Form Approved OMB No. 0920-1434 Exp. Date 5/31/2027
Participant ID: __________
NIOSH Thermal Spray Coating Project
Workplace Survey
Thank you for your participation and taking time to answer questions about your workplace. The purpose of this survey is to help the National Institute for Occupational Safety and Health (NIOSH) better understand the thermal spray coating industry and best practices or barriers to occupational safety and health. NIOSH is a federal public health research agency. NIOSH is not part of the Occupational Health and Safety Administration (OSHA) and does not fine companies for health and safety violations. The estimated time to complete this survey is 10-30 minutes.
Does your workplace work in thermal spray coating (TSC), including flame, electric arc, detonation gun, high velocity oxyfuel (HVOF), high velocity air fuel (HVAF), conventional plasma, high energy plasma, vacuum plasma, plasma, radio frequency plasma, or cold spray?
Yes [continue]
No [thank you, please exit survey] [trigger end survey action]
I’m not sure [continue]
Section 1: Workplace Information
First, we would like to learn more about your workplace.
Name of company:
Company address:
Industry classification (Name/NAICS Code-6-digit):
About how many people work at this company (including contractors)?
About how many workers perform thermal spray coating?
About how many other workers perform tasks related to TSC such as maintenance, pre-surface preparation, post surface cleaning or finishing?
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 H21-8,
Atlanta, Georgia 30333 ATTN: PRA (0920-1434).
Section 2: Production Volume
Next, we would like to learn more about the level of production at your workplace.
About how much time is spent daily on TSC processes?
£ Less than 1 hour
£ 1 hour and up to 2 hours
£ More than 2 hours and up to 4 hours
£ More than 4 hours
Has your volume of TSC work increased over the last 5 years?
£ No increase in production volume
£ Less than 25%
£ 25-50%
£ 51-75%
£ More than 75%
Do you apply the TSC process in [select all that apply]:
Fixed building location
As a portable unit in a building
As a portable unit on a structure
Section 3A: Production Practices (TSC processes)
Next, we would like to learn more about the TSC processes and materials, tasks performed, engineering controls, and safety measures your workplace uses. Over the next few questions, you will be asked to provide the following information for each TSC process currently used at your workplace:
feedstock material
amount used annually
feedstock form (e.g., powder; wire/rod; liquid suspension/liquid precursor)
fuel, propellants, substrate materials
structures description of booths or enclosures
control technologies
personal protective equipment
housekeeping
Do you use the electric arc TSC processes at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of metals feedstock material used [select all that apply]: [triggers 13c and 13d]
Nickel
Chromium
Manganese
Cobalt
Aluminum
Zinc
Tin
Tungsten
Molybdenum
Iron
Copper
Other (please describe)
Indicate amount used annually: [dropdown menu] [displayed for each 13b response checked]
<100 lbs. per year
100 — 500 lbs. per year
501 — 1,000 lbs. per year
1,001 — 10,000 lbs. per year
> 10,000 lbs. per year
Indicate form used: [dropdown menu] [displayed for each 13b response checked]
Powder
Wire/rod
Liquid suspension/liquid precursor
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of alloys and intermetallics feedstock material used [select all that apply]: [triggers 13f and 13g]
Stainless steel
Mild steel
Nickel-chromium alloys
Nickel and cobalt alloys
Ni-Cr-B-Si alloys
MCrAlY
TiAl
Ti3Al
Ni3Al
NiAl
MoS2
Other (please describe)
Indicate amount used annually: [dropdown menu] [displayed for each 13e response checked]
<100 lbs. per year
100 — 500 lbs. per year
501 — 1,000 lbs. per year
1,001 — 10,000 lbs. per year
> 10,000 lbs. per year
Indicate form used: [dropdown menu] [displayed for each 13e response checked]
Powder
Wire/rod
Liquid suspension/liquid precursor
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of ceramics feedstock material used [select all that apply]: [triggers 13i and 13j]
Al2O3
ZrO2
TiO2
CrO3
MgO
Cr3C2
TiC
Mo2C
SiC
TiN
Si3N4
Other (please describe)
Indicate amount used annually: [dropdown menu] [displayed for each 13h response checked]
<100 lbs. per year
100 — 500 lbs. per year
501 — 1,000 lbs. per year
1,001 — 10,000 lbs. per year
> 10,000 lbs. per year
Indicate form used: [dropdown menu] [displayed for each 13h response checked]
Powder
Wire/rod
Liquid suspension/liquid precursor
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of cermet (ceramics/metals) feedstock material used [select all that apply]: [triggers 13l and 13m]
WC/Co
Cr3C2/NiCr
TiC/NiCr
Other (please describe)
