I-Socio-professional identification | |
Q1-How old are you (year)? |
|
Q2-Your gender | 1 = Male 2 = Female |
Q3-What is your profession in the garage? | 1 = Mechanic 2 = Sheet metal worker-painter 3 = Welder 4 = Electrician 5 = Vulcanizer 6 = Refrigeration mechanic 7 = Other (specify)……………………… |
Q4-Where did you learn your trade? | 1 = Vocational school 2 = Learning 3 = Other (specify):……… |
Q5-What is your title in the garage? | 1 = Garage manager 2 = Sector manager 3 = Apprentice 4 = Other (specify) ………… |
Q6-How long have you been doing this job? | 1 = Less than a year 2 = 1 - 5 years 3 = 5 years and over |
Q7-Do you work outside the garage? | 1 = yes 2 = No |
Q8-Where did you learn your profession? | 1 = Maintenance agent 2 = Motorcycle taxi 3 = Cultivators 4 = Gardening 5 = Other (specify)……………… |
II-Dermatological examination | |
Q9-Do you suffer from: |
|
a-Allergic conjunctivitis | 1 = Yes 2 = No 3 = Don’t know |
b-Allergic rhinitis | 1 = Yes 2 = No 3 = Don’t know |
c-Asthma | 1 = Yes 2 = No 3 = Don’t know |
d-Sinusitis | 1 = Yes 2 = No 3 = Don’t know |
e-Food allergy | 1 = Yes 2 = No 3 = Don’t know |
Q10-Have you ever suffered from dermatosis since you came to the garage? | 1 = Yes 2 = No |
Q11-If yes, specify its head office | 1 = Hand 2 = Feet 3 = Trunk 4 = Face 5 = Other (specify)………………… |
Q12-Did you have these lesions before arriving at the garage? | 1 = Yes 2 = No |
Q13-If yes, are they aggravated with work? | 1 = Yes 2 = No |
Q14-What is the initial site of the lesions? | 1 = Face 2 = Hands 3 = Feet 4 = Other (specify)……. |
Q15-Do the lesions improve after being out of the garage for several days in a row? | 1 = Yes 2 = No |
Q16-What are the associated subjective symptoms? | 1 = Burn 2 = Pruritus |
Q17-Do these lesions exist in other people? | 1 = Yes 2 = No |
Q18-How do the lesions present? | 1 = In medallion, cupboard, or tablecloth 2 = Scattered 3 = Seeding 3 = Other (specify)………………… |
Q19-Where are the lesions located? | 1 = Visage 2 = Neck 3 = Hands 4-Wrist 5 = Forearm 6 = Trunk 7 = Genitals 8 = Feet 9 = Other (specify)………………………… |
Q20-Basic lesions: | 1 = Erythematous lesions 2 = Erythematous-crusted lesions 3 = Vesicular lesions 4 = Papular lesions 4 = Papulo-vesicular lesions 5 = Hyperkeratotic lesions 6 = Fissured lesions 7 = Scaly lesions 8 = Bullous lesions 9 = Macular lesions 10 = Micro-cystic lesions 11 = Pustular lesions 12 = Comedones 13 = Tumor lesions 14 = Other (specify)…………………… |
Q21-Diagnosis retained | 1 = Contact eczema 2 = Keratoderma 3 = Ulceration 4 = Pityriasis versicolor 5 = Other cutaneous mycoses 6 = Acne 7 = Hives 8 = Dyschromias 9 = Psoriasis of the hands 10 = Neoformations 11 = Atopic dermatitis 12 = Other……………… |
III-Job study | |
Q22-What type of vehicles do you work on? | 1 = Petrol 2 = Diesel 3 = Both |
Q23-Is fuel spilling on your body? | 1 = Yes 2 = No |
Q24-Do you handle motor oils? | 1 = Yes 2 = No |
Q25-If yes, do they pour on your body? | 1 = Yes 2 = No |
Q26-Do you handle battery electrolyte solutions? | 1 = Yes 2 = No |
Q27-If yes, do these solutions pour on your body? | 1 = Yes 2 = No |
Q28-Do you handle rubber objects (tires, inner tubes) with bare hands? | 1 = Yes 2 = No |
Q29-Do you handle glues and sealants with bare hands? | 1 = Yes 2 = No |
Q30-Do you handle paintings with your bare hands? | 1 = Yes 2 = No |
IV-Means of prevention | |
Q31-Do you have the recommended “overalls”? | 1 = Yes 2 = No |
Q32-If yes, do you always wear it at work? | 1 = Yes 2 = No |
Q33-Do you have recommended work shoes? | 1 = Yes 2 = No |
Q34-If yes, do you wear them every day at work? | 1 = Yes 2 = No |
Q35-Do you have protective gloves for work? | 1 = Yes 2 = No |
Q36-If yes, do you always wear it at work? | 1 = Yes 2 = No |
Q37-What material are the gloves you are wearing? | 1 = latex 2 = rubber 3 = leather 4 = fabric 5 = Other (specify)………………… |
Q38-Do you have a clear water point in the garage? | 1 = Yes 2 = No |
Q39-Do you wash your hands after work? | 1 = Yes 2 = No |
Q40-If so, what do you do it with? | 1 = Water 2 = Gasoline 3 = Diesel 4 = Brake oil 5 = Other (Specify)………………… |
Q41-Do you wipe your hands after washing? | 1 = Yes 2 = No |
Q42-If so, with what? | 1 = Quick drying on workwear 2 = Parts cleaning cloth 3 = A specially reserved linen 3 = Other (Specify)……………… |