company]?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
    
50. What would you change about your current job or position?
    
    
    
51. Please identify factors that would improve your job performance in the coming year.
    
    
    
52. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?
    

    Very Often Sometimes Rarely Never

    
    
    
53. How would you rate your overall satisfaction with the company in the past year?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
54. Please give any comments or suggestions on how the company can be improved in the coming year: