Text for ‘Workplace assessment: SAMPLE QUESTIONNAIRE ...



Workplace environment auditNotesBackground information about your worksiteThe aim of this section of the questionnaire is to gain an understanding of the working practices and organisational structure of the workplace. Questions need to relate to the size of the organisation and the ethos it promotes.This section should:assess the working practices and policies that affect employees’ participation in physical activity initiatives, e.g. shift work and number of hours worked.identify the structure of the organisation i.e. the number of employees, as this will have an impact on the chosen physical activity options.Health promotion in the workplaceThe aim of this section is to gain an understanding of the current health promotion practices that exist within the organisation. This section should:establish what personnel are available for the coordination and implementation of the physical activity programmedetermine which communication channels exist within the organisation for promoting and facilitating the programme.FacilitiesThis section is divided into physical activity, healthy eating and mental wellbeing at work. The aim of this section is to gain an understanding of existing and potential provision of facilities and access needed for people to be healthy at work. Questions need to relate to the practicalities of offering opportunities to be active and eat well in and around the workplace, and to identify and deal with mental health issues across the workplace.This section should:identify what space and facilities are currently or potentially available in and around the workplaceestablish what, if any, equipment is available either locally or within the workplacedetermine what community resources are available – such as areas and services within the local community – to support and provide healthy options in and around your workplace.Scoring instructionsComplete the questionnaire. For each completed section, count how many Yes answers you have. The table below indicates how well you’re doing. The higher average score per section, the better you’re doing at promoting health at work.Number of Yes answersPoorAverageGoodSections with 1-3 questions0, 123Sections with 4-6 questions0, 1, 23, 45, 6Sections with 7-12 questions 0, 1, 2, 3, 4, 56, 7, 89, 10, 11, 12For sections with more than 12 questions, getting 50% Yes answers is equivalent to ‘average’ and 75% Yes answers is equivalent to ‘good’.Calculating your health at work score Basically, the more Yes answers the better but remember to answer the questions honestly as this tool aims to help you identifying issues that needs to be dealt with to promote health at work.For sections with 1-3 questions, you should get at least 1-2 Yes answers. For sections with 4-6 questions, you should get at least 3-4 Yes answers.For sections with 7-12 questions or more, you should get at least 6 Yes answers. For sections with more than 12 questions, you should get at least 50% Yes answers.ExampleMental Wellbeing : 1 g) Relationships at work Yes NoIs there a system for reporting and controlling bullying and harassment?xIs there a system for reporting alcohol and drug abuse?xDo you have a grievance procedure in place?xDoes your workplace comply with the equal opportunities policy?xIs there a good two-way communication with employees?xSection 1g has got five questions and in the example above there are two Yes answers. For sections with 4-6 questions, you should get at least 3-4 Yes answers. In the example above there are only two Yes answers out of five which is classified as ‘poor’ and a score below average.ScoresScores mostly above average: Good start! This indicates that your workplace has a great many policies and practices already in place to promote health in the workplace. You could use some of the information in our Health at Work resources to try some new ideas and boost your programme even more. Look at your Workplace Assessment Score to pinpoint any areas where your organisation may be doing less well. These are the areas you need to prioritise for action.Review the situation again at regular intervals to ensure you’re keeping up the good work.Scores mostly average: You’re going in the right direction! This indicates that, although you have made a start on promoting health in the workplace, there are a number of changes that you could put in place to improve the health of your employees.Identify which areas have got the lowest scores and make these a priority for action.Decide which three areas you’re going to work on first, and use our Health at Work resources to find ideas for options to address those areas.Scores mostly below average: You’ve got a good reason to jump straight into health promotion at work! This indicates that you’ve a great many issues which your organisation needs to work on to improve the wellbeing of your workforce. Urgent help should be sought from occupation health, human resources or elsewhere, to develop and implement a workplace wellbeing programme to reduce risks. Have a look at our resources for information about developing health at work programmes.Identify which areas have got the lowest scores and make these a priority for action.Decide which three areas you’re going to work on first and use our Health at Work resources to find ideas for options to address those areas. Workplace environment audit: SAMPLE Background information about your worksite1 a) Approximately how many employees are there in your company? Please tick.4457700342900038862003429000308610034290002348230342900016002003429000914400342900034290034290000-25 26-50 51-100 101-150 151-200 201-300 301+b) Approximately how many departments are there in your company? (Please state.) 