Mine Site Safety Culture & Incident Reporting Assessment
Measures safety climate perceptions, incident/near-miss reporting behaviors, and barriers to reporting among mine-site personnel. Designed to identify risk gaps and prioritize safety-culture interventions across shifts, roles, and work environments.
샘플 질문
템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.
Are you currently working at or regularly visiting a mine site?
- Yes
- No
Over the past 30 days, safety was prioritized over production on my crew.
How do you usually report hazards, near misses, or incidents on this site? Select all that apply.
- Tell supervisor in person
- Paper or card
- Radio/phone call
- Mobile app
- Computer kiosk/terminal
- Safety hotline
- Toolbox talk/team meeting
- Other (please specify)
What, if anything, makes reporting harder on your site? Select all that apply.
- Unclear what should be reported
- Takes too much time to complete
- Fear of blame or negative consequences
- Little or no feedback after reporting
- Reporting system is difficult to use
- Belief that minor issues don't matter
- Lack of supervisor support
- Language or communication barriers
- None—I don't experience barriers
- Other (please specify)
In the past 30 days, I could report safety issues without fear of blame or punishment.
We'd like to learn a bit more about your safety reporting experience. An AI moderator will ask you 1–2 brief follow-up questions based on your responses.
What is your primary job role on this site?
- Operator/Production
- Maintenance/Trades
- Supervisor/Foreman
- Safety/Health
- Engineer/Planner
- Other
Thank you for completing this survey. Your input is valued and will be used to strengthen safety practices and reporting at this site.
Over the past 30 days, my supervisor consistently demonstrated a commitment to safety.
When a hazard or near miss occurs, how often do you personally report it? (past 30 days)
- Every time
- Most times
- About half the time
- Occasionally
- Never
- Not applicable (no issues observed)
Please rank the following motivations for reporting from most to least important to you.
- Protect coworkers and myself
- Fix hazards quickly
- Company expects it
- Regulatory compliance
- Recognition for reporting
- Option to report anonymously
In the past 30 days, I clearly understood what safety issues should be reported and how to report them.
Based on your responses in this survey, what would make safety reporting easier or more effective at this site? Please share any additional thoughts.
What is your employment status?
- Employee
- Contractor
- Visitor/Temporary
- Other
Over the past 30 days, my coworkers looked out for each other's safety.
How many near-miss events did you personally observe in the past 30 days?
- 0
- 1–2
- 3–5
- 6–10
- More than 10
In the past 30 days, I received meaningful feedback after submitting a safety report.
What shift do you typically work?
- Day
- Night
- Rotating
- Other
Over the past 30 days, safety information and updates were communicated clearly to my crew.
Which of the following have you reported in the past 30 days? Select all that apply.
- Near miss
- Minor injury (first aid)
- Recordable injury
- Unsafe condition/housekeeping
- Equipment damage/failure
- Environmental spill/release
- Vehicle incident
- None of the above
- Other (please specify)
How long have you worked in mining?
- Less than 1 year
- 1–3 years
- 4–9 years
- 10–19 years
- 20 or more years
Over the past 30 days, I received adequate training to perform my tasks safely.
On average, how many minutes does it take you to complete a typical safety report?
- Less than 5 minutes
- 5–10 minutes
- 11–20 minutes
- 21–30 minutes
- More than 30 minutes
- I have not filed a report
How long have you worked at this specific site?
- Less than 1 month
- 1–6 months
- 7–12 months
- 1–3 years
- More than 3 years
What is your primary work environment?
- Surface
- Underground
- Both
- Other
Which region do you primarily work in?
- North America
- South America
- Europe
- Africa
- Asia
- Australia/New Zealand
- Other
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.
자주 묻는 질문
“Mine Site Safety Culture & Incident Reporting Assessment” 템플릿에는 어떤 질문이 포함되어 있나요?
바로 사용할 수 있는 질문 27개가 포함되어 있으며, 처음 질문은 다음과 같습니다: “Welcome to the Mine Site Safety Culture Survey. This survey takes approximately 12 minutes. Your responses are confident…” · “Are you currently working at or regularly visiting a mine site?” · “Over the past 30 days, safety was prioritized over production on my crew.”. 전체 질문은 위에서 미리 볼 수 있고 모두 수정 가능합니다.
이 설문을 완료하는 데 얼마나 걸리나요?
응답자는 보통 질문 27개를 약 12분 안에 완료합니다.
템플릿을 수정할 수 있나요?
네. 설문을 공개하기 전에 모든 질문, 답변 옵션, 순서를 자유롭게 수정할 수 있습니다. 질문을 추가·삭제하거나 AI 편집기에 연구 목표에 맞춘 재구성을 요청할 수도 있습니다.
이 템플릿은 무료인가요?
네. 편집기에서 바로 열어 수정을 시작할 수 있습니다. 체험에는 계정이 필요 없으며, 무료 플랜으로 설문을 공개할 수 있습니다.
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이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.
관련 템플릿
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직원들이 회사 문화를 실제로 어떻게 경험하는지 — 심리적 안전감, 가치관 일치, 관리자의 실천, 그리고 일상적인 행동 — 을 측정하며, 단순히 명문화된 정책만을 다루지 않습니다. AI 후속 인터뷰를 통해 가장 의미 있는 평가 뒤에 숨은 이야기를 깊이 파고들어, 척도만으로는 담아낼 수 없는 구체적인 순간들을 드러냅니다.
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