EHS-MS Awareness Questionnaire

To better manage environment, health and safety (EHS) issues at the Institute, the EHS Office is gathering information to measure general awareness about MIT's Environment Health, and Safety Management System (EHS-MS). The questions are designed to gauge how successful we've been at increasing your awareness of the EHS-MS.

This questionnaire is MIT certificate protected but the data gathered will be anonymous.  By participating your name will be entered into a drawing for a gift certificate to thank you for your input but your name will not be tied in any way to your answers to ensure anonymity of your responses.

We appreciate you taking the time to respond and your answers will help guide us as we continue to integrate the EHS-MS into departments, labs, and centers.

1. Have you heard of or seen information about MIT's Environment Health and Safety Management System (EHS-MS) from any of the following sources? (Please check all that apply.)

   No, I've not received any information about the EHS-MS .
   Yes, from the EHS Rep in my area
   Yes, from my department's EHS Coordinator
   Yes, from my PI, supervisor, or manager
   Yes, from a co-worker / fellow student
   Yes, from the EHS Office or an EHS office staff member
   Yes, from the EHS newsletter or pamphlet
   Yes, from materials posted in my work area
   Yes, from an EHS training course
   Yes, online
   
   Other:

2. Have you used the EHS-MS in any of the following ways? (Please check all that apply.)

   Yes, I've completed my EHS Training Needs Assessment online
   Yes, I've completed EHS training course(s) either online or in a classroom
   Yes, I've input information or otherwise used the PI/Space Registration system
   Yes, I've participated in or witnessed an EHS inspection of my area
   Yes, I've prepared EHS documentation as part of the EHS-Management System
   Yes, I've reported an injury
   Yes, I've called the EHS office
   Yes, I've used the Data Warehouse to run reports on PI/Space Registration
   No, not that I am aware of
   No, I don't work in an area with any hazards
   No, I don't think it applies to me
   
   Other:

3. Where would you go for more information about MIT's Environment Health and Safety Management System? (Please check all that apply.)

   My area's EHS Rep
   My department's EHS Coordinator
   My PI, supervisor, or manager
   My department's AO or support staff
   My department's facilities coordinator
   The EHS Office
   The web (web.mit.edu/ehs-ms or web.mit.edu/environment)
   
   Other
   Don't know
   Not applicable

4. For concerns or problems relating to the environment, health or safety in your place of work or study, where would you go?

   My area's EHS Rep
   My department's EHS Coordinator
   My PI, supervisor, or manager
   My department's AO / support staff
   My department's facilities coordinator
   The EHS Office
   The Facilities Department
   
   Other:
   Don't know

5. Have you heard of or seen information about MIT's Environment Health and Safety Policy, a component of MIT's EHS-MS? (Please check all that apply.)

   Never heard of it/hasn't been communicated to me
   Received it in a mailing
   Have seen it on the web
   Have seen it posted
   Heard about it in an EHS training session
   
   Other:
   

About you:

Which of the following describes your current role at the Institute:

Undergraduate student
Graduate student
Post doctoral candidate
Faculty
Staff
Research Staff
Operations/facilities staff

Other:

Which of the following activities do you do in your work or study area?

Work with chemicals
Work with biological materials
Work with radioactive materials or have potential for exposure to radiation
Work with non-ionizing radiation sources such as lasers.
Work with computers routinely
Routine lifting

Other:

Years at the Institute:

Less than 6 months
6 months to 1 year
1 to 5 years
More than 5 years