**[EDITORIAL NOTE]{.underline}: There are about 45 job-associated
modules. The modules for electrician and butcher are given as examples;
the others are available from P. Stewart.**

**STUDY OF BRAIN TUMORS IN ADULTS**

**[OCCUPATIONAL MODULE : ELECTRICIAN]{.underline}**

BOX EL-1

S. EVER WORKED AS AN ELECTRICIAN/REPAIRER

OF TRANSFORMERS, ELECTRICAL, OR ELECTRONIC

EQUIPMENT 1 (EL-1)

S. NEVER WORKED AS AN ELECTRICIAN/REPAIRER

OF TRANSFORMERS, ELECTRICAL, OR ELECTRONIC

EQUIPMENT 2 (GO TO NEXT MODULE)

EL-1. Did (you/your \_\_\_\_\_\_\_\_) . . .

[YES]{.underline} [NO]{.underline} [DK]{.underline}

a\. install wiring in buildings under construction? 1 2 8

b\. repair, maintain, or install wiring in existing buildings? 1 2 8

c\. work for a utility company? 1 2 8

d\. work for a manufacturer that made a product? 1 2 8

e\. repair electronic equipment? 1 2 8

f\. work in a shipyard? 1 2 8

g\. Other? (SPECIFY)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 1 2 8

BOX EL-2

IF EL-1a = 1, THEN ASK EL-2. OTHERWISE, GO TO BOX EL-3.

EL-2. Were the buildings under construction (you/your \_\_\_\_\_\_\_\_)
worked in . .

[YES]{.underline} [NO]{.underline} [DK]{.underline}

a\. retail or commercial? 1 2 8

b\. manufacturing or industrial? 1 2 8

c\. houses or apartments? 1 2 8

BOX EL-3

IF EL-1b = 1, THEN ASK EL-3. OTHERWISE, GO TO BOX EL-4.

EL-3. Were the existing buildings (you/your \_\_\_\_\_\_\_\_) worked in
. . .

[YES]{.underline} [NO]{.underline} [DK]{.underline}

a\. retail or commercial? 1 2 8

b\. manufacturing or industrial? 1 2 8

c\. houses or apartments? 1 2 8

BOX EL-4

IF EL-1c = 1, ASK EL-4. OTHERWISE, SKIP TO BOX EL-5.

EL-4. Did (you/your \_\_\_\_\_\_\_\_) . . .

[YES]{.underline} [NO]{.underline} [DK]{.underline}

a\. work as a maintenance electrician? 1 2 8

b\. install power lines? 1 2 8

c\. repair power lines? 1 2 8

d\. work at a power station? 1 2 8

BOX EL-5

IF EL-1d = 1 OR EL-2b = 1 OR EL-3b = 1, ASK EL-5. OTHERWISE, SKIP\
TO EL-6.

EL-5. What did the manufacturer/industry make?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DK \_\_\_\_\_\_\_\_\_\_\_

EL-6. How many hours a week did (you/your \_\_\_\_\_\_\_\_) work
indoors?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

BOX EL-6

IF RESPONDENT IS NEXT OF KIN/PROXY ONLY, GO TO EL-9.

+-----------------------+-----------------------+-----------------------+
|                       | EL-7.                 | EL-8.\                |
|                       |                       | How many weeks a year |
|                       | I\'m now going to ask | did you (ACTIVITY)?   |
|                       | you how many hours    |                       |
|                       | you did specific      |                       |
|                       | tasks as a (JOB       |                       |
|                       | TITLE). If you did    |                       |
|                       | not do any task I     |                       |
|                       | name, just say zero   |                       |
|                       | or never. On average, |                       |
|                       | how many hours a week |                       |
|                       | did you...            |                       |
+-----------------------+-----------------------+-----------------------+
| a\. remove            | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| insulation?           | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (b)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (b)            |                       |
+-----------------------+-----------------------+-----------------------+
| b\. install           | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| insulation?           | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (c)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (c)            |                       |
+-----------------------+-----------------------+-----------------------+
| c\. weld, flame cut,  | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| or braze?             | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (d)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (d)            |                       |
+-----------------------+-----------------------+-----------------------+
| d\. solder?           | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
|                       | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (e)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (e)            |                       |
+-----------------------+-----------------------+-----------------------+

+-----------------------+-----------------------+-----------------------+
|                       | EL-7.                 | EL-8.\                |
|                       |                       | How many weeks a year |
|                       | I\'m now going to ask | did you (ACTIVITY)?   |
|                       | you how many hours    |                       |
|                       | you did specific      |                       |
|                       | tasks as a (JOB       |                       |
|                       | TITLE). If you did    |                       |
|                       | not do any task I     |                       |
|                       | name, just say zero   |                       |
|                       | or never. On average, |                       |
|                       | how many hours a week |                       |
|                       | did you...            |                       |
+-----------------------+-----------------------+-----------------------+
| e\. machine metal     | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| parts?                | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (f)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (f)            |                       |
+-----------------------+-----------------------+-----------------------+
| f\. clean or degrease | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| metal parts?          | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (g)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (g)            |                       |
+-----------------------+-----------------------+-----------------------+
| g\. use glue or       | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| adhesives?            | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (h)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (h)            |                       |
+-----------------------+-----------------------+-----------------------+
| h\. apply protective  | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| coating to cables?    | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (I)\        | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (I)            |                       |
+-----------------------+-----------------------+-----------------------+

+-----------------------+-----------------------+-----------------------+
|                       | EL-7.                 | EL-8.\                |
|                       |                       | How many weeks a year |
|                       | I\'m now going to ask | did you (ACTIVITY)?   |
|                       | you how many hours    |                       |
|                       | you did specific      |                       |
|                       | tasks as a (JOB       |                       |
|                       | TITLE). If you did    |                       |
|                       | not do any task I     |                       |
|                       | name, just say zero   |                       |
|                       | or never. On average, |                       |
|                       | how many hours a week |                       |
|                       | did you...            |                       |
+-----------------------+-----------------------+-----------------------+
| i\. remove, install,  | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| repair,or replace the | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
| fluid in              | PER WEEK 2\           | \# WEEKS YEAR 4       |
| transformers?         | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (BOX EL-7)\ | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (BOX EL-7)     |                       |
+-----------------------+-----------------------+-----------------------+

BOX EL-7

IF EL-1a, b, OR c = 1, ASK EL-7j. OTHERWISE, SKIP TO BOX EL-8.

+-----------------------+-----------------------+-----------------------+
| j\. work underground? | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
|                       | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
|                       | PER WEEK 2\           | \# WEEKS YEAR 4       |
|                       | \# HOURS MONTH 3\     |                       |
|                       | YEAR 4                | DID, DK HOW MANY      |
|                       |                       |                       |
|                       | NEVER 005 (BOX EL-8)\ | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (BOX EL-8)     |                       |
+-----------------------+-----------------------+-----------------------+

BOX EL-8

IF EL-1d = 1, ASK EL-7k. OTHERWISE, SKIP TO BOX EL-9.

+-----