Health and Safety Representative (Aged Care) Research Survey

This survey is part of a collaborative project between ANMF, HWU, and WorkSafe Victoria. We want to hear your thoughts about your workplace health and safety consultation and representation. You will not be required to disclose any personal information such as your name and contact details when completing this survey. In completing this survey, you are providing consent that ANMF and HWU may use the information you provide for the Health and Safety Representatives (HSRs) in private aged care survey. We take your privacy seriously and will not disclose to any third parties your responses to this survey. Only de-identified or aggregated data will be used.

Terms and Conditions(Required)

I agree that I have read and accept the terms and conditions set below.

1. Acceptance of Terms
By participating in this survey, you agree to be bound by these Terms and Conditions and our Privacy Policy. If you do not agree with any part of these terms, you should not proceed with the survey.

2. Purpose of the Survey
The purpose of this survey is to gather information for the Health Workers Union for research and analysis purposes.

3. Data Collection
a. Participation in the survey is voluntary and you may choose to discontinue your participation at any time.
b. We will collect various types of information, including personal and non-personal data. Personal data may include but is not limited to your name, email address, age and other identifiable information.
c. All data collected will be anonymised and combined, and any personal information will be treated in accordance with our Privacy Policy.

4. Use of Data
a. The data collected will be used for research and analysis purposes only.
b. We may share combined and anonymised survey results with third parties, but individual responses will not be disclosed.

5. Data Security
We have implemented reasonable security measures to protect the data collected during the survey. However, we cannot guarantee the security of your data, and you acknowledge that data transmission over the internet is inherently insecure.

6. Data Retention
We will retain your data for as long as necessary to fulfill the purposes for which it was collected unless a longer retention period is required or permitted by law.

7. Access to Your Data
You may request access to the data we hold about you by contacting us at Health Workers Union. We will respond to such requests in accordance with applicable data protection laws.

8. Amendments to Terms
We reserve the right to amend these Terms and Conditions at any time without prior notice. Your continued participation in the survey will constitute your acceptance of the revised terms.

9. Contact Information
If you have any questions or concerns about these Terms and Conditions or the survey, please contact us at (03) 9341 3300.

I agree that I have read and accept the terms of the privacy policy set below.

1. Data Collection

a. We collect personal and non-personal data when you participate in our survey. Personal data may include but is not limited to your name, email address, age and other identifiable information.

b. We may use cookies and similar tracking technologies to collect non-personal data, such as IP addresses, browser type, and usage patterns.

2. Data Use
a. We use the data collected for research and analysis purposes, to improve our services, and to create combined and anonymised reports.
b. We do not sell, rent, or lease your personal data to third parties.

3. Data Security
We have implemented reasonable security measures to protect the data we collect, but we cannot guarantee the security of your data. You acknowledge that data transmission over the internet is inherently insecure.

4. Data Retention
We will retain your data for as long as necessary to fulfil the purposes for which it was collected unless a longer retention period is required or permitted by law.

5. Your Rights
a. You have the right to access the personal data we hold about you.
b. You have the right to request the correction or deletion of your personal data.
c. You have the right to object to the processing of your personal data.

6. Changes to the Privacy Policy
We may update this Privacy Policy from time to time. Any changes will be posted on our website, and your continued use of our services will constitute your acceptance of the revised Privacy Policy.

7. Contact Information
If you have any questions or concerns about our Privacy Policy or data practices, please contact us at 03 9341 3300.
Please make sure to adapt these terms and conditions and privacy policy to your specific needs and consult with legal professionals to ensure compliance with applicable laws and regulations.

What is your Role?(Required)

Mode of Employment(Required)

Cultural Diversity

Is your first language English?(Required)

Yes

Does your employer collect information from Culturally and Linguistically Diverse workers on preferred languages and language skills?(Required)

Yes

Does your employer provide translated OHS education and materials or deliver training from interpreters or bilingual trainers?(Required)

Yes

OHS Framework:

Does your employer provide translated OHS education and materials or deliver training from interpreters or bilingual trainers?(Required)

Yes

How many work groups (designated workgroups) does your workplace have?(Required)

Unsure

Do you know the names of the Workgroups / Designated Workgroups at your workplace, and the name and role of the Health and Safety Representative (HSR) for each workgroup.(Required)

Yes

Do you know the name of the workgroup you belong to and the name of your HSR?(Required)

Yes

Do you know the functions and duties of the HSRs at your workplace?(Required)

Yes

Are you aware of your Occupational Health and Safety (OHS) responsibilities in your workplace?(Required)

Yes

Have you been provided with training regarding your OHS responsibilities?(Required)

Yes

Do you know the steps required for the reporting of OHS concerns or incidents?(Required)

Yes

Have you been provided with training regarding how to report OHS concerns?(Required)

Yes

Have you been provided training in other OHS related areas?(Required)

	Yes	No
Manual Handling
Occupational Violence and Aggression
Infection Control
PPE
Handwashing
Incident Reporting Procedures
OHS Systems and Policies
Fire & Emergency Management

Do you know how to access you HSR?(Required)

Yes

Do you feel comfortable to raise an OHS concern with your HSR(Required)

Yes

Do you have access to your manager if you wish to raise an OHS concern?(Required)

Yes

Do you feel comfortable to raise an OHS concern with your manager?(Required)

Yes

Do you know where to obtain information regarding OHS and your HSR?(Required)

Yes

Do you feel supported / empowered by your manager to raise OHS issues?(Required)

Yes

Do you feel supported / empowered by your HSR to raise OHS issues?(Required)

Yes

Perceived Barriers

Using a rating of 1 (no impact) to 5 (highest impact), place a number against each of the perceived barriers that prevent you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Part time / casual workforce(Required)

54321

Is the predominantly part time and casual workforce in aged care homes a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Rostering(Required)

54321

Is rostering at your workplace a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Workload(Required)

54321

Is your workload a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Job Stress(Required)

54321

Is job stress at work a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Fatigue(Required)

54321

Is fatigue at work is a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

CALD – Culturally and Linguistically Diverse workforce(Required)

54321

Is the different cultural backgrounds and language of staff in your workplace a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Working with more than one employer(Required)

54321

Do you believe that working with more than one employer in aged care homes is a barrier that prevents employees from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Do not feel supported(Required)

54321

Is lack of support at work a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Fear of repercussions(Required)

54321

Is fear of repercussions at work if you raise OHS concerns a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Concern for job security(Required)

54321

Is fear of job security at work a barrier that prevents you from raising OHS concerns, and OHS awareness and a positive OHS culture in your workplace?

Would you consider becoming an HSR(Required)

Yes

Briefly state why you would not consider becoming an HSR in the text box:

If you wish to provide any additional information, please enter your information in the text box below.