Vendor Safety Questionnaire sample. Edit it or build your own.

Vendor Safety Questionnaire Form

A safety questionnaire checklist form for evaluating vendors and contractors. Sections include certification, policies, HSE management systems, risk-assessment, emergency response, incident reporting, and more. Checkout the Forms Library »

Vendor Safety Questionnaire - Printable PDF
Download a printable Vendor Safety Questionnaire (PDF).

What is a Vendor Safety Questionnaire?

A Vendor Safety Questionnaire is a checklist for evaluating the overall safety competence of a potential vendor, sub-contractor, or other third-party group or organization.

The form can be used to collect vendor’s safety data including their safety procedures, Workers’ Compensation Experience Modification Rate (EMR), OSHA Total Recordable Incident Rate (TRIR), OSHA citations, environmental spill information, and more.

Typical vendor safety questionnaire questions will review topics like:

  • Certifications
  • Policies
  • EHS Management Systems
  • Sub-Contractor Management
  • Risk Assessment
  • Safety Experience
  • EHS Communication / Training / Awareness
  • Emergency Response Plans
  • Reporting Procedures
  • Orientation Programs
  • Drug & Alcohol Policies / Procedures
  • Safety Meetings
  • Training Programs
  • EHS Inspection Programs
  • Professional EHS Support
  • Business Conduct
  • Security

This form is a sample report which can be imported into your KPA Flex account. All forms including this one can be easily modified to fit your organization's policies and procedures.

Don't have a KPA Flex account? Download the printable Vendor Safety Questionnaire PDF form so your team can fill out a paper copy.



Check out the forms library.
Check out the forms library.

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