
K3 Questionnaire for UTD
Authored by Nur Widiyasono
Information Technology (IT)
University

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25 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The management of UTD (Unit Head) actively supports the implementation of K3.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
I feel safe to express potential hazards or incidents to my superior.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The K3 culture is consistently applied every day in the workplace.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The standard operating procedures (SOP) for K3 are documented and easily accessible.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
I always follow the K3 SOP when performing my duties.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Revisions to the K3 SOP are communicated in a timely manner to all staff.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
I have received adequate K3 training before starting work at UTD.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
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