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Electrical Safety Survey Questionnaire 2022
1.
Please check all categories of electrical work performed by your company
Residential
Commercial
Industrial
Institutional
Health Care Facilities
Communications
Solar
Wind
Energy Storage
Microgrids
Utility
Other (please specify)
None of the above
2.
Does your company have a full time employee dedicated to safety?
Yes
No
3.
Does your company employ other supporting safety staff such as onsite safety supervisors?
Yes
No
4.
Does your company have or participate in a safety committee?
Yes
No
5.
Does your company have a written safety program?
Yes
No
6.
Does your company have a specific electrical segment in your overall written Safety Program?
Yes
No
7.
Does your company have written policies that are directly related to compliance with your written electrical safety program?
Yes
No
8.
Does your company conduct Orientation training with all new employees?
Yes
No
9.
Are all employees provided with an employee handbook (that includes safety information) or other documentation?
Yes
No
10.
Which of the following training does your company provide? (Please check all that apply)
OSHA 10
OSHA ET&D 10 Hour
OSHA ET&D 20 Hour
OSHA 30
Powered Industrial Trucks (Forklift)
Hazard Communication
Defensive Driving
Electrical Safe Work Practices
Lockout/Tagout
Crane Operator
Rigging
Confined Space
Excavation
Respiratory Protection
Asbestos Awareness
Silica Awareness
70E
Scaffold
Ladder
Aerial Lifts
Fall Protection
Material Handling
11.
How often does your company provide safety training?
Monthly
Twice annually
Quarterly
Annually
Combination of the above
12.
How often does your company provide project/ safety talks?
Daily
Weekly
Monthly
Combination of above
13.
Is a daily safety briefing or job safety analysis required on each job before work can proceed?
Yes
No
14.
Does your company have a substance abuse policy?
Yes
No
Unsure / Don't know
15.
Does your company perform Substance Abuse Testing?
Yes
No
Unsure / Don't know
16.
Does management support and participate in all of the following safety policies?
Company Driving Procedures
Substance Abuse Testing
Leadership
Diversity
Other (please specify)
None of the above
17.
Does your company have a disciplinary program?
Yes
No
Unsure / Don't know
18.
Who is required to sign off on written warnings?
Project Manager
Owner
Safety Staff
Direct Supervisor
Other (please specify)
None of the above
19.
Does your company have a written policy or policies aligned with the requirements in NFPA 70E?
Yes
No
Unsure / Don't know
20.
Does your company require management notification and permission before working on any energized electrical circuits and equipment?
Yes
No
Unsure / Don't know
21.
Are all employees trained in First Aid/Basic Life Support and Automatic External Defibrillators?
Yes
No
Unsure / Don't know
22.
Are all incidents/accidents investigated and by whom?
Yes
No
Foreman/Superintendent
Yes
No
Safety Staff
Yes
No
Project manager
Yes
No
Owner
Yes
No
Other (please specify)
23.
What percentage of your workforce is properly trained in NFPA 70E Requirements?
25% or Less
Over 25% to 50%
Over 50% to 75%
Over 75%
24.
How many work-hours did your company perform last year?
Less than 25K MY
25K to 100K MH
100K to 250K MH
Over 250K MH
25.
Please provide the OSHA Recordable Incidence Rate, (RIR) for last year from your organization?
0 to 2.5
2.5 to 5
5 to 10
Over 10
26.
Does your company have a safety recognition Program?
Yes
No
Unsure / Don't know
27.
Does your company participate in the NECA Safety Recognition of Achievement Programs in Safety Excellence and/or Zero Injury?
Yes
No
Unsure / Don't know
28.
Do the employees in safety positions have any of the following credentials?
Certified Safety Professional (CSP)
Safety Management Specialist (SMS)
Associate Safety Professional (ASP)
Occupational Hygiene & Safety Technician (OHST)
Construction Health & Safety Technician (CHST)
Safety Trained Supervisor (STS)
Safety Trained Supervisor Construction (STSC)
Certified Environmental, Safety & Health trainer (CET)
Certified Utility Safety Professional (CUSP)
OSHA Outreach Trainer Construction
29.
What new or additional keynote or breakout sessions topics would you suggest for the NECA Safety Professionals Conference, (NSPC) and/or NECA Safety Leadership Summit, (SLS)?
30.
What was the most prevalent injury/illness affecting company employees over the past year?
31.
Contact Information (Optional)
Name
Company/Chapter
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number