This survey is designed to support the San Francisco Department of Public Health’s obligations under Cal/OSHA, SFDPH HR-1, and the SFDPH Workplace Violence Prevention Plan (WVPP) by identifying workplace safety risks, workplace violence exposures, injuries, environmental hazards, and organizational response gaps. Survey findings will be used to inform prevention strategies, training, corrective actions, and system-level improvements to protect employee health and safety.

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1. What is your classification?

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2. Department/ unit?

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3. Shift worked most often?

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4. Years in current position?

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5. Have you ever experienced the following from a patient or visitor while at work for SFDPH?
(Select box for 'yes' on all that apply.)

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6. I have been injured on the job at SFDPH due to the following (check box for 'yes' on all that apply):

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7. I have felt unsafe performing my job.

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8. I filed a worker's compensation claim for my physical injury and/or psychological distress resulting from workplace violence.

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9. If you ever filed a worker's compensation claim due to being the victim of workplace violence, was the claim approved?

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10. I have reported all workplace violence incidents I experienced or witnessed.

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11. I feel safe reporting workplace safety issues without fear of retaliation.

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12. I have experienced or witnessed retaliation after reporting a workplace safety incident or injury.

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13. Workplace violence has caused me to consider changing units or jobs.

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14. Workplace violence has affected my ability to provide safe patient care.

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15. I notified my manager of my overall health and safety concerns, and my concerns were addressed.

If you have not had safety concerns, select N/A.

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16. I feel that my unit or practice manager(s) take workplace safety concerns seriously.

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17. My unit has adequate staffing to prevent or de-escalate violent incidents.

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18. Have you had in person de-escalation training at work in the most recent:

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19. Security presence in my workplace is adequate.

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20. Have you had in person violence prevention training at work in the most recent:

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21. The physical environment is designed to reduce risk (e.g., exits, alarms).

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22. Have you participated in at least one emergency preparedness drill (active shooter, fire, mass casualty, etc) at work in the most recent:

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23. If an emergency preparedness drill was planned but cancelled, please tell us the reason you were told or select all that apply from the list below:

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24. My current worksite is safe from environmental hazards such as vermin, excessive dust, toxic chemicals, loud noise, extreme temperatures, mold, or seismic instability.

If you work at more than one site, select the site where you spend the most time. If primarily field-based, select “N/A.”

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25. Is there anything else you want unit or practice manager(s) to know about workplace violence?

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26. Please share any additional comments or recommendations related to workplace safety, violence prevention, injury reporting, or management response at SFDPH.

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