QUESTIONNAIRE

SECTION (A): GENERAL INFORMATION

For section A: Please tick your response to the box.

1. Occupation of Respondents:

Contractor

Safety Officer

Consultant

Project Manager

Owners

Engineer

Others _________________

2. Experience of years:

Less than 1year

1-<3 years

5 -< 10 years

More than 10 years.

3-<5 years

3. Experience of years involve about safety:

Less than 1year

1-<3 years

5 -< 10 years

More than 10 years.

3-<5 years

SECTION (B)
ACCIDENT CAUSES

This section aims to obtain the information on the severity of the accidents. Please kindly choose
the answer that most suitable by checking () the answer on the appropriate box.
Below is the detailed list of causes of construction accident, based on the scale,
rate the following causes according to weightage of influences.
The following causes have five possible responses
1 = strongly disagree,

2 = disagree , 3 = slightly agree,

4 = agree,

= strongly agree
No
1
2
3
4
5
6
7
8
9
10
No
1
2
3
4
5
6
7
8
9
10

Accidents Causes
Job Site Conditions
Excessive Noise
Slippery and muddy work surface
Collapse of temporary structure
Poor ventilation
Poor illumination
Lack of edge protection
Hole and edge
Limitation of working area
Poor equipment and waste material
arrangement
Poor Construction materials arrangement

Accidents Causes
1
Unsafe Equipment & Material
Without safety devices
Equipment failure
Not ergonomics
Operating equipment without authority
Low tool maintenance
Using defective tools or equipment
Lack of protection in material storage
Mechanical failure of machinery
Lack of warning system
Unsafe facilities and equipment

SECTION (C)
THE IMPLEMENTATION OF SAFETY MANAGEMENT
This section aims to obtain the information on finding the causes of the accident and the
implementation and effectiveness of the regulation. Please kindly choose the answer that most
suitable by checking () the answer on the appropriate box.
Below is the detailed list of causes of Safety Management, based on the scale,
rate the following causes according to weightage of influences.
The following descriptions have five possible responses
1 = strongly disagree,

2 = disagree,

3 = slightly agree,

4 = agree,

= strongly agree
NO

DESCRIPTION
WORKERS PARTICIPITION

1
2
3
4
5
6
7
8
9
10

Identify based on safe unsafe practices on site.

Wokers safety performance evaluated.
Employees assigned so that they can do their jobs
in safe manner.
Employees given the safety orientation
Present of site safety meeting provided by the
project manager or safety officer.
Employees follow the safety rules of do and don't
in safety performance.
Attitudes of workers towards safe work practices.
Workers management relationship
Safety policy of the company by employer
Workers adaptation to working environment in
construction site.

NO

DESCRIPTION
SAFETY PREVENTION & CONTROL SYSTEM

Placement of safety posters or symbols

Frequency of safety inspection carried out by

safety officer

Degree and level of punishment in terms of safety

requirement

Adequency of in-house safety rules and

regulations.

Usage of PPE by the workers

Equipment and tools place at safety place to avoid

accident.

Identification and control harzardeous activities.

Workers trained in proper material handling.

Familarity of type and method of construction by

safety in charge.

10

Effectiveness of safety training to the employees.