In the past 30 days, how often did you follow documented safety procedures for your tasks?
In the past 30 days, how would you rate the availability of required PPE when you needed it?
Which factors made PPE use difficult in the past 30 days? Select all that apply.
- Not available near the task
- Uncomfortable or poor fit
- Slows down the work
- Unsure which PPE to use
- Limited reinforcement from supervisors
- Peer norms made PPE use less common
- None of the above
Do you know how to report a safety concern or near miss?
Which channels did you use to report a safety concern, if any, in the past 90 days? Select all that apply.
- Mobile app or online form
- Directly to supervisor
- Safety hotline
- Paper form or log
- Team messaging platform
- I did not report
How many near misses did you personally notice in the past 30 days?
In the past 30 days, how comfortable did you feel reporting concerns without fear of negative consequences?
Based on your experience in the past 30 days, how would you rate the condition of the following?
In the past 30 days, how often did production pressure make it harder to work safely?
How many times did you encounter blocked aisles or exits in the past 30 days? Enter 0 if none.
Thinking about the past 60 days, how much do you agree with each statement?
In the past 30 days, how often did your team hold safety huddles/toolbox talks?
When hazards are reported, how often are fixes completed promptly? (past 60 days)
Rank the areas where improvements would best reduce injuries in your work area (top = biggest impact).
Briefly describe one unsafe situation you observed in the past 30 days and what would fix it.
Max 600 chars
If you could change one safety policy or practice, what would it be?
Max 100 chars
Attention check: To confirm you are reading the questions, please select "Neutral" for this item.
- Strongly disagree
- Disagree
- Neutral
- Agree
- Strongly agree
What is your primary job role?
What shift do you typically work?
How long have you been in your current role?
Are you a people manager (supervise others)?
What is your employment status?
What type of location do you primarily work at?
Is there anything else you would like to share about safety at work?
Max 600 chars
AI Interview: 2 Follow-up Questions on Safety Priorities
Thank you for completing the survey. Your feedback helps us improve safety for everyone.