Safety - Employee 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; N/A)
Example 9 (4-point scale; numbers)
Example 10 (Comment boxes only)
Example 11 (Single rating per dimension)
Example 12 (Slide-bar scale)
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

Dimensions Included:
Safety, Risk, Problem Solving, Planning, Pride/Loyalty, Supervisor, Department, Information Technology/IT, Equality, Vision


Instructions:
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.



Safety

 Agree Unsure Disagree N/A
  1. My manager does not compromise on safety
  1. My Supervisor would not ask me to perform an unsafe procedure
  1. Managers regularly meet with employees to discuss safety issues
  1. Managers pay attention to workplace safety
  1. Safety is a primary concern at the Company


Risk

 Agree Unsure Disagree N/A
  1. The company offers regular training on the risks and regulations that need to be followed.
  1. Our department regularly maintains equipment.
  1. We receive safety training on a regular basis.
  1. I feel comfortable raising risk and compliance issues and concerns to management.
  1. The safety training programs we receive are thorough.


Problem Solving

 Agree Unsure Disagree N/A
  1. My team works to simplify problems to make them more manageable
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  1. We work together to solve problems
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. My Department anticipates and resolves problems


Planning

 Agree Unsure Disagree N/A
  1. I regularly plan for contingencies
  1. My manager reduces uncertainty in the department through clear planning and schedules
  1. My manager anticipates resources needed to successfully implement a plan or project
  1. My manager assigns the right tasks to the right people and holds them accountable
  1. My manager explores new directions/approaches to overcome setbacks and roadblocks


Pride/Loyalty

 Agree Unsure Disagree N/A
  1. I feel like I contribute to the Company.
  1. The Company is a good employer to work for.
  1. This is the best place I have ever worked.
  1. I feel like I am able to help my department.
  1. This organization actively contributes to the community.


Supervisor

 Agree Unsure Disagree N/A
  1. My Supervisor is effective in delegating assignments
  1. My Supervisor assigns the right work to the right employees
  1. My Supervisor offers non-monetary rewards as incentives for employees
  1. My Supervisor conducts regular progress meetings to ensure adherence to the schedule
  1. My Supervisor asks employees for their ideas and opinions


Department

 Agree Unsure Disagree N/A
  1. Our department is aligned with the overall goals of the organization.
  1. The department has adequate resources available to meet our needs.
  1. My work group looks for ways to change processes to improve productivity.
  1. Employees in our department try to help customers.
  1. My department contributes significantly to the overall production of the organization.


Information Technology/IT

 Agree Unsure Disagree N/A
  1. If I have an IT problem, I know who to contact.
  1. Information Technology staff at this Company are easy to approach with a work related problem.
  1. There is adequate communication between Information Technology and our department.
  1. IT Staff are good at troubleshooting issues to get to the root cause of the problem.
  1. The IT Department maintains good documentation on any changes or issues.


Equality

 Agree Unsure Disagree N/A
  1. All leaders are trained to better understand the issues facing some employees
  1. Employees have equal opportunities for training and advancement
  1. I am aware of our company's equality, diversity, and inclusion policies
  1. My manager works to reduce bullying and harassment at work
  1. Our department implements practices that help to improve equality in the workplace


Vision

 Agree Unsure Disagree N/A
  1. My manager develops action plans that successfully align our work with the goals of the organization
  1. The Company vision includes expectations for employees and departments
  1. Management is able to communicate a shared vision of the Company to all employees
  1. I know how to develop strategies that align with the organization's collective vision
  1. My manager pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles




General Open Ended Questions


  1. What are the top three challenges you face in your job?
    1.
    2.
    3.


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

    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 [Company]?



  5. What is the most important thing you would like to see [Company] 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 [Company] and why?






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

Demographics

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: