Form 0920-15XT Att H QualitativeOpenended Questions

Attachment H

Qualitative /Open-ended Questions

Form Approved

OMB No. 0920-xxxx

Exp. Date xx/xx/20xx

Qualitative/Open-ended Questions:

Probes focused on visual search (scan path):

• When you walk up to a new work environment and perform your hazard assessment, what do you look for first? What is critical to you?

• Do you have a specific way you look around your work environment?

• Using this scene as an example, can you walk me through what you look for? Where you start?

Probes for Accuracy (correctly identified hazards):

• In the job that you do, is this something that you could encounter while working?

  • If yes, how often do you encounter this hazard?

• In your opinion, why is this a hazard?

  • What is it about this situation that is risky to you?

Probes for Errors (missed hazards or items misidentified as hazards):

• In the job that you do, is this something that you could encounter while working?

  • If yes, how often do you encounter this hazard?

• (For a missed hazard) We have identified this as risky, is this something that you see as risky? Why or why not?

• (For an item misidentified as a hazard) You have identified this item as a hazard. In your opinion, why is this a hazard?

  • What is it about this situation that is risky to you?

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 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-xxxx).