Crystalline Silica Safety Training Needs Assessment Survey Crystalline Silica Safety Training Needs Assessment Survey (RELEASE 2)Introduction Thank you for taking the time to complete this survey. Your feedback is crucial in helping us design an effective training program that ensures all employees can safely handle materials and products containing crystalline silica. Instructions Please answer each question to the best of your ability and with as much detail as possible. The survey should take approximately 5-10 minutes to complete. 📃Part 1: Background Information1. Your Role in the Organisation:(Required) Burbank Management Team Burbank Site Supervisor HSE Management or Supervisory staff Operational staff (Employee or Contractor) Other (Please specify) 2. Department/Team: ________________________ 3. Length of Time with the Organisation:(Required) Less than 1 year 1-3 years Over 3 years 🖋️ Part 2: Current Knowledge and Practices4. Are you aware of the hazards associated with crystalline silica?(Required) Yes No Somewhat 5. Have you received previous training on handling materials containing crystalline silica?(Required) Yes No If Yes, please describe what the training included:6. How would you rate your current level of knowledge about crystalline silica and its risks?(Required) Excellent Good Average Poor Very Poor 7. How important do you believe it is to have regular training on the safe handling of materials containing crystalline silica?(Required) Extremely important Very important Moderately important Slightly important Not at all important Comments8. In your opinion, what are the potential consequences of inadequate training on crystalline silica?(Required)9. Do you feel that current safety measures and training for crystalline silica within your workplace are sufficient for your safety and that of your coworkers?(Required) Strongly agree Agree Neutral Disagree Strongly disagree Comments10. How confident are you in your ability to identify materials that may contain crystalline silica in the workplace?(Required) Extremely confident Very confident Somewhat confident Not very confident Not at all confident Comments11. Do you think that exposure to crystalline silica is a serious health risk in your current work environment?(Required) Definitely yes Probably yes Unsure Probably no Definitely no Comments12. To what extent do you agree that more stringent protocols and training should be enforced concerning crystalline silica?(Required) Strongly agree Agree Neutral Disagree Strongly disagree Comments13. How likely are you to recommend additional crystalline silica safety training to others in your workplace?(Required) Extremely likely Very likely Somewhat likely Not so likely Not at all likely Comments🖋️ Part 3: Training Needs14. What topics would you like to see covered in a crystalline silica safety training? (Select all that apply)(Required) Identification of materials containing crystalline silica Health risks of crystalline silica Safe handling practices Personal protective equipment (PPE) requirements Emergency procedures Legal and regulatory requirements Others (Please specify) Others (Please specify)15. How do you prefer to receive training?(Required) In-person sessions Online modules Hands-on workshops Printed manuals/guides Other Comments🖋️ Part 4: Implementation and Feedback16. How urgent do you believe it is to receive training on crystalline silica safety?(Required) Very urgent Urgent Moderately urgent Not urgent 17. Any additional comments or suggestions to improve safety training regarding crystalline silica in your workplace?🖋️ If you would like to be contacted by our training and development team to assist with the development of this upcoming training program, please add your contact information to the table below.Student Full Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Mobile NumberStudent Email Signature Conclusion Thank you for participating in this survey. Your input is invaluable to ensuring our workplace remains safe and compliant with health and safety regulations.
