Survey Form – SafetyXperts

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PSYCHOLOGICAL SAFETY RISK ASSESSMENT

This assessment is part of the Organisation’s formal psychological risk management process under the OHS Act 2004 (Vic) and Occupational Health & Safety Regulations (Psychological Health) All workers are encouraged to participate.

Do you want to submit anonymously? *

Name

Email Address

Role CategoryWorker/OperatorSupervisor/Leading HandManagerExecutive/Director

Work Location/TeamFull TimePart TimeCasualContract / Sub Contractor

A. THE ORGANISATION – Please consider your experience on how the organisation demonstrated commitment to psychological health & safety, including leadership behaviour, communication and support systems

A1. Management demonstrates a visible commitment to employees to creating and maintain a mentally healthy workplace *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A2. Health & safety is treated as equally important as production & quality *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A3. Psychological health & safety is given the same priority as physical health & safety *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A4. Ther Organisation takes proactive steps to prevent psychological harm *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A5. Systems are in place to support workers following exposure to a traumatic or distressing event. *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A6. Workers exposed to traumatic events receive timely debriefing & support *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A7. Major organisation changes are planned and communicated early *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

A8. Psychological health & safety matters are discussed in the workplace *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B. JOB DEMANDS AND RESOURCES – Please respond based on your experience of workload, time pressures and available resources

B1. Workloads are allocated in a way that is fair and reasonable *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B2. There is generally enough time to complete work safely and to a good standard *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B3. Deadlines are realistic and allow for unexpected or urgent work *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B4. Work is organised to avoid excessive repetition or prolonged high demand tasks *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B5. Workers are able to take breaks when needed *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

B6. Most workers can manage their workload without feeling persistently overloaded or stressed *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C. JOB CONTROL & RECOGNITION – Please consider your ability to influence your work, access support and feel recognised

C1. Workers feel safe asking for help or support when work becomes difficult *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C2. Supervisors or managers provide feedback that is timely and constructive *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C3. Communication between workers and management allows for question and input *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C4. Workers have some control over how they plan and organize their work *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C5. Supervision levels are appropriate for the work being performed *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C6. Workers have access to training needed to do their job safely and confidently *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C7. Opportunities exist to develop skills or progress within the organisation *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C8. Workers skills, experience and contribution are recognised *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

C9. Recognition and reward processes are applied fairly and consistently *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D. BULLYING, HARASSMENT & GENDERED VIOLENCE - Please respond based on your experience of workplace behaviour and how issues are managed

D1. The organisation promotes respectful and appropriate behaviour at work *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D2. Standards of behavior are clearly communicated and reinforced *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D3. Wprlers receive guidance or training on appropriate workplace behaviour *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D4. Workers understand what to do if they experience or witness inappropriate behaviour *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D5. Workers feel safe to report bullying, harassment or inappropriate conduct *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D6. Leaders model respectful and appropriate behaviour *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D7. Managers respond appropriately and consistently to reports or concerns *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

D8. Complaints and disputes are handled fairly and without bias *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E. ROLE CLARITY AND RESPONSIBILITIES - Please consider how clear your role, responsibilities and expectations are

E1. Roles & Responsibilities are clearly defined *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E2. Role expectations align with the work actually performed *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E3. Workers are not regularly asked to perform task outside their role without support *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E4. Reporting lines and decision making responsibilities are clear *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E5. Work priorities and deadlines are communicated clearly *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E6. Workers are properly trained in the systems and procedures they are expected to use *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E7. Training is provided when new systems, equipment or processes are introduced *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

E8. New workers receive adequate induction and role- specific training *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F. WORKPLACE RELATIONS – Please consider everyday interactions, communication and how people work together

F1. People with leadership responsibilities demonstrate respectful interpersonal behaviour *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F2. Information is shared openly rather than being unnecessarily restricted *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F3. Workers have opportunities to raise concerns, ideas or issues *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F4. Interpersonal conflicts are addressed early and respectfully *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F5. Colleagues support one another when work becomes demanding *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

F6. The workplace culture encourages problem solving rather than blame *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G. WORK ENVIRONMENT & WORK ARRANGMENTS – Please consider the physical environment, work arrangements and how they impact wellbeing

G1. The physical work environment supports concentration and comfort *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G2. Noise, temperature and workspace conditions are generally manageable *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G3. Required PPE does not create unnecessary discomfort or stress *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G4. Rosters and working hours support adequate rest and recover *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G5. Workers are consulted about changes to working hours or rosters *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G6. Work arrangements support a reasonable balance between work and personal life *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G7. Workers have opportunities for social connections at work *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G8. Workers who work along, remotely or in isolation have appropriate support systems *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

G9. Workers are consulted or informed when significant workplace changes occur *Strongly AgreeAgreeDisagreeStrongly DisagreeN/A

Comments or Observations

0419 11 99 12
info@safetyxperts.com.au

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