Prevention and management of aggression in ... - WorkSafe Victoria

Tool02Staff surveyStaff survey – aggression and violenceWe are committed to maintaining the health and safety of all of our staff. This confidential survey will be used to help usidentify occupational aggression and violence risks within our work environment and develop prevention strategies.Please take a few minutes to complete the survey and return it to by / /The results of the survey will be provided to on / /General informationWard/work unit/division Male FemaleAge range (years): < 30 30–39 40–49 50–59 > 60Occupational group, please tick one of the following:Allied health professionalNurseMedicalClinical assistantCoordinationClerical/administrationEnvironmental/food servicesOther (please specify)Years of experience: < 5 5–10 11–20 20–30 > 30Policies and proceduresDoes our organisation have a non-tolerance of violence policy?If ‘yes’ have you ever seen a copy?Are there written procedures that deal with aggression andviolence in your work area?If ‘yes’ have you ever seen a copy of them?If ‘yes’ are they easy to follow?Is there a violence contact person within your work area?Yes No Don’t knowPage 1 of 4WorkSafe Victoria Handbook / Prevention and management of aggression in health services 49