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JTDC Workplace Safety Survey
1.
Are you confident that your employer is doing everything possible to ensure your safety during your shift?
Always
Usually
Sometimes
Rarely
Never
2.
Do you feel safe while executing your daily tasks?
Always
Usually
Sometimes
Rarely
Never
3.
Do you experience anxiety over your personal well being at work?
Always
Usually
Sometimes
Rarely
Never
4.
How many times have you been threatened by residents in the last three months
0
1-5
5-15
15-30
30-60
More than 60
5.
On how many occasions were the threats addressed by Hearing Officers?
0
1-3
3-8
More than 8
6.
On average how often did the investigation result in discipline?
Always
Usually
Sometimes
Rarely
Never
7.
Have you ever been assaulted or physically intimidated by a resident?
Yes
No
8.
If the incident was documented, how often did it result in discipline for the resident?
Always
Usually
Sometimes
Rarely
Never
9.
if yes to the previous question, did the employer file charges against the resident as a result?
Yes
No
N/A
10.
If you were injured by a resident, did the employer change procedure in any way to address the circumstances that led to that injury?
Yes
No
N/A
11.
In the past 2 weeks, have you been provided with proper PPE by JTDC prior to every shift?
Yes
No
12.
In the past two weeks, have you been ordered to interact with residents who were not wearing masks?
Yes
No
13.
We must confirm your identity for your survey to count. All identification information will be kept confidential.
Full Name
Badge ID #
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