Electrical Safety Survey Questionnaire 2022

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* 2. Does your company have a full time employee dedicated to safety?

Yes

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* 3. Does your company employ other supporting safety staff such as onsite safety supervisors?

Yes

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* 4. Does your company have or participate in a safety committee?

Yes

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* 5. Does your company have a written safety program?

Yes

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* 6. Does your company have a specific electrical segment in your overall written Safety Program?

Yes

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* 7. Does your company have written policies that are directly related to compliance with your written electrical safety program?

Yes

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* 8. Does your company conduct Orientation training with all new employees?

Yes

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* 9. Are all employees provided with an employee handbook (that includes safety information) or other documentation?

Yes

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* 10. Which of the following training does your company provide? (Please check all that apply)

OSHA 10

OSHA ET&D 10 Hour

OSHA ET&D 20 Hour

OSHA 30

Powered Industrial Trucks (Forklift)

Hazard Communication

Defensive Driving

Electrical Safe Work Practices

Lockout/Tagout

Crane Operator

Rigging

Confined Space

Excavation

Respiratory Protection

Asbestos Awareness

Silica Awareness

70E

Scaffold

Ladder

Aerial Lifts

Fall Protection

Material Handling

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* 11. How often does your company provide safety training?

Monthly

Twice annually

Quarterly

Annually

Combination of the above

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* 12. How often does your company provide project/ safety talks?

Daily

Weekly

Monthly

Combination of above

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* 13. Is a daily safety briefing or job safety analysis required on each job before work can proceed?

Yes

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* 14. Does your company have a substance abuse policy?

Yes

Unsure / Don't know

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* 15. Does your company perform Substance Abuse Testing?

Yes

Unsure / Don't know

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* 16. Does management support and participate in all of the following safety policies?

Company Driving Procedures

Substance Abuse Testing

Leadership

Diversity

Other (please specify)

None of the above

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* 17. Does your company have a disciplinary program?

Yes

Unsure / Don't know

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* 18. Who is required to sign off on written warnings?

Project Manager

Owner

Safety Staff

Direct Supervisor

Other (please specify)

None of the above

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* 19. Does your company have a written policy or policies aligned with the requirements in NFPA 70E?

Yes

Unsure / Don't know

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* 20. Does your company require management notification and permission before working on any energized electrical circuits and equipment?

Yes

Unsure / Don't know

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* 21. Are all employees trained in First Aid/Basic Life Support and Automatic External Defibrillators?

Yes

Unsure / Don't know

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* 22. Are all incidents/accidents investigated and by whom?

	Yes	No
Foreman/Superintendent	Foreman/Superintendent Yes	Foreman/Superintendent No
Safety Staff	Safety Staff Yes	Safety Staff No
Project manager	Project manager Yes	Project manager No
Owner	Owner Yes	Owner No

Other (please specify)

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* 23. What percentage of your workforce is properly trained in NFPA 70E Requirements?

25% or Less

Over 25% to 50%

Over 50% to 75%

Over 75%

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* 24. How many work-hours did your company perform last year?

Less than 25K MY

25K to 100K MH

100K to 250K MH

Over 250K MH

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* 25. Please provide the OSHA Recordable Incidence Rate, (RIR) for last year from your organization?

0 to 2.5

2.5 to 5

5 to 10

Over 10

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* 26. Does your company have a safety recognition Program?

Yes

Unsure / Don't know

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* 27. Does your company participate in the NECA Safety Recognition of Achievement Programs in Safety Excellence and/or Zero Injury?

Yes

Unsure / Don't know

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* 28. Do the employees in safety positions have any of the following credentials?

Certified Safety Professional (CSP)

Safety Management Specialist (SMS)

Associate Safety Professional (ASP)

Occupational Hygiene & Safety Technician (OHST)

Construction Health & Safety Technician (CHST)

Safety Trained Supervisor (STS)

Safety Trained Supervisor Construction (STSC)

Certified Environmental, Safety & Health trainer (CET)

Certified Utility Safety Professional (CUSP)

OSHA Outreach Trainer Construction

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* 29. What new or additional keynote or breakout sessions topics would you suggest for the NECA Safety Professionals Conference, (NSPC) and/or NECA Safety Leadership Summit, (SLS)?

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* 30. What was the most prevalent injury/illness affecting company employees over the past year?

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* 31. Contact Information (Optional)

Name

Company/Chapter

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Electrical Safety Survey Questionnaire 2022

Question Title

* 1. Please check all categories of electrical work performed by your company

Question Title

* 2. Does your company have a full time employee dedicated to safety?

Question Title

* 3. Does your company employ other supporting safety staff such as onsite safety supervisors?

Question Title

* 4. Does your company have or participate in a safety committee?

Question Title

* 5. Does your company have a written safety program?

Question Title

* 6. Does your company have a specific electrical segment in your overall written Safety Program?

Question Title

* 7. Does your company have written policies that are directly related to compliance with your written electrical safety program?

Question Title

* 8. Does your company conduct Orientation training with all new employees?

Question Title

* 9. Are all employees provided with an employee handbook (that includes safety information) or other documentation?

Question Title

* 10. Which of the following training does your company provide? (Please check all that apply)

Question Title

* 11. How often does your company provide safety training?

Question Title

* 12. How often does your company provide project/ safety talks?

Question Title

* 13. Is a daily safety briefing or job safety analysis required on each job before work can proceed?

Question Title

* 14. Does your company have a substance abuse policy?

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* 15. Does your company perform Substance Abuse Testing?

Question Title

* 16. Does management support and participate in all of the following safety policies?

Question Title

* 17. Does your company have a disciplinary program?

Question Title

* 18. Who is required to sign off on written warnings?

Question Title

* 19. Does your company have a written policy or policies aligned with the requirements in NFPA 70E?

Question Title

* 20. Does your company require management notification and permission before working on any energized electrical circuits and equipment?

Question Title

* 21. Are all employees trained in First Aid/Basic Life Support and Automatic External Defibrillators?

Question Title

* 22. Are all incidents/accidents investigated and by whom?

Question Title

* 23. What percentage of your workforce is properly trained in NFPA 70E Requirements?

Question Title

* 24. How many work-hours did your company perform last year?

Question Title

* 25. Please provide the OSHA Recordable Incidence Rate, (RIR) for last year from your organization?

Question Title

* 26. Does your company have a safety recognition Program?

Question Title

* 27. Does your company participate in the NECA Safety Recognition of Achievement Programs in Safety Excellence and/or Zero Injury?

Question Title

* 28. Do the employees in safety positions have any of the following credentials?

Question Title

* 29. What new or additional keynote or breakout sessions topics would you suggest for the NECA Safety Professionals Conference, (NSPC) and/or NECA Safety Leadership Summit, (SLS)?

Question Title

* 30. What was the most prevalent injury/illness affecting company employees over the past year?

Question Title

* 31. Contact Information (Optional)