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ABOUT YOUR COMPANY
Company
*
Name
*
Email
*
Phone
*
Role
*
Industry
Construction
Engineering
Freight
Manufacturing
Mining
Mining Services
Transport
Energy
Farming & Agriculture
Aggregates
Not For Profit
Oil & Gas
Waste Management
Utilities
Government
Financial Services
Retail
IT
Consumer Services
Real Estate
Health
Ports
Other
Size
Less than 50
50 to 200
200 to 500
500 to 2000
2000 +
COMMITMENT
How would you rank your organisation's ability to communicate its vision for safety?
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How well is health and safety meaningfully integrated within the company's culture and values?
*
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Perfectly
Rank the organisation's ability demonstrate an authentic commitment for the care and concern of people?
*
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Fairly Well
Very Well
Perfectly
How well developed is the shared belief and commitment across your organisation that all incidents are preventable?
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How well does the business communicate the beliefs and behaviours that are expected?
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Very Well
Perfectly
Rate how robust your organisation's strategic safety culture roadmap is.
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Please select
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Not Very Well
Fairly Well
Very Well
Perfectly
VISIBLE SAFETY LEADERSHIP
How well are Senior leaders walking the talk and taking action with regards to health and safety?
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Fairly Well
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Rate how well Senior leaders demonstrate authentic leadership, showing genuine care and concern for people.
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Perfectly
How well do senior leaders consistently demonstrate that production never compromises health and safety?
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Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
Rate how well your organisation's senior leaders actively mentor frontline leaders to make good safety decisions?
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Not at all
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Fairly Well
Very Well
Perfectly
Rank your Senior leaders' ability to consistently recognise good behaviours and address poor behaviours.
*
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Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
How well do Senior leaders ensure there is adequate budget, resources and training available with regards to safety?
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Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
FRONTLINE LEADERSHIP
How well do your frontline leaders ensure team members have adequate skills, experience and training for the task at hand?
*
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Not Very Well
Fairly Well
Very Well
Perfectly
Rate your frontline leaders' ability to engage and inspire their teams, fostering a personal connection to the "why" of safety.
*
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Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
How well do frontline leaders foster a personal connection to the "why" of working safely?
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Fairly Well
Very Well
Perfectly
How well do frontline leaders consistently recognise and reward good individual and team performance?
*
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Fairly Well
Very Well
Perfectly
How would you rank your frontline leaders preparedness to intervene and have a Courageous Conversation when they see an unsafe act or practice?
*
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Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
Rate how your frontline leaders actively demonstrate that safety always comes before production.
*
Please select
Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
WORKFORCE ENGAGEMENT
How well do new workers receive effective induction, training and coaching regarding workplace safety?
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Please select
Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
Rate how people connect with the personal "why" of safety and in reality it goes beyond the workplace, it is at home and in the community.
*
Please select
Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
How well do your people take ownership for their own safety and genuinely care about their workmates?
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Fairly Well
Very Well
Perfectly
How well do your team members positively contribute to safety initiatives, discussions and team meetings?
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Perfectly
How would your rate your team members preparedness to speak up and have a Courageous Conversation when they see an unsafe act or practice?
*
Please select
Not at all
Not Very Well
Fairly Well
Very Well
Perfectly
Rate how your team members follow the rules all the time, even when no-one is watching.
*
Please select
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Not Very Well
Fairly Well
Very Well
Perfectly
RISK MANAGEMENT
Rate how well critical risks are identified and receive specific focus as part of our work control process.
*
Please select
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Not Very Well
Fairly Well
Very Well
Perfectly
How well are risk assessments completed so that team members understand the risks of the task and have appropriate controls in place?
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Is work well designed and planned so as to anticipate problems and minimise risk?
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Fairly Well
Very Well
Perfectly
Procedures and work instructions have been simplified well to ensure they are understood and applied.
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Not at all
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Very Well
Perfectly
Rate how well your people are trained in relevant procedures and work instructions, including any changes.
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Please select
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Perfectly
How well is time managed to ensure people have enough time to do their work safely and production never compromises health and safety?
*
Please select
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Not Very Well
Fairly Well
Very Well
Perfectly
SAFETY CULTURE GOVERNANCE
How well are the accountabilities for health and safety leadership clearly articulated by the business?(Performance against this criteria is monitored and managed.)
*
Please select
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Fairly Well
Very Well
Perfectly
The HSE function operates well as a strategic business partner and proactively supports the achievement of a high performing safety culture.
*
Please select
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Not Very Well
Fairly Well
Very Well
Perfectly
Rate how well critical risks are known and identified. Furthermore, there are controls in place and they are effectively monitored.
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Please select
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Very Well
Perfectly
How well is Health and safety auditing used as an effective process to monitor current performance and contribute to improvement of safety management systems?
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Very Well
Perfectly
Reporting is relevant, timely and incorporates both lead and lag indicators. Rate how well this is integrated into the organisation.
*
Please select
Not at all
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Very Well
Perfectly
Incident investigations should be leader-led and identify true root causes. How well are corrective actions identified, implemented and always followed through?
*
Please select
Not at all
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Fairly Well
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Perfectly
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