Company Risk & Safety Program Assessment

How does your safety program measure up? Are you best in class or do you have critical gaps in your safety program that could lead to injuries and lost work days followed by big lawsuits, huge settlements and increased insurance rates? Find out now.

Rate Your Company’s Safety and Risk Program by answering the following 20 questions:

NOTE: Fields marked with an asterisk (*) are required.
Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Company
Once your form is sent, we will analyze it and return a report to you at the email you include.
Email*
1. Our employees have the freedom to express concern (both informally or formally) if they see the potential for harm/risk to themselves or fellow employees.*
Always Often On Occasion Rarely Never
2. Our organization’s workers, regardless of department, work a schedule that insures they are free of fatigue.*
Always Often On Occasion Rarely Never
3. Our people are not required to accept work that they feel might put them at risk in order to maintain their employment.*
Always Often On Occasion Rarely Never
4. Employees have the freedom to report incidents or close calls and know they will be acted upon, promptly.*
Always Often On Occasion Rarely Never
5. Employees are debriefed on a regular basis about any potentially stressful, fatigue inducing or environmental risk factors within our organization.*
Always Often On Occasion Rarely Never
6. Our company’s employees are not incentivized to withhold incident reporting in order to obtain quarterly or annual safety bonus/rewards.*
Always Often On Occasion Rarely Never
7. We have a health and wellness program to ensure all employees receive regular exercise, stretching and strength training in order to prevent injury.*
Always Often On Occasion Rarely Never
8. Our staff ensures that our environment is free of areas that provide the potential for slips, trips and falls.*
Always Often On Occasion Rarely Never
9. We believe that in many cases it is an individual’s behaviors that lead to accidents more often than purely the environment.*
Always Often On Occasion Rarely Never
10. We ensure that the needs and tendencies of young and immigrant workers are addressed by the more mature, experienced “veterans” within our organization.*
Always Often On Occasion Rarely Never
11. We don’t hire someone to drive, operate equipment or make deliveries if they have an imperfect driving record.*
Always Often On Occasion Rarely Never
12. Our supervisors pride themselves on being good listeners.*
Always Often On Occasion Rarely Never
13. Employees know they have the time to work safely and are not pressured to take shortcuts to accomplish their objectives.*
Always Often On Occasion Rarely Never
14. Regardless of the department there is always a crisis exit available to everyone.*
Always Often On Occasion Rarely Never
15. We make every effort to reduce workplace stress.*
Always Often On Occasion Rarely Never
16. Posture is addressed regularly as it is important to every role within our organization.*
Always Often On Occasion Rarely Never
17. The person in our organization responsible for a safe working environment is trained in both the behavioral and environmental aspects of each role.*
Always Often On Occasion Rarely Never
18. Our office and administrative personnel attend safety briefings along with those on the front lines.*
Always Often On Occasion Rarely Never
19. Employees are screened for work experience and potential risk adversity prior to being assigned their roles.*
Always Often On Occasion Rarely Never
20. Employees experiencing significant personal anxiety are normally moved to lower risk environments.*
Always Often On Occasion Rarely Never
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Company Risk & Safety Program Assessment

Renovate, Revamp and Reinvigorate Your Business and See Salesand Profits Soar WithOur Complimentary Book

Renovate, Revamp and Reinvigorate Your Business and See Sales
and Profits Soar With
Our Complimentary Book