Assessing and Evaluating the Effectiveness of Hazard Recognition and Risk Assessment Interventions

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

Att D- Pre Job Aid

Assessing and Evaluating the Effectiveness of Hazard Recognition and Risk Assessment Interventions

OMB: 0920-0953

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Attachment D

Pre-Job Aid Use Interview Guide


















































Form Approved

OMB NO. 0920-0953

Expiration Date: 7/31/2018





[The job aid and evaluation will be completed 4 times by the frontline supervisor. NIOSH researchers will work with the supervisor to complete the first and last job aid. ]

Pre-Job Aid Use Interview Guide

Visit 1

Participant ID:


Job title: Date:



Number years of mining experience: Material mined:



Current position: Number years in current position:



Number of miners on your crew or working in your area:



What is your current work location?



What are the most common hazards found in your work area?





In your opinion, what is most risky about your work area? [tasks, equipment, tools, people, etc.]




What do you currently do to mitigate/eliminate/avoid that highly risky situation?




In your opinion, is that the most effective way to mitigate/eliminate/avoid that highly risky situation?



Shape1

Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0953).






What else could you do?




If you were to try to make that change, what barriers might you encounter?

Who would you have to communicate with?

What resources are necessary?

How would you go about getting buy in from your supervisor?

How would you go about getting buy in from your colleagues?


Workplace Examination


When do you typically do your workplace examination?





Can you walk me through a typical examination?

Who do you communicate hazards to?

How long does it typically take to correct a hazard?

Who is responsible for that?





If you could make any changes to your current workplace examination process, what would you change?





If you could make any changes to your current workplace examination process, what would you change?



















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorEiter, Brianna (CDC/NIOSH/PMRD)
File Modified0000-00-00
File Created2021-01-20

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