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Operations & Data

Warehouse Cobot Safety & Risk Perception Survey

Measures warehouse workers' safety perceptions, incident exposure, training adequacy, and improvement priorities related to collaborative robots. Designed for operations and safety teams managing human-cobot work environments.

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設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全25問・約11分
Q01
メッセージ

Welcome to the Warehouse Cobot Safety Survey. This survey collects your feedback on working safely alongside collaborative robots (cobots). Your participation is voluntary, and you may stop at any time. There are no right or wrong answers — we want your honest experience. All responses are anonymous and will be reported only in aggregate to improve workplace safety. The survey takes approximately 11 minutes.

Q02
選択式

Which best describes collaborative robot (cobot) use at your facility today?

  • No cobots in this facility
  • Piloting or limited trial only
  • Used in several areas
  • Used across most areas
Q03
オピニオンスケール

In the past 30 days, how safe have you felt working near cobots?

スケール: 1 – 7
最小:Very unsafe最大:Very safe
Q04
選択式

In the last 6 months, have you personally experienced or directly witnessed any safety incident involving a cobot?

  • No incidents
  • Near miss (no contact)
  • Minor contact, no injury
  • Injury requiring first aid
  • Injury requiring medical attention
  • Prefer not to say
  • Not applicable
Q05
選択式

In the last 12 months, which cobot safety training have you received? Select all that apply.

  • Intro safety briefing
  • Hands-on operation with a supervisor
  • Refresher/update session
  • Emergency stop and lockout drills
  • Digital or e-learning module
  • None
  • Not sure
Q06
ランク付け

Please rank your top 3 priorities for improving safety around cobots.

  1. More hands-on training time
  2. Slower speeds in shared zones
  3. Clearer floor markings and signage
  4. More predictable cobot routes
  5. Faster emergency stop response
  6. Better handover prompts and timing
  7. Improved visibility at corners
ドラッグして順位を付ける
Q07
AIインタビュー

We'd like to understand your cobot safety experience in more depth. An AI moderator will ask a few short follow-up questions based on your earlier responses.

Q08
自由回答（長文）

Based on your responses throughout this survey, please share any additional thoughts or suggestions about working safely with cobots.

Q09
選択式

What is your primary role?

  • Picker/Packer
  • Material handler/Forklift
  • Technician/Maintenance
  • Team lead/Supervisor
  • Quality/Safety
  • Other
  • Prefer not to say
Q10
メッセージ

Thank you for completing the survey! Your feedback will be used to improve cobot safety practices and training at your facility. All responses are anonymous and reported in aggregate.

Q11
プルダウン

In a typical week, how often do you work near a cobot?

  • Never
  • Less than weekly
  • 1–2 days per week
  • 3–5 days per week
  • Daily (most shifts)
  • Continuously during shifts
Q12
オピニオンスケール

How confident are you that current safety procedures adequately protect you when working near cobots?

スケール: 1 – 7
最小:Not at all confident最大:Extremely confident
Q13
選択式

If you experienced or witnessed an incident, how was it handled?

  • Formally reported through the safety system
  • Addressed informally on the floor
  • Not reported
  • No incident occurred
Q14
選択式

How well does current cobot-related training meet your needs?

  • Fully meets my needs
  • Mostly meets my needs
  • Partly meets my needs
  • Does not meet my needs
  • No training received
Q15
選択式

What minimum distance would you prefer between you and a moving cobot in shared aisles?

  • Less than 1 meter
  • 1–2 meters
  • 2–3 meters
  • More than 3 meters
  • No preference
Q16
プルダウン

How long have you worked at this site?

  • Less than 3 months
  • 3–11 months
  • 1–2 years
  • 3–5 years
  • More than 5 years
  • Prefer not to say
Q17
選択式

Which tasks do cobots assist with in your area? Select all that apply.

  • Picking or put-wall
  • Packing or kitting
  • Palletizing/depalletizing
  • Mobile transport (AMRs/tuggers)
  • Sortation
  • Quality or safety checks
  • Replenishment
  • None of these
Q18
オピニオンスケール

How concerned are you about a cobot making an unexpected movement near you?

スケール: 1 – 7
最小:Not at all concerned最大:Extremely concerned
Q19
選択式

Which safety features are currently active in your work area? Select all that apply.

