Questionnaire

I. Demography
Name: ______________________________ Occupation: ____________________________________
Age: 15-2425-3435-4445-5455-64 Position:EngineerForemanSkilled WorkerLaborer
Gender: Male Female Years of Experience:0-5 yrs. 6-10 yrs. 11-20 yrs.
Marital Status: Single Married Widow Company: ______________________________________
Educational Attainment: _______________
Strongly Disagree Disagree Agree Strongly Agree
II. Background Queries (SD) (D) (A) (SA)
A. Knowledge Review
1. All temporary accesses or working
platforms are scaffold assemblies.
2. When someone inside the construction sees
a scaffold, they know what it is.
3. Anybody can determine a correct scaffold
assembly by seeing/erecting.
4. It is correct to treat scaffold work a non-
hazard job.
5. Big construction companies can

erect/dismantle any scaffold anytime.
6. All scaffold assemblies are covered by

correct and safe construction methods.
B. Technical Review
1. Scaffold assembly is doable to

erect/dismantle without prior design plans.
2. To work at height, any temporary access or
platform is acceptable to use.
3. Massive tall scaffold assemblies must have
design and design reviews.
4. To erect/dismantle/alter/modify any
scaffold assemblies, distinct and
appropriate guidelines must be adhered or
followed.
5. All complex scaffold assemblies are
designed according to governing codes of
practices.
6. Scaffold erection must be compliant to any
local governing code.
C. Practical Review
1. All scaffold assemblies are safe to use at
any height.
2. Simple tower scaffold can be
erected/dismantled by any construction
crew.
3. Scaffold assemblies with intermixed
materials/components are acceptable.
4. Scaffold assembles must have scaffold plan
completeness checklist.
5. Scaffold crew must undergo training for

enhanced skills.