QUESTIONNAIRE

I am a management student conducting a study on

Effectiveness of safety measures and work environment in your
organization. I will be great full if you could kindly spare sometime to
answer these questions. This information will be used purely for
academic purpose and will be kept confidential.
SEC-A: DEMOGRAPHIC INFORMATION
1.NAME:
2.DEPARTMENT

3.AGE

4.EXPERIENCE

20-30

31-40

Below 5

5-10

5.MARITAL STATUS :

Single

6.GROSS SALARY

10,000-15000

41-50
11-20

51&Above
21 & Above

Married
15001-20,000

20,001 & Above

7.NUMBER OF DEPENDENT :
SEC-B:
1. Are you aware of the safety measures and safety provisions followed in
your organization?
Yes

No

2. If yes what is your satisfaction level with respect to the safety provisions
provided during working hours
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

3. What is your satisfaction level with respect to safety measures provided in

your organization?
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

4. To what extent can industrial safety and good working environment can
help in increasing the productivity?
To a great extend

To some extent

To a little extend

No idea

5. Do you follow the Standard Operating Procedures (SOP) when you are on
the job?
Yes

No

6. Have you met with any accident for the past one-year?
Yes

No

7. If yes specify during which shift

General shift

Day shift

Night shift

8. Whether immediate action is taken at the time of accident

Yes

No

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9. What do you think is the major cause for accident in the workplace? Rank
according to your opinion.
Unsafe working condition

over workload

Health problem

Not following the prescribed rules.

Family problems

Communication gap.

10. What is your satisfaction level with respect to the medical facilities
(First-Aid) provided by the company in case of accidents?
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

11. What is your satisfaction level with respect to the safety equipments
provided to you in the organization?
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

12. How important do you think the following safety equipments provided to
you in the organization
Factors
Shoes
Goggles
Nose mask
Ear Muff
Helmet
Safety belt

Highly important

Important

Not important

13. What is your satisfaction level with respect to the efforts taken by the
organization to ensure employee safety
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Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

14. Have you undergone any training program for safety in your
organization
Yes

No

15. If yes what type of training program

Electrical safety

Machine safety

Chemical safety

Fire safety

Health safety
General safety measures

16. How many programs have you attended during the last three
years.
17. What is your satisfaction level with respect to the safety training
program that you undergone
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

18. What is your opinion regarding the work environment in the shop floor
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

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19. What is your opinion regarding the electrical connection in the shop
floor
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

20. How do you feel about the conditions of machines in the shop floor?
Excellent

Good

Fair

Poor

21. What is your opinion regarding the maintenance of machine guards

Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied

22. How satisfied are you with the following work environmental factors
Factors

Highly
Satisfied

Satisfied

Neither
satisfied /Nor
dissatisfied

Dissatisfied

Highly
Dissatisfied

Cleanliness
Ventilation
Drinking
water
Lighting
23. How satisfied are you with the house keeping activities of your
organization.
Highly satisfied

Satisfied

Neither satisfied/Nor-Dissatisfied

Dissatisfied

Highly Dissatisfied
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24. Please give your suggestion if any, to improve the work environment and
safety measures in your organization .
.
.
Thank you for your co-operation

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