Consent

Att I - Informed Consent Script.docx

Mobile Proximity Initial User Feedback

Consent

OMB: 0920-1228

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Informed Consent Script

National Institute for Occupational Safety and Health (NIOSH) is a federal agency that studies worker safety and health. We are part of the Centers for Disease Control and Prevention (CDC). The purpose of this research study is to gather information from proximity detection users on mobile equipment in order to better understand the positive and negative features of the current systems. The research will help us make design recommendations for future iterations of the products and ensure the health and safety of those who use it. For this study, you will take part in an interview and be observed while you perform your normal work duties.

For the interview, you will be asked questions about the mobile proximity system currently in use at your mine site. Following the interview we may watch the section crew interact with the proximity system. During the interview and observation, NIOSH researchers will be taking handwritten notes to document your responses to the questions and actions performed.

The interview portion of the study will take no longer than 10 minutes to complete. The observation may occur for one hour during your normal shift. The activities of this study pose no more than minimal risk to you. There is a risk that your anonymity could be compromised; however, the likelihood is small because we are not asking you to sign any documents and because we are not collecting any personal information. Since this is occurring at your place of work, you will not experience any risks greater than a normal work day.

Participation in the study is voluntary. You may choose to be in the study or not. You may choose to answer any or all questions. You may drop out any time for any reason without consequences to you.

You will not be paid or reimbursed for participating. There is no direct benefit to you for participating in this study, other than the satisfaction of assisting with research that will increase our understanding of miners use and interact with the mobile proximity systems.

If you would like a summary of the results, please let me know. Do you have any questions?

Would you like to participate in the study?



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSwanson, LaTasha (CDC/NIOSH/PMRD)
File Modified0000-00-00
File Created2021-01-21

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