Questionnaire

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

SURVEY QUESTIONNAIRE

SAFETY MEASURE PRACTICES AND PREVALENCE OR ARC EYE AMONG TVL


SMAW STUDENTS
Name (Optional): __________________________
Strand: __________________________________
--------------------------------------------------------------------------------------------------------------

Section I. Demographic Information. Adopted from Research Gate entitled “Optometry and
Eye Protection: A Review of Current Practices and Recommendations for Enhanced Safety
Measures (2024).
DIRECTIONS: Answer the following questions as honestly as you can. Use check
( ∕ ) mark to answer each section.
Age
< 16 17-18 19-20 > 21
Sex
Male Female
5 - Strongly Agree 4 - Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree
5 4 3 2 1
1.I always wear the required personal protective equipment
(PPE) while performing tasks.
2.I understand the importance of using PPE in my work
environment.
3.I have access to all the necessary PPE before using it to
ensure it is in good condition.
4.I check my PPE before using it to ensure it in good condition.
5.I have received adequate training on workplace safety
protocols.
6.I understand how to report safety hazards or unsafe
practices.
7.I am aware of emergency procedures, such as fire drills and
evacuation plans.
8.I know how to properly use all tools and equipment
required for my job.
9.My work environment is regularly inspected for safety
hazards.
10.The safety signage in my workplace is clear and easy to
understand.
11.My workplace provides a safe and healthy environment for
workers
Table 1. Optometry and Eye Protection: A Review of Current Practices and Recommendations
for Enhanced Safety Measures (2024).
SURVEY QUESTIONNAIRE
SAFETY MEASURE PRACTICES AND PREVALENCE OF ARC EYE AMOG TVL
SMAW STUDENTS
Name (Optional): __________________________
Strand: __________________________________
--------------------------------------------------------------------------------------------------------------

Section I. Demographic Information. Adapted from Research Gate entitled “Arc Flash Visible
Light Intensity as Viewed From Human Eye(2017)
DIRECTIONS: Answer the following questions as honestly as you can. Use check
( ∕ ) mark to answer each section.
Age
< 16 17-18 19-20 > 21
Sex
Male Female
5 - Strongly Agree 4 - Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree
Table 2. Arc Flash Visible Light Intensity as Viewed From Human Eye(2017)
5 4 3 2 1
1.I experience pain or discomfort in my eyes.
2.I feel a sensation of sand or grit in my eyes.
3.My eyes appear red or inflamed.
4.I experience excessive tearing.
5.I am sensitive to light(photophobia).
6.I have blurry vision or difficulty seeing clearly.
7.My symptoms started immediately after the
activity.
8.I have experienced these symptoms before.
9. I have recently been involved in activities that
exposed my eye to UV light (such as welding
training, or direct sun exposure).
10.I wore appropriate eye protection during the
activity
11.I believe my symptoms are related to UV
exposure.

You might also like