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* 1. What is your company’s primary industrial classification?

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* 2. What is your firm size (the parent company, not your establishment)?

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* 3. On average, how frequently do your employees perform lockout/tagout at each establishment?

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* 4. How often do you have to shut down a production line to perform lockout/tagout?

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* 5. How often is it infeasible to perform lockout/tagout on a piece of equipment?

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* 6. Under what circumstances do you find it infeasible to perform lockout/tagout on a piece of equipment?

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* 7. Do you rely on the use of control circuit devices (e.g., e-stops, interlocks) to provide protection to employees performing servicing and maintenance on equipment where lockout/tagout is infeasible?

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* 8. What types of control circuit devices do you rely on?  (Check all that apply.)

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* 9. When relying on control circuit devices to provide protection to employees performing servicing and maintenance on equipment, do you implement additional protective measures at the same time?

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* 10. If “yes” in question 9, what additional protective measures do you implement?  (Check all that apply.)

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* 11. When relying on the lockout/tagout procedure to provide protection to employees performing servicing and maintenance on equipment, have you ever had an employee injured when performing the servicing and maintenance?

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* 12. If “yes” in question 11, what was the cause of the injury?

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* 13. When relying on control circuit devices to provide protection to employees performing servicing and maintenance on equipment, have you ever had an employee injured when performing the servicing and maintenance?

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* 14. If “yes” in question 13, what was the cause of the injury?

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* 15. Do you think injuries occur more frequently when relying on lockout/tagout procedures or control circuit devices?

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* 16. Would permitting the use of control circuit devices in lieu of lockout/tagout result in production improvements?

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* 17. If “yes” in question 16, what specific improvements would occur?

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* 18. Would permitting the use of control circuit devices in lieu of lockout/tagout result in safety improvements?

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* 19. If “yes” in question 18, what specific improvements would occur?

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* 20. Why are control circuit devices safer than lockout/tagout procedures?  (Check all that apply.)

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* 21. Do you use robotics in your facilities?

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* 22. If “yes” in question 21, what types of robotics do you use?  (Check all that apply.)

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* 23. What safety precautions do you implement for employees working around robotics?  (Check all that apply.)

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* 24. Have you ever experienced any injuries with employees working around robots?

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* 25. If “yes” to question 24, what were the causes of the injuries?  (Check all that apply.)

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