0157480002 What proportion of your employees are … Please tick. All More than Half Very None Don’t know half few137160031115004457700311150038862003111500331470031115002743200311150020574003111500Women137160050165004457700501650038862005016500331470050165002743200501650020574005016500Full-time(35+ hours/week)445770010096500388620010096500331470010096500274320010096500205740010096500137160010096500Part-time137160012192000445770012192000388620012192000331470012192000274320012192000205740012192000Working shifts388620016510003314700165100027432001651000205740016510001371600165100044577001651000Working flexitime137160010731500445770010731500388620010731500331470010731500274320010731500205740010731500Regularly working at different locations other than main site137160094615004457700946150038862009461500331470094615002743200946150020574009461500Disabled and/orhave special needs388620024765003314700247650027432002476500205740024765001371600247650044577002476500Regularly spending time on the road388620049530003314700495300027432004953000205740049530001371600495300044577004953000People with special dietary needs0-1270003 a) Does your worksite have any practices or policies that … (Please tick.)YesNo4114800501650032004005016500… allow employees to job share4114800831850032004008318500… allow flexible working for employees to be active during the working day320040016891000411480016891000… allow flexible working for employees to improve their work/life balance3200400203200041148002032000... demonstrate your organisation’s ethos to promote healthy eating?0306705004 a) Does your workplace have written policies addressing the following issues? (Please tick.)YesNo 374015010922000283781510922000Health and safety3740150838200028378158382000Healthy eating2837815736600037401507366000Physical activity2837815831850037401508318500Stress in the workplace2837815952500037401509525000Smoking in the workplace2837815654050037401506540500Work-life balance, e.g.flexible working and ‘family-friendly’ practices283781511366500374015011366500Drugs and alcohol in the workplaceOther (Please state.)__________________________________________________________b) Is there any corporate advertising or sponsorship involving food and/or drink or fitness and sports in the workplace?__________________________________________________________________________c) How long do employees have for lunch?425069012065002723515120650013392151206500Less than 20 minutes 20-29 minutes30-44 minutes42506904445000272351544450001339215444500045-59 minutes1 hourMore than 1 hourd) How long do employees have for other breaks during their working day?425069012065002723515120650013392151206500Up to 20 minutes 20-29 minutes30-44 minutes42506904445000272351544450001339215444500045-59 minutes1 hourMore than 1 hourHealth promotion in the workplace1) How is workplace health and wellbeing promoted within your workplace? For example, is it through a formal committee and/or occupational health, health and safety or human resources? __________________________________________________________________________2) Who would employees report any health and safety problems to in your workplace? (Please give job title.)__________________________________________________________________________3) Who would employees report any problems with facilities to in your workplace (for example unclean kitchen)? (Please give job title.)__________________________________________________________________________4 a) Is there a specific group or workplace health champion responsible for the promotion, supervision or coordination of a health at work programme? 13392151263650045275512636500 Yes No b) If Yes, do they have a budget? 1339215-317500452755-317500 Yes Noc) If Yes, are there any constraints on how this money can be spent? 136271020320004292602032000 Yes No d) If you answered No to 4a, are there any employees or local health professionals who are willing to support the programme by volunteering? Yes No Don’t know297180010350500491490010350500388620010350500Employees297180078105003886200781050049149007810500 Health and safety team 297180024765003886200247650049149002476500Occupational health team 297180045720003886200457200049149004572000Human resources 297180018415003886200184150049149001841500Trade union representatives 297180015875003886200158750049149001587500Catering staff 297180012700000388620012700000491490012700000Dietitians or nutritionists 297180095885003886200958850049149009588500Social committee 297180025400038862002540004914900254000Smoking cessation counsellors 297180019685003886200196850049149001968500Health professionals e.g. public health team297180012065003886200120650049149001206500Food store representatives297180013208000388620013208000491490013208000Community dietitians297180011303000388620011303000491490011303000Community health centre staff297180012509500388620012509500491490012509500GP practice staff297180012065003886200120650049149001206500Heart health groups297180012700003886200127000049149001270000Chambers of commerce297180017145003886200171450049149001714500Private sector consultants2971800-1905003886200-1905004914900-190500Private insurance providers5) Have you ever had requests from employees for more health initiatives / facilities to be provided in the workplace?28575002032000136271020320004292602032000 Yes No Don’t know If yes, specify_______________________________________________________________6) Does your workplace offer, provide or have access to any of the following activities? (Please tick all that apply.) Yes No4686300800100037064958001000Lunchtime walks4656455165100037674551651000Active stretch breaks4656455990600037674559906000Walking meetings46564553810003767455381000Physical