Construction Worker Safety Perception Survey Checklist
Ensure a safer construction site! This checklist helps gauge worker perceptions of safety protocols, identifies potential hazards, and fosters a culture of proactive risk mitigation.
This Template was installed 5 times.
Personal Protective Equipment (PPE)
Assessment of PPE usage and condition.
Do you consistently wear your hard hat?
Is your safety footwear in good condition?
How many pairs of work gloves do you have available?
Are your safety glasses/goggles clean and scratch-free?
Describe any issues you’ve experienced with your provided PPE.
Do you feel your PPE fits correctly and comfortably?
Upload a photo of your PPE (optional)
Hazard Identification & Reporting
Evaluation of worker ability to identify and report hazards.
Have you received training on hazard identification?
Approximately how many hazards do you identify on a typical workday?
Which of the following methods do you use to report hazards?
Describe a recent hazard you observed and how you reported it.
Do you feel comfortable reporting hazards to your supervisor?
If you answered 'No' or 'Sometimes' to the previous question, please briefly explain why.
Training & Communication
Perception of safety training effectiveness and clarity of communication.
How clear were the safety instructions provided during your training?
Approximately how many safety training hours have you received in the last year?
Which of the following communication methods do you find most helpful for receiving safety updates?
Do you feel comfortable asking your supervisor questions about safety procedures?
Please provide any suggestions for improving the clarity or effectiveness of safety communication.
Site Safety Rules & Procedures
Understanding and adherence to site-specific safety rules.
Are you familiar with the site's fall protection plan?
Do you understand the lockout/tagout procedures?
How often (in days) is a site safety meeting held?
Do you feel empowered to stop work if you identify an unsafe condition?
Please describe any specific site rules or procedures you find unclear or difficult to follow.
Are you aware of the emergency evacuation plan?
Supervision & Management Commitment
Worker perception of management's dedication to safety.
To what extent do you agree that management prioritizes safety over production?
How often do supervisors actively participate in safety meetings?
Please provide specific examples of management demonstrating their commitment to safety (or lack thereof).
On a scale of 1-10 (1 being not at all, 10 being extremely), how would you rate management's responsiveness to safety concerns?
Do you feel comfortable raising safety concerns to your supervisor?
If you answered 'No' or 'Sometimes' to the previous question, please explain why.
Work Environment & Ergonomics
Assessment of physical work environment and ergonomic considerations.
How would you rate the noise levels on site (1-10, 1=Quiet, 10=Very Loud)?
Is the lighting adequate for your tasks?
Are your work surfaces at a comfortable height?
Describe any ergonomic issues you're experiencing.
How many hours per day do you spend performing repetitive tasks?
Is ventilation sufficient?
Incident Reporting & Investigation
Perception of how incidents are reported and investigated.
Were you comfortable reporting the incident?
Briefly describe the reported incident.
Was the incident reported to a supervisor?
Date of Incident Reporting
Time of Incident Reporting
Estimated number of workers potentially affected by incident
Do you feel the incident was investigated thoroughly?
If you feel the incident wasn’t thoroughly investigated, please explain why.
Near Miss Reporting
Assessment of worker comfort and encouragement to report near misses.
Have you ever witnessed a near miss?
Briefly describe the near miss you witnessed (if applicable).
Did you report the near miss?
Approximately how long ago did the near miss occur (in days)?
If you did not report the near miss, please explain why.
Do you feel comfortable reporting near misses on this site?
Overall Safety Culture
General feeling of safety and well-being on the construction site.
How safe do you generally feel on this job site?
Do you feel comfortable speaking up if you have a safety concern?
Describe the general atmosphere regarding safety on this site.
On a scale of 1-10 (1 being not at all, 10 being extremely), how much do you trust your supervisors to prioritize safety?
Which of the following best describe the overall safety culture (check all that apply)?
Do you believe that safety is a priority for management?
Suggestions for Improvement
Space for workers to provide suggestions for safety enhancements.
Please describe any specific safety concerns you have encountered.
What additional training or resources would help you feel safer at work?
On a scale of 1-10 (1 being not at all, 10 being extremely), how likely are you to report a safety hazard?
What is the primary barrier preventing you from reporting a safety concern?
Which of the following improvements would most enhance site safety?
Any other comments or suggestions?
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