Don’t Fall For It! Post View Survey

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CPWR - The Center for Construction Research and Training

Summary Statement

Survey to conduct after workers have been shown the Don’t Fall for It! video to gauge what they’ve learned.

Don’t Fall for It! Survey #2

Section 1: When using a ladder FROM NOW ON, how often will you… (circle ONE):

1. Inspect the ladder for damage before using it?

    Always
    Sometimes
    Never
    Dont' know what this means
2. Clear away debris at the base and top before using it?
    Always
    Sometimes
    Never
    Dont' know what this means

3. Extend a straight ladder three feet above the working surface?
    Always
    Sometimes
    Never
    Dont' know what this means

4. Tie a straight ladder off at the bottom?

    Always
    Sometimes
    Never
    Dont' know what this means

5. Tie a straight ladder off at the top?

    Always
    Sometimes
    Never
    Dont' know what this means
6. Set a straight ladder at a 75-degree angle (4 to 1 ratio)?
    Always
    Sometimes
    Never
    Dont' know what this means

7. Use three-point climbing?

    Always
    Sometimes
    Never
    Dont' know what this means

8. Carry loads by hand up the ladder?

    Always
    Sometimes
    Never
    Dont' know what this means

9. Keep your body within the ladder rails at all times?

    Always
    Sometimes
    Never
    Dont' know what this means

10. Sit on a step?

    Always
    Sometimes
    Never
    Dont' know what this means

11. “Walk” the ladder while on it to change ladder position?

    Always
    Sometimes
    Never
    Dont' know what this means

12. Work less than 10 feet from power lines?

    Always
    Sometimes
    Never
    Dont' know what this means

13. Stand on the top step of a stepladder?

    Always
    Sometimes
    Never
    Dont' know what this means

14. Climb the back of a stepladder?

    Always
    Sometimes
    Never
    Dont' know what this means

15. Use an unopened stepladder like a straight ladder?

    Always
    Sometimes
    Never
    Dont' know what this means

Section 2: Having seen the film, please indicate whether you now agree or disagree with each statement (circle ONE).

1. Very few deaths in construction are caused by falls from ladders.

    Disagree
    Agree
    Not Sure

2. Fall protection programs cover ladder safety.

    Disagree
    Agree
    Not Sure

3. If I fall on the job, it probably won’t change the way I live my life.

    Disagree
    Agree
    Not Sure

4. Inspecting a ladder before using it is critical to my safety.

    Disagree
    Agree
    Not Sure

5. I am unlikely to die or suffer a serious injury by falling only a few feet.

    Disagree
    Agree
    Not Sure

6. Before today, I was likely to report any ladder safety problem to my supervisor.

    Disagree
    Agree
    Not Sure

7. Falling on the job would have little economic impact on me or my family.

    Disagree
    Agree
    Not Sure

8. Workers' Compensation will not cover all the costs of a work-related injury.

    Disagree
    Agree
    Not Sure

9. An excellent estimate of proper ladder angle is to stand with your feet at the base and reach out; if your finger tips touch the ladder, the angle is good.

    Disagree
    Agree
    Not Sure

10. Most falls on the job result in lost time.

    Disagree
    Agree
    Not Sure

11. I would refuse to work on an unsafe ladder.

    Disagree
    Agree
    Not Sure

12. I could probably catch myself if I fall from a ladder.

    Disagree
    Agree
    Not Sure

Thank you for your participation.