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Warehouse Safety & Productivity Frontline Assessment

Captures frontline warehouse worker feedback on safety conditions, throughput changes, role clarity, and operational tools to identify improvement priorities and support OSHA compliance.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

27 questions · ~12 min
Q01
Message

Welcome to the Warehouse Safety & Productivity Survey. This survey asks about your recent experiences with safety, efficiency, and operational changes at your site. Your responses are confidential and will be reported only in aggregate — no individual answers will be shared with management. There are no right or wrong answers; we want your honest opinions. Participation is voluntary, and you may stop at any time. Estimated time: 8–10 minutes.

Q02
Multiple Choice

Which best describes your primary duties on a typical shift?

  • Picking
  • Packing
  • Receiving/Loading
  • Inventory control/Cycle counting
  • Forklift or equipment operation
  • Returns/Reverse logistics
  • Other
Q03
Opinion Scale

I feel safe performing my daily tasks.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q04
Opinion Scale

Compared with three months ago, how would you rate your individual productivity?

Scale: 17
Min:Much lowerMax:Much higher
Q05
Multiple Choice

How have your responsibilities changed in the last 3 months?

  • Expanded to more tasks
  • Narrowed to fewer tasks
  • Shifted to a different area
  • No significant change
  • Other
Q06
Multiple Choice

Which of the following tools or training helped most with safety or productivity in the last 30 days? Select all that apply.

  • Scanner/handheld updates
  • New WMS features
  • Standard work or job aids
  • PPE improvements
  • Equipment upgrades/maintenance
  • Coaching or on-the-job training
  • None of the above
  • Other (please specify)
Q07
Multiple Choice

Which area should be prioritized next for improvement?

  • Safety practices
  • Process efficiency
  • Role clarity and training
  • Equipment and tools
  • Staffing and scheduling
  • Other (please specify)
Q08
Multiple Choice

What is your employment status?

  • Full-time
  • Part-time
  • Temporary/Seasonal
  • Contractor
Q09
Message

Thank you for completing this survey. Your feedback is valuable and will be used to improve safety and operations at your site. All responses are confidential and reported only in aggregate.

Q10
Multiple Choice

What shift do you most often work?

  • Day
  • Swing/Afternoon
  • Night
  • Rotating
  • Varies week to week
Q11
Opinion Scale

Safety hazards are addressed promptly when reported.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q12
Opinion Scale

In the last 30 days, pick/pack accuracy in my area has…

Scale: 17
Min:Gotten much worseMax:Gotten much better
Q13
Opinion Scale

How clear are the expectations for your current role?

Scale: 15
Min:Not at all clearMax:Extremely clear
Q14
Ranking

Rank the following areas by where recent changes had the most impact in your work area (top = most impact).

  1. Safety
  2. Accuracy/Quality
  3. Speed/Throughput
  4. Training/Skills
  5. Equipment uptime
  6. Staffing/Scheduling
Drag to rank
Q15
AI Interview

Based on your responses, we'd like to understand more about your experience with recent changes and their impact on your daily work. Please share your thoughts.

Q16
Multiple Choice

How long have you worked at this site (approximately)?

  • Less than 3 months
  • 3–11 months
  • 1–2 years
  • 3–5 years
  • More than 5 years
Q17
Multiple Choice

Which of the following changes have been introduced in your area in the last 30 days? Select all that apply.

  • New scanners/handheld devices
  • Updated WMS software
  • Revised picking routes/zones
  • New or updated safety procedures
  • New equipment (e.g., conveyors, forklifts)
  • Staffing level or scheduling changes
  • None of the above
  • Other
Q18
Opinion Scale

I have adequate personal protective equipment (PPE) for my tasks.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q19
Opinion Scale

In the last 30 days, order fulfillment speed in my area has…

Scale: 17
Min:Gotten much worseMax:Gotten much better
Q20
Ranking

Rank the following by what matters most on your shift (drag to reorder, top = most important).

  1. Safety compliance
  2. Hitting pick/pack targets
  3. Equipment care
  4. Keeping areas organized (5S)
  5. Training or helping new staff
Drag to rank
Q21
Long Text

What are the biggest blockers to safer or more efficient work right now?

Q22
Long Text

What is your primary site/location or department? (Optional)

Q23
Opinion Scale

Safety rules are consistently enforced on the floor.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q24
Opinion Scale

In the last 30 days, equipment availability/uptime in my area has…

Scale: 17
Min:Gotten much worseMax:Gotten much better
Q25
Opinion Scale

Overall, how have recent changes affected safety in your work area?

Scale: 17
Min:Much worseMax:Much better
Q26
Dropdown

Approximately how much time did you lose to delays or waiting during the last 7 days?

  • None
  • Less than 15 minutes
  • 15–30 minutes
  • 31–60 minutes
  • 1–2 hours
  • More than 2 hours
Q27
Dropdown

Approximately how many safety incidents or near-misses did you personally observe in the last 30 days?

  • 0
  • 1–2
  • 3–5
  • 6–10
  • More than 10

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.