Safety Committee Survey


The newly formed Safety Committee request your input to on this survey to better serve you. Names are not required but your zone designations are. Please be straight forward and honest.  

Thank you for your cooperation.

Personal Protection Equipment (PPE) include safety glasses, ear protection, gloves, respirators, bump caps, hard hats, safety harness, locks, tags etc…

How would you rate your "Safety Knowledge" on a scale from 1 (least) - 10 (most)

Rating System: How would you rate your “Safety Knowledge” on a scale from 1 (least)  – 10 (most)
Lockout tag out	1 2 3 4 5 6 7 8 9 10
Ladder safety	1 2 3 4 5 6 7 8 9 10
Scaffolding	1 2 3 4 5 6 7 8 9 10
Personal Protection Equipment	1 2 3 4 5 6 7 8 9 10
Tools, hand and power	1 2 3 4 5 6 7 8 9 10
Material handling	1 2 3 4 5 6 7 8 9 10
Material Safety data Sheets (MSDS)	1 2 3 4 5 6 7 8 9 10
Accident prevention	1 2 3 4 5 6 7 8 9 10
Confined space	1 2 3 4 5 6 7 8 9 10
Electrical safety	1 2 3 4 5 6 7 8 9 10
Equipment Guards for machinery	1 2 3 4 5 6 7 8 9 10
Fall protection	1 2 3 4 5 6 7 8 9 10
How work permit	1 2 3 4 5 6 7 8 9 10
Arial lift	1 2 3 4 5 6 7 8 9 10
Welding soldering brazing cutting	1 2 3 4 5 6 7 8 9 10
Respiratory protection	1 2 3 4 5 6 7 8 9 10
What safety classes would you like to see offered?
Are safety classes necessary?	Yes	No
What safety equipment would you like to see available in our warehouse?
How often does your area manager hold safety meetings?
Are safety glasses and ear protection accessible daily in your zone?	Yes	No
Have you ever been denied to purchase PPE	Yes	No
While working how often do you use your PPE:	0% 25% 50% 75% 100%

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