activity/sports courses and qualifications4656455863600037674558636000Lunchtime activity groups4656455-8890003767455-889000Sports or activity clubs4656455419100037674554191000Recreational games for employees at lunchtimeor after work4656455927100037674559271000Company leagues or ladders4656455-2540003767455-254000On-site activity classes4656455800100037674558001000Activity taster sessions465645513081000376745513081000Corporate challenges4656455361950037674553619500Inter-company and/or cross-company competitions 465645511874500376745511874500Activity days4656455234950037674552349500Participation in local or national events4656455742950037674557429500Active team-building day for employees4656455107950037674551079500Health-related treatments 465645513144500376745513144500Recipes and tips for healthy eating465645513652500376745513652500Cookery classes465645512954000376745512954000Nutrition courses and qualifications4656455876300037674558763000Talks, presentations and workshops on healthy eating by health professionals, dietitians/nutritionists4656455533400037674555334000Access to health promotion materials such as leaflets and posters about healthy eating4656455615950037674556159500Access to weekly healthy eating messages via email and/or bulletin boards4656455158750037674551587500Access to drinking water for all employees4656455444500037674554445000Free fruit in the workplace465645511303000376745511303000Selection of healthy refreshments in meeting rooms – for example, water and fresh fruits4656455266700037674552667000Fruit and vegetable box delivery scheme with deliveries to the workplace4656455749300037674557493000Self-check facilities, eg, weighing scales and tape measures available in a private area46564555080003767455508000Weight management programmes46863008255003773170825500Health and fitness assessments and/or health screening4686300603250037731706032500Health-related treatments4686300349250037731703492500Healthy breakfast bar4686300228600037731702286000Healthy meal choices available in the employee restaurant4686300158750037731701587500Healthy sandwich or lunch delivery service4686300800100037731708001000Healthy meal options in the vending machines –for example, sandwiches, pasta, fresh fruit and yoghurts4686300215900037731702159000Healthy snack options available in the vending machines or snack bars4686300228600037731702286000On-site facilities, eg, food preparation and storage areasfor employees’ use468630013462000377317013462000Participation in local or national healthy eating events4686300330200037731703302000Team or individual ‘Eat well! challenges’7 a) If you have a multi-site workplace, are the options above applicable to every site of the workplace? 160020034290008001003429000YesNob) If No please state why.____________________________________________________________________________________________________________________________________________________8) Does your organisation actively encourage employee participation in its health promotion programmes? 16002001193800080010011938000YesNo9) Which communication channels are available in your workplace to promote physical activity? (Please tick whichever ones apply.)20161259652000421259096520004483109652000E-mail Voicemail E-bulletin boards42125901422400024003001422400056261014224000Intranet Weekly e-notices Employee newsletter42125901028700022860001028700091440010287000Notice boards Displays/signs Internal mail system4212590774700023241001143000056261011430000Training Staff room notices Payslip flyers Other (Please state.)__________________________________________________________Physical activityFacilities1 a) Does your worksite offer, provide or have access to physical activity facilities in the following ways? (Please tick.)YesNo457200011811000354330011811000On-site exercise facilities/programmes457200013970000354330013970000Free, discounted or employer-subsidised memberships foroff-site facilities4572000127000035433001270000Free, discounted or employer-subsidised memberships foron-site facilities4572000635000035433006350000Outdoor exercise areas or playing fields for employee use4572000508000035433005080000Access to fitness testing/assessments457200010160000354330010160000Incentives to employees who participate in physical activities/maintain physical fitness45720006985003543300698500Showers4572000577850035433005778500Changing areas457200014033500354330014033500Lockers/ storage facilities4572000768350035433007683500A company bicycle pool and storage racks3543300908050045720009080500Stairsb) Are these options available outside work hours? (Please tick.)1600200254000607060254000 YesNoPlease give details ___________________________________________________________2) Does your worksite offer any of the following potential sites or facilities for activity? Please tick all that apply.1714500247650048006002476500Meeting rooms Space for on-site exercise classes1714500171450048006001714500Grounds for cycling Access to areas for walking17145009525004800600952500Trails or paths Company groundsOther (Please state.)__________________________________________________________3) What improvements could be made to the facilities you have listed in question 2, that would encourage employees to use them more? 3657600146050048012351460500160020044450026282651460500781050444500Cleanliness Layout781050952500 Lighting Surface VentilationAre the facilities:137287095250046875709525002966085952500Aesthetically pleasing Well designedWell maintainedOther (Please state)__________________________________________________________4) Are there any areas or services in the local community to support physical activity in and around your workplace? (Please tick.)281622526670008801102667000Walking trails Cycling routes 1243965190500038328601905000Recreation groundsLocal community organisation3086100-1270001129665-127000Shopping centresUniversity/college2816225-571500178308010858500Health and Exercise groups/ Parksfitness clubs/ classes centres Other (Please state.)