Baseline Safety and Health Practices Survey (Non-agricultural)

Safety and Health Practices Survey
Cover letter to questionnaire

Thank you for participating in the Occupational Safety and Health Administration’s
survey of workplace safety and health practices. OSHA needs your help to gain a better
understanding of current safety and health practices in the workplace. Eastern Research
Group (ERG) is a private company conducting the survey under contract to OSHA.
The survey is CONFIDENTIAL, and your participation is voluntary--not required
by law. Under ERG’s agreement with OSHA, no individual or company will be
identified to OSHA, nor will ERG provide any information to OSHA that will enable
identification of any individual or company. For more detail on how we are ensuring the
confidentiality of your responses, you can see the "Privacy and Security Statement” on
the survey page on our website (www.erg.com.XXXX )
Your participation in this survey is important. OSHA will use the data from this
survey as it considers a new regulation for workplace safety and health programs. Your
participation will enable you to have your voice heard and your experience considered as
OSHA approaches new regulations.
How did we find you? Your workplace was randomly selected from a publicly available
database of business establishments in the United States, based on your industry and the
number of employees at the establishment.
The quickest and easiest way to complete the survey is via our website at
www.erg.com.YYYY, but we are also providing you with a paper copy and return
envelope with postage if you prefer. Your pass code for accessing the web-based survey
is:
. Your pass code is unique to you. You can begin the survey and stop and save
your results to finish later.
The aggregated results of the survey will be made available on the OSHA web site as
well as on the original ERG survey web site once the results have been collected,
compiled, and tabulated. No information about your individual establishment will be
released to OSHA or to the public.
The survey has been written to collect information from employers across all sectors of
the economy. The questions have been structured so respondents will skip over questions
that are unnecessary. So you will not be asked to provide an answer to every numbered
question.

We are required by the Paperwork Reduction Act to inform you that the public reporting
burden for this collection of information is estimated to average, at most, about 30
minutes per completed survey, including the time for reviewing instructions, collecting
any information about your organization that you do not have personal knowledge of, and
completing the survey. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid
Office of Management and Budget (OMB) control number. If you have comments
regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, please send them to: U.S. Department of
Labor, Occupational Safety and Health Administration, Directorate of Policy, Office of
Regulatory Analysis, Room N-3641, 200 Constitution Avenue, N.W., Washington, DC
20210 and reference the OMB control number.

Baseline Survey of Safety and Health Practices
Questions Only
July 22, 2010

Profile of Respondent Establishment
1. First of all, our records show that the main line of business at your establishment is
_________. Is that correct?
_____Yes
[Go to Q 4]
[Go to Q 2]
_____No
_____Don’t Know (DK)
[Go to Q 4]
2. Please describe your establishment’s main line of business, i.e., what products or services
your establishment makes or provides?
______________________________
3. Which of the following industrial sectors best corresponds to your business?
_____Construction
_____Manufacturing
_____Oil and gas exploration and production
_____Landscaping, forestry or fishing
_____Transportation or utilities
_____Wholesale or retail trade
_____Finance and services
_____Health
_____Other
[The answer to Q 3 will direct the respondents to the right set of questions in case their assigned
sector is incorrect]
4. How many people in total are on the payroll at your location at [respondent address]? Please
include all employees on all shifts, and employees who work offsite but report to this
establishment. Please do NOT include employees on contract or subcontract, or employees
hired from temporary agencies.
_____number of employees
_____DK

[if the answer is 1, go to Q6; otherwise, if Construction
sector, go to Q7; all others, go to Q 8]
[go to Q 5]

5. Is the number of employees at your location between…?
_____1 to 10 employees
_____11 to 49 employees
_____50 to 100 employees
_____101 to 249 employees
_____250 to 500 employees
_____more than 500 employees
_____DK

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6. Is this employee working as the sole owner of a sole proprietorship or as partner in a
partnership?
_____Yes
[Go to END]
_____No
_____DK
Construction Respondents only, continue with next Q 7, all others go to Q 8.
7. Can you tell me how many people at your location work in the office and are not
construction or jobsite workers? Do not include employees on contract or subcontract, or
employees hired from temporary agencies.
Office workers
_____None
_____1% to 10%
_____11% to 25%
_____26% to 50%
_____51% to 75%
_____More than 75%
Construction Respondents, go to Q 9.
8. Of the employees at this location, how many perform only managerial and administrative
(white collar) work?
_____None
_____1% to 25%
_____26% to 50%
_____51% to 75%
_____More than 75%
9. Does the owner of this establishment have other establishments?
_____Yes
[go to Q 10]
_____No
[go to Q 11]
[go to Q 11]
_____DK
10. How many people does the owner employ at all these establishments? (If you aren’t sure,
please estimate.)
_____1 to 10
_____11 to 49
_____50 to 100
_____101-249
_____250 to 500
_____more than 500
_____DK

