EHS Today National Safety Survey 2013

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* 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

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* 3. 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

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* 4. Which of the areas do you have responsibility for? (Check all that apply)

Safety

Industrial Hygiene

Occupational Health

Environmental Compliance

Emergency Preparedness

Ergonomics

Fire Protection

Workers’ Compensation

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* 5. What is your educational background? (Choose highest attained)

Attended High School

High School Graduate

Attended College

Baccalaureate Degree

Masters Degree

Doctorate Degree

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* 6. Check any of the certifications you currently hold:

Certified Safety Professional

Certified Industrial Hygienist

Certified Occupational Health Nurse

Qualified Environmental Professional

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* 7. Describe your work environment:

Corporate Staff

Division Staff

Plant/facility/worksite

Educational institution

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* 8. How many EHS professional events did you attend last year? (Check one)

5 or more

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* 9. How would you describe the occupational safety and health program in your facility/organization?

World-class

Very good

Good

Average

Fair

Poor

Not applicable

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* 10. Would you say your organization’s safety performance in the last year has: (Check one)

Improved

Declined

Stayed the same

Not Sure

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* 11. Does top management in your organization provide active and visible support for occupational safety and health?

Yes

Not applicable

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* 12. Is safety on par with production in your organization?

Yes

Not applicable

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* 13. Do you use leading indicators to measure safety performance?

Yes

Not applicable

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* 14. If you answered “yes” to Question 13, please check all that apply:

Tracking near misses

Encouraging and monitoring employee engagement in safety

Conducting workplace observations

Job- or site-specific training

Pre-shift safety meetings

Tying management compensation to safety-related activities and commitment to safety

Monitoring and maintaining housekeeping at facilities

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* 15. Compared to the previous year, did the budget for occupational safety and health in your organization in 2012:

Increase more than 10%

Increase 1-10%

Stay the same

Decrease 1-10%

Decrease more than 10%

Do not know

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* 16. Does your organization/facility have or make use of the following: (Check all that apply)

A formal ergonomics program

A corporate distracted driving policy

A workplace violence policy

A workplace bullying policy

Formal safety communications (newsletter, intranet, etc.)

A safety motivation/incentives/recognition program

A formal safety training/mentoring program

Safety committees

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* 17. Does your organization offer any of the following wellness offerings or initiatives? (Check all that apply)

A formal workplace wellness program

On-site medical checkups

A gym or fitness facility

Healthy on-site food options

Nutrition education

Weight-loss competitions

Wellness incentives

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* 18. Have you ever witnessed or been directly impacted by workplace violence?

Yes

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* 19. If you answered “yes” to Question 18, please describe:

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* 20. Have you ever witnessed or been directly impacted by workplace bullying?

Yes

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* 21. If you answered “yes” to Question 20, please describe:

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* 22. Do you regularly follow the news, updates, regulatory decisions, announcements and/or publications from any of the following agencies? (Check all that apply)

OSHA

MSHA

NIOSH

EPA

CSB

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* 23. How would you rate David Michaels’ performance as OSHA administrator?

Excellent

Good

Average

Fair

Poor

Do not know

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* 24. You have been tasked to lead OSHA and have the ability to make any changes to the agency or its standards that you choose. What’s your first move?

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* 25. In what area would you most like to see improvement in your organization/facility’s safety and health program?

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* 26. What is the most frequent complaint you hear from employees about your organization’s safety and health program?

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* 27. What is the most common type of injury or illness you see within your organization?

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* 28. Can you share an example of a workplace EHS-related challenge your company solved or improved in the last year?

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* 29. May we contact you for more information for our feature report on the National Safety Survey?

Yes

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* 30. If you answered “yes” to the above question, please provide your contact information below:

Name:

Company:

Email:

Phone:

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* 1. What is your title?

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* 2. How long have you worked in the environmental, health and safety (EHS) field or had safety responsibilities?

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* 3. What is your current salary?

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* 4. Which of the areas do you have responsibility for? (Check all that apply)

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* 5. What is your educational background? (Choose highest attained)

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* 6. Check any of the certifications you currently hold:

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* 7. Describe your work environment:

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* 8. How many EHS professional events did you attend last year? (Check one)

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* 9. How would you describe the occupational safety and health program in your facility/organization?

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* 10. Would you say your organization’s safety performance in the last year has: (Check one)

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* 11. Does top management in your organization provide active and visible support for occupational safety and health?

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* 12. Is safety on par with production in your organization?

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* 13. Do you use leading indicators to measure safety performance?

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* 14. If you answered “yes” to Question 13, please check all that apply:

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* 15. Compared to the previous year, did the budget for occupational safety and health in your organization in 2012:

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* 16. Does your organization/facility have or make use of the following: (Check all that apply)

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* 17. Does your organization offer any of the following wellness offerings or initiatives? (Check all that apply)

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* 18. Have you ever witnessed or been directly impacted by workplace violence?

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* 19. If you answered “yes” to Question 18, please describe:

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* 20. Have you ever witnessed or been directly impacted by workplace bullying?

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* 21. If you answered “yes” to Question 20, please describe:

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* 22. Do you regularly follow the news, updates, regulatory decisions, announcements and/or publications from any of the following agencies? (Check all that apply)

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* 23. How would you rate David Michaels’ performance as OSHA administrator?

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* 24. You have been tasked to lead OSHA and have the ability to make any changes to the agency or its standards that you choose. What’s your first move?

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* 25. In what area would you most like to see improvement in your organization/facility’s safety and health program?

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* 26. What is the most frequent complaint you hear from employees about your organization’s safety and health program?

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* 27. What is the most common type of injury or illness you see within your organization?

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* 28. Can you share an example of a workplace EHS-related challenge your company solved or improved in the last year?

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* 29. May we contact you for more information for our feature report on the National Safety Survey?

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* 30. If you answered “yes” to the above question, please provide your contact information below: