Questionnaire of Projet in Bpcl

8/3/2019 Questionnaire of Projet in Bpcl

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OCCUPATION & STRESS; A CO-RELATION

Questionnaire

PERSONAL INFORMATION

1. Name ________________________________________________________.

2. Department ________________________________________________________.

3. Gender :- Male Female

4. Age : A. 18-25 yrs B. 26-35 yrs C. 36-45 yrs D. 45-55 yrs E. > 55 yrs

5. Marital status: A. Single B. Married C. Divorced E. Widowed

6. Educational Qualification

A. SSC B. HSC C. Graduate D. Professional Degree E. Post Graduate

7. Size of family: a. less than 4

b.between 4-6

c.between 6-8

d.more than that.

.

8. Monthly Income• < 20000

• 30000-50000

• 50000-70000

• 70000-90000

• >90000

A. Work Profile

1. Job Designation: - ___________________________________________________

2. Date of employment/Years of experience:-_______________.



3 Total number of yrs at the present location: - ______________.

B.WORKING CONDITION

1 Working Pattern: - Shift General

2 How long does your work day usually last? [hours] _____________________________

3. Timing of work _____________________________

4. Rate the following factors based on 1 to 4 scales for the level of importance :

Factors Never Rarely occasionally Frequently

Are you called at home regarding your work?

Do you have the opportunity to take breaks

during your workday?

(Q.5)

Are you exposed to welding

Noise

Vibration

Chemicals, Gases

5. If you do have some breaks are these usually:

• Short ones (less than 15 min)

• Long breaks (at least 30 min)

• Both short and long breaks.

6. How many night shifts do you usually work per month? _______________________

7. Do you have your own desk or workplace?



Yes No

8. Do other people, beside yourself, work in your office?

a. No

b. One other person

c. Two to five other people

d. Five to ten other people

e. More then ten other people

C.RECENT CHANGES AT WORK

Factors Yes No

Has there been an increase in the length of your workday?

Has there been increased time pressure / number of deadlines

Have there been other recent changes at work?

If yes , please specify ________________________________________

Have you been promoted

Have you been Demoted

D. WORKS ACCIDENTS, INJURIES AND MISHAPS

1. Have you suffered physical harm or injury at work?

Yes (if yes Q. a & b) No

a).Minor/ Major/ LTA?________________________________________

b). Brief description.______________________________________

____________________________________________________________________



2. Have you ever witnessed a serious accident at work?

a) One or more accidents with a fatal outcome.

b) One or more serious accidents, but never witnessed a fatal outcome.

c) Heard about serious accidents at work but never seen this.

d) Never witnessed nor heard about a serious accident at work.

3. Is there a system in place at work in case of emergency?

a) YES and I know that it functions properly.

b) YES, but I do not know how well it actually functions.

c) NO, there is not a functioning system in place in case of emergency

E. TIME PRESSURE AT WORK

Factors Never Rarely Occasionally Frequently

Do you have a deadline by which a

given job or task must be completed.

Must you speed-up your work tempo?

Factors Absolutely Mainly Partially Not at all

Can you control the speed at which you

work?

With regard to your workload and time

constraints can you complete everything?

F. PROBLEMS,CONSTRAINTS AND INFLUENCE AT WORK.



Factors Never Rarely Occasionally Frequently

Can you get help for handling difficult

situations or dilemmas?

Do you receive clear instruction and/or information concerning your work?

G. REGARDING YOUR HEALTH

1. How many times did you go to a doctor (both within and outside refinery) in the last two

months for your illness ?

A. Once B. Twice C. Thrice D. More than four times

2. Did you take any sick leave in the past one month?

Yes (if yes go to Q.3) No

3. Are you suffering from?

• Diabetes

• High blood pressure

• Heart disease

• Obesity (Motapa)

• You suffer from body ache, pain in joints and muscles due to your work.

• Any other specify __________________________________________________

4. Addictions, If any: - Alcohol/Tobacco/Cigarettes.(mention the quantity)_____________

5. Do you think :

factors Yes No



1. Do you frequently neglect your diet?

2. Do you frequently try to do everything yourself?

3. Do you frequently blow up easily?

4. Do you frequently seek unrealistic goals?

5. Do you frequently fail to see the humour in situations others find

funny?

6. Do you frequently get easily irritated?

7. Do you frequently make a "big deal" of everything?

8. Do you frequently complain that you are disorganized?

9. Do you frequently get too little rest?

10. Do you frequently get angry when you are kept waiting?

11. Do you frequently ignore stress symptoms?

12. Do you frequently fail to build relaxation into every day?

13. Do you frequently spend a lot of time complaining about the past?

14. Do you frequently feel unable to cope with all you have to do?

Documents

Questionnaire of Projet in Bpcl