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Managing Safety and Health (All respondents)
11. Now we would like to find out about safety and health practices at your establishment.
Please check all below that apply:
____Employee safety is mainly provided by initial and annual training.
____New hires work with experienced employees who train them in safe practices.
____Our employees perform administrative (white collar) and managerial work; we don’t
really provide safety and health training.
____Supervisors hold regular safety meetings with employees.
____We have a safety and health committee.
____We have consultants, safety experts, or industrial hygienists assess our safety and
health conditions.
____Our insurance company helps provide safety and health expertise.
____ None of the above

12. Who is responsible for employee safety and health at your establishment? Please check all
that apply:
____Supervisors (or the owner) have primary responsibility for the safety of employees.
____We expect employees to be primarily responsible for following safe work procedures.
____Some managers have special responsibility for safety and health, but they have
other responsibilities as well (such as in personnel or production).
____There are dedicated full time safety and health staff who manage our program.
____We have a safety and health management system that assigns roles and responsibilities
to all employees and management.

The next section asks for some information about the kinds of hazards in your workplace.
13. Below is a list of possible sources of workplace injury. Please read through the list and check
off any hazard that is a potential safety issue at your workplace or has been addressed
through your safety and health rules or policies. Please check all that apply:
_____Use of, or malfunction of, equipment or machines
_____Falls from elevation
_____Falls on the same level—trips or slips
_____Exposure to toxic substances, hazardous waste, radioactive substances, or toxic
gases
_____Excessive noise
_____Motor vehicle accidents
_____Exposure to extreme heat or cold
_____Exposure to viruses, microbes or other infectious substances
_____Lifting heavy loads
_____Repetitive stress injuries or musculoskeletal disorders
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_____Fires or explosions
_____Workplace violence
_____Work in permit-required confined spaces
_____Work with explosives
_____Flying particles or debris
_____Electric shock
_____Lockout/tagout hazards
_____Materials handling hazards
_____Hazardous materials (combustible or flammable liquids or gases)
_____Compressed gases
_____Hazardous waste handling
_____Biological hazards or needlesticks
_____None of the above
_____Other
_____DK
14. At your establishment, does your company perform any exposure monitoring (air sampling)
for employee exposure to toxic substances?
_____Yes
_____No
_____DK
15. Has your establishment performed any monitoring for employee exposure to noise?
_____Yes
_____No
_____DK
16. Do you provide safety training for employees at your facility?
_____Yes
[Continue]
_____No
[go to Q 22]
_____DK
[go to Q 22]
17. What is the nature of the safety training at your facility? Please check all that apply.
_____On the job training by a coworker
_____On the job training by a supervisor
_____Regular training in groups
_____Lectures, seminars, or other presentations led by safety personnel
_____Self-directed training via handouts, videos, pamphlets
_____Other_____

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18. For the employees at your establishment who get the most safety training, how frequent is
that training?
_____Once a month?
_____Once a year?
_____More than once a year?
_____Less than once a year?
_____On-the-job as needed?
_____Other
19. On average, about how many hours of safety training per year does each of your employees
receive?
_______ hours per year.
20. Do you have initial safety-related training for new employees before assigning them to a job?
_____Yes
_____No
_____DK
21. Do you have safety-related training for current employees before they change job
assignments?
_____Yes
_____No
_____DK

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S&H Information
22. Below is a list of sources of information about workplace safety and health. At your
establishment, how useful is each of the following as a source of information about safety
and health?
Please indicate whether each source is Very Useful, Occasionally Useful, or Not Used.
Source of Health and Safety
Information

Other companies in your industry
Consultants, such as safety experts
or industrial hygienists
Industry or trade journals
Industry web sites or web sites for
specific hazards or equipment
Professional safety and health
journals, publications or web sites
Word of mouth from other safety
and health people
OSHA’s web site
NIOSH web site
Safety manuals for equipment
Health and safety warnings provided
to the employer by equipment
manufacturers and chemical
suppliers
Material Safety Data Sheets
(MSDSs)

