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Saman Smart Safety Leadership Assessor
Assessor Name:
Organisation/Section:
Assessment Date:
1. What percentage of your time per month is spent on safety?
5-10% (1 pt.)
10-15% (2 pts.)
15-20% (3 pts.)
>20% (4 pts.)
2. When a serious incident occurs at your unit, do you:
Get personally involved by ensuring the potential severity is assessed correctly, the investigation is completed within 24 hours, the root cause is identified, and the lessons learned are shared (1 pt.)
Require the investigation team leader to discuss the incident with you and obtain your approval on the investigation findings and prevention within 48 hours (1 pt.)
Review how the investigation report, ensuring the causes have been determined adequately, any organization-wide learnings are identified, and lessons learned are shared and acted upon (1 pt.)
Ensure a complete investigation is completed with quality and on time (1 pt.)
Scoring: Check as many boxes as done per the list.
3. How often do you conduct site safety inspections/audits using a calibrated inspection/audit checklist at the area under your control?
Never/rarely (0 pts.)
Once per month (1 pt.)
Once per week (2 pts.)
Once per day (3 pts.)
4. When you conduct site safety inspections/audits, do you:
Ensure you always wear the appropriate clothing and personal protective equipment (1 pt.)
Take the department manager/supervisor with you (1 pt.)
Make personal contact with employees, reinforcing key safety messages (1 pt.)
Review key standards to ensure you know what is acceptable and not acceptable before going out on the floor (1 pt.)
Scoring: Check as many boxes as done per the list.
5. In the past year, have you been involved by an unsafe act/condition without correcting it in any part of the company?
Yes (0 pts.)
No (2 pts.)
6. How many (%) of SafeWork Talk have you participated from previous year?
Less than 50% (0 pts.)
Equal to or more than 50% (2 pts.)
Number of planned SAFEwork (Safety) Talk per the period.
7. What percentage of your performance bonus plan is dedicated to safety?
<5% (0 pts.)
5-10% (1 pt.)
10-15% (2 pts.)
15-20% (3 pts.)
>20% (4 pts.)
8. What percentage of your direct reports’ performance bonus plan is dedicated to safety?
<5% (0 pts.)
5-10% (1 pt.)
10-15% (2 pts.)
15-20% (3 pts.)
>20% (4 pts.)
Supervisors without bonus plan direct reports select the 4 pts.
9. How often do you review the progress of these plans with your direct reports?
Annually (1 pts.)
Semi-annually (2 pt.)
Quarterly (3 pts.)
Monthly (4 pts.)
Weekly (5 pts.)
10. What safety performance measures do you review on a quarterly basis at the area under your control?
Injury statistics (1 pt.)
In```html Injury/incident analysis reports (1 pt.)
Inspection/audit reports (1 pt.)
Progress against strategic/unit safety plans (1 pt.)
Activities designed to remove hazards from the workplace (e.g., safety work orders, follow up on incident investigations, etc.) (1 pt.)
11. What percentage of your annual operating budget is spent on safety?
<2% (0 pts.)
2-4% (1 pt.)
4-6% (2 pts.)
6-8% (3 pts.)
I don't know (3 pts.)
>8% (4 pts.)
Exceptions for points. Head of section to supervisor levels: I don't know is permitted.
12. How many hours of safety education/training have you taken in the past 2 years?
<4 hours (0 pts.)
4-8 hours (1 pt.)
8-16 hours (2 pts.)
>16 hours (3 pts.)
13. How do you recognize outstanding safety achievements in the area under your control?
Personal letter, phone call, to affected employee(s) (1 pt.)
Personal visit to employee/team to express appreciation (1 pt.)
Find a recognition event for all employees to celebrate (1 pt.)
Significant career/compensation enhancement for high-performing leaders (1 pt.)
Scoring: Check as many boxes as done per the list.
14. Do you begin all meetings with a safety topic?
Sometimes (0 pts.)
All of the time (2 pts.)
Total Score:
0
/ 50
Interpretation of Safety Leadership Survey Results
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