Interpreting Form

My workplace is kept clean and tidy. *

Lighting, heating, and ventilation are adequate. *

I have access to appropriate welfare facilities (toilets, kitchen etc.). *

Noise levels are at an acceptable level. *

My work environment feels physically safe. *

I have access to the right tools and equipment for my role. *

All equipment is regularly maintained and safe to use. *

I have received adequate training to use the equipment safely. *

I know how to report a health and safety concern or incident. *

Health and safety responsibilities are clearly communicated to me. *

I feel comfortable raising safety concerns with my manager or HR. *

I am aware of the risks associated with my work. *

Risk assessments for my role have been discussed with me. *

I am aware of emergency procedures (fire, first aid, etc.). *

I know where to find health and safety information or policies. *

My workload is manageable and realistic. *

I feel supported by management in dealing with work-related stress. *

I am aware of any support services available (e.g. counselling, EAP). *

Have you noticed any health and safety issues in your work area recently? (yes/no) *

If yes, please describe

Do you have any suggestions to improve health and safety in your workplace? *

Is there any additional training or equipment you feel you need? *