Indicate amount used annually: [dropdown menu] [displayed for each 13k response checked]
<100 lbs. per year
100 — 500 lbs. per year
501 — 1,000 lbs. per year
1,001 — 10,000 lbs. per year
> 10,000 lbs. per year
Indicate form used: [dropdown menu] [displayed for each 13k response checked]
Powder
Wire/rod
Liquid suspension/liquid precursor
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of polymers composites feedstock material used [select all that apply]: [triggers 13o and 13p]
Urethanes
Ethylene vinyl alcohols
Nylon 11
Polytetrafluoroethylene
Ethylene tetrafluoroethylene
Polyetheretherketone
Polymethylmethacrylate
Poluimid
Polycarbonate
Polyvinylidene fluoride
Other (please describe)
Indicate amount used annually: [dropdown menu] [displayed for each 13n response checked]
<100 lbs. per year
100 — 500 lbs. per year
501 — 1,000 lbs. per year
1,001 — 10,000 lbs. per year
> 10,000 lbs. per year
Indicate form used: [dropdown menu] [displayed for each 13n response checked]
Powder
Wire/rod
Liquid suspension/liquid precursor
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of fuel and propellant used [select all that apply]:
Argon
Helium
Air
Nitrogen
Oxygen
Propane
Acetylene
Hydrogen
Propylene
Kerosene
Chemtane 2
Methane
Methylacetylene-propadiene propane
Mixture
Other (If other fuel and propellants are used, please specify)
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of substrate material used [select all that apply]:
Aluminum
Cobalt
Copper
Nickel
Stainless steel
Mild steel
Polymer
Iron
Titanium
Other (If other substrate materials are used, please specify)
For the electric arc [or the type of TSC process asked in the previous question] TSC process, is this TSC process conducted in a temporary containment (e.g., containments using tarps), an enclosed structure (e.g., booths or glovebox), or in a non-enclosed, restricted area? [select all that apply]:
Glove box
Field portable glove box
Fully enclosed booth
Partially enclosed booth
Temporary containment
No booths
Restricted area, non-enclosed
Other (If other types of containment are used, please specify)
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the types of exhaust ventilation used for this process [select all that apply]:
Mechanical exhaust ventilation [select all that apply]: [subcategories displayed if selected]
HEPA filter
Dry filter
Wet scrubber
Water curtain
Other (If other types are used, please specify)
Portable exhaust ventilation [select all that apply]: [subcategories displayed if selected]
HEPA filter
Other (If other types are used, please specify)
No mechanical exhaust ventilation
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the Personal Protective Equipment (PPE) available at your workplace [select all that apply]:
NIOSH-approved N95 respirator
Half-face respirator (select all that apply) [subcategories displayed if selected]
For the half-face respirator, please select type(s) of filter(s) used
Particulate filter
Organic vapor cartridge
Combination
Unsure
Full-face respirator (select all that apply) [subcategories displayed if selected]
For the full-face respirator, please select type(s) of filter(s) used
Particulate filter
Organic vapor cartridge
Combination
Unsure
Powered air-purifying respirator (PAPR)
Other PPE (select all that apply) [subcategories displayed if selected]
Gloves
Protective glasses or goggles
Coveralls
Other (please describe other PPE available)
For the electric arc [or the type of TSC process asked in the previous question] TSC process, please select the enclosures and TSC equipment that are cleaned in your workplace [select all that apply]:
Glove box
Booth
Temporary containment
Other (please describe other type of enclosure or equipment cleaned)
Indicate how often this enclosure or equipment is cleaned. [dropdown menu] [displayed for each 13v response checked]
Daily
Weekly
Monthly
Annually
Not cleaned
[After completing the group of questions above related to the electric arc TSC process, REDCap will move to the next question, asking if respondents use different type(s) of TSC processes]
Do you use the flame TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the high velocity oxyfuel (HVOF) TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the conventional plasma TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the high energy plasma TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the vacuum plasma TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the radio frequency plasma TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the detonation gun TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use the cold TSC process at your facility?
Yes [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question as follows]
Do you use any other TSC process at your facility?
