SURVEY  Click button to go directly to the CUPE Local 79 Health & Safety Survey

CUPE LOCAL 79
HEALTH & SAFETY SURVEY

SECTION ONE: GENERAL INFORMATION
 

The questions in the following section will ask you to provide us with some information about yourself and your job. All information provided in this section is strictly confidential and will not identify you in any way.

 

  1. How long have you been an employee of the City of Toronto, Bridgepoint Hospital or the Toronto Community Housing Corporation?

Less than one year
More than1 year but less than 5 years
5 years but less than 10 years
10 years but less than 15 years
15 years but less than 20 years
20 years but less than 25 years
25 years or more

  1. Length of time employed in your current position:

Under 6 months
7 months to 2 years
3 years to 5 years
More than 5 years

  1. In which CUPE 79 bargaining unit are you represented?

Toronto Community Housing Corporation


Bridgepoint Hospital
Nurses / Paramedical
Service


City of Toronto
Full Time
HFA Part Time
Unit B P/T
Recreational Workers P/T

 

  1. In what region of Toronto do you work?

North
South
East
West

  1. What type of work do you do:

City of Toronto

Accounting
Buildings Services
Children Services
City Planning
Corporate Communications
Courts
Economic Dev. & Culture
EMS
Facilities & Real Estate
Fire Services
Fleet Services
Homes for the Aged
Information & Technology
MLS
Parks, Forestry & Recreation
Pension, Payroll & Benefits
Public Health
Purchasing
Revenue Services
Shelters, Support & Housing
Social Services
Solid Waste Management
Toronto Water
Transportation
   
Bridgepoint Hospital
Nursing
Service
Allied Health
   
Toronto Community Housing Corporation
Finance
Operations
Housing Connection
Housing Solutions Inc.
   

  1. Please complete the following as it applies to you:

I am:
I am a young worker (30 and under)
I am by virtue of my race or colour, a visible minority in Canada
I am an indigenous (Aboriginal) person of North America
I am a person with a disability
I am:
Male
Female
Transgender/Transsexual
I am:
A Gay Man
Lesbian
Bisexual

  1. What is your approximate age?

Under 20 years
20 – 24 years
25 – 30 years
31 – 40 years
41 – 50 years
Over 50 years

 

SECTION TWO: INCIDENTS

  1. Have you witnessed or been subjected to an “aggressive act” at work during the past two years?

Yes
No

  1. How many times have you been subjected to aggressive acts in the past two years?

One time
Two times
Three times
More than three times

  1. If you have been subjected to an aggressive act(s) please provide details of one incident. If you have experienced more than one, please describe the most recent one.

 

  1. How many aggressive acts have you witnessed in the workplace in the past two years?

One to three
Four to Six
More than Seven (Please specify approximate number) 

  1. What was the nature of the aggression?
     

Were you?
Subjected to verbal aggression
 
  • Swearing
  • Shouting
  • Name-calling
  • Deliberate silence
Subjected to rude gestures
Pushed by a person
Struck by a person
Kicked by a person
Spat on
Other – (please specify) 
Grabbed / Held
Scratched or clawed by a person
Tripped on purpose
Cut by object
Slapped
Stalked
Sexually assaulted
Threatened with a weapon (any object that could inflict harm)
Assaulted with a weapon
Bitten by a person

  1. Was the perpetrator of the aggression a:

Participant
Patient / Client / Resident
Co-worker
Supervisor
Manager
Member of the public
Spouse / Partner

  1. If you were subjected to verbal aggression, were the threats:

Check as many as apply
To insult you
To injure you
To get you fired
To damage employer’s property
To damage or destroy personal property
To damage your work tools and/or equipment
To injure a family member
To kill you
Other (please specify)  

  1. Did the verbal aggression involve;

Racial harassment
Sexual harassment
Other (please specify) 

  1. The injury that you sustained as a result of the aggressive act involved:

Fracture
Sprain
Internal injury
Head injury
Miscarriage
Emotional trauma (stress)
Bruising
Fear in coming to work
None of the above
Other (please specify)  

  1. Were other people, not including the aggressor, close enough to provide assistance when the incident happened?

No, I was alone
Yes, other staff
Yes, police
Yes, other clients/patients/residents
Yes, other persons (please specify) 

 

  1. Prior to the incident, did you suspect that a violent situation might arise? (and if yes, why?)

No
Yes, warning from charts and files
Yes, warning from co-workers
Yes, warning from other professionals
Yes, warning from supervisor
Yes, previous involvement with clients/patients/residents
Yes, previous knowledge
Yes, dangerous neighbourhood
Yes, escalation of client/patient/residents behaviour
Yes, other (please specify) 
 

  1. Would you say the incident was related to lack of sufficient or appropriate:

Training
Policies and Procedures
Staffing
Security in your facility
Lighting
Other (please specify) 

  1. Prior to the incident did you request assistance from:

A supervisor
A co-worker
The police
Security
No assistance required
Other (please specify) 

  1. Was the requested assistance received?

Yes, received
No assistance was requested
No, not received -
  If you answered “No, not received”, please specify the reason why assistance was not received.

