Workplace Assessment questionnaire on night work

Answering this questionnaire is optional. You can read about our protection of your personal data here.

If there are questions you can’t or don’t want to answer, just skip to the next question.
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Health check - Night
First Name / Last Name - or an Alias.
Company
City / Branch
Example: 1970
Optional: Your E-mail if you want a copy of your answers.
Thank you for helping us collect night work data for your company's APV
Primary shift type:
All companies that employ employees must prepare a written workplace risk assessment (APV). The employer is responsible for doing this and involving the employees in the process.

AGS helps collect data regarding night work if the employee answers these questions:

15. General for Workplace Assessment:
Problem
No problem
Don't know / Not applicable
15.1 Night work as a reason for sick leave
15.2 Work assignments performed exclusively as night work
15.3 Work tasks that do not need to be carried out at night
15.4 The staffing adapted to the tasks for night work
APV
16. Occupational accidents:
Problem
No problem
Don't know / Not applicable
16.1 The time of day for accidents or near misses is recorded
16.2 Working alone which entails risks of accidents during night work
16.3. Accidents or near misses during night work
16.4. Focus on internal/external transport for night work - e.g. use of Hi Viz clothing
APV
17. Emergency response:
Problem
No problem
Don't know / Not applicable
17.1. Special preparedness to deal with emergency situations during night work - e.g. in the event of a power outage?
17.2. Do the employees know the emergency response that comes into play in the event of incidents when working alone at night?
APV
18. Mental working environment
Problem
No problem
Don't know / Not applicable
18.1. Possibility of contact with colleagues/manager during night work
18.2. Suitable requirements and variety for night work
18.3. Working pace adapted to night work
18.4. Risk of violence and threats during night work
APV
19. Physical working environment:
Problem
No problem
Don't know / Not applicable
19.1. Machines that are primarily used for night work
19.2. Strenuous working positions in connection with tasks during night work
19.3. Working environment risks specifically for night work, e.g. noise, temperature, light conditions or chemical working environment
19.4. Special instruction required to carry out repairs in the event of night work breakdowns
19.5. Hazardous chemicals for night work that are not used on day or evening shifts
APV
20. Other:
Problem
No problem
Don't know / Not applicable
20.1. Possibility of a power nap when working at night
20.2. Possibility of refreshment during night work
APV
APV

Slut APV spørgsmål

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AG Sundhedsfremme ApS uses your answers, combined with the measured health data in the upcoming examination, to advise you about your health. The answer will, in anonymised form, also be included in a comprehensive report to the company, however in such a way that no individuals can be identified. When you give your consent for the above purpose, you also give AG Sundhedsfremme's nurses and statisticians the right to process your information in this questionnaire. You can always withdraw your consent by writing to ANTR@AGSundhed.dk