Yes
Please describe the other TSC process used: [triggers 13b – 13w to be displayed if the answer is Yes]
No
[If the answer is Yes, REDCap will trigger questions 13b – 13w above. If the answer is No, REDCap will move to the next question]
Section 3B: Production Practices (Others)
Select the housekeeping methods currently used in your workplace? [select all that apply]:
HEPA-filtered vacuuming
Dry sweeping
Compressed air
Wet sweeping
No housekeeping procedures
Other (please indicate any other housekeeping procedures used)
Which surface preparation tasks do you perform before TSC is applied? [select all that apply]
Roughening
Deburring
Chamfering
Radiusing edges
Preheating
Masking (high temp tape, paint-on, metal shadow)
Abrasive grit blasting
Other surface repair
Bond coating
Wet abrasive blasting
Dry abrasive blasting
Stripping coating
Other methods (please indicate any other surface preparation tasks you perform)
Which surface cleaning methods do you apply before or after TSC is applied? [select all that apply]
Solvent-based degreasing [subcategories displayed if selected]
For solvent-based degreasing, please select type(s)
Methylethyl ketone
Acetone
Acetic acid
Phosphoric acid
Polyphosphates
Orthosilicates
Other (please indicate any other type of solvent-based degreasing applied)
Thermal cleaning
Other (please indicate any other surface cleaning method applied)
Which surface finishing method do you apply after TSC is applied? [select all that apply]
Surface finishing [subcategories displayed if selected]
Grinding
Vibratory finishing
Lapping
Brush finishing
Diamond belt
Turning
Heat treating [subcategories displayed if selected]
Vacuum heat treat
Heat tint
Furnace treat in air
Furnace treat in inert
Sealing [subcategories displayed if selected]
Sealant infiltration
Release/non-stick
Paint/urethane
Densification [subcategories displayed if selected]
Shot peening
Heat treatment
Gauging and inspection [subcategories displayed if selected]
Thickness
Roughness
Fluorescent penetrant
Temperature
Hardness
Microstructure
Density
Other (please describe other surface finishing method)
Section 4: Industry Practices
What industries do you do business with (i.e., manufacture or repair parts for or sell to)? [select all that apply]
£ Aero gas turbines
£ Agriculture implements
£ Architectural
£ Automotive engines
£ Business Equipment
£ Cement and structural clays
£ Chemical processing
£ Copper and brass mills
£ Computers
£ Defense and Aerospace
£ Diesel engines
£ Electrical and electronics
£ Electrical utilities
£ Food processing
£ Forging
£ Glass manufacture
£ Hydro-steam turbines
£ Iron and steel casting
£ Iron and steel manufacture
£ Land based gas turbines
£ Marine manufacture and repair
£ Metal working
£ Medical
£ Mining, construction and dredging
£ Nuclear
£ Oil and gas exploration
£ Offshore Applications
£ Printing equipment
£ Pulp and paper
£ Petrochemicals
£ Pumps/motors
£ Railroad
£ Rock products
£ Rubber and plastic manufacture
£ Refineries
£ Screening
£ Ship and boat manufacture and repair
£ Steel and rolling mills
£ Textile
£ Transportation non-engine
£ Utilities
£ Other (please indicate other type of industry you do business with)
Does your workplace have a written Respiratory Protection Program?
£ Yes (Ask question 20)
£ No (Skip to question 22)
£ Don’t know (Skip to question 22)
Are workers fit-tested for the selected respiratory protection?
£ Yes (Ask question 21)
£ No (Skip to question 22)
£ Don’t know (Skip to question 22)
Is respirator training provided to production workers?
£ Yes
£ No
Are medical evaluations ever provided for workers?
£ Yes (If yes, open frequency options below)
£ At hire
£ Annually
£ Other (please describe other frequency):
£ No
£ Don’t know
Has air monitoring for particles (metals or dust) and/or gases ever been performed at your company?
£ Yes
£ No
£ Don’t know
Section 5: Future Participation
Would you be interested in helping NIOSH learn how to better protect worker health and safety by partnering with NIOSH to perform industrial hygiene sampling or medical surveillance of production workers? This would be entirely free to the company. If you choose to participate, NIOSH will protect your identity, your coworker’s identity, and the name of your company to the extent allowed by law.
£ Yes
£ No
£ Maybe
We would like to collect workplace contact information. This information is to assist NIOSH in contacting your workplace should you request additional information from NIOSH. Nevertheless, provision of your information listed below is voluntary. NIOSH will not directly identify you or your workplace in any of our study findings.
First Name:
Last Name:
Work phone number:
Work email address:
Thank you for your participation and for taking the time to answer these questions. If you have questions about the survey or would like to speak with someone at NIOSH, please contact: Emily Lee [email protected] or Abbas Virji [email protected].
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Harvey, Reid (CDC/NIOSH/RHD/FSB) |
File Modified | 0000-00-00 |
File Created | 2024-07-22 |