The following questions aim at assessing our safety climate and culture, by use of employee's perceptions of our safety values, processes, reward systems and leadership in 3 Parts. The first part will be closed questions asking for your perception and attitudes in regards to our safety culture. Part 2 will give you the opportunity to provide written feedback, if appropriate and the last part will be asking you for some demographic information used for statistical purpose only. It will take you about 20 minutes to complete all 3 parts. Please respond to all questions honestly and openly and refer to the definition at the beginning of the Survey page whenever needed. Please note that results are only saved once you have answered all mandatory items and pressed the submit button at the end of the survey.
© 2001 - 2021 Dr. Anthony Ciavarelli, Human Factors Associates, Inc. All rights reserved.
This survey form, and its contents, cannot be duplicated in any manner without written permission from Dr. Anthony Ciavarelli.
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Anonymity
