Phase I Survey of Fishermen's Opinions about the risk of falls overboard and PFDs

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Attachment 7: Phase 1 Questionnaire (e-version)

orm Approved

OMB No: 0000-0000

Exp Date: 00/00/0000

Fishing for Facts

A Survey of Fishermen’s Opinions about the

Risk of Falls Overboard and PFDs

Public reporting burden of this collection of information is estimated to average 20 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 (XXXX-XXXX)

Instructions for Respondents

This survey contains questions about your experiences, opinions, and perceptions involving personal flotation devices (PFDs) and falls overboard. Each question and its possible responses will be read to you, and you are asked to select one of the answer choices presented. The survey may take between 10 and 20 minutes to complete.

Purpose of study:

• The purpose of this study is to evaluate a variety of modern PFDs with commercial fishermen to discover the features and qualities that they like and dislike.

• Findings from the PFD evaluations will help PFD manufacturers design PFDs that better meet the needs of the fishing industry.

• The PFD evaluations will also supply information to fishermen about which types of PFDs worked best.

• This study has the potential to greatly benefit the fishing industry. It will provide information to fishermen that may encourage them to wear PFDs while they work.

Participation is voluntary, responses will not be used in enforcement actions against you, and the survey results will be made available to industry, safety organizations, federal agencies, and other interested parties in a summary format only - without any personal identifiers.

Thank you for participating and helping us gather this information!

WE APPRECIATE YOUR HELP!

YOUR FISHING BACKGROUND

1. How many years have you fished commercially?

______ Years Fishing

2. What is your current position onboard the vessel?

 Captain/Skipper

 Deckhand

 Other ________________________

3. Which gear type are you currently fishing?

 Pots

 Gillnet

 Longline

 Trawl

4. Where are you currently fishing?

 BSAI

 Bristol Bay

 AK Peninsula

 Other ________________________

5. How many months out of the year do you usually fish?

______ Month(s) A Year

6. When do you usually fish?

 Winter Months

 Summer Months

 Both Winter and Summer

7. Have you ever taken a fishing safety or marine safety class?

 Yes

 No

7A. IF YES, from whom and what year (most recent) did you take the class?

 AMSEA Year__________

 NPFVOA Year__________

 USCG Year__________

 Other __________ Year__________

8. What is the length of your vessel? ________ Feet

9. How many people (including yourself) are usually onboard your vessel when you out fishing?

______ People on Board

YOUR OPINIONS ABOUT “MAN OVERBOARD” EVENTS

10. How much do you worry about falling overboard?

 Very Much

 Somewhat

 Very Little

 Not At All

11. What do you think are the chances that you will fall overboard during your fishing career? Select a number between 0 - 100% (0% means no possibility, 100% means you think it will definitely happen)

________ % Chance of Falling Overboard

12. If you fell overboard during the winter, what do you think your chance of surviving would be with and without a PFD? Select a number between 0 - 100% (0% means no possibility, 100% means you think it will definitely happen)

________ % Chance of Surviving with a PFD

________ % Chance of Surviving without a PFD

13. If you fell overboard during the summer, what do you think your chance of surviving would be with and without a PFD? Select a number between 0 - 100% (0% means no possibility, 100% means you think it will definitely happen)

________ % Chance of Surviving with a PFD

________ % Chance of Surviving without a PFD

14. How much do you think an individual fisherman can do to avoid dying from a fall overboard?

 A Lot

 Some

 Not Very Much

15. Do man overboard drills increase the chances of a fisherman surviving a fall overboard?

 Yes

 No

16. Have you ever fallen overboard?

 Yes

 No

17. Have any fishermen you know personally ever fallen overboard?

 Yes

 No

18. Have any fishermen you know personally died from a fall overboard?

 Yes

 No

18A. IF YES, how many? _______________

YOUR THOUGHTS ABOUT PFDs

19. How often do you wear a PFD on deck?

 Never

 Sometimes

 Frequently

 Always

20. How effective are PFDs (if worn) for surviving a fall overboard?

 Very Effective

 Fairly Effective

 Somewhat Effective

 Not Effective

21. How comfortable or uncomfortable are PFDs to wear when working on deck?

 Very Comfortable

 Somewhat Comfortable

 Somewhat Uncomfortable

 Very Uncomfortable

22. How much do PFDs interfere with your work when worn?

 Very Much

 Somewhat

 Very Little

 Not At All

23. How much does wearing a PFD increase your risk of entanglement?

 Very Much

 Somewhat

 Very Little

 Not At All

24. Do you personally feel that wearing a PFD on deck … (Check all that apply)

 Is a smart thing to do

 Is not necessary

 Would Get in the way

 Can save your life

 Shows intelligence

 Shows weakness

 Creates new hazards

 Is a way to be safer

 Is uncomfortable

 Should be required

25. A fishermen who wears a PFD on deck is … (check all that apply)

 Intelligent

 Responsible

 Lacking Self-confidence

 Too Worried

 Mature

 Weak

 Safety Minded

 Cautious

 Scared

 Paranoid

26. How would other fishermen’s opinion of you change if you wore a PFD?

OTHER FISHERMEN WOULD THINK…

 A lot better of you

 A little better of you

 No change in their opinion

 A little worse of you

 A lot worse of you

SOME FACTS ABOUT YOURSELF

27. What is your state of residence? _______________________

28. What is your age? ______ Years Old

29. Do you have any children under 18 years old?

 Yes

 No

30. Do any of your children under 18 years old fish with you?

 Yes

 No

 No Children Under 18

31. What is your race/ethnicity?

 Alaska Native

 Non-Native

32. What is your sex?

 Male

 Female

If you have any comments you would like to share, please write them here:

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