questionnaire

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A STUDY ON EMPLOYEES’ HEALTH AND SAFETY MEASURES AT ARIHARA FIREWORKS, SIVAKASI. I. PERSONAL DATA 1. Name : 2. Age in years a) Below 25 b) 25 to 35 c) 35 to 45 d) Above 45 3. Sex a) Male b) Female 4. Marital Status a) Married b) Unmarried c) Widow d) Widower 5. Family members a) 1 to 2 b) 3 to 5 c) Above 5 6. Educational qualification a) Illiterate b) Below 12 th c) Diploma d) Graduate 7. Department a) Fancy Items b) Packaging c) Chemical Mixing d) others If others, specify ________________ 8. Experience a) Below 3 years b) 3 to 5 years c) Above 5 years 9. Monthly Income a) Below Rs. 2000 b) Rs. 2000 to Rs. 4000 c) Rs. 4000 to Rs. 6000 d) Above Rs. 6000 II. SAFETY MEASURES

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Page 1: Questionnaire

A STUDY ON EMPLOYEES’ HEALTH AND SAFETY MEASURES AT

ARIHARA FIREWORKS, SIVAKASI.

I. PERSONAL DATA

1. Name :

2. Age in years

a) Below 25 b) 25 to 35 c) 35 to 45 d) Above 45

3. Sex

a) Male b) Female

4. Marital Status

a) Married b) Unmarried c) Widow d) Widower

5. Family members

a) 1 to 2 b) 3 to 5 c) Above 5

6. Educational qualification

a) Illiterate b) Below 12th c) Diploma d) Graduate

7. Department

a) Fancy Items b) Packaging

c) Chemical Mixing d) others

If others, specify ________________

8. Experience

a) Below 3 years b) 3 to 5 years c) Above 5 years

9. Monthly Income

a) Below Rs. 2000 b) Rs. 2000 to Rs. 4000

c) Rs. 4000 to Rs. 6000 d) Above Rs. 6000

II. SAFETY MEASURES

10. Are you satisfied with the safely measures provided by the management?

a) Yes b) No

11. Are health and safety sensitization meetings regularly convened?

a) Yes b) No

12. Are health and safety conditions regularly looked into?

a) Yes b) No

13. Are you aware of welfare measures?

a) Yes b) No

14. How do you feel about the various welfare measures provided in the company?

a) Excellent b) Very Good c) Good d) Satisfactory

Page 2: Questionnaire

15. Opinion about the Safety Measures

Safety Measures Strongly

AgreeAgree Neither Disagree

Strongly Disagree

a. Working condition b. Removing Daily work c. Stock Room d. Safety dress (Mask,

Shoes etc.,) e. Fire Accident facilities

(Sand buckets, waters etc.,)

f. Environment III. HEALTH MEASURES

16. How do you feel about the sanitary facilities provided in the premises?

a) Excellent b) Very Good c) Good d) Satisfactory

17. Do you feel job security in the organization?

a) yes b) no

18. Do you suffer any occupational disease.

a) Yes b) No

19. If Yes, what are they?

a) Breathing problem b) Chemical allergy c) Urinary problem

d) Stomach problem e) others.

20. Are there adequate welfare facility provided?

a) Provided b) Not provided

21. You are satisfied with the Health measures provided by the management.

a) Yes b) No

22. Does your co – workers help in work related problems?

a) Yes b) No

23. Are you addict to any bad habits ?

a) Yes b) No

24. If Yes, which one

a) Alcohol b) Smoking c) Gutka

25. Opinion about the Health Measures

Health Measures Strongly

AgreeAgree Neither Disagree

Strongly Disagree

a. Medical facilitiesb. Toiletries facilities c. Canteen facilities d. Welfare measures (ESI,

Insurance etc.,)e. First Aid Facilities f. Health awareness

program

Page 3: Questionnaire