Safety Culture Survey Form Template
Enhance Safety and Trust Within Your Organization
Finding out how your employees feel about safety can be challenging. Our Safety Culture Survey Form Template is designed to help you gauge perceptions, identify issues, and foster a safer work environment. With clear questions tailored for all levels of your organization, you can easily measure safety behaviors, uncover areas for improvement, and engage your team in safety discussions, all while ensuring compliance with WCAG-aligned labels. Explore the live template to get started on enhancing safety today.
When to use this form
Use this form to take the pulse of day-to-day safety behaviors across crews, sites, and shifts. It is ideal during quarterly audits, after an incident, or before rolling out new procedures. Supervisors, safety managers, and executives use results to spot blind spots, track trends, and prioritize fixes. Ask frontline teams to complete it alongside routine checks like the Hazard identification checklist form and drills documented in the Fire drill checklist form. In high-turnover operations, send it during onboarding and again at 30/60/90 days to confirm training sticks. The outcome is a clear action list, owners, and timelines so you reduce risk and raise reporting rates.
Must Ask Safety Culture Survey Questions
- How confident are you that you can stop work if something feels unsafe?
This gauges psychological safety and whether stop-work authority is real in practice. If confidence is low, you can coach leaders and adjust workflows to remove pressure to take risks.
- When did you last report a near miss, and what happened after?
You learn whether people report and if follow-up closes the loop. Responses reveal trust in your process and where feedback or recognition is missing.
- Do you have the tools, PPE, and time to do the job safely every day?
This exposes resource gaps that lead to shortcuts or injuries. Use results to budget for equipment, improve scheduling, or update procurement.
- Which topics should we cover in upcoming safety briefings or tailgate talks?
Employees point to the training they actually need, keeping sessions relevant. Feed high-priority topics into your Tailgate safety meeting form to reinforce lessons on the job.
- What is the single biggest hazard in your area that we are not addressing?
This invites plain, actionable risks from those closest to the work. You can tie the issue to an owner, mitigation plan, and due date, then report back.
More Forms
- 100% Free - No Catches
- Collect Responses Today
- Tailor to your Look & Feel