Top 25 EHS Perception Survey Questions

By: Stacey Godbold

In collaboration with Drew Hinton, CSP, CHMM, EMT

Top 25 Questions for your EHS Perception Survey

Last month I began my ‘perception vs reality in safety’ series. There I asked if you have gathered safety culture data.

In that blog I wrote, “Your assumptions could be right on and your team could feel safe reporting near misses, observations, unsafe conditions, as well as asking for help or understanding about substance abuse or mental health issues. However, what if your assumptions and the data do not align?”

Well, let’s find out!

How to Create Your Own

To use this survey, copy/paste the questions. Add your logo to the graphic, and wah lah; you have created your organization’s custom survey.

Here are two survey platforms that I have used and like:
Google forms – free, easy to use with clean data
SurveyMonkey- paid service, customizable

What is your job role?
Management (Company Manager, Supervisor, Foreman, etc.)
Non-Management
If I make a mistake, it is held against me.
Agree
Neither agree nor disagree
Disagree
Employees at my company are able to bring up problems and tough issues.
Agree
Neither agree nor disagree
Disagree
I am not afraid to speak up when I feel something is ethically, morally, and/or legally wrong.
Agree
Neither agree nor disagree
Disagree
If you do not speak up in certain situations, why not? (check all that apply)
-Speaking up brings career consequences (e.g., being fired, transferred, or any other form of retaliation)
-Fear of insulting/offending someone higher up in the
company by implying that the current systems or
processes are problematic
-I don’t feel comfortable speaking up unless I have solid
data.
-I feel intimidated when my supervisor or company
management is present
-I don’t want to look or feel “stupid”
-I feel a sense of futility (in other words, “it won’t matter
anyway; why bother?”)
-Fear of damaging a relationship
-N/A
My immediate supervisor demonstrates their commitment to safety by leading by example.
Agree
Neither agree nor disagree
Disagree
If I bring up an EHS concern to company management, I feel that my concern is made a high priority.
Agree
Neither agree nor disagree
Disagree
When I bring up an EHS concern or suggestion to company management, they always keep me updated on the current status of it.
Agree
Neither agree nor disagree
Disagree
If I was committing an unsafe act that could result in me becoming injured/ill, I expect my coworkers to speak up and say something to me.
Agree
Neither agree nor disagree
Disagree
If I was committing an unsafe act that could result in me becoming injured/ill, I expect my coworkers to speak up and say something to me.
Agree
Neither agree nor disagree
Disagree
I openly listen to suggestions on how to remain safe at work, even if it’s coming from someone I don’t like or work well with.
Agree
Neither agree nor disagree
Disagree
Upon starting with the company, I was properly trained before being assigned to a job/task.
Agree
Neither agree nor disagree
Disagree
Overall, how satisfied are you with your company’s training program?
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
My company uses job safety analysis (JSAs) on all jobs.
True
False
I will not perform a work activity unless I know it is safe.
Agree
Neither agree nor disagree
Disagree
My coworkers will take unnecessary risks to complete a task.
Agree
Neither agree nor disagree
Disagree
I will take unnecessary risks to complete a task.
Agree
Neither agree nor disagree
Disagree
If I see a coworker committing an unsafe act, I will always speak up and try to correct it.
Agree
Neither agree nor disagree
Disagree
If you do not normally speak up when you see other coworkers committing unsafe acts, why not? (Pick your top reason)
-I feel it’s not my responsibility
-I feel they should learn from their mistakes
-I’m afraid of confrontation
-I don’t want to cause conflict
-I’m not sure of how to correct the issue, so I choose to not say anything.
-N/A
-Other (please specify)
I feel that EHS is a top priority at my company.
Agree
Neither agree nor disagree
Disagree
I know how to report injuries/illnesses, close calls, and EHS violations.
Agree
Neither agree nor disagree
Disagree
I am encouraged to report injuries/illnesses, close calls, unsafe behaviors, and EHS violations in my workplace without fear of retaliation.
Agree
Neither agree nor disagree
Disagree
Accidents, incidents, and close calls are investigated quickly in order to improve workplace health and safety at my company.
Agree
Neither agree nor disagree
Disagree
Do you consider your company a safe place for someone to come forward about substance abuse?
Yes
No
Do you consider your company a safe place for someone to come forward about struggling with mental health?
Yes
No

Power in Data

There’s power in this data. Rather than being scared of what you might find, assume there will be opportunities for growth. We can change behaviors, technologies, and processes within our organizations. Don’t wait to be your best.

Learn More About Sospes

Contact Us