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Course 716 - Safety Management System Evaluation

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Safety Program Survey

This survey closely mirrors the Safety and Health Program Assessment Worksheet OSHA consultants use in evaluating employers for SHARP certification. Be sure to answer all the statements. You will be able to calculate your total score after completing the survey.

I. Hazard Anticipation and Detection

1. A comprehensive baseline hazard survey has been conducted within the past five years.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

2. Effective safety and health self-inspections are performed regularly.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

3. Effective surveillance of established hazard controls is conducted.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

4. An effective hazard reporting system exists.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

5. Change analysis is performed whenever a change in facilities, equipment, materials, or processes occurs.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

6. Accidents are investigated for root causes.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

7. Material Safety Data Sheets are used to reveal potential hazards associated with chemical products in the workplace.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

8. Effective job hazard analysis is performed.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

9. Expert hazard analysis is performed.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

10. Incidents (non-injury events) are investigated for root causes.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

II. Hazard Prevention and Control

11. Feasible engineering controls are in place.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

12. Effective safety and health rules and work practices are in place.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

13. Applicable OSHA-mandated programs are effectively in place.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

14. Personal protective equipment is effectively used.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

15. Housekeeping is properly maintained.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

16. The organization is properly prepared for emergency situations.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

17. The organization has an effective plan for providing competent emergency medical care to employees and others present at the site.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

18. Effective preventive maintenance is performed.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

19. An effective procedure for tracking hazard correction is in place.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

III. Planning and Evaluation

20. Workplace injury/illness data are effectively analyzed.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

21. Hazard incidence data are effectively analyzed.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

22. A safety and health goal and supporting objectives exist.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

23. An action plan designed to accomplish the organization's safety and health objectives is in place.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

24. A review of in-place OSHA-mandated programs is conducted at least annually.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

25. A review of the overall safety and health management system is conducted at least annually.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

IV. Administration and Supervision

26. Safety and health program tasks are each specifically assigned to a person or position for performance and coordination.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

27. Each assignment of safety and health responsibly is clearly communicated.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

28. An accountability mechanism is included with each assignment of safety and health responsibility.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

29. Individuals with assigned safety and health responsibilities have the necessary knowledge, skills, and timely information to perform their duties.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

30. Individuals with assigned safety and health responsibilities have the authority to perform their duties.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

31. Individuals with assigned responsibilities have the resources to perform their duties.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

32. Organizational policies promote the performance of safety and health responsibilities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

33. Organizational policies result in correction of non-performance of safety and health responsibilities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

V. Safety and Health Training

34. Employees receive appropriate safety and health training.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

35. New employee orientation includes applicable safety and health information.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

36. Supervisors receive appropriate safety and health training.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

37. Supervisors receive training that covers the supervisory aspects of their safety and health responsibilities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

38. Safety and health training is provided to managers.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

39. Relevant safety and health aspects are integrated into management training.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

VI. Management Leadership

40. Top management policy establishes clear priority for safety and health.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

41. Top management considers safety and health to be a line rather than a staff function.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

42. Top management provides competent safety and health staff support to line managers and supervisors.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

43. Managers personally follow safety and health rules.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

44. Managers delegate the authority necessary for personnel to carry out their assigned safety and health responsibilities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

45. Managers allocate the resources needed to properly support the organizations safety and health system.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

46. Managers assure that appropriate safety and health training is provided.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

47. Managers support fair and effective policies that promote safety and health performance.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

48. Top management is involved in the planning and evaluation of safety and health performance.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

49. Top management values employee involvement and participation in safety and health issues.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

VII. Employee Involvement

50. There is an effective process to involve employees in safety and health issues.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

51. Employees are involved in organizational decision making in regard to safety and health.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

52. Employees are involved in decision making in regard to the allocation of safety and health resources.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

53. Employees are involved in organizational decision making in regard to safety and health training.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

54. Employees participate in hazard detection activities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

55. Employees participate in hazard prevention and control activities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

56. Employees participate in the safety and health training of co-workers.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

57. Employees participate in safety and health planning activities.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

58. Employees participate in the evaluation of safety and health performance.

No
No. Needs major improvement
Yes. Needs minor improvement
Yes

Calculate your score below. The higher the score, the better. Hopefully, taking this survey has given you some insight into your company's safety and health management system, and what it will take to get SHARP Certified.

Your score is: The results of your score is summarized below: