Form Approved
OMB No. 0920-0953
Exp. Date: 10/31/2024
American Industrial Hygiene Association Survey Request
AIHA invites you to participate in the NIOSH Occupational Exposure Banding Survey. The survey is available to all AIHA members and email subscribers.
The goal of this short survey is to understand how the NIOSH Occupational Exposure Banding process and electronic tool (e-Tool) are utilized by industrial hygienists, toxicologists, risk managers, and other health and safety professionals. The survey is administered through Survey Monkey and should take approximately 10 minutes complete. Your responses will be used to guide future outreach and dissemination efforts by AIHA and NIOSH.
By which of the following organizations are you currently employed?
Academic institution
Union
Professional or trade association
Private business
Government
Other (please specify) ______________________________
Which of the following best describes your role?
Environmental health and safety technician
Industrial hygienist
Safety manager
Toxicologist
Risk assessor/risk manager
Other (please specify) ______________________________
Which of the following best describes your work experience?
Early career (<5 years)
5 – 15 years
15 – 25 years
25+ years
Do you have any professional certifications? Check all that apply.
How familiar are you with the concept of Occupational Exposure Banding?
Not at all familiar
Not very familiar
Somewhat familiar
Familiar
Very familiar
Not at all familiar
Not very familiar
Somewhat familiar
Familiar
Very familiar
Have you used the NIOSH Occupational Exposure Banding process at your workplace?
Yes
No
Public reporting burden of this collection of information is estimated to average 10 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 Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0953).
How useful to you is the Occupational Exposure Banding process?
Not at all useful
Not very useful
Somewhat useful
Useful
Very useful
How likely are you to use the Occupational Exposure Banding e-Tool?
Not at all likely
Not very likely
Somewhat likely
Likely
Very likely
Please describe any challenges or barriers you face when using or trying to use the NIOSH Occupational Exposure Banding process. _______________________________________________________________ ______________________________________________________________________________________
How can the Occupational Exposure Banding Process be improved? ______________________________
______________________________________________________________________________________
Where do you go to find new occupational safety and health (OSH) information? Check all that apply.
Government agencies
Trade associations
Employer
Professional associations
Union
Insurance companies
Other (please specify) ______________________________
How do you like to receive OSH information? Check all that apply.
Website posting
Newsletter
Social Media
Conferences
Employer sponsored training
Third party sponsored training
Pre-shift safety brief
Other (please specify) ______________________________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Berg, Shannon A. (CDC/NIOSH/DSI/SAB) |
File Modified | 0000-00-00 |
File Created | 2022-04-15 |