Warehouse Safety Survey – Philadelphia Jobs with Justice

Name *

First

Last

Phone number *

Do you work in a Philadelphia warehouse? *

What is the name of your employer? *

When did you start working at the warehouse? (Month, Year) *

Have you ever gotten an injury on the job that caused you to: *

Have you experiences any of the following safety risks at work? *

Risk of repetitive stress injury/muscular or skeletal injury from constant strain
Infectious disease exposure (including COVID)
High temperature/risk of overheating
Fall risk
Toxic chemical exposure

Are you ever required, or pressured, to work at an unsafe pace? *

Are you ever required, or pressured, to shorten or skip breaks to meet productivity quotas? *

Does meeting productivity quotas ever put you at risk of short-term or long-term injury? *

Do you have enough time to take care of health needs like eating and using the bathroom without impacting your expected productivity rate? *

On a scale of 1 to 5, how safe do you feel at work? 1 meaning completely unsafe, 5 meaning totally safe.

Selected Value: 1

Please describe a situation in which you have felt unsafe at work.

Is there anything else your employer should be doing to improve your workplace conditions?