Recruitment Script

Form Approved

OMB No. 0920-XXXX

Exp. Date xx/xx/20xx

Mine Recruitment Script

Researchers working for the Centers for Disease Control and Prevention (CDC) at National Institute for Occupational Safety and Health (NIOSH) are collecting user information about current proximity detection systems from mine workers in order to support policy development and manufacturer improvements. We are looking to interview section crew members, outby workers, mechanics, and safety professionals that work with the system to get their feedback on what works and doesn’t about the current proximity systems. This is taking the form of a short interview. It takes between 5 and 10 minutes to complete. It can be pre, post, or during a shift. This would require minimal interruption, and we would work around your schedule. Ideally, we would like to interview approximately 40 total miners, collecting workers’ feedback from each shift.

The questions about proximity are:

1. What do you like about this mobile proximity systems? Can you give me three specific features?

2. What don’t you like about this mobile proximity system? Can you give me three specific features?

3. How did you to learn how to use the mobile proximity system?

4. Can you imagine a situation where the mobile proximity system could put you in danger?

5. What would you change about the mobile proximity system?

6. How confident are you that the system will prevent a collision?

   0	1	2	3	4	5	6	7	8	9	10
   Never					50/50					Always

7. Overall, how confident are you in this mobile proximity system?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

If you have any questions, or if you are interested in participating, please contact:

Jennica Bellanca

412.386.6445

[email protected]

Public reporting burden of this collection of information is estimated to average 15 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 Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).