PPE Feedback Questionnaire
Employee Information:
Name (Optional) | [Your Name] |
Department/Job Title | [Your Title] |
Date | [Month Day, Year] |
Instructions:
Please take a few minutes to provide feedback on the use and management of Personal Protective Equipment (PPE) in our workplace. Your input is valuable in ensuring a safe and healthy working environment. Your responses will be kept confidential.
1. PPE Usage:
a. Do you use PPE as required for your job?
b. If you answered "No" to the previous question, please specify why:
2. PPE Availability:
a. Are the necessary PPE items readily available in your work area?
b. If "No," please describe any difficulties you've encountered in obtaining the required PPE:
3. PPE Comfort and Fit:
a. Is the PPE provided comfortable to wear for extended periods?
b. If "No," please explain any discomfort or fit issues you've experienced:
4. PPE Training:
a. Have you received proper training on the correct usage, care, and maintenance of your PPE?
b. If "No," please provide suggestions for improving PPE training:
5. PPE Maintenance and Inspection:
a. Do you inspect and maintain your PPE regularly as instructed?
b. If "No," please specify any challenges you face in maintaining and inspecting your PPE:
6. Reporting PPE Issues:
a. Are you aware of the procedure for reporting damaged or malfunctioning PPE?
b. If "No," please suggest how this process could be better communicated to employees:
7. Overall Satisfaction:
On a scale of 1 to 5, with 1 being very dissatisfied and 5 being very satisfied, how would you rate the overall management of PPE in our organization?
8. Additional Comment:
Please provide any additional comments, suggestions, or concerns related to PPE management or safety in the workplace:
Thank you for taking the time to complete this questionnaire. Your feedback is important in helping us improve our PPE management practices and maintain a safe working environment.
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