__________________________________________________________Healthy eatingFacilities1 a) Does your workplace offer, provide or have access to any of the following facilities?(Please tick.)Yes No45929555715004181475571500Employee restaurant 4181475615950045929556159500Free, discounted or employer-subsidised4592955901700041814759017000Healthy breakfast bar45929558890004181475889000Lunch service459295512954000418147512954000Salad bar4592955304800041814753048000All-day service that accommodates shift patterns41814755080004592955508000Evening service4181475279400045929552794000An adequate queuing and service system that allowsemployees to access food within their allocated break times418147510414000459295510414000Sufficient seating for all employees418147513271500459295513271500Outdoor seating4181475781050045929557810500Free drinking water4181475590550045929555905500Vegetable and fruit choices4181475520700045929555207000Meal choices459295511176000418147511176000Purchase of alcoholic beverages4181475101600045929551016000Suitable facilities for hand-washing, ie, soap and clean towels4181475508000045929555080000Access to information about the nutritionalcontent of food and drink418147510731500459295510731500Food tasting sessions418147511239500459295511239500Themed lunches4181475889000045929558890000Identified healthy meal choices Yes No45167555080004105275508000b) Vending provision 4105275431800045167554318000Accessible to all employees4516755939800041052759398000Free, discounted or employer-subsidised410527510160000451675510160000Range of healthy options available410527510604500451675510604500Fruit and vegetable choices4105275120650045167551206500Healthy meal options available – for example, sandwiches, pasta,fresh fruit and yoghurts410527513589000451675513589000 Yes Noc) Designated areas for employees to take breaks?If Yes, please state where:_______________________________ Yes No4516755146050041052751460500d) Designated areas for employees to eat meals?If Yes, please state where:_______________________________ Yes No4516755158750041052751587500e) Access to drinking water for all employees? Yes No4516755800100041052758001000f) Access to drink machines, or facilities to make their own drinks,for all employees? Yes No4516755222250041052752222500g) Selection of healthy food and drinks in meeting and training rooms? h) On-site food preparation and storage areas for employee use: Yes No4105275171450045167551714500Fridges4105275222250045167552222500Kettles4105275114300045167551143000Microwave4105275838200045167558382000Cooking facilities4105275793750045167557937500Sink4105275139700045167551397000Range of utensils, cutlery and crockery, including chopping board,knife, bowls and plates4105275-1270004516755-127000Suitable arrangements in place to keep the area clean410527513779500451675513779500Suitable facilities for hand-washing, ie, soap and clean towels410527511176000451675511176000Other equipment (Please state.)____________________________ Yes No4105275412750045167554127500i) Access for temporary food outlets outside the workplace (eg, burger vans)451675511366500410527511366500 Yes Noj) Access to health and fitness testing or assessments Yes No410527512954000451675512954000k) Is data available to allow you to track the usage of these facilities?Please give details:_______________________________________ Yes No410527510033000451675510033000l) Are any of the options listed above available outside work hours? Please give details:_______________________________________ Yes No4516755679450041052756794500m) Are any of the options shared with other organisations?Please give details:______________________________________n) Employee restaurant Yes No4143375965200045548559652000Do you work with on-site caterers to review uptake rates,choice and cost?4554855584200041433755842000Are catering staff adequately trained in food hygiene andhealthy eating?41433758255004554855825500Is training available for catering staff to support them in promotinghealthy options?2) Does your workplace offer any of the following potential sites or Yes No414337523177500455485523177500facilities for health promotion activities: Meeting rooms414337510223500455485510223500Food preparation and storage areas414337511938000455485511938000Space for on-site cookery classes41433755715004554855571500Grounds for growing fruit and vegetables4143375184150045548551841500Other (Please state.)_____________________________________3) What improvements could be made to the facilities you have listed in question 2, that would encourage employees to use them more? 3657600146050048012351460500160020044450026282651460500781050444500Cleanliness Layout781050952500 Lighting Surface VentilationAre the facilities:137287095250046875709525002966085952500Aesthetically pleasing Well designedWell maintainedOther (Please state)__________________________________________________________4) Are there any areas or services in the local community to support healthy eating in andaround your workplace? (Please tick all that apply.)491490011747500384492511747500224155011747500105029011747500Shopping centresSupermarketsHealth food shopsFarm shops457390599060002966085990600010502909906000Sandwich shopsHealth and fitness centres University or college178371510350500Local community organisation Other (Please state.)__________________________5) What do you think are the barriers to healthy eating in your workplace?