| Survey component Ratings | |||||
| Not Aware <-------------------->Fully Aware | |||||
| How Aware are you of occupational health and safety | 1 | 2 | 3 | 4 | 5 |
| How Aware are you of Occupational hazard | 1 | 2 | 3 | 4 | 5 |
| How Aware are you of Types of occupational hazards | 1 | 2 | 3 | 4 | 5 |
| How Aware are you of Diseases occurring due to profession | 1 | 2 | 3 | 4 | 5 |
| Awareness on following hazards | |||||
| l.Physical hazards due to | |||||
| Fall | 1 | 2 | 3 | 4 | 5 |
| Hearing problems | 1 | 2 | 3 | 4 | 5 |
| Headache | 1 | 2 | 3 | 4 | 5 |
| 2.chemical hazards due to | 1 | 2 | 3 | 4 | 5 |
| Latex allergy | 1 | 2 | 3 | 4 | 5 |
| Dermatitis | 1 | 2 | 3 | 4 | 5 |
| Respiratory problems | 1 | 2 | 3 | 4 | 5 |
| 3.Electrical/mechanical hazards due to | |||||
| Burns | 1 | 2 | 3 | 4 | 5 |
| Fire | 1 | 2 | 3 | 4 | 5 |
| Shock | 1 | 2 | 3 | 4 | 5 |
| 4.biological hazards due to | |||||
| Skin allergy | 1 | 2 | 3 | 4 | 5 |
| Respiratory problems | 1 | 2 | 3 | 4 | 5 |
| Infections | 1 | 2 | 3 | 4 | 5 |
| Inspection done on Linen for sutures, needles and the like stress in the working environment | 1 | 2 | 3 | 4 | 5 |
| 5.PPE used to | |||||
| Prevent cuts, skin abrasions | 1 | 2 | 3 | 4 | 5 |
| Prevent respiratory problems | 1 | 2 | 3 | 4 | 5 |
| Prevent falls | 1 | 2 | 3 | 4 | 5 |
| Importance of hand washing | 1 | 2 | 3 | 4 | 5 |
| Hepatitis B vaccination | 1 | 2 | 3 | 4 | 5 |
| First aid kit used in minor accidents | 1 | 2 | 3 | 4 | 5 |
| How to handle a fire extinguisher | 1 | 2 | 3 | 4 | 5 |
| Importance of regular health check-ups | 1 | 2 | 3 | 4 | 5 |
| Occupational hazard reported to higher authority | 1 | 2 | 3 | 4 | 5 |
| Record system regarding occupational hazards | 1 | 2 | 3 | 4 | 5 |