Psychological Safety in Lab SafetyPlease enable JavaScript in your browser to complete this form.NameFirstLastonly if you wish a followup contact from the Lab Safety AdvocateYear of Study *Name of PI: *DirectionsPlease indicate your degree of agreement with the following statements, using the scale 1=Strongly disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly agree General Discussion of Lab Safety1. I would like my PI to talk about lab safety more often. Selected Value: 0 2. I would like my department to give me information about lab safety more often. Selected Value: 0 2. I would like my department to give me information about lab safety more often. Selected Value: 0 4. I would like to discuss lab safety more in research group meetings. Selected Value: 0 Lab Safety Feedback1. I get adequate feedback from my PI about safety in the lab Selected Value: 0 2. I get adequate feedback from my department about safety in the lab. Selected Value: 0 3. I get adequate feedback from my peers about safety in the lab. Selected Value: 0 4. I bring safety concerns to my PI’s attention. Selected Value: 0 5. I bring safety concerns to my peers’ attention. Selected Value: 0 PI Safety Performance1. My PI seeks information about safety regularly. Selected Value: 0 2. My PI is effective in ensuring safe conditions in the lab. Selected Value: 0 3. My PI is effective in ensuring safe practices in the lab. Selected Value: 0 4. My PI communicates regularly that safety in the lab is a priority. Selected Value: 0 Psychological Safety1. I feel comfortable bringing up any (job/school-related) concern with my PI. Selected Value: 0 2. I feel comfortable bringing up safety concerns in particular with my PI. Selected Value: 0 3. I feel comfortable bringing up any (job/school-related) concern with my peers. Selected Value: 0 4. I feel comfortable bringing up safety concerns in particular with my peers. Selected Value: 0 5. I feel comfortable making safety suggestions to my PI. Selected Value: 0 6. I feel comfortable making safety suggestions to my peers. Selected Value: 0 7. I feel comfortable making safety suggestions to my department. Selected Value: 0 Experience with Safety Concerns1. I hear about safety concerns raised in my research group. Selected Value: 0 2. I hear about safety concerns raised in my department. Selected Value: 0 Please answer the following questions Yes/No/Not Applicable3. I have raised safety concerns with another student. *YesNo4. I have raised safety concerns with a postdoctoral fellow. *YesNo5. I have raised safety concerns with a member of technical staff (including facilities managers). *YesNo6. I have raised safety concerns with a member of administrative/academic staff. *YesNoOptional Free ResponsePlease answer the following questions in text form. These questions are optional.1. If your research group were to institute a regular method of eliciting or discussing safety concerns and issues, what would you prefer that method to be?2. What changes that would have to take place in your research group in order for you to be more comfortable raising safety concerns?3. What other suggestions or observations about safety communication in your group or departments would you like to make?Submit