Q01
Long Text
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E-commerce Operations Safety Climate & Reporting Survey
Measures safety behaviors, reporting confidence, environmental hazards, and leadership support across e-commerce fulfillment teams to identify targeted risk-reduction priorities.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
32 questions · ~4 min
Q02
Long Text
In the past 30 days, how often did you follow documented safety procedures for your tasks?
Q03
Multiple Choice
Do you know how to report a safety concern or near miss at your location?
Q04
Long Text
The following questions ask you to rate specific aspects of your work environment over the past 30 days.
Q05
Long Text
The following statements are about your direct supervisor and site leadership over the past 60 days. Please indicate how much you agree or disagree with each.
Q06
Long Text
Rank the following areas by how much improvement in each would reduce injuries in your work area. Place the highest-impact area first.
Q07
Long Text
Finally, a few questions about you. These help us analyze results by team and role while keeping your individual responses confidential.
Q08
Long Text
Thank you for completing this survey. Your responses are confidential and will be used to identify and act on safety improvement priorities. If you have an immediate safety concern, please contact your supervisor or use your location's safety hotline.
Q09
Long Text
In the past 30 days, how would you rate the availability of required PPE when you needed it?
Q10
Multiple Choice
Which channels, if any, did you use to report a safety concern in the past 90 days? Select all that apply.
Q11
Long Text
In the past 30 days, how would you rate the condition of floor surfaces and walkways in your work area?
Q12
Long Text
My direct supervisor consistently models safe work behaviors.
Q13
Long Text
Please describe one unsafe situation you observed in the past 30 days and what you think would fix it. If you did not observe one, write 'None.'
Q14
Long Text
What is your primary job role?
Q15
Multiple Choice
Which factors, if any, made PPE use difficult in the past 30 days? Select all that apply.
Q16
Long Text
How many near misses did you personally notice in the past 30 days?
Q17
Long Text
In the past 30 days, how would you rate the adequacy of lighting in your work area?
Q18
Long Text
My direct supervisor responds constructively when I raise safety concerns.
Q19
AI Interview
Based on your responses in this survey, please share any additional thoughts about safety priorities, policies, or practices you would like to see changed at your location.
Q20
Long Text
What shift do you typically work?
Q21
Long Text
In the past 30 days, how comfortable did you feel reporting safety concerns without fear of negative consequences?
Q22
Long Text
In the past 30 days, how would you rate the condition of equipment and tools you regularly use?
Q23
Long Text
Site leadership prioritizes safety even when it conflicts with production targets.
Q24
Long Text
How long have you been in your current role?
Q25
Long Text
In the past 30 days, how would you rate ventilation and temperature control in your work area?
Q26
Long Text
In the past 30 days, how often did your team hold safety briefings or huddles?
Q27
Multiple Choice
Do you directly supervise or manage other employees?
Q28
Long Text
In the past 30 days, how often did production pressure or pace make it harder to work safely?
Q29
Long Text
In the past 60 days, when hazards were reported, how often were fixes completed in a timely manner?
Q30
Long Text
What is your employment status?
Q31
Long Text
How many times did you encounter blocked aisles or exits in the past 30 days?
Q32
Long Text
What type of location do you primarily work at?
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.
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Open this template in the editor. Every part is yours to change before the first respondent sees it.