Академический Документы
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Gender _____________ Years _____________ Male _____________ Months _____________ Female _____________ District
1c. State your place of origin? ____________ State 1d. Mother tongue _____________ Not gone to School
College (Degree)
2. Job Details: 2a. How long have you worked in Construction? _________ Years 2b. Are you full time construction workers? _____________ Yes _____________ No 2b.1 If No, specify the type of industry you work other than construction __________________________ 2b.2 How many hrs/ week, you spend in your other industry? _______________________
3. What type of construction work have you done, in what capacity, and for how long? Type of work 3.1 3.2 3.3 3.4 Capacity Duration Years Months
4. Have you been employed as any of the following and for how long? Supervisor Chargehand/Foreman Skilled Unskilled Yrs Mths Yrs Mths Yrs Mths Yrs Mths
5. Have you ever suffered from any of the following afflictions / illnesses during your working life? Affliction / Illness No Suffered Earlier 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 Hearing loss High blood pressure (hypertension) Diabetes Tuberculosis Diarrhoea Heart disease (problems) Respiratory infections (breathing) Skin infections (eg. herpes simplex, warts) 5.9 5.10 5.11 Central nervous system disorders Fever (Malaria, Plague, etc.) Others (Please specify) Suffering Currently Chronic Unsure
6. How has construction affected your physical health? Manifestation 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 Breathing problems Headaches Skin problems Sore muscles and joints Tension/ Mental Pressure Backache (Lower) Backache (Upper)/ Neck pain Hand and palm pains Shoulder pains Lung infections (coughing) Pressure ulcers Eyesight problems (vision) Hearing problems Yes No Unsure
Please state the following: 6a. Did you / Do you have any of the following habits: Habits 6a.1 6a.2 6a.3 Smoking Alcohol Others (please specify) Before joining construction industry After joining construction industry
6b. Has your alcohol consumption increased after joining construction industry? Habits Yes No Unsure 6b.1 Smoking 6b.2 Alcohol 6b.3 Others (please specify) 6c. Are you aware of HIV and AIDS? ___________ Yes ___________ No
6d. If Yes, what is the source of your awareness? Source 6d.1 6d.2 6d.3 6d.4 TV Radio Information from other Employees Others (please specify) Yes No
7. If you have ever been absent from work as a result of the following afflictions, how frequent was it? Affliction / Illness 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 Hearing loss High blood pressure (hypertension) Diabetes Tuberculosis Diarrhoea Heart disease (problems) Respiratory infections (breathing) Skin infections (eg. herpes simplex, warts) Central nervous system disorders Often Sometimes Rarely
8. Have you experienced difficulty undertaking your usual (normal) work as you have become older? Manner of 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 Lower outputs Not as agile Tire more easily Not as strong Less stamina Cannot remember as well as before Not as steady on feet as before Cannot stand as long as before Out of breath more easily Take longer to recover from injury or illness Have to stay out of work more Cannot concentrate on tasks for long periods Difficulty in climbing stairs Cannot lift and carry heavy weights (loads) Yes No Unsure
8a. If you have experienced difficulty due to one of the above, how could your work practice be changed to make your work easier? Means 8a.1 8a.2 8a.3 8a.4 8a.5 8a.6 8a.7 Less manual handling (lifting and carrying) Lighter materials (bending and lifting) Mechanisation (use of machines) Task rotation (shorter shifts) More help (extra hands) Less climbing Less walking Yes No Unsure Yes No Unsure
9. Does your organization deploy / dedicate older workers to specific tasks? 9.1 If Yes, please explain or give examples:
10. Are there tasks which older workers could perform which they are currently not performing? Yes No Unsure 10.1 If Yes, please specify or give examples:
11. Have your socio-economic conditions affected your health? Yes No Unsure 11.1 If Yes, how?
12. On a scale of 1 (very poor / low) to 5 (very good / high) please rate the following aspects relative to your work: Aspect 1 Very Poor 12.1 Personal development 12.2 Personal health 12.3 Relationship with work mates 12.4 Relationship with supervisor 12.5 Satisfaction with occupation 12.6 Quality of life 2 Poor 3 Fair 4 Good 5 Very Good
13. Have you developed your qualifications, skills, responsibilities, etc. while working in construction? Yes 13.1 If Yes, how? No Unsure
14. Have you ever been overlooked for promotion? Yes 14.1 No Unsure
14.2
15. Which of the following have you experienced? Yes 15.1 First aid injury1 15.2 Medical aid injury2 15.3 Disabling injury3 (temporary) 15.4 Permanent disablement
1 2 3
Number of times
No
Unsure
Attended to by a first aider Attended to by a medical practitioner e.g. doctor Off work after the day on which the injury occurred
16. Have you Yes 16.1 Visit a regular/personal doctor? 16.2 Seen a doctor in past 6 months? 16.3 Do you have a clinic/ regular check up in your site? _______ Yes ______ No Number of times No
17. Have you ever undergone any of the following, and if so, how many times? Occupational Health (OH) intervention Medicals: Pre-employment In-employment Never Seldom Sometimes Often Always
17.1
18. How frequently have you been affected by any of the following?
Never 18.1 Poor self image 18.2 Lack of confidence 18.3 Indifference 18.4 Lack of motivation 18.5 Job dissatisfaction 18.6 Lack of alertness 18.7 Dejection 18.8 Poor recognition of abilities
Seldom
Sometimes
Often
Always
19. How often do you resist change at work? Reason 19.1 19.2 19.3 19.4 19.5 Fear of the unknown Possibility of losing job Prefer things to stay as they are Change will have personal negative effects Favours younger workers Never Seldom Sometimes Often Always
21. Would you encourage your child(ren) to embark on a career in construction? Yes 21.1 No Unsure
21.1.1 Owner / MD 21.1.2 General Manager 21.1.3 Contracts Manager 21.1.4 Site Manager 21.1.5 Supervisor 21.1.6 Team leader 21.1.7 Operator 21.1.8 Skilled worker 21.1.9 Unskilled worker 21.2 If No, why not?
THANK YOU FOR YOUR CONTRIBUTION TO ENDEAVOURS TO IMPROVE THE HEALTH AND WELL-BEING OF CONSTRUCTION WORKERS November 2005 Indian Institute of Technology Madras, Cape Peninsula University of Technology, University of Port Elizabeth