  • Speed/force limiting
  • Accessible emergency stop buttons
  • Visual beacons or floor lights
  • Audible alerts
  • Virtual fences or safe zones (no hard guarding)
  • Remote pause/stop capability
  • Interlocked guarding
  • Not sure
Q20
選択式

Which shift do you mainly work?

  • Day
  • Evening
  • Night
  • Rotating/Varies
  • Prefer not to say
Q21
オピニオンスケール

How concerned are you about limited visibility at corners or intersections where cobots operate?

スケール: 1 – 7
最小:Not at all concerned最大:Extremely concerned
Q22
プルダウン

What is your age?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q23
オピニオンスケール

How concerned are you about a cobot's speed when it is moving through a shared zone?

スケール: 1 – 7
最小:Not at all concerned最大:Extremely concerned
Q24
プルダウン

In which region is your primary work site located?

  • North America
  • South America
  • Europe
  • Middle East
  • Africa
  • Asia
  • Oceania
  • Prefer not to say
Q25
オピニオンスケール

How concerned are you about timing and coordination during task handovers with a cobot?

スケール: 1 – 7
最小:Not at all concerned最大:Extremely concerned

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes cobot-specific exposure and concern items (unexpected movement, visibility at intersections, speed in shared zones, handover timing) rather than generic workplace safety questions
  • Combines quantitative opinion-scale tracking of safety perception and confidence with an AI follow-up interview to probe the reasoning behind low scores or reported incidents
  • Captures training adequacy, active safety features, and incident handling in the same flow so operations and safety teams can connect perception data to concrete program gaps
  • Ends with a ranked prioritization question and open-text reflection, giving safety teams both a quantifiable priority list and qualitative context for action planning

Jotform

Workplace Safety and Concerns Form Template

A general-purpose workplace safety and concerns form built on Jotform's drag-and-drop form builder. It's designed for broad workplace hazard reporting rather than cobot- or robotics-specific risk perception, so it would need significant customization to capture human-robot interaction dynamics. Useful as a generic incident/concern intake form, not a purpose-built safety perception survey.

優れている点

  • Easy to customize with Jotform's widely-used drag-and-drop builder
  • Likely supports file/photo uploads common to incident reporting forms
  • Broad applicability across many workplace types, not tied to one industry

物足りない点

  • No cobot-specific content (proximity, speed, handover, visibility) out of the box
  • Static question set with no adaptive AI follow-up to probe unsafe experiences further
  • No published methodology for how questions were validated for safety-perception research

QuestionPro

Workplace Health and Safety Questionnaire

A general workplace health and safety questionnaire covering standard hazard, compliance, and wellbeing topics. It's a solid generic starting point for EHS teams but is not tailored to collaborative robot exposure, incident specifics, or robot-related training gaps. Best suited as a broad safety climate check rather than a cobot risk-perception tool.

優れている点

  • Established survey platform with standard reporting/dashboard features
  • Covers general health and safety compliance topics likely relevant to many industries
  • Template-based approach speeds up initial survey setup

物足りない点

  • No cobot- or robotics-specific items (speed, shared zones, handovers) evident in the template
  • Fixed-form format without adaptive follow-up interviews to explore individual incident narratives
  • No transparent prompt/methodology disclosure for how questions probe safety perception

SurveySparrow

Free Workplace Safety Templates That Actually Work

This page reads as a blog-style roundup of workplace safety templates rather than a single fielding-ready survey, so it functions more as a guide/gallery than a deployable instrument. Content likely spans generic workplace hazard and concern topics without cobot-specific detail. Teams would need to pick and heavily adapt a template rather than use it as-is for cobot risk assessment.

優れている点

  • Conversational survey format may improve completion rates for frontline workers
  • Offers multiple template options rather than a single rigid form
  • Positioned as easy to launch quickly for general safety feedback

物足りない点

  • Presented as a general guide/collection, not a ready-made cobot safety instrument
  • No cobot-specific risk items (proximity distance, handover timing, unexpected movement)
  • No adaptive AI interview or automated per-response quality scoring to deepen incident understanding

よくあるご質問

「Warehouse Cobot Safety & Risk Perception Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が25問含まれており、最初の設問は次のとおりです：「Welcome to the Warehouse Cobot Safety Survey. This survey collects your feedback on working safely alongside collaborati…」・「Which best describes collaborative robot (cobot) use at your facility today?」・「In the past 30 days, how safe have you felt working near cobots?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、25問を約11分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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