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Workplace Safety Survey
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Survey

Workplace Safety Survey

Workplace Safety Survey template with ready-made questions — customize, publish and start collecting responses in minutes.

11 fields Ready to publish

What's included

  • 1
    I have received adequate safety training
    Strongly agree · Agree · Neutral · Disagree · Strongly disagree
    RequiredDropdown
  • 2
    Safety equipment is available and maintained
    Strongly agree · Agree · Neutral · Disagree · Strongly disagree
    RequiredDropdown
  • 3
    Have you witnessed a near-miss in the last 90 days?
    Yes · No · Not sure
    RequiredDropdown
  • 4
    Rate overall site safety
    RequiredRating
  • 5
    Describe any hazards you have seen
    Long text
  • 6
    Name (optional)
    Short text
  • 7
    Email (optional)
    Email
  • 8
    Overall rating
    RequiredRating
  • 9
    What worked well?
    Long text
  • 10
    What should we improve?
    RequiredLong text
  • 11
    How likely are you to recommend us?
    Very likely · Likely · Neutral · Unlikely · Very unlikely
    Dropdown

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