SurveyMonkey Powered Online Survey

1. Employees

Welcome to the J. Smith Lanier Safety Culture survey for R. L. Jordan Oil Company and Hot Spot Convenient stores. The purpose of this anonymous survey is to identify gaps in how the safety culture is perceived at your company. Your company has hired JSL to administer this survey and provide the feedback based on the results of everyone's combined surveys. This survey is completely anonymous and individual results cannot be traced to the location of origin. Only the cumulative responses will be shared with your employer. Please complete this short survey and provide us with your honest feedback. Your opinion matters and can help improve safety at your company."

Question Title

1. Safety - Employees

	Never/Rarely	Seldom	Sometimes	Often	Always/Almost Always
Unsafe conditions are corrected immediately	Unsafe conditions are corrected immediately Never/Rarely	Unsafe conditions are corrected immediately Seldom	Unsafe conditions are corrected immediately Sometimes	Unsafe conditions are corrected immediately Often	Unsafe conditions are corrected immediately Always/Almost Always
When I see a hazard I correct it or report it	When I see a hazard I correct it or report it Never/Rarely	When I see a hazard I correct it or report it Seldom	When I see a hazard I correct it or report it Sometimes	When I see a hazard I correct it or report it Often	When I see a hazard I correct it or report it Always/Almost Always
Employees are free to bring up safety concerns without fear for their jobs or other retribution	Employees are free to bring up safety concerns without fear for their jobs or other retribution Never/Rarely	Employees are free to bring up safety concerns without fear for their jobs or other retribution Seldom	Employees are free to bring up safety concerns without fear for their jobs or other retribution Sometimes	Employees are free to bring up safety concerns without fear for their jobs or other retribution Often	Employees are free to bring up safety concerns without fear for their jobs or other retribution Always/Almost Always
Appropriate resources are provided to correct and eliminate hazards	Appropriate resources are provided to correct and eliminate hazards Never/Rarely	Appropriate resources are provided to correct and eliminate hazards Seldom	Appropriate resources are provided to correct and eliminate hazards Sometimes	Appropriate resources are provided to correct and eliminate hazards Often	Appropriate resources are provided to correct and eliminate hazards Always/Almost Always
When safety meetings are held, they are an effective use of my time	When safety meetings are held, they are an effective use of my time Never/Rarely	When safety meetings are held, they are an effective use of my time Seldom	When safety meetings are held, they are an effective use of my time Sometimes	When safety meetings are held, they are an effective use of my time Often	When safety meetings are held, they are an effective use of my time Always/Almost Always
Safety observations and inspections are performed on a regular basis	Safety observations and inspections are performed on a regular basis Never/Rarely	Safety observations and inspections are performed on a regular basis Seldom	Safety observations and inspections are performed on a regular basis Sometimes	Safety observations and inspections are performed on a regular basis Often	Safety observations and inspections are performed on a regular basis Always/Almost Always
The work area has a formal process of safety audits or observations	The work area has a formal process of safety audits or observations Never/Rarely	The work area has a formal process of safety audits or observations Seldom	The work area has a formal process of safety audits or observations Sometimes	The work area has a formal process of safety audits or observations Often	The work area has a formal process of safety audits or observations Always/Almost Always
The company identifies and responds to "near-misses"	The company identifies and responds to "near-misses" Never/Rarely	The company identifies and responds to "near-misses" Seldom	The company identifies and responds to "near-misses" Sometimes	The company identifies and responds to "near-misses" Often	The company identifies and responds to "near-misses" Always/Almost Always
Annual performance reviews are performed for employees	Annual performance reviews are performed for employees Never/Rarely	Annual performance reviews are performed for employees Seldom	Annual performance reviews are performed for employees Sometimes	Annual performance reviews are performed for employees Often	Annual performance reviews are performed for employees Always/Almost Always
Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers	Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers Never/Rarely	Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers Seldom	Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers Sometimes	Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers Often	Employees seen working unsafe in my area aregenerally given corrective feedback by their co-workers Always/Almost Always
Working safely is the number one priority at my job location	Working safely is the number one priority at my job location Never/Rarely	Working safely is the number one priority at my job location Seldom	Working safely is the number one priority at my job location Sometimes	Working safely is the number one priority at my job location Often	Working safely is the number one priority at my job location Always/Almost Always
Information needed to work safe is given to all employees	Information needed to work safe is given to all employees Never/Rarely	Information needed to work safe is given to all employees Seldom	Information needed to work safe is given to all employees Sometimes	Information needed to work safe is given to all employees Often	Information needed to work safe is given to all employees Always/Almost Always
I feel pressured to take risks or short cuts	I feel pressured to take risks or short cuts Never/Rarely	I feel pressured to take risks or short cuts Seldom	I feel pressured to take risks or short cuts Sometimes	I feel pressured to take risks or short cuts Often	I feel pressured to take risks or short cuts Always/Almost Always
I know how to do my job safely	I know how to do my job safely Never/Rarely	I know how to do my job safely Seldom	I know how to do my job safely Sometimes	I know how to do my job safely Often	I know how to do my job safely Always/Almost Always

