..whilst not allowing you to read into the safety climate too much - I always like to ask for the definition of a hazard or risk - I'm always surprised at the lack of knowledge with regards the distinction between the two.

As a rule safety climate surveys are broken down into a few domains, such as - communications, supervision, risk taking, welfare, health, senior management commitment, etc. With only a sparse amount of questions or statements you may as well pick one of each. Clearly with such a limited survey you will only get a precis of the safety culture. The actual questions or statements (I prefer statements) need to focus on the type of company and activities. For example, if working in a high risk industry you might like to ask 'We often take risks in order to get the job done'. A three or five point Likert scale is the norm for responses. All surveys should be confidential with only very limited demographics.