Safety performance evaluation template

While safety inspection checklists focus on physical hazards and compliance issues, this template evaluates your entire safety management system. It assesses safety culture, training effectiveness, incident response processes, hazard control methods, and performance measurement—giving you insights into how well your safety program functions as a whole rather than just identifying isolated hazards.

Look for patterns in your “NO” responses to identify system weaknesses. Prioritize issues affecting multiple areas, then develop specific action plans with clear responsibilities and deadlines. Track improvements over time by comparing evaluation results. Remember that cultural issues often require longer-term strategies while procedural gaps may have quicker fixes.

First, dig deeper to understand specific cultural barriers through focus groups or anonymous surveys. Then develop a multi-faceted approach: increase leadership visibility in safety activities, recognize positive safety behaviors, and create opportunities for employee involvement in safety decisions. Cultural change takes time—focus on small wins while working toward larger shifts.

Create psychological safety by emphasizing that the evaluation aims to improve systems, not blame individuals. Consider anonymous input options for sensitive questions. Have evaluations conducted by someone trusted by the workforce. Share how previous evaluation results led to positive changes, demonstrating that honest feedback truly matters and drives meaningful improvements.