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. The safety and health conditions where I work are good
  1. My Supervisor would not ask me to perform an unsafe procedure
  1. My work environment is safe
  1. Managers regularly meet with employees to discuss safety issues
  1. Managers pay attention to workplace safety


Risk

 Agree Unsure Disagree N/A
  1. All materials are stored safely and securely.
  1. The Company has a reporting process to communicate wrongdoing, unethical behavior or fraud in the workplace.
  1. Management has communicated to me the importance of managing risk.
  1. The company takes compliance with regulations and standards seriously.
  1. The company offers regular training on the risks and regulations that need to be followed.


Problem Solving

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


Planning

 Agree Unsure Disagree N/A
  1. Leadership at our company collaborates to implement the strategic plan
  1. My manager is able to clearly articulate the plan for the department/district
  1. I know what resources are needed to accomplish goals
  1. I can identify alternate courses of action if needed
  1. I am effective in using logistics planning to reduce supply delays


Pride/Loyalty

 Agree Unsure Disagree N/A
  1. I am glad to be working in my department.
  1. This is the best place I have ever worked.
  1. I am glad I chose to work at this Company.
  1. I feel like I am able to help my department.
  1. I feel this is a good place to work.


Supervisor

 Agree Unsure Disagree N/A
  1. My Supervisor offers non-monetary rewards as incentives for employees
  1. My Supervisor maintains good working relationships with employees
  1. My Supervisor facilitates open communication between employees
  1. My Supervisor responds positively to innovative ideas and suggestions from subordinates
  1. My Supervisor delegates tasks to employees according to their skills (skill level)


Department

 Agree Unsure Disagree N/A
  1. Employees in the department are aware of the goals that need to be achieved.
  1. Employees in the ____ department have a shared vision for the future.
  1. Employees work well with each other in the department.
  1. My work group looks for ways to change processes to improve productivity.
  1. The department has adequate resources available to meet our needs.


Information Technology/IT

 Agree Unsure Disagree N/A
  1. There is adequate communication between Information Technology and our department.
  1. The IT Department is effective in maintaining the equipment in my department.
  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. The IT Department knows how to repair the equipment in our department.


Equality

 Agree Unsure Disagree N/A
  1. Employees are treated with respect regardless of their positions/jobs.
  1. I have the same resources to do my job as my coworkers
  1. My department works to eliminate barriers between employee groups
  1. The Company fosters an inclusive environment where everyone can flourish
  1. Our organization benchmarks progress against other organizations to see where we can improve


Vision

 Agree Unsure Disagree N/A
  1. My manager inspires individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision
  1. My manager pinpoints challenges and devises strategies
  1. My manager is adept at creating and actualizing a strategic roadmap for the organization
  1. My manager detects problems early on and creates well-thought-out solutions to ensure the company continues to progress smoothly
  1. Our department creates a positive vision of the future




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: