Loading...

Run: Plant Safety Culture Survey

Anonymous plant safety culture survey for manufacturing teams to measure safety commitment, reporting comfort, psychological safety, and supervisor effective...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Safety Commitment and Priority

Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Your response is anonymous. Specific examples help us make real improvements.

Hazard Reporting and Near-Miss Culture

Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Select the option that best reflects what you observe, even if it doesn't apply to you personally. Options: Fear of blame or discipline | Belief that nothing will change | Unsure how or where to report | Too much paperwork or effort | Peer pressure not to report | No barriers — reporting feels safe here | Other
Optional — your input directly shapes how we improve our reporting culture.

Manager and Supervisor Safety Effectiveness

Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Responses are anonymous and aggregated — no individual will be identified.

Psychological Safety and Peer Culture

Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5). This reflects your Stop Work Authority confidence.
Strongly disagree → Strongly agree (1–5)
Concrete examples help us identify systemic issues, not individual incidents.

Safety Training and Resources

Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5)
Strongly disagree → Strongly agree (1–5). References OSHA 1910.147 (LOTO) and 1910.38 (Emergency Action Plans).
Be as specific as possible — e.g., a particular process, shift, or work area.

Overall Safety Culture and Open Feedback

Strongly disagree → Strongly agree (1–5), where 5 = 'This plant has an exemplary, proactive safety culture.'
Strongly disagree → Strongly agree (1–5). This is your safety eNPS indicator.
Options: Significantly improved | Somewhat improved | About the same | Somewhat declined | Significantly declined | I have been here less than 12 months
This is your space. All responses are anonymous and reviewed by the safety leadership team.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Generated with MangoApps Templates — browse 250+ free