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  Construction Industry Key Performance
Indicators Survey - Contractor (Safety)
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Contractor Safety Questionnaire
 
While we would appreciate your providing us with your company details, which will be kept confidential, we are comfortable
with questions 1 to 3 being left blank
     
1. Contact Name:   
     
2. Organisation:  
     
3. Address:  

Phone:             e-mail: 

 

General

4. What type of contractor are you? (principle activity only - please tick one box)

General construction   House construction   Non-residential building construction
Road and bridge construction   Construction trade services   Building structure services
Building completion services   Building construction   Residential building construction other
Non-building construction   Non-building construction other   Site preparation services
Installation trade services   Other construction services    
Other (please specify):  


5. What was your company's annual turnover on all its construction activity?
  $

6. Were you involved with a providor of building goods and/or services over the last 24 months?

Yes              No               (if yes, please answer Question 7; otherwise go on to Question 8)



7. Thinking back over the last 24 months, do you think the quality of building work has got better or worse over this time?

(please tick one number - additional comment space below)

Much Worse
 
A little worse
 
No real change
 
A little better 
 
Much better
                           
1
 
3
 
5
6
 
7
8
 
9
10

Comment:



8. Since 2004 there has been a new building regulatory regime (Building Act 2004). Were you involved in new buildings prior
      to this new regime?

Yes              No               (if yes, please answer Question 10)



9. Do you think the new regime has had an influence on the quality of new building works?

(please tick one number)

Strongly believe
no influence
 
A small
influence
 
Moderate
infleuence
 
Considerable
influence  
 
Strongly believe
a major influence
                           
1
 
3
 
5
6
 
7
8
 
9
10



10. One of the reasons for setting up the new regulatory regime was to provide a balance between the needs of practitioners
      (i.e. builders, architects, etc) and property owners. Do you think the new regulatory regime has achieved this?


Yes              No               (please qualify your answer below - check one number only and additional comment space below)

No
effect
 
Small
effect
 
Moderate
effect
 
Considerable effect 
 
Achieved
result
                           
1
 
3
 
5
6
 
7
8
 
9
10

Comment:


 

Safety - 2007

11. Number of lost time injury cases/fatalities for the period
Lost time injury cases are any work-related injuries that require days away from work. Do not include the day of the injury. Include lost time injury cases/fatalities on all projects in progress in the period (for your company only)

Please enter total number then break down into over 3 days and under 3 days:

(a) Total number:  

(b) Cases over 3 days:                  (c) Cases of 3 days or under:  


12. Number of lost days for the period:
  

Report the number of total lost days from the lost cases reported above (for your company only)


13. Number of medical injury cases for the period:
  

A medical injury is any work-related injury that requires professional medical attention.
This includes all lost time cases
(for your company only)


14. Man-hours worked for the period:
  

Man-hours should include hours worked by asll full-time equivalents employed on site for your company.
Includes hours worked on all projects in progress in the period
(for your company only)

 
        Thank you for completing this questionnaire!
 
  Supported by:            Sitesafe logo