Attachment E2 Oral Consent Script for all Participants revised 8-30-201

Attachment E2 Oral Consent Script For All Participants revised 08-30-2010-2.doc

National Survey of U.S. Long-Haul Truck Driver Injury and Health

Attachment E2 Oral Consent Script for all Participants revised 8-30-201

OMB: 0920-0865

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Attachment E2: Oral Consent Script For All Participants



You have been chosen to take part in the National Long-Haul Truck Driver Injury and Health Survey. The purpose of this study is to learn more the about the hazards faced by long-haul truck drivers. This survey is being conducted by Westat, on behalf of the National Institute for Occupational Safety and Health, otherwise known as NIOSH. NIOSH improves worker safety and health through research and education. NIOSH does NOT enforce any laws. You will not receive any direct benefit from being in this survey. However, your honest answers may increase our knowledge of the health and safety issues facing long-haul truck drivers.


We will ask about your work, your health, and your work-related injuries. The interview will last about 45 minutes, plus about 5 minutes to take some body measurements.


There is very little risk to you if you take part in this survey. We will not collect your name or any other data that can identify you. All data we collect will be private and protected to the extent permitted by law.


You may take part in this survey or not. The choice is yours. If you say ‘no’, you will not lose any benefits that you normally have the right to receive. If you choose to take part, you do not have to answer every question or you may quit at any time. If you do take part, you will receive a $25 [gift card to use at any stop in this truck stop chain / OR a cash card] when we are done with the entire interview.


Study results are likely to be available in 2011 and can be seen in journals and magazines, the Internet, or by contacting NIOSH.


If you have questions about your rights as a member of this study, please contact Cheryl F. Estill, Chair NIOSH Human Subjects Review Board at 513-533-8591, Monday-Friday, 8:30 to 5:00 Eastern Time.


All of the information just given to you is in this handout. Please take a minute to look this over. Do you have any questions? Do you agree to take part in this survey?


File Typeapplication/msword
File TitleYou have been chosen to take part in the National Long-Haul Truck Driver Injury and Health Survey
Authorwks1
Last Modified Bybbarker
File Modified2010-09-20
File Created2010-09-20

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