Adverse Weather Questionnaire
1.
Are you normally assigned work outside or inside?
Inside
Outside
*
2.
When there was visible smoke during last year’s wildfires, were your hours on the job curtailed?
(Required.)
yes
no
3.
If your hours were curtailed, did it affect your pay?
Yes
No
4.
When there was visible smoke, were your coworker's hours curtailed?
Yes
No
5.
When there was visible smoke, were you or your coworkers provided with special masks?
Yes
No
6.
If you or your coworker were provided a special mask, what type?
An N-95
A KN-95
A big rubber or plastic mask with replaceable cartridges
Something else
7.
Were you or your coworkers asked to do tasks that increased your exposure to smoke?
Yes
No
8.
Was a break area provided that had clean air?
Yes
No
9.
Is your normal workspace climate controlled?
Most of the time
Some of the time
Occasionally
Rarely
10.
During hot weather were you or your coworkers asked to do tasks that increase your exposure to heat?
Most of the time
Some of the time
Occasionally
Rarely
11.
Are you provided water between breaks during heat events?
Most of the time
Some of the time
Occasionally
Rarely
12.
During heat events, was a break area provided that had temperature controlled to 68 - 72 degrees?
Most of the time
Some of the time
Occasionally
Rarely
13.
If you are interested in testifying at an OSHA hearing in the evening the last week of May, please leave contact information in the box
14.
Is there anything else you want AFSCME or OHSU to know? If so, write it in the box