SurveyMonkey Powered Online Survey

1. Management

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 Employees see a hazard it is corrected or reported	When Employees see a hazard it is corrected or reported Never/Rarely	When Employees see a hazard it is corrected or reported Seldom	When Employees see a hazard it is corrected or reported Sometimes	When Employees see a hazard it is corrected or reported Often	When Employees see a hazard it is corrected or reported 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 employees' time	When safety meetings are held, they are an effective use of employees' time Never/Rarely	When safety meetings are held, they are an effective use of employees' time Seldom	When safety meetings are held, they are an effective use of employees' time Sometimes	When safety meetings are held, they are an effective use of employees' time Often	When safety meetings are held, they are an effective use of employees' 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
Jobsites have a formal process of safety audits or observations	Jobsites have a formal process of safety audits or observations Never/Rarely	Jobsites have a formal process of safety audits or observations Seldom	Jobsites have a formal process of safety audits or observations Sometimes	Jobsites have a formal process of safety audits or observations Often	Jobsites have 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 are generally given corrective feedback by their co-workers	Employees seen working unsafe are generally given corrective feedback by their co-workers Never/Rarely	Employees seen working unsafe are generally given corrective feedback by their co-workers Seldom	Employees seen working unsafe are generally given corrective feedback by their co-workers Sometimes	Employees seen working unsafe are generally given corrective feedback by their co-workers Often	Employees seen working unsafe are generally given corrective feedback by their co-workers Always/Almost Always
Working safely is a priority at job locations	Working safely is a priority at job locations Never/Rarely	Working safely is a priority at job locations Seldom	Working safely is a priority at job locations Sometimes	Working safely is a priority at job locations Often	Working safely is a priority at job locations 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
Employees feel pressured to take risks or short cuts	Employees feel pressured to take risks or short cuts Never/Rarely	Employees feel pressured to take risks or short cuts Seldom	Employees feel pressured to take risks or short cuts Sometimes	Employees feel pressured to take risks or short cuts Often	Employees feel pressured to take risks or short cuts Always/Almost Always
Employees know how to do their job safely	Employees know how to do their job safely Never/Rarely	Employees know how to do their job safely Seldom	Employees know how to do their job safely Sometimes	Employees know how to do their job safely Often	Employees know how to do their 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
Management speaks to employees about safety concerns	Management speaks to employees about safety concerns Never/Rarely	Management speaks to employees about safety concerns Seldom	Management speaks to employees about safety concerns Sometimes	Management speaks to employees about safety concerns Often	Management speaks to employees about safety concerns 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
Supervisors actively look out for hazards	Supervisors actively look out for hazards Never/Rarely	Supervisors actively look out for hazards Seldom	Supervisors actively look out for hazards Sometimes	Supervisors actively look out for hazards Often	Supervisors actively look out for hazards Always/Almost Always
Supervisors provide positive feedback to employees for working safely	Supervisors provide positive feedback to employees for working safely Never/Rarely	Supervisors provide positive feedback to employees for working safely Seldom	Supervisors provide positive feedback to employees for working safely Sometimes	Supervisors provide positive feedback to employees for working safely Often	Supervisors provide positive feedback to employees 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

Question Title

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

Question Title

8. Other

	Highly Disagree	Disagree	Not Sure	Agree	Highly Agree
Employees would be interested in a stretching program each morning before work to reduce strain injuries	Employees would be interested in a stretching program each morning before work to reduce strain injuries Highly Disagree	Employees would be interested in a stretching program each morning before work to reduce strain injuries Disagree	Employees would be interested in a stretching program each morning before work to reduce strain injuries Not Sure	Employees would be interested in a stretching program each morning before work to reduce strain injuries Agree	Employees would be interested in a stretching program each morning before work to reduce strain injuries Highly Agree
Employees' safety responsibilities have been thoroughly explained to them by management	Employees' safety responsibilities have been thoroughly explained to them by management Highly Disagree	Employees' safety responsibilities have been thoroughly explained to them by management Disagree	Employees' safety responsibilities have been thoroughly explained to them by management Not Sure	Employees' safety responsibilities have been thoroughly explained to them by management Agree	Employees' safety responsibilities have been thoroughly explained to them by management 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
Employees are willing to warn co-workers about working unsafely	Employees are willing to warn co-workers about working unsafely Highly Disagree	Employees are willing to warn co-workers about working unsafely Disagree	Employees are willing to warn co-workers about working unsafely Not Sure	Employees are willing to warn co-workers about working unsafely Agree	Employees are willing to warn co-workers about working unsafely Highly Agree
Safety training is provided frequently enough for employees to perform their job safely	Safety training is provided frequently enough for employees to perform their job safely Highly Disagree	Safety training is provided frequently enough for employees to perform their job safely Disagree	Safety training is provided frequently enough for employees to perform their job safely Not Sure	Safety training is provided frequently enough for employees to perform their job safely Agree	Safety training is provided frequently enough for employees to perform their 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

Question Title

9. How frequently are safety meetings held?

Never

Daily

Weekly

Every other week

Monthly

Every other month

Quarterly

Question Title

10. Company Overview

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

Describe