__________________________________________________________________________Mental WellbeingFacilities Does your workplace offer or provide any of the following facilities?(Please tick.)1 a) Information and awareness Yes No4859020603250044405556032500 Information to employees about mental wellbeing?444754011874500485902011874500Mental health training and awareness-raising for employees?4447540933450048590209334500Mental health training and awareness-raising for managers?444754014033500485902014033500Accessible information about local and national help agencies?444754014478000485902014478000Information about the personal support services your organisation provides?b) Opportunities to promote mental wellbeing Yes No444754011874500485902011874500Opportunities for physical activity before, during or after work?4447540177800048590201778000Stress-buster sessions before, during or after work (e.g. yoga, massage)4447540-7620004859020-762000Social events after work or at weekends?4447540819150048590208191500Information about common stressors such as debt, time management or relationship problems? c) Assessing needs Yes No444754012001500485902012001500Do you identify needs and evaluate stress on an on-going basis through:444754013652500485902013652500One-to-one informal meetings with employees?444754013208000485902013208000Regular one-to-one formal review meetings with employees?4447540628650048590206286500Annual staff surveys which include some questions on workplace mental wellbeing?4447540165100048590201651000Employee mental wellbeing survey?4447540330200048590203302000Regular use of this workplace assessment questionnaire?d) Job control Do your employees: Yes No444754013398500485902013398500Have the opportunity for flexible working arrangements?444754010858500485902010858500Get an opportunity, where possible, to plan their own work?4447540774700048590207747000Have an opportunity to regularly make decisions with management on how work problems should be tackled?4447540-4445004859020-444500Have some control over their work environment?e) Job demand Yes No44475405080004859020508000Are employees able to cope with the amount and complexity of their work?4447540381000048590203810000Are department objectives realistic and achievable?4447540546100048590205461000Are there adequate resources to do the work?4447540596900048590205969000Are working hour demands reasonable?485902010223500444754010223500Is the work environment monitored for one or more factors such as noise, ventilation, temperature and humidity?4819015311150044075353111500Are staff benefits or recognition give for good work?f) Job roles Yes No4445635215900048571152159000Do all staff have clear and up-to-date job descriptions that accurately describe their role?444563512128500485711512128500Is the job evaluation process followed for all new jobs?444563512573000485711512573000Are there clear job descriptions for new jobs?4445635-3175004857115-317500Is the correct training available for all jobs?g) Relationships at work Yes No4445635-5715004857115-571500Is there a system for reporting and controlling bullying and harassment?4445635-635004857115-63500Is there a system for reporting alcohol and drug abuse?44456353810004857115381000Do you have a grievance procedure in place?44456358890004857115889000Does your workplace comply with the equal opportunities policy?4445635133350048571151333500Is there a good two-way communication with employees?h) Management skills Yes No48571150004445635000Do managers have or get support, training and skills for the job?444563512065000485711512065000Are staff given the training and resources to do the job?44456359525004857115952500Is induction and/or job-change training given?444563514097000485711514097000Is refresher training available?44456356985004857115698500Are one-to-one supervision sessions held regularly?4445635285750048571152857500Is the appraisal process followed correctly?4445635330200048571153302000Does the recruitment process correctly match skills and ability to do the job?4857115139700044456351397000Is the attendance procedure used correctly?4445635260350048571152603500Is sickness absence monitored for signs of stress-related illness?4445635234950048571152349500Is annual leave monitored to ensure leave entitlements are taken?4445635476250048571154762500Are reports of stress taken seriously and action taken?4445635330200048571153302000Are staff discouraged from working excessive hours?i) Support at work Yes No44456352540004857115254000Are the organisation’s values and objectives clear to employees?4445635908050048571159080500Is there a supportive environment where employees feel valued and able to acknowledge problems and ask for help?4445635609600048571156096000Do you provide assistance, advice and support to people who experience a mental health problem?4857115558800044456355588000Do you provide support for staff returning to work after a period of absence due to a mental health problem?j) Employing people who have experienced mental health problems Yes No4485640857250048971208572500Are positive statements about employing people who have experienced mental health problems included in recruitment literature?4485640749300048971207493000Do you offer to make reasonable adjustments to enable a person who has experienced mental health problems to do their job?4485640527050048971205270500Do you aim to retain staff who have experienced mental health problems by providing the support they need?4485640698500048971206985000Do you offer support to new members of staff who are making the transition into work following a mental health problem? Yes No4485640114300004897120114300002) Are employees consulted and involved in organisational changes that may affect them? ................
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