Workplace Safety Petition Form
About this free form template

Workplace Safety Petition Form Template

Creating a safe work environment is everyone's responsibility. This workplace safety petition form template makes it easy for employees to voice concerns, collect signatures for safety improvements, and ensure management takes action on critical issues.

Why Use This Workplace Safety Petition Template?

Whether you're addressing hazardous conditions, requesting better equipment, or advocating for policy changes, this template helps you:

  • Collect digital signatures quickly and securely from coworkers
  • Protect anonymity when employees prefer not to be identified
  • Organize by department to show widespread support across the organization
  • Notify union representatives automatically when submissions come in
  • Build a clear record of safety concerns and supporter details

Perfect for Labor Organizations, Safety Committees & Employee Groups

This template is designed for HR teams, union representatives, workplace safety committees, and employee advocacy groups who need a professional way to gather support for safety initiatives. It works for manufacturing facilities, healthcare settings, construction sites, offices, warehouses—any workplace where safety matters.

Paperform makes it simple to embed this petition on your intranet, share via email, or distribute through workplace communication channels. With conditional logic built in, employees can choose to sign publicly or anonymously, and the form adapts accordingly.

Streamline Follow-Up with Stepper Workflows

After collecting signatures, what happens next? Connect this form to Stepper to automatically notify union reps, compile signature lists, send acknowledgment emails to participants, and escalate urgent safety concerns to the right people—no manual work required.

Secure, Compliant & SOC 2 Certified

Workplace petitions often contain sensitive information. Paperform is SOC 2 Type II compliant with robust security features, so you can trust that employee data stays protected while you advocate for better working conditions.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.