Survey Date | [12/21/2050] |
Department | [Operations] |
Supervisor/Manager | [Your Name] |
Does the company have a written health and safety policy?
Yes
No
Are all employees provided with health and safety training relevant to their roles?
Yes
No
If Yes, specify the type of training:
Are emergency procedures (e.g., fire evacuation, accident response) clearly communicated to all employees?
Yes
No
Is there a designated health and safety officer or coordinator?
Yes
No
If Yes, name of the officer:
Are regular health and safety inspections conducted in the workplace?
Yes
No
If Yes, frequency of inspections:
Are there established procedures for reporting and investigating work-related accidents or incidents?
Yes
No
Is personal protective equipment (PPE) provided to employees where necessary?
Yes
No
If Yes, types of PPE provided:
Are there measures in place to prevent occupational hazards (e.g., chemical, electrical, noise, ergonomic hazards)?
Yes
No
If Yes, please specify:
Does the workplace comply with OSHA standards for ventilation, lighting, and temperature?
Yes
No
Is there a system for regularly reviewing and updating health and safety protocols?
Yes
No
Do employees feel informed about health and safety policies?
Yes
No
Is there an active health and safety committee or representative group?
Yes
No
Are employees encouraged to report potential hazards without fear of retaliation?
Yes
No
Are health and safety topics included in regular team meetings or company communications?
Yes
No
Please provide any additional comments or suggestions regarding health and safety at the workplace:
Templates
Templates