Sample Health and Safety Risk Assessment

3
35. I take responsibility for my actions and
understand the effects that they have on others.
1 2 3 4 5
Intellectual Wellness
36. I keep informed about social, political, and/or
current events.
1 2 3 4 5
37. I seek opportunities to learn new thing s th rough
different mediums such as television, books,
newspaper, internet, etc.
1 2 3 4 5
38. Before making decisions, I gather facts and
consider all viable options.
1 2 3 4 5
39. I enjoy activ ities such as th e arts, visiting
museu ms, or attending plays or concerts.
1 2 3 4 5
40. I enjoy learning new information on a daily
basis.
1 2 3 4 5
Occupational Wellness
41. I enjoy my work.
1 2 3 4 5
42. I am satisfied with the balance between my work time
and leisure time.
1 2 3 4 5
43. I am satisfied with my ability to manage and con trol my
work load.
1 2 3 4 5
44. The level of stress in my work environment is
manageable for me.
1 2 3 4 5
45. At work, my level of author ity is cons istent with my
level of responsibility.
1 2 3 4 5
Values, Spirituality, and Beliefs
46. I feel that my life has a purpose.
1 2 3 4 5
47. I am able to discu s s my values and beliefs with my
family and friends in a reasonable manner.
1 2 3 4 5
48. My actions are guided by my own beliefs rather than the
beliefs of ot hers.
1 2 3 4 5
49. I spend a portion of every day in personal reflection.
1 2 3 4 5
50. I am tolerant of the values and beliefs of others.
1 2 3 4 5
Page 3/4
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