CDC - State-based Occupational Health Surveillance Clearinghouse

Burns Questionnaire

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 7/6/2011 — 6 Views

Adult Lead Exposure Mailed Survey

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 7/6/2011 — 8 Views

Skull Fracture Questionnaire

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 7/6/2011 — 5 Views

MIFACE Highway Work Zone Fatality Data Form

This questionnaire was developed for the MIFACE Program, in conjunction with and funded by the National Institute for Occupational Safety and Health (NIOSH). It is a joint research project of Michigan State University College of Human Medicine’s Occupational and Environmental Medicine Division and the Michigan Department of Licensing and Regulatory Affairs (MDLARA). More »
Michigan — Survey and Data Instrument — 6/30/2011 — 7 Views

MIFACE Farm Fatality Core Data Form

This questionnaire was developed for the MIFACE Program, in conjunction with and funded by the National Institute for Occupational Safety and Health (NIOSH). It is a joint research project of Michigan State University College of Human Medicine’s Occupational and Environmental Medicine Division and the Michigan Department of Licensing and Regulatory Affairs (MDLARA). More »
Michigan — Survey and Data Instrument — 6/30/2011 — 5 Views

MIFACE Farm Fatality Data Collection Instrument

This questionnaire was developed for the MIFACE Program, in conjunction with and funded by the National Institute for Occupational Safety and Health (NIOSH). It is a joint research project of Michigan State University College of Human Medicine’s Occupational and Environmental Medicine Division and the Michigan Department of Licensing and Regulatory Affairs (MDLARA). More »
Michigan — Survey and Data Instrument — 6/30/2011 — 5 Views

MIFACE Logging Related Fatality Data Form

This questionnaire was developed for the MIFACE Program, in conjunction with and funded by the National Institute for Occupational Safety and Health (NIOSH). It is a joint research project of Michigan State University College of Human Medicine’s Occupational and Environmental Medicine Division and the Michigan Department of Licensing and Regulatory Affairs (MDLARA). More »
Michigan — Survey and Data Instrument — 6/30/2011 — 5 Views

Work Site Respiratory Symptoms Questionnaire - English

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 5/13/2011 — 5 Views

Work Site Respiratory Symptoms Questionnaire - Spanish

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 5/13/2011 — 5 Views

Silicosis Next of Kin Questionnaire

This questionniare was developed from information obtained through Michigan's Project SENSOR (Sentinel Event Notification System for Occupational Risks), an occupational disease reporting and surveillance program. The occupational and environmental health team at Michigan State University works closely with and is a bona fide agent of both the Michigan Department of Community Health (MDCH) and the Michigan Department of Licensing and Regulatory Affairs (MDLARA) to administer this project. « Less
Michigan — Survey and Data Instrument — 4/13/2011 — 5 Views