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)………………