Workplace Safety Survey
Assess how safe employees feel on the shop floor and surface hazards early.
Free to preview — no account needed. Using it creates your own editable copy.
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These are the real questions. Nothing you answer here is saved or submitted.
How safe do you feel while working in the plant?*
About this template
Workplace Safety Survey is a ready-to-use survey template with 5 questions that takes about 2 minutes to answer. Assess how safe employees feel on the shop floor and surface hazards early.
Manufacturing templates cover factory safety, supplier quality, equipment maintenance and shop-floor sentiment. Safety surveys need to be answerable on a phone in under two minutes, in a noisy place, with gloves on — which is why these keep options short and avoid free text as a required field. Everything in this template is editable — treat the questions below as a starting point that already has the structure right, then cut what does not apply to you.
- Who should use it
- Plant managers, quality and EHS teams, and procurement.
- When to use it
- On a monthly or quarterly cycle for safety and pulse checks; per shipment for supplier quality.
What this template helps you measure
- Cleanliness and safety
- Ease of the experience
- Scored ratings you can trend over time
- A clean split you can segment every other answer by
- Preferences across a fixed set of options
- Open-ended feedback in respondents’ own words
Every question in this template
5 questions, with what each one is doing there. Change or remove any of them after you make your copy.
How safe do you feel while working in the plant?*
ScaleWhy this matters: Turns an impression of cleanliness and safety standards into a score, which is what lets you tell a genuine dip apart from a bad week of memories.
Do you have easy access to required PPE (helmets, gloves, goggles)?*
Yes / NoWhy this matters: A clean yes or no on how much effort the experience took. Nothing to interpret, and it doubles as a filter you can split every other answer by.
How often are safety drills conducted in your area?*
Single choice- Monthly
- Quarterly
- Once a year
- Rarely or never
Why this matters: One choice about cleanliness and safety standards forces a priority, which is more useful than letting everyone pick everything.
Do you know the procedure to report a safety hazard?*
Yes / NoWhy this matters: Forces a decision about cleanliness and safety standards rather than a comfortable middle option, which is the point of asking it this way.
Describe any unsafe condition you have noticed recently
Long textWhy this matters: The scored questions tell you something moved; this is the one that tells you what to do about it.
How to use this template
- 1
Start with the template
Click "Use this template" and SurveyKar creates your own copy of Workplace Safety Survey, with every question already in place. The original template stays untouched.
- 2
Customise the questions
Reword anything that does not match your business, delete what you do not need, change a question type, or add your own. Shorter surveys finish more often — cut before you add.
- 3
Add your branding
Set your logo, brand colours, fonts and background so the page looks like it belongs to you rather than to a survey tool.
- 4
Share it
Publish, then share the link, print the QR code, embed it on your site, or send it to a contact list over email or WhatsApp.
- 5
Read the responses
Results land in your dashboard as they arrive, with charts per question, filters, sentiment analysis on open text, and CSV or PDF export.
What you can customise
Your copy is yours. Nothing in the template is locked, and the original is never changed by anything you do.
Questions and wording
Edit, reorder, delete or add questions. Nothing in the template is locked.
Question types
Swap a rating for NPS, a single choice for a matrix, or add ranking, sliders and file uploads.
Logo and brand colours
Apply your logo, primary colour, fonts and background image to the respondent page.
Conditional logic
Skip questions or branch to a different page based on an earlier answer. Available on the Basic plan and above.
Thank-you page
Write your own closing message, or redirect respondents to a URL of your choice after submitting.
Sharing and distribution
Share by link or QR code, embed it on your website, or send it out over email and WhatsApp campaigns.
Frequently asked questions
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Measure it
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