NCCC Workplace Violence Survey

The following survey has been developed to assist the NCCC Workplace Violence Prevention/Safety Committee to help identify any existing and potential hazards within each campus. Workplace violence is any physical assault, threatening behavior, or verbal abuse occurring in the workplace. Your input is very valuable.
Name: 


A red asterisk (*) indicates required questions.

  1. Department:*


  1. Building:*


  1. Work Location: Main Campus or Culinary Institute*


  1. Are there duties within your department that involve the exchange of money?*
    Yes
    No


  1. Are there employees within your department that work alone or in small numbers (e.g. one-on-one with a student or other customer).*
    Yes
    No


  1. Are there employees within your department that are working late (after 6pm) or during the early morning hours (before 7am)?*
    Yes
    No


  1. Please describe any personal safety concerns related to the above questions.*


  1. Where do you think a violence-related incident is most likely to occur on campus? Please specify location and why you feel this is a place where this type of incident could occur.*


  1. Has anything happened within the past year in your work area or at other locations on campus that you feel could lead to violence? If so, please comment about the situation.*


  1. Have you ever been concerned for your personal safety or the safety of others while at work? describe your concerns:*


  1. Please use this space to share any other comments or concerns regarding potential threats of workplace violence. Thank you for taking the time to complete this survey! Workplace Violence Prevention/Wellness Committee.