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EHS Today National Safety Survey 2015
1.
What is your title?
2.
How long have you worked in the environmental, health and safety (EHS) field or had safety responsibilities?
Less than 5 years
5-10 years
11-15 years
16-20 years
More than 20 years
3.
How many people report to you?
0
1 to 9
10 to 19
20 to 49
50 to 99
100 to 249
250 to 499
500 to 999
1000 to 2499
2500+
4.
What is your current salary?
Less than $35,000
$35,000-$44,000
$45,000-$54,000
$55,000-$64,000
$65,000-$74,000
$75,000-$84,000
$85,000-$94,000
$95,000-$104,000
More than $105,000
5.
For which of the areas do you have responsibility? (Check all that apply.)
Emergency management
Environmental compliance
Ergonomics
Fire Protection
Industrial hygiene
Occupational health
Risk management
Safety
Security
Wellness
Workers’ Compensation
6.
What is your educational background? (Choose highest attained.)
Attended high school
High school graduate
Attended college
Baccalaureate degree
Master’s degree
Doctorate degree
7.
Check any of the certifications you currently hold:
Certified safety professional
Certified industrial hygienist
Certified occupational health nurse
Qualified environmental professional
8.
Describe your work environment:
Corporate staff
Division staff
Government office/laboratory
Plant/facility
Worksite/construction site
Educational institution
9.
How many EHS professional events did you attend last year?
0
1
2
3
4
5 or more
10.
How would you describe the EHS program in your facility/organization?
World-class
Very good
Good
Average
Fair
Poor
Not applicable
11.
What is your top EHS goal this year?
Addressing a specific safety issue (e.g., fall protection, lockout/tagout, etc.)
Complying with new/existing regulations
Getting employees fully engaged in safety
Lowering our injury/illness rate
Reducing our environmental footprint
Winning an award for EHS performance
None of the above
12.
Does top management in your organization provide active and visible support for occupational safety and health?
Yes
No
13.
Does your organization prioritize safety over production and/or other business demands?
Yes
No
14.
Do you use leading indicators to measure safety performance?
Yes
No
15.
If you answered “yes” to Question 14, please check all leading indicators that you track:
Employee audits/observations
Equipment/machinery maintenance
Facility housekeeping
Near-misses
Overall employee engagement in safety
Participation in safety committees
Safety meetings
Training
16.
Which of the following types of injuries/illnesses are you actively targeting in your organization/facility? (Check all that apply.)
Back injuries
Caught-in-between injuries
Chemical burns/exposures
Cuts, lacerations and punctures
Fractures
Repetitive-stress/musculoskeletal injuries
Slips, trips and falls
Sprains, strains and tears
Struck-by injuries
17.
Compared to the previous year, did the budget for occupational safety and health in your organization in 2014-2015:
Increase more than 10%
Increase 1-10%
Stay the same
Decrease 1-10%
Decrease more than 10%
Not sure
18.
Which of the following programs are conducted in your facility/organization? (Check all that apply.)
Eye, face and head protection
Fall protection
Foot protection
Hand protection
Hearing protection
Respiratory protection
19.
Does your organization/facility have or make use of the following? (Check all that apply.)
Distracted-driving policy
Formal ergonomics program
Formal safety communications (newsletter, intranet, etc.)
Formal safety training/mentoring program
Safety committees
Safety motivation/incentives/recognition
Workplace bullying policy
Workplace violence policy
20.
Does your organization have a formal workplace wellness program in place?
Yes
No
21.
If you answered “yes” to Question 20, which of the following wellness components do you offer? (Check all that apply.)
A gym or fitness facility
Healthy on-site food options
Nutrition education
On-site medical checkups
Weight-loss competitions
Wellness incentives
22.
Do you regularly follow the news, updates, regulatory decisions, announcements and/or publications from any of the following agencies? (Check all that apply.)
CSB
EPA
FMCSA
MSHA
OSHA
NIOSH
23.
How would you rate David Michaels’ performance as OSHA administrator?
Excellent
Good
Average
Fair
Poor
Not Sure
Excellent
Good
Average
Fair
Poor
Not Sure
24.
In what area would you most like to see improvement in your organization/facility’s EHS program?
25.
What is the most frequent complaint that you hear from employees about your organization’s EHS program?
26.
What is the most common type of injury or illness you see within your organization?
27.
Can you share an example of a workplace EHS-related challenge that your company solved or improved in the last year?
28.
May we contact you for more information for our feature report on the National Safety Survey?
Yes
No
29.
If you answered “yes” to Question 28, please provide your contact information below:
Name:
Company:
Email:
Phone Number:
