Employee Safety Perception Survey

 

Employee Safety Perception Survey 2011  YOUR OPINION OPINION ABOUT ABOUT WORKPLACE WORKPLACE SAFETY SAFETY IS EXTREMELY EXTREMELY IMPORTAN IMPORTANT! T!

Your responses will be kept strictly confidential; PLEASE DO NOT SIGN OR PUT YOUR NAME ANYWHERE ON THIS FORM. Your completed form will be placed along wit with h all the others, where the results will be reviewed reviewed and communicated to to management. Please indicat indicate e your level of agreement or d disagreement isagreement with each each of the statements below by filling in one circle iin n each row. Your responses should reflect what you have personally experienced as well as what you have generally observed or believe to be true at your facility.

1 2 3 4 5 6 7

Read each statement carefully; some statements are positively phrased, others are negatively phrased. It is common for employees to take part in identifying and eliminating worksite hazards. There is frequent contact and communication between employees and management. Safety takes a backseat to assigned tasks. Employees often get involved in developing or revising workplace health and safety practices. My supervisor maintains a high standard of job safety performance. Detailed inspections of the facilities are made at regular and frequent intervals. Management’s views on the importance of safety are seldom stressed in employee communications.

8

Safety meetings are held less often than they should be.

9

Good team work exists among departments.

10

Management shows that it cares about employee safety.

11 12 13 14

I can protect myself and coworkers through my actions while on the job. My supervisor’s behavior often goes against safe work procedures. Designated employees are well trained in emergency e mergency practices, including evacuation. Management has published written policies p olicies that express their attitude about employee safety.

15

Near Miss Incidents are thoroughly investigated.

16

Employee morale is poor.

17 18 19

Management does no more than the law requires to keep employees safe. I understand the health and safety legislation relating to my job. My supervisor enforces safe work procedures.

Standardized precautions are used by workers who deal with hazardous materials. Management has provided adequate staff to manage and 21 support its safety program.  Awards and recognition recognition programs are used in our facility 22 are not good at promoting safe behavior. Job performance standards are higher for getting the job 23 done than for safety. 20

24

My supervisor understands the job safety problems I fface. ace.

25

Workers follow a reg regular ular lockout / tag out procedure.

Strongly  Agree  Agree

Neutral

Disagree

Strongly Disagree

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○   ○ ○  ○  ○  ○  ○  ○  ○ 

○   ○ ○  ○  ○  ○  ○  ○  ○ 

○   ○ ○  ○  ○  ○  ○  ○  ○ 

○   ○ ○  ○  ○  ○  ○  ○  ○ 

○   ○ ○  ○  ○  ○  ○  ○  ○ 

○ 

○ 

○ 

○ 

○ 

PLEASE DO NOT SIGN OR PUT YOUR NAME ANYWHERE ON THIS FORM . 

Page 1

 

Employee Safety Perception Survey 2011 Read each statement carefully; some statements are positively phrased, others are negatively phrased. 26 27 28 29 30 31 32 33 34

Safety training is part of every new employee’s orientation.  orientation.   I believe management is sincere in their efforts to ensure employee safety. My supervisor seldom acts on employee safety suggestions. Emergency response procedures are almost never tested to make sure they are working. The work of the employee/manage employee/management ment health and safety committee improves safety conditions. Management sets a fine safety example through their words and actions. My supervisor has successfully fit safety into the job process. The system of preventative maintenance for facilities, equipment, and machinery operates poorly. Management regularly participates in safety programs and a nd committee activities.

35

The safety officer has h high igh s status tatus in tthis his facility. facility.

36

Hazards that are not fixed right away by supervisors are often ignored or forgotten about.

37 38 39 40 41

Employees take part in incident investigation. The training provided through my supervisor helps me do my job safely. Medical facilities are sufficient for treating the majority of incidents that occur. It is well known that management ignores a person’s safety performance when determining raises and promotions. The safety officer is readily available to provide advice and assistance.

42

This facility has a stable workforce.

43

Employees are afraid to report safety problems to their supervisors.

44

My supervisor always investigates lost time incidents.

Strongly  Agree  Agree

Neutral

Disagree

Strongly Disagree

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○  ○  ○  ○  ○  ○ 

○  ○  ○ 

○  ○  ○ 

○  ○  ○ 

○  ○  ○ 

○  ○  ○ 

○ 

○ 

○ 

○ 

○ 

○  ○  ○  ○ 

○  ○  ○  ○ 

○  ○  ○  ○ 

○  ○  ○  ○ 

○  ○  ○  ○ 

Ventilation, lighting, noise and other environmental conditions are kept at a good level.       Many workers don’t use the necessary personal protective 46       equipment (PPE) to do their job j ob safely. Job stress is a significant problem for me and my 47       coworkers. Management insists that supervisors will think about safety 48       when doing their jobs. Management annually sets injury rate or other safety goals 49       for which all employees are held accountable. Employees rarely take part in the development de velopment of safety 50       requirements for their jobs. 51 How long have you worked with Tarpon Energy Service, or a previous business unit now part of Services (Please circle): 0 – 0 –  1 Year 1-5 Years 5 –  –  10 years 11 11 –  – 20  20 years More than 20 years 45

52

○ ○ ○ ○ ○ ○

○ ○ ○ ○ ○ ○

○ ○ ○ ○ ○ ○

○  ○  ○  ○  ○  ○ 

○  ○  ○  ○  ○  ○ 

Tarpon Tarpon Energy

OPTIONAL: What branc branch h / facility do you work within (Please Circle):

Office / Fabrication Shop / Paint Shop / Mod Yard / Field Branch / Site Location

PLEASE DO NOT SIGN OR PUT YOUR NAME ANYWHERE ON THIS FORM . 

Page 2