Can be used for:
RI&E- Risk Inventory & Evaluation - (Dutch) Labor Law – ARBO wet art. 3 lid 3, Arbobesluit
art. 2.15 - psychosociale arbeidsbelasting (PSA).
VCA – SCC
ISO 45001 - Psychosocial Health and Risks.
Based on the outcome of this survey you can decide if there’s a need to investigate further
(or more extensively) or take (no) action. The results of the survey cann be filled out in the
table on the last page.
Brief survey of Psychosocial workload (stress)
among employees
Question 1
Do you usually manage to complete the amount of work in
the available time?
☐ Yes
☐ No
Comment:
Question 2
Do you (on average) work overtime less than once a week,
because otherwise the work would not be finished?
☐ Yes
☐ No
Comment:
Question 3
Can you usually stick to your break times?
☐ Yes
☐ No
Comment: