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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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샘플 질문

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질문 25개 · 약 11분
Q01
메시지

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
객관식

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
의견 척도

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

척도: 1 – 7
최소:Very unsafe최대:Very safe
Q04
객관식

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
객관식

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
순위 매기기

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
드래그하여 순위 지정
Q07
AI 인터뷰

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
장문형

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

Q09
객관식

What is your primary role?

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

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
드롭다운

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
의견 척도

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

척도: 1 – 7
최소:Not at all confident최대:Extremely confident
Q13
객관식

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
객관식

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
객관식

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
드롭다운

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
객관식

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
의견 척도

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

척도: 1 – 7
최소:Not at all concerned최대:Extremely concerned
Q19
객관식

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
객관식

Which shift do you mainly work?

  • Day
  • Evening
  • Night
  • Rotating/Varies
  • Prefer not to say
Q21
의견 척도

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

척도: 1 – 7
최소:Not at all concerned최대:Extremely concerned
Q22
드롭다운

What is your age?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q23
의견 척도

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

척도: 1 – 7
최소:Not at all concerned최대:Extremely concerned
Q24
드롭다운

In which region is your primary work site located?

  • North America
  • South America
  • Europe
  • Middle East
  • Africa
  • Asia
  • Oceania
  • Prefer not to say
Q25
의견 척도

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

척도: 1 – 7
최소:Not at all concerned최대:Extremely concerned

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • 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.

잘하는 점

  • 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

아쉬운 점

  • 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.

잘하는 점

  • 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

아쉬운 점

  • 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.

잘하는 점

  • 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

아쉬운 점

  • 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

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