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Employee survey template

Safety at your workplace

A ready-to-use employee survey template with 14 questions already written and tested. Open it, brand it as your own and launch in minutes. Free to start, no card required.

14 questions · ~2 min

Internal surveys take the team's pulse: climate, engagement, workload and trust in leadership. They work best anonymous and recurring, so you see the trend and not just a snapshot. Ask few, actionable questions: every question should be able to trigger a concrete decision.

What respondents see

Prevention works when the people on the ground speak up. This survey is anonymous: tell us what you see every day.

What this template asks

  1. Single choiceWhich area do you mainly work in?
    • Production or plant floor
    • Warehouse and logistics
    • Office
    • Fieldwork or on-site with clients
    • Laboratory
  2. ScaleHow much REAL priority does the company give to safety, beyond the posters?

    None 15 Maximum

  3. MatrixIndicate your level of agreement
    • I have the protective equipment I need
    • Prevention training is sufficient
    • Safety procedures are clear
    • I can stop work if I detect a risk
    • Strongly disagree
    • Disagree
    • Neutral
    • Agree
    • Strongly agree
  4. Yes / NoHave you witnessed any risky situations in the last 6 months?
    • Yes
    • No
  5. Open textDescribe the risky situation
  6. Yes / NoIn your team, are near-misses reported?
    • Yes, almost always
    • No, almost never
  7. Single choiceWhy aren't they reported?
    • Fear of consequences
    • The process is too heavy
    • Nothing ever happens afterward
    • We don't know how to do it
  8. ScaleThe condition of the facilities and work equipment is adequate

    Strongly disagree 15 Strongly agree

  9. ScaleManagers set an example on safety

    Strongly disagree 15 Strongly agree

  10. Multiple choiceWhere would you strengthen prevention?
    • Practical training
    • Signage
    • Equipment maintenance
    • Protective equipment
    • Workstation ergonomics
    • Housekeeping and tidiness
  11. Yes / NoDo you know exactly what to do in an emergency in your area?
    • Yes
    • No
  12. RatingOverall rating of safety at your workstation

    15

  13. NumberHow many safety notices or suggestions have you submitted this year?

    0100

  14. Open textThe number one risk you'd fix tomorrow

Frequently asked questions

What is a employee survey template?
It is a pre-built employee survey questionnaire with 14 ready-to-send questions. Use it as-is or adapt it to your case in Camaleonic Survey's visual editor.
Is it free?
Yes. You can create an account and use this template for free, no card required. Paid plans add advanced analytics, live results and more.
Can I customize it?
Completely. Change questions, logic, typography and color so the survey looks like your brand, not a generic form.

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