Introduction

We would like to find out how you feel about safe driving practices and principles, and in order to do this we would like you to complete this survey.

It is important to be completely honest about your responses. All responses will be treated in strict confidence and there is no requirement to put your name to the questionnaire. The responses will be processed in confidence by Workplace Safety North.

 It should take 5 - 7 minutes to complete this survey.

 Thank you for taking the time to complete our survey. We value your feedback.

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* 1. Job Function

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* 2. Years of service with your organization

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* 3. Age

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* 4. Industry

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* 5. Years driving on forestry roads

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* 6. Frequency of forestry road use

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* 7. Type of motor vehicle used most frequently on forestry roads

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* 8. English is your first language

Please select from the statements below based on your demographic selection, i.e. mining industry, 3 years working in the forestry industry as a frequent user of forestry roads, etc.

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* 9. I feel vulnerable when not wearing a seat belt

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* 10. Seat belts are necessary even if you drive carefully

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* 11. Regardless of the speed limit, I drive according to the road conditions

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* 12. Speeding is necessary to be able to get the job done on time

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* 13. Sometimes while driving a motor vehicle I am unsure if I’m impaired

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* 14. Some impairment while operating a motor vehicle is unavoidable

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* 15. Talking or texting on a mobile phone is safe as long as you concentrate on the road

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* 16. I am always able to resist checking my mobile phone after I receive a message

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* 17. I am pressured to complete a job regardless if I drive fatigued

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* 18. Driving fatigued is necessary part of the job

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* 19. How often do you drive without wearing a seat belt?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 20. How often do you drive 10kms over the legal speed limit?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 21. How often do you drive under the influence of drugs or alcohol within the legal limit?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 22. How often do you drive under the influence of drugs or alcohol over the legal limit?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 23. How often do you talk on a mobile phone while you are driving a motor vehicle?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 24. How often do you text with your mobile phone while you are driving a motor vehicle?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 25. How often do you drive where you struggle to keep your eyes open?

  More than once a week Once a week Once a month Once a year Never
Frequency at work
Frequency in personal life

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* 26. Provide the top three hazards or risks for driving on forest roads and the reason for your selection?

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* 27. What are the three key issues you believe must be a focus in any effective training program for safe driving on forestry roads and provide a reason for your selection?

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* 28. Any additional comments?

0 of 28 answered
 

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