Safety - Employee Opinion Survey Sample #8

Surveys Measuring Safety:
Example 1 (5-point scale; numbers; NA)
Example 2 (7-point scale; radio buttons)
Example 3 (4-point scale; radio buttons)
Example 4 (5-point scale; radio buttons)
Example 5 (5-point scale; words)
Example 6 (Pulse Survey)
Example 7 (5-point scale; item comments)
Example 8 (3-point scale; words)
Dear Employee:

Welcome to the Employee Satisfaction 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 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 and . 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

Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.


Agree Unsure Disagree N/A
  1. Managers pay attention to workplace safety
  1. My Supervisor would not ask me to perform an unsafe procedure
  1. My manager does not compromise on safety
  1. My work environment is safe
  1. I know what to do in an emergency situation


Agree Unsure Disagree N/A
  1. We receive safety training on a regular basis.
  1. The identification and evaluation of risk is an important part of my job.
  1. I understand what regulations we need to follow.
  1. Our department has a reputation for good compliance with regulations.
  1. The training I received regarding risk was relevant for my position.

Problem Solving

Agree Unsure Disagree N/A
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. My Department anticipates and resolves problems
  1. We work together to solve problems
  1. In my job I focus on problem solving instead of fault finding
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.


Agree Unsure Disagree N/A
  1. Resources are coordinated and utilized effectively in my department.
  1. Assessment is part of the planning process to identify organizational weaknesses and develop solutions
  1. The Company has an excellent workforce planning strategy to meet future needs
  1. The Company has long-term goals aligned with its strategic vision
  1. Leadership assesses the Company human resources to promote and improve employee development opportunities


Agree Unsure Disagree N/A
  1. I feel like I am able to help my department.
  1. I am glad I chose to work at this Company.
  1. I am glad to be working in my department.
  1. This organization actively contributes to the community.
  1. I feel like I contribute to the Company.


Agree Unsure Disagree N/A
  1. My supervisor is approachable and easy to talk with
  1. My Supervisor has high technical skills
  1. My Supervisor effectively resolves employee problems and labor issues
  1. My Supervisor motivates others to follow new processes
  1. My Supervisor establishes responsibility and accountability in their subordinates


Agree Unsure Disagree N/A
  1. My department is well managed.
  1. Conditions in my work area allow me to be highly productive.
  1. My team focuses on fixing the problem rather than finding someone to blame.
  1. Communication is good between departments.
  1. My team looks for ways to change processes to improve performance.

Information Technology/IT

Agree Unsure Disagree N/A
  1. The IT Department maintains good documentation on any changes or issues.
  1. IT Staff are good at troubleshooting issues to get to the root cause of the problem.
  1. IT Department responds quickly when equipment or software breaks down.
  1. The IT Department knows how to repair the equipment in our department.
  1. If I have an IT problem, I know who to contact.


Agree Unsure Disagree N/A
  1. I believe rewards are given fairly where I work.
  1. CompanyName is committed to ensuring equal opportunity for all employees.
  1. Favoritism is not a problem in my department.
  1. Employees are treated with respect regardless of their positions/jobs.


Agree Unsure Disagree N/A
  1. A shared vision is developed with various stakeholders
  1. Goals and objectives are integrated and aligned with the Company vision
  1. The Company is effective in managing growth
  1. The Company vision includes expectations for employees and departments
  1. Our Company is committed to providing competitive products and services

General Open Ended Questions

  1. What are the top three challenges you face in your job?

  2. Would you refer others who are seeking employment to ?

    If not, please explain:

  3. Are there any changes to an existing workflow, process or procedure you believe could improve your ability to perform your job more effectively or efficiently?

    If so, please describe:

  4. In your opinion, what are positive aspects of ?

  5. What is the most important thing you would like to see do to improve as a place to work?

  6. On a scale of Excellent to Poor, how would you rate your overall employment experience
    with and why?

  7. Please enter any final comments you would like to share.


Questions below are optional, however, providing this information
will help us make accurate conclusions for specific work groups.
None of this information will be used to identify individual respondents.
  1. Your department:

  2. Years of Service:

  3. Your location:

  4. Your shift: