Migrant Worker
Health & Safety Survey

Age *

Gender *

What is your country of birth? *

What language do you speak at home? *

Are you an international student? *

What is your postcode? *


Do you have a job? *

How many jobs do you currently work? *

What type of work do you do? *

How many hours do you work in a normal week? *

Do you work for *

Are you a union member? *


Have you ever been injured at work? *

Have you ever ALMOST been injured at work? *

Has work ever made you sick? *

Have you ever seen anyone else be injured at work? *

Have you ever raised an issue about health and safety at work? *

What injuries/illnesses are common at your workplace:

Select how much you agree or disagree with the following statements

I feel safe at work. *

I have been trained on health and safety in the workplace. *

I know who to talk to if I see something that is unsafe. *

I can talk to my boss about my safety concerns. *

If I see a something that is unsafe at work, I can stop working until it is fixed. *

If I raise a safety issue with my boss, I know my boss will fix it. *

My workplace has an elected Health & Safety Representative. *

I sometimes have to stay late to finish my work. *

I have been asked to perform a task that made me feel unsafe. *

I have felt bullied at my workplace. *

Sexual harassment happens at my workplace. *

I have been sexually harassed at work. *

I have had to take time off work because I was injured. *

When someone at my work is injured, they have to keep working. *

I have had to take time off work due to stress or mental health issues. *

If I take time off work, I still get paid. *

Please list any problems you have had with health or safety in your workplace

If you would like to find out more about health and safety in Victoria, please enter your email address or phone number

Thank you for taking the time to do this important survey