Don’t Fall For It! Post View Survey
-
Don't Fall for It! Ladder Safety Package
The following are links to all of the items in this collection:
Videos
Documents
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
-
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
-
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.