Question Title

2. Safety - Management

	Never/Rarely	Seldom	Sometimes	Often	Always/Almost Always
Management measures the safety efforts of supervision	Management measures the safety efforts of supervision Never/Rarely	Management measures the safety efforts of supervision Seldom	Management measures the safety efforts of supervision Sometimes	Management measures the safety efforts of supervision Often	Management measures the safety efforts of supervision Always/Almost Always
Supervisors face consequences for poor safety performance	Supervisors face consequences for poor safety performance Never/Rarely	Supervisors face consequences for poor safety performance Seldom	Supervisors face consequences for poor safety performance Sometimes	Supervisors face consequences for poor safety performance Often	Supervisors face consequences for poor safety performance Always/Almost Always
Management recognizes and rewards good safety performance	Management recognizes and rewards good safety performance Never/Rarely	Management recognizes and rewards good safety performance Seldom	Management recognizes and rewards good safety performance Sometimes	Management recognizes and rewards good safety performance Often	Management recognizes and rewards good safety performance Always/Almost Always
Supervisors regularly observe employees to make sure they are working safely	Supervisors regularly observe employees to make sure they are working safely Never/Rarely	Supervisors regularly observe employees to make sure they are working safely Seldom	Supervisors regularly observe employees to make sure they are working safely Sometimes	Supervisors regularly observe employees to make sure they are working safely Often	Supervisors regularly observe employees to make sure they are working safely Always/Almost Always
I regularly hear about the importance of safety from managers	I regularly hear about the importance of safety from managers Never/Rarely	I regularly hear about the importance of safety from managers Seldom	I regularly hear about the importance of safety from managers Sometimes	I regularly hear about the importance of safety from managers Often	I regularly hear about the importance of safety from managers Always/Almost Always
Supervisors believe that safety is as equally important as production	Supervisors believe that safety is as equally important as production Never/Rarely	Supervisors believe that safety is as equally important as production Seldom	Supervisors believe that safety is as equally important as production Sometimes	Supervisors believe that safety is as equally important as production Often	Supervisors believe that safety is as equally important as production Always/Almost Always
I receive positive feedback from my supervisor for working safely	I receive positive feedback from my supervisor for working safely Never/Rarely	I receive positive feedback from my supervisor for working safely Seldom	I receive positive feedback from my supervisor for working safely Sometimes	I receive positive feedback from my supervisor for working safely Often	I receive positive feedback from my supervisor for working safely Always/Almost Always
Management is present at the jobsites	Management is present at the jobsites Never/Rarely	Management is present at the jobsites Seldom	Management is present at the jobsites Sometimes	Management is present at the jobsites Often	Management is present at the jobsites Always/Almost Always
Management does not place blame for accidents on the injured employee	Management does not place blame for accidents on the injured employee Never/Rarely	Management does not place blame for accidents on the injured employee Seldom	Management does not place blame for accidents on the injured employee Sometimes	Management does not place blame for accidents on the injured employee Often	Management does not place blame for accidents on the injured employee Always/Almost Always

Question Title

3. Employee Involvement

	Never/Rarely	Seldom	Sometimes	Often	Always/Almost Always
All employees are involved in the safety process	All employees are involved in the safety process Never/Rarely	All employees are involved in the safety process Seldom	All employees are involved in the safety process Sometimes	All employees are involved in the safety process Often	All employees are involved in the safety process Always/Almost Always

Describe

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4. Performance Reviews

	Never/rarely	Seldom	Sometimes	Often	Always/Almost Always
Safety is measured in annual performance reviews	Safety is measured in annual performance reviews Never/rarely	Safety is measured in annual performance reviews Seldom	Safety is measured in annual performance reviews Sometimes	Safety is measured in annual performance reviews Often	Safety is measured in annual performance reviews Always/Almost Always

Describe

Question Title

5. Policy

	Highly Disagree	Disagree	Not Sure	Agree	Highly Agree
My Company has a formal disciplinary policy that is used for safety violations	My Company has a formal disciplinary policy that is used for safety violations Highly Disagree	My Company has a formal disciplinary policy that is used for safety violations Disagree	My Company has a formal disciplinary policy that is used for safety violations Not Sure	My Company has a formal disciplinary policy that is used for safety violations Agree	My Company has a formal disciplinary policy that is used for safety violations Highly Agree

