Safety- Employee Opinion Survey Sample #10

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 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 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

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.


  • My manager does not compromise on safety
  • My work environment is safe
  • Managers pay attention to workplace safety
  • My Supervisor would not ask me to perform an unsafe procedure
  • The safety and health conditions where I work are good
If the Company were to make improvements in Safety, what are your suggestions for how we can improve this?


  • My supervisor is aware of the routine inspection and preventative maintenance required
  • Our department has all of the operations manuals for the equipment used
  • Employees in my department know the proper safety protocols
  • Our department has the right number of ramps, plates, and bumpers.
  • The Company provides training for operating heavy equipment
If the Company were to make improvements in Equipment, what are your suggestions for how we can improve this?


  • My supervisor supports organizational changes.
  • The Leadership keeps a focus on where the Company needs to go
  • Managers are effective in addressing resistance to change
  • The Leadership involves employees when making significant changes
  • My Department is able to adjust rapidly to a new way of operating
If the Company were to make improvements in Change, what are your suggestions for how we can improve this?


  • Employees in my department enjoy working together
  • There is a sense of pride in working for the Company
  • I am fully committed to a long-term career with CompanyName.
  • Employees are committed to improving quality of services
  • I would recommend working at the Company to my friends
If the Company were to make improvements in Commitment, what are your suggestions for how we can improve this?


  • The benefits program meets my needs.
  • The premiums for benefits are reasonable
  • The Company offers benefits that exceed industry standards
  • I think the benefits offered by the Company meet my needs
  • The Company offers better benefits than other companies
If the Company were to make improvements in Benefits, what are your suggestions for how we can improve this?

Human Resources

  • I have confidence in the HR department to resolve payroll and benefit issues.
  • Human Resources treats all employees with courtesy and respect.
  • Human Resources cooperates and works together with all departments to effectively achieve the Company's objectives.
  • The HR department has communicated benefit updates and changes regularly and clearly.
  • Information from Human Resources is informative, relevant/timely and consistent.
If the Company were to make improvements in Human Resources, what are your suggestions for how we can improve this?


  • My Department has the right people in the right places
  • My Department has an adequate level of staffing
  • My Supervisor is good at building a staff of creative and innovative individuals
  • The Company has a good supply of emerging leaders
  • The Company has an excellent workforce planning strategy to meet future needs
If the Company were to make improvements in Staffing, what are your suggestions for how we can improve this?