  1. Was the incident reported?

Not reported
Don’t know
To a supervisor
To a co-worker
In a case conference
At a team meeting
To police
To the Health and Safety Committee
To a Local 79 Steward / Representative
To government Health and Safety Inspector

  1. How was the incident reported?

Not applicable (not reported)
Incident report form
Note on client/patient/resident file
Police report
Verbally (please specify) 

  1. Did the incident result in a claim for:

Time off with pay
Time off without pay
Long Term Disability (LTD)
Workers’ Compensation

  1. What action was taken after the incident?

Don’t know
No action
Client/patient/resident reassigned to other worker
Client/resident/patient resident was discharged/transferred
Implemented a violence training program
Increased security measures at work
Client/patient/resident was convicted
Worker was disciplined
Charges were laid by police
Other (please specify) 

 

SECTION THREE: WORKPLACE CONDITIONS

The following series of questions relate to workplace conditions and any security measures that may be in place.

  1. Are you ever alone during working hours (for example, no other staff in your work area)

Always
Over 75% of the time
Between 50 and 75% of the time
Between 25 and 50% of the time
Under 25% of the time
Don’t if I’m alone

  1. When you are working alone, do you notify anyone when you are finished working?

I never work alone
Yes, always
Yes, sometimes
No, never

  1. Are there protocols / policies barring aggressors from your work place

Yes
No



SECTION FOUR: POLICIES AND PROCEDURES

In this section, we are interested in your understanding of current work-place policies, procedures and practices, which are related to minimizing on-the-job risks and dealings with “aggressive acts”.

  1. To your knowledge does your workplace have a written policy about the following?

Check as many as apply
How to handle a violent client/resident/patient
When and how to request assistance from a co-worker
When and how to request assistance from police
What to do about the threat of violence
How to report “aggressive acts or incidents”
What to do about harassment
There are no written policies
Don’t know if there are written policies

  1. When dealing with a potentially violent person or situation, if you request that a second person assist you, is the request automatically granted every time?

Yes
No
Sometimes
I never request assistance

  1. During the past two years have you or a co-worker raised any of the following issues about violence with your supervisor/manager?

Working alone
Levels of staffing
Alarm systems
Training
Other (please specify) 


SECTION FIVE: TRAINING

This section deals with any training that you may have received which would help you deal with aggressive incidents in the workplace.

  1. Have you received specific training about how to recognize and deal with potentially violent persons or situations?

No training received
Yes, during schooling
Yes, during orientation period in present job
Yes, during in-service workshops on the job
Yes, during courses given by outside institutions or agencies
Yes, during course(s) given by the Union
No specific training, but have received relevant information from supervisor



SECTION SIX: BELIEFS ABOUT YOUR JOB

In this section, we have a few questions about your workplace and what measures, if any could be usefully implemented to minimize possible risks from aggression.

  1. I believe that current policies, guidelines and security measures of my workplace are adequate in addressing potentially violent situations. (Check one)

Strongly agree
Agree
No opinion
Disagree
Strongly disagree

  1. I frequently worry about my personal safety on the job.
    (Check one)

Strongly agree
Agree
No opinion
Disagree
Strongly disagree

  1. I believe that staffing levels or workload levels contribute to actual or potential violence in my workplace.

Strongly agree
Agree
No opinion
Disagree
Strongly disagree

  1. I would not advise a relative or friend to choose my occupation?

Strongly agree
Agree
No opinion
Disagree
Strongly disagree

  1. Do you believe workers from equality–seeking groups (women, disabled, gay, lesbian, bisexual, transgendered, transsexual, Aboriginal, person of colour) are subjected to acts of aggression more frequently than other workers in your workplace?

Strongly agree
Agree
No opinion
Disagree
Strongly disagree


Thank you for your co-operation and assistance in completing this survey. Please use the following section if you would like to make any comments.

Please share your thoughts, comments, criticism, advice, recommendations or ideas about any of following issues or related issues:

1. Client/patient/resident aggression
2. Violent incidents
3. Working conditions
4. Work procedures
5. Workers’ response or attitude to the above

 

Personal Information (Optional)
Name:
Address:
Telephone: