State-based Occupational Health Surveillance Clearinghouse
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  • 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 — 6 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 — 6 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 — 6 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 — 6 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.
    Michigan — Survey and Data Instrument — 5/13/2011 — 6 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.
    Michigan — Survey and Data Instrument — 5/13/2011 — 6 Views

  • Work Related Asthma 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.
    Michigan — Survey and Data Instrument — 4/13/2011 — 8 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.
    Michigan — Survey and Data Instrument — 4/13/2011 — 4 Views

  • Silicosis 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.
    Michigan — Survey and Data Instrument — 4/13/2011 — 4 Views

  • MIFACE 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 — 2/25/2011 — 4 Views
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