Very
Useful

Occasionally
Useful

Not Used

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DK

Overall Approaches to Managing Safety and Health
23. At your establishment, do you have a system or program for managing employee safety and
health?
____Yes
[Continue]
____No
[go to Q 32]
[go to Q 32]
____DK
24. At your establishment, does your company use a safety and health management system
(SHMS) based directly on one of the following:
____ANSI/AIHA Z10-2005 ___Yes
___No
___DK
____OHSAS 180001:2007 ___Yes
___No
___DK
____ILO-OSH 2001
___Yes
___No
___DK
[If Yes to any, go to Q 28]
[If No to all, Continue]
25. At your establishment, does your company’s safety and health program include any of the
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following elements? Please check all that apply.
____Management commitment or leadership
_____Employee participation
_____Hazard identification: inspections and job analysis
_____Hazard control
_____Safety and health training of all personnel
___ Accident investigations
____ Evaluation of annual results and of the program itself
26. At your establishment, does your safety and health program follow any of the following
standards or guidelines? Please check all that apply.
____OSHA’s 1989 guidelines for safety and health management programs (SHP)
____A program developed by your company or by an industry group
____OSHA’s Voluntary Protection Program (VPP) guidelines
____Guidelines from your state Consultation Program (sponsored by OSHA)
____State regulatory requirements
____Host employer required program
____A program recommended by workers’ compensation insurer
____Other
27. How does your company approach correcting hazards? Please check all that apply.
____Hazards are fixed in response to an accident.
____When there is a near miss or an event that could result in injury.
____When work methods or employee training seem inadequate.
____As the need arises or a hazard comes to our attention.
____From a review of a production process or work activity.
____We have a budget for correcting hazards each year, which depends on
priorities and the hazards identified.
____Other
____DK
28. When was the safety and health management system or program implemented at your
establishment?
____Within the last year
____Within the last two years
____More than 2 but less than 5 years ago
____More than 5 years ago
____DK
29. Why did your company adopt a safety and health management system or program? Please
check all that apply.
____To comply with a state regulation.
____To be eligible for a program providing worker’s compensation premium
reductions.
____To keep other expenses low (e.g., health insurance, liability)
____It’s required by our host employer
____To gain public recognition by OSHA, a state OSH agency, an industry group, etc.
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____Needed to integrate into overall management and production
____To help manage multi-establishment corporation
____To keep employees safer and healthier
____Other
____DK
30. Does your company self-insure for any workers’ compensation coverage?
____Yes
____No
____DK
31. Is your safety and health program or management system a written program?
____ Yes
____ No
____ DK

If your safety and health program or management system is a written, comprehensive
program, skip to Question 37, otherwise continue with question 32. A comprehensive program
would have most, or all, of the elements listed in question 25, for example, or follow the ANSI
Z10 consensus standard or one of the other standards mentioned in Question 24.
32. Did your establishment conduct a safety inspection within the past 12 months?
_____Yes
_____No
_____DK
33. Do you investigate injuries at your workplace?
_____Yes [Continue]
_____No [Go to Q36]
_____DK [Go to Q36]
34. Who is involved in conducting these investigations? (Please do not check if the involvement
is limited to being interviewed or asked for information) Please check all that apply.
____Manager responsible for safety and health
____Joint management employee safety and health committee
____Workers in the area where the incident occurred?
____Safety Committee with employee participation?
____Safety Committee without employee participation?
____Top management
____Other __________

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35. Do you have regular safety meetings, such as when a new job is begun, lunch box meetings,
or monthly sessions?
____Yes
____No
____DK
36. Do you review safety and health results or records annually at your establishment? Such a
review of safety and health results or records would include, for example, looking at the
number and types of injuries and illnesses.
____Yes
____No
____DK

If Construction, Go to Q 42;
All others, Go to Q 39
Safety and Health Practices
37. Below are some worker safety and health strategies that some companies use. For each

activity, please indicate whether or not your company does that activity at your workplace.
At your establishment, does your company…
Roles and responsibilities
(a) Designate one individual with authority over the safety and health program?
___Yes ___No ___DK
(b) Assign and communicate safety program-related roles to all personnel?
___Yes ___No ___DK
Training
(c) Provide training to personnel in their program-related roles?
___Yes ___No ___DK
(d) Have drills for emergency situations?
___Yes ___No ___DK
Accident Investigation
(e) Investigate accidents, injuries, illnesses, and fatalities?
___Yes ___No ___DK
(f) Involve employees in conducting accident investigation?
___Yes ___No ___DK
(g) Investigate near-misses at your establishment?
___Yes ___No ___DK

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Hazard Assessment
(h) Perform regular workplace hazard inspections once a year at least annually?
___Yes ___No ___DK
(i) Identify hazards associated with changes in processes or equipment.
___Yes ___No ___DK
(j) Identify hazards throughout the life of project? [Construction sector only]
___Yes ___No ___DK
(k) Identify hazards associated with emergency situations?
___Yes ___No ___DK
(l) Have a system for prioritizing hazards for control based on the likelihood of the incident and
severity of the impairment?
___Yes ___No ___DK
(m) Perform regular job hazard analysis?
___Yes ___No ___DK
Employee involvement
(n) Have an employee safety and health reporting system with follow-up investigations?
___Yes ___No ___DK
(o) Have a procedure for addressing hazards reported by employees?
___Yes ___No ___DK
(p) Have a joint employee and management safety and health committee?
___Yes ___No ___DK
(q) How often does this employee management safety and health committee meet?
_________ times per year
(r) Have safety and health meetings (other than training and committee meetings) with employees?
___Yes ___No ___DK
Review
(s) Perform regular written reviews of your establishment’s safety and health performance (e.g.,
review performance over the past year, evaluation of injury and illness performance on a regular
basis, etc.)
___Yes ___No ___DK
(t) Regularly audit your safety and health system to ensure that your program is working the way it
was intended?
___Yes ___No ___DK

If Yes to (e), (g), or (m) or if Yes to Q32 or Q33:
38. Approximately how many hazards did you correct at your facility in the past 12
months through your investigations, assessments, or inspections?
_____ Approximate number of hazards corrected through investigations, assessments, or
inspections.

If Construction sector establishment, go to Q 42--- others Continue.
Multi-employer Workplaces (All respondents except Construction)
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Next are some questions about employees at your worksite who may work for other employers.
These include temporary employees, contractors to you, and employees of other companies who
regularly use your facilities such as janitorial services provided by a landlord or building service.
39. In the past twelve months, have temporary employees, contract employees, or employees
of your contractors performed any tasks in your workplace?
_____Yes
[Continue]
_____No
[go to Q 45]
_____DK
[go to Q 45]
40. Regarding the temporary and contract employees who work at your facility, did the tasks
they were hired for include any of the following? (Please check all that apply.)
_____Security service
_____Equipment or facility maintenance (plumbing, electrical, carpentry, painting, etc.)
_____Boiler cleaning
_____Construction
_____Janitorial services
_____Office work
_____Hazardous waste removal
_____Other specialized cleaning tasks
_____Other tasks _________________
_____DK
41. In the past 12 months, have you as the host employer, provided one or more of these
employees with specific training in the hazards at your facility?
_____Yes
[go to Q 45]
_____No
[go to Q 45]
Multi-employer Workplaces (Construction sector only)
42. In the past twelve months, have subcontractors been used for any jobs at your company’s
worksites?
_____Yes
[Continue]
_____No
[Go to Q 45]
[Go to Q 45]
_____DK
43. When you’re beginning work with a new subcontractor, do you have a procedure for
determining whether the subcontractor requires a safety orientation for the job?
_____Yes
_____No
_____DK

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44. Do you provide subcontractors with site-specific training about the hazards at your
jobsites?
_____Yes
_____No
_____DK
Off-site Employees
45. Does your establishment have employees on the payroll who regularly work off –site, but
not at their homes?
_____Yes
_____No
_____DK
46. Do off -site employees receive safety and health training from personnel at your
establishment, or from the employers where they are working? Please check all that
apply? Question OK
_____From personnel at this establishment
_____From personnel at work location
_____Other
_____No safety and health training received
_____DK
47. Does your establishment have an established method for off-site employees to report a
hazard at their off-site workplace?
_____Yes
_____No
_____DK
48. Approximately what percentage of your employees work off site?
_____None
_____1% to 25%
_____26% to 50%
_____51% to 75%
_____More than 75%
49. Where is most of this off site work performed? (Please check all that apply.)
_____Other employer’s establishments
_____Private residences, other than employees’ homes
_____Privately-owned commercial buildings or facilities
_____Construction sites
_____Public locations, such as streets, highways, or parks.
_____Agricultural settings
_____Other

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END: This completes our survey. Thank you very much for all your time and patience. OSHA is
grateful for your participation and willingness to help them understand how workplaces in the
US deal with health and safety issues. Goodbye!

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