Occupational Safety and Health Hazard Exposure Survey

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Occupational Safety and Health Hazard Exposure Survey
Occupational Safety and Health Hazard Exposure Survey

This survey is designed to help you recognize and evaluate the safety hazards and risks in your workplace. By sharing your experiences, you’ll help identify common exposures and gain insight into areas where additional controls or precautions may be needed.

Your responses will also help guide the development of practical tools, training, and resources to improve workplace safety and support effective risk management. Please indicate which hazards you encounter and how frequently they occur.

Demographic Information

Email

Email

Optional for results sharing or follow up

Name

Name

Optional

Industry*

Industry*

Select one

Choose
Construction
Heavy Civil / Infrastructure
Oil & Gas / Energy
Utilities
Manufacturing / Industrial
Warehousing / Logistics / Transportation
Mining / Extraction
Chemical / Petrochemical
Environmental / Waste Management
Engineering / Consulting Services
Municipal
Education / Research Institutions
Healthcare / Laboratory
Agriculture / Forestry
Maritime / Port Operations
Telecommunications
Aviation / Aerospace
Renewable Energy / Wind / Solar
Real Estate / Facilities Management
Other

Role / Function*

Role / Function*

Select One

Choose
Construction / Field Worker
Equipment Operator / Driver
Site Supervisor / Foreman
Project Manager / Construction Manager
Field Engineer / Inspector / Surveyor
Safety Professional (HSE, EHS, OSH, etc.)
Environmental / Industrial Hygienist
Engineer / Technical Specialist
Maintenance / Operations Personnel
Executive / Director / Senior Manager
Consultant / Trainer
Office / Administrative Staff
Student / Intern
Visitor / Auditor / Client Representative
Other

Geographic Region*

Geographic Region*

Please specify country or region

Choose
United States
Canada
Latin America / Caribbean
Europe
Middle East / North Africa
Sub-Saharan Africa
South Asia (e.g., India, Pakistan, Bangladesh)
East Asia (e.g., China, Japan, Korea)
Southeast Asia (e.g., Philippines, Vietnam, Indonesia, Thailand)
Australia / Oceania

Company Name

Company Name

Optional

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Exposures to Safety & Health Hazards

Safety Hazards Exposures*

Safety Hazards Exposures*

Never
Ocasionally
Frequently
Always
Work at heights requiring fall protection / use of PFAS
Enter confined spaces (e.g., tanks, manholes)
Operate or work near construction equipment or machinery
Work in or around traffic / road construction / work zones
Enter excavations or trenches
Exposed to electrical hazards (live circuits, overhead lines)
Perform demolition, welding, cutting, or grinding activities
Exposed to slips, trips, or fall hazards
Work in the field / outdoors rather than in an office

Health Hazards Exposures*

Health Hazards Exposures*

Never
Occasionally
Frequently
Always
Exposed to heavy lifting or repetitive manual handling
Exposed to high noise levels
Work outdoors in extreme weather conditions (heat, cold, rain)
Exposed to ergonomic hazards (awkward postures, repetitive motions)
Exposed to dust, fumes, or chemicals (including asbestos, lead, petroleum products)
Work on contaminated sites / HAZWOPER activities
Exposed to vibration hazards from tools or machinery

By WordPress Survey plugin

Exit

Understanding where and how employees are exposed to safety and health hazards is the first step toward stronger risk control. The Occupational Safety Exposure Survey helps organizations collect workforce feedback on exposures — from work at heights, trenches, and traffic zones to hazardous materials, noise, and weather. The results provide a clear picture of each team’s hazard profile and form the basis for targeted corrective actions, smarter resource allocation, and continuous improvement.

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