Describe the policy

Question Title

6. Incentives

	Highly Disagree	Disagree	Not Sure	Agree	Highly Agree
Our Company has a safety incentive or reward program	Our Company has a safety incentive or reward program Highly Disagree	Our Company has a safety incentive or reward program Disagree	Our Company has a safety incentive or reward program Not Sure	Our Company has a safety incentive or reward program Agree	Our Company has a safety incentive or reward program Highly Agree

Describe the program

Question Title

7. Goals

	Highly Disagree	Disagree	Not Sure	Agree	Highly Agree
There are safety goals in place for the company	There are safety goals in place for the company Highly Disagree	There are safety goals in place for the company Disagree	There are safety goals in place for the company Not Sure	There are safety goals in place for the company Agree	There are safety goals in place for the company Highly Agree

Describe the goals

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8. Other

	Highly Disagree	Disagree	Not Sure	Agree	Highly Agree
I would be interested in a stretching program each morning before work to reduce strain injuries	I would be interested in a stretching program each morning before work to reduce strain injuries Highly Disagree	I would be interested in a stretching program each morning before work to reduce strain injuries Disagree	I would be interested in a stretching program each morning before work to reduce strain injuries Not Sure	I would be interested in a stretching program each morning before work to reduce strain injuries Agree	I would be interested in a stretching program each morning before work to reduce strain injuries Highly Agree
My safety responsibilities have been thoroughly explained to me	My safety responsibilities have been thoroughly explained to me Highly Disagree	My safety responsibilities have been thoroughly explained to me Disagree	My safety responsibilities have been thoroughly explained to me Not Sure	My safety responsibilities have been thoroughly explained to me Agree	My safety responsibilities have been thoroughly explained to me Highly Agree
Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing	Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing Highly Disagree	Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing Disagree	Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing Not Sure	Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing Agree	Our Company has a drug policy that requires preemployment, random, and post accident drug and alcohol testing Highly Agree
Management believes safety is as important as production	Management believes safety is as important as production Highly Disagree	Management believes safety is as important as production Disagree	Management believes safety is as important as production Not Sure	Management believes safety is as important as production Agree	Management believes safety is as important as production Highly Agree
It is the responsibility of each employee to seek out opportunities to prevent injury	It is the responsibility of each employee to seek out opportunities to prevent injury Highly Disagree	It is the responsibility of each employee to seek out opportunities to prevent injury Disagree	It is the responsibility of each employee to seek out opportunities to prevent injury Not Sure	It is the responsibility of each employee to seek out opportunities to prevent injury Agree	It is the responsibility of each employee to seek out opportunities to prevent injury Highly Agree
I am willing to warn co-workers about working unsafely	I am willing to warn co-workers about working unsafely Highly Disagree	I am willing to warn co-workers about working unsafely Disagree	I am willing to warn co-workers about working unsafely Not Sure	I am willing to warn co-workers about working unsafely Agree	I am willing to warn co-workers about working unsafely Highly Agree
Safety training is provided frequently enough for employees to perform my job safely	Safety training is provided frequently enough for employees to perform my job safely Highly Disagree	Safety training is provided frequently enough for employees to perform my job safely Disagree	Safety training is provided frequently enough for employees to perform my job safely Not Sure	Safety training is provided frequently enough for employees to perform my job safely Agree	Safety training is provided frequently enough for employees to perform my job safely Highly Agree
First aid cases do not go unreported	First aid cases do not go unreported Highly Disagree	First aid cases do not go unreported Disagree	First aid cases do not go unreported Not Sure	First aid cases do not go unreported Agree	First aid cases do not go unreported Highly Agree
Employees would feel comfortable if their work practices were observed and recorded by a co-worker	Employees would feel comfortable if their work practices were observed and recorded by a co-worker Highly Disagree	Employees would feel comfortable if their work practices were observed and recorded by a co-worker Disagree	Employees would feel comfortable if their work practices were observed and recorded by a co-worker Not Sure	Employees would feel comfortable if their work practices were observed and recorded by a co-worker Agree	Employees would feel comfortable if their work practices were observed and recorded by a co-worker Highly Agree

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9. How frequently are safety meetings held?

Never

Daily

Weekly

Every other week

Monthly

Every other month

Quarterly

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10. Company Overview

	Never/rarely	Seldom	Sometimes	Often	Always/Almost Always
Employees I work with have positive views about the company	Employees I work with have positive views about the company Never/rarely	Employees I work with have positive views about the company Seldom	Employees I work with have positive views about the company Sometimes	Employees I work with have positive views about the company Often	Employees I work with have positive views about the company Always/Almost Always

Describe