Health & Safety Reps Survey
Name: ………………………………………………….................................................................................
Designated Work Group: ……………………………….........................................................................
Work Place: ……………………………………………..............................................................................
E-mail Contact: ...........................................................................................................................
When were you elected? ………………………………........................................................................
Please circle the Yes or No and/or write your answer
Training
Have you had 5 day HSR training? Yes / No
Who provided the training? …………………………………................................................................
Who chose this training course? ……………….……………..............................................................
Have you attended refresher training in the last year? Yes / No
Workplace Inspections
Does your company provide you with paid time to do inspections of your work area? Yes / No
How regular are inspections? ………………………………….............................................................
Does your company give you feedback on your report? Yes / No
Do you inspect the area when injuries / near misses occur? Yes / No
If yes, what system is in place to have you informed when injuries / near misses occur to members of your designated work group? …………………………………………………………………........................................................................
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Are you given access to the Injury Register? Yes / No
MeatiesOHS Website
Do you use meatiesohs.org to access information on OHS Yes / No
Do you look at YourSay on MeatiesOHS Yes / No
If no, why not? ...........................................................................................................................
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Would you be interested in 1 day training to improve your ability to use computers to access health and safety information? Yes / No
Consultation
Does management give you all information that is relevant to health, safety and welfare of the workers whom you represent? Yes / No
Is information provided without you having to ask for it? Yes / No
Are you consulted by management about:
Identifying and assessing risks Yes / No
Decisions about controls Yes / No
Decisions about facilities for the welfare of workers Yes / No
Changes to the workplace for your designated work group Yes / No
Changes to work processes Yes / No
Changes to plant Yes / No
Changes to substances (chemicals) Yes / No
Monitoring workers’ health Yes / No
Monitoring the conditions of work Yes / No
Developing and agreeing about procedures for consultation Yes / No
Developing and agreeing health & safety policies/procedures Yes / No
Do you have direct contact with maintenance? Yes / No
Inspectors
Has an inspector been to your workplace/designated work group in 2010? Yes/No/Don’t know
Did they talk to you? Yes / No
Did they take you seriously? Yes / No
Did they give you a copy of their report? Yes / No
Have you called them in? Yes / No
Did they issue an Improvement Notice? Yes / No
Did they issue a Prohibition Notice? Yes / No
Assistance
Have you sought the assistance of any person:
The HSR Support Officer Yes / No
Another Health & Safety Rep Yes / No
An Organiser Yes / No
A consultant Yes / No
Did you have any difficulty with your management for requesting assistance from another person? Yes / No
If yes, did you call the inspectors? Yes / No
If yes, did they help? Yes / No
OH&S Committee
Does your work have an OH&S committee? Yes / No
If you have an OH&S committee does it meet more often than once every three months? Yes / No
How many management representatives and how many workers representatives are on this committee? …………………………………………………………………........................................................
Are there “minutes” of the meetings taken? Yes / No
If so, are they displayed where everyone has access? Yes / No
Access to Facilities
Are you given access to:
A phone Yes / No
A fax Yes / No
A photocopier Yes / No
A computer with internet access Yes / No
A room to meet with members Yes / No
Paid time to talk to your members Yes / No
Notices
Have you written a PIN in the last year? Yes / No
Did you have to serve the PIN? Yes / No
Was an Inspector called in? Yes / No
If yes, did they support your PIN? Yes / No
Was your PIN acted upon? Yes / No
If yes did they meet the deadline? Yes / No
Do you have any comments on how PINs worked? ………............................……………………........
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Have you issued a Direction to Cease Work because of an immediate danger? Yes / No
Did management agree with the Cease Work? Yes / No
Was the Inspectorate brought in? Yes / No
Were the workers given suitable alternate duties? Yes / No
If no, were the workers paid? Yes / No
If no, was the Inspectorate brought in? Yes / No
General
In the past twelve months have you had a major OH&S issue? Yes / No
If yes, what was it about and how was it resolved?
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Could you list as far as is relevant from 1-10 (one being the worst) your 10 most pressing OH&S issues?
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Are there particular issues about the role of an elected health and safety representative that you want to see on the AMIEU health and safety website meatiesohs.org?
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THANK YOU FOR YOUR PARTICIPATION