Professional Documents
Culture Documents
* Required
For the following section, please rank the following statement on the scale of 1 - 6
(1: Strongly Disagree, 2: Disagree, 3: Slightly Disagree, 4: Slightly Agree, 5: Agree, 6: Strongly Agree)
*
Demonstration of top management commitment and involvement in safety.
In my workplace
management act quickly to
correct safety problems
accidents by implementing
an effective safety program
Management operates an
open-door policy on safety
issues
In my workplace,
managers/supervisors show
interest in my safety
In my workplace,
managers/supervisors
emphasize the need of
wearing personal protection
equipment
Supervisor/safety officer
usually engages in regular
safety talks
Supervisors endeavor to
ensure that individuals are
not working by themselves
under risky or hazardous
conditions
https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 2/8
4/6/22, 2:49 PM [English] Self-Regulation Culture Assessment: MLNG
I am strongly encouraged to
participate in the
programs/activities which
can improve safety
https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 3/8
4/6/22, 2:49 PM [English] Self-Regulation Culture Assessment: MLNG
https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 4/8
4/6/22, 2:49 PM [English] Self-Regulation Culture Assessment: MLNG
Health screening/medical
checkup provision is relevant
to the company health and
safety policy
Safety training is
https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 5/8
4/6/22, 2:49 PM [English] Self-Regulation Culture Assessment: MLNG
repeated/updated regularly
It is important to me that
there is a continuing
emphasis on safety
https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 7/8
4/6/22, 2:49 PM [English] Self-Regulation Culture Assessment: MLNG
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https://forms.office.com/pages/responsepage.aspx?id=43sYhH4D7EGInKFQ_kdkMgS-4TFCFeBMiI1gssVb6A1UNEVLVkhOWFlOSjEzNVZROEh… 8/8