Workplace Safety Survey Template

9
Questions
Use This Template

Workplace Safety Survey Template

Your safety matters! Join us in creating a safer workplace by sharing your thoughts.

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*How often do you feel that your workplace is safe?
Always
Most of the time
Sometimes
Rarely
Never
*How well do you feel that your employer communicates safety information to you?
Very well
Somewhat well
Neutral
Somewhat poorly
Very poorly
*Have you ever experienced or witnessed a safety incident in your workplace?
Yes
No
*Have you received training on workplace safety procedures?
Yes
No
*How confident are you in your ability to respond appropriately in case of an emergency?
Very confident
Somewhat confident
Neutral
Somewhat unconfident
Very unconfident
*How would you rate your overall satisfaction with the safety measures in your workplace?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
*Is there anything else you would like to add about workplace safety in your workplace?
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