Part 1.
Student’s Profile
Name: (Optional): ______________________________________________________________
Instructions: Please supply the necessary information asked in each item by checking in the corresponding box.
AGE: GRADE LEVEL:
15-17 yr. Old Grade 11
18-19 yr. Old Grade 12
20 yr. and Above
SEX: Male SPECIALIZATION: EIM Automotive
Female Welding/SMAW
PART II. The extent of Integration of Occupational Safety in Technical Vocational Livelihood
Education Curriculum.
Directions: The survey –This part of questionnaire is designed to determine the extent of integration of occupational safety in technical
vocational livelihood curriculum. Please check the appropriate box for your response. The interpretation of your score is as follows:
Numerical Rating Descriptive Rating Verbal Interpretation
5 Strongly Agree Highly Integrated
4 Agree Integrated
3 Moderate Agree Moderate Integrated
2. Disagree Slightly not Integrated
1 Strongly Disagree Not Integrated at all
Safety Knowledge 5 4 3 2 1
The teacher requires students to . . .
1 Use the appropriate Personal Protective Equipment/PPE
2 Install the proper safety devices (such as circuit breaker or fuses) on the accessible safe area.
3 Identify the hazard s including physical, chemical and other potential hazards in the working area .
4 Initiate the proper handling of tools and equipment during performing of tasks
5 Perform basic first aid ,medical emergencies and fire safety (like CPR and use of fire extinguisher)
SafetyManagement
Safety Regulations 5 4 33 2 11
The
The teacher
teacher requires
requires students
students to
to .. .. ..
1 Wear and
Clean Personal Protective
clear of Equipment
any obstructions and ashazards
prescribe by Philippine
before, Occupational
during and after work. Safety and Health
standards
2 Inspect defective wires/ cables, switches, circuit breakers and replace new one to avoid harm
2 Follow safety procedures in performing tasks in accordance with government regulations.
3 Maintain clean tools, equipment and machinery and store them following workplace procedures
3 Install safety devices (such as circuit breaker or fuse) according to standards.
4 Place safety protocols to prevent common hazards such as electrical shock, fires, lifting injuries and
4 Dispose
ladder scraps materials and chemicals properly in accordance with waste management statue and
accidents
rules.
5 Select and maintain good hygiene in using Personal Protective Equipment.
5 Initiate emergency procedures like fire drills, and evacuation rout in the working area following to fire
safety code
PART III. Level of Students Readiness on Occupational Safety Practices.
Directions: The survey –questionnaire checklist is designed to measure the level of students readiness on occupational safety
practices of senior high school students. Please check the appropriate box for your response. The interpretation of your score is as
follows:
Scale Description Interpretation
4.50- 5.00 Strongly Agree Very much ready
3.50- 4.49 Agree Very Ready
2.50- 3.49 Moderate Agree Moderate Ready
1.50- 2.49 Disagree Slightly not Ready
1,00- 1.49 Strongly Disagree Not Ready
Safety Protocol 5 4 3 2 1
Emergency
I can . . . Safety Response
Regulations 55 44 33 2 11
1 IEquip
Ican
can..suitable
.... Personal Protective Equipment for specific hazard present in training place
12 Use fire tools
Replace
Inspect extinguisher
defective and before
initiate
materials
for damage firefighting
suchuse
as and
wires, in case
cables,
follow of fire suddenly
the breakers, occur. and outlets to new one .
fuse, switches
manufacturer’s instruction
23 Apply
Select first
toolsaid and
and medical
equipment emergencies
in good to
conditioninjured
Implement safety procedures for all working activities. and person
clean accordingly.
after used .
34 Help to evacuate
Eliminate
Perform hazards
regular people in and
in working
inspection a safe
[Link]
assessment to identify hazards like physical, and chemical in work area
45 Can seek
Follow
Create or Call for
emergency
a practical help
fortoresponding
procedures
plan person or emergency
according to plans. hotline
emergency like fireagency.
and medical incidence.
5 Perform disconnection
Follow proper use of PPE of tools, equipment
in performing and machine
specific task. from power source when not in use.
