Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Document Title
Employee Mental Health and Wellness Checklist
Date of Review
Date: {{date_of_review}}
Reviewer Information
Reviewer Name: {{reviewer_name}}
Department: {{reviewer_department}}
Section 1: Workplace Environment and Culture
1.1 Is there a clear company policy on mental health and wellbeing? (Yes/No/Partial)
1.2 Are employees aware of available mental health support resources? (Yes/No/Partial)
1.3 Does leadership actively promote a positive and supportive work environment? (Yes/No/Partial)
1.4 Are anti-bullying and anti-harassment policies effectively communicated and enforced? (Yes/No/Partial)
1.5 Do employees feel comfortable discussing mental health concerns without fear of stigma or reprisal? (Yes/No/Partial)
Comments/Actions: {{comments_section_1}}
Section 2: Support and Resources
2.1 Are Employee Assistance Programs (EAPs) or similar counselling services available? (Yes/No/N/A)
2.2 Is there access to mental health first aid training for managers/supervisors? (Yes/No/N/A)
2.3 Are flexible working arrangements considered to support employee wellbeing? (Yes/No/Partial)
2.4 Is there access to information and resources on stress management, resilience, and general wellbeing? (Yes/No/Partial)
2.5 Are there designated mental health champions or points of contact within the organisation? (Yes/No/N/A)
Comments/Actions: {{comments_section_2}}
Section 3: Workload and Stress Management
3.1 Are workloads managed to prevent excessive stress and burnout? (Yes/No/Partial)
3.2 Are employees provided with adequate breaks and opportunities for rest? (Yes/No/Partial)
3.3 Is there a process for identifying and addressing work-related stressors? (Yes/No/Partial)
3.4 Are employees encouraged to maintain a healthy work-life balance? (Yes/No/Partial)
3.5 Is training provided on time management and stress reduction techniques? (Yes/No/N/A)
Comments/Actions: {{comments_section_3}}
Section 4: Communication and Feedback
4.1 Is there regular and open communication about company performance and changes? (Yes/No/Partial)
4.2 Are employees encouraged to provide feedback on their work environment and wellbeing? (Yes/No/Partial)
4.3 Are anonymous feedback mechanisms available (e.g., suggestion boxes, surveys)? (Yes/No/N/A)
4.4 Is feedback actioned, and are employees informed of the outcomes? (Yes/No/Partial)
Comments/Actions: {{comments_section_4}}
Section 5: Follow-up and Review
5.1 What is the proposed frequency of reviewing this checklist? (e.g., Annually, Bi-annually)
5.2 What are the key areas identified for immediate improvement?
5.3 Who is responsible for implementing these improvements and by when?
5.4 Date for next review: {{next_review_date}}
Comments/Actions: {{comments_section_5}}
Signature Block
___________________________
{{reviewer_name}}
{{reviewer_title}}
Date: _______________
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