Electrical Safety Survey Questionnaire 2022

1.Please check all categories of electrical work performed by your company
2.Does your company have a full time employee dedicated to safety?
3.Does your company employ other supporting safety staff such as onsite safety supervisors?
4.Does your company have or participate in a safety committee?
5.Does your company have a written safety program?
6.Does your company have a specific electrical segment in your overall  written Safety Program?
7.Does your company have written policies that are directly related to compliance with your written electrical safety program?
8.Does your company conduct Orientation training with all new employees?
9.Are all employees provided with an employee handbook (that includes safety information) or other documentation?
10.Which of the following training does your company provide? (Please check all that apply)
11.How often does your company provide safety training?
12.How often does your company provide project/ safety talks?
13.Is a daily safety briefing or job safety analysis required on each job before work can proceed?
14.Does your company have a substance abuse policy?
15.Does your company perform Substance Abuse Testing?  
16.Does management support and participate in all of the following safety policies?
17.Does your company have a disciplinary program?
18.Who is required to sign off on written warnings?
19.Does your company have a written policy or policies aligned with the requirements in NFPA 70E?
20.Does your company require management notification and permission before working on any energized electrical circuits and equipment?
21.Are all employees trained in First Aid/Basic Life Support and Automatic External Defibrillators?
22.Are all incidents/accidents investigated and by whom?
Yes
No
Foreman/Superintendent
Safety Staff
Project manager
Owner
23.What percentage of your workforce is properly trained in NFPA 70E Requirements?
24.How many work-hours did your company perform last year?
25.Please provide the OSHA Recordable Incidence Rate, (RIR) for last year from your organization?
26.Does your company have a safety recognition Program?
27.Does your company participate in the NECA Safety Recognition of Achievement Programs in Safety Excellence and/or Zero Injury?
28.Do the employees in safety positions have any of the following credentials?
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)
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