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 EHS account. All forms including this one can be easily modified to fit your organization's policies and procedures.

Don't have a KPA EHS 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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Data Lists

As projects, locations, etc change, the form will automatically update to include the latest options.


Auto-Hiding Fields

Clicking "Does Not Apply" dozens of times is counter-productive. Instead, hide questions that don't apply.



Some forms can be extremely complex, but that's no problem in KPA EHS. Setup sub-reports to make it easier to fill out in sections.