Safety Culture in a Medical Office Survey

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Medical office
0

Rate how safe the medical office is according to the following:

Very dangerous

Not dangerous

Lighting conditions/visibility

Very dangerous

Not dangerous

1 Very dangerous

2

3

4

5 Not dangerous

Vibrations

Very dangerous

Not dangerous

1 Very dangerous

2

3

4

5 Not dangerous

Noise pollution

Very dangerous

Not dangerous

1 Very dangerous

2

3

4

5 Not dangerous

Radiation/thermal environment

Very dangerous

Not dangerous

1 Very dangerous

2

3

4

5 Not dangerous

Odors/smoke

Very dangerous

Not dangerous

1 Very dangerous

2

3

4

5 Not dangerous
0

Are there other hazards in the medical office?
Yes

No
0

Please elaborate
0

What precautions and measure have been taken to avoid injury?

0 / 5000
0

Have you been injured at work?
Yes

No
0

Please elaborate

0 / 5000
0

Has there been a severe injury at work?
Yes

No
0

Please elaborate

0 / 5000
0

Are medical personnel on standby for emergencies?
Yes

No
0

How can your work environment be improved? List your suggestions below.

0 / 5000
0

Overall, how satisfied are you with the safety in the medical office?
Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very satisfied
0

How can your work safety be improved? Comment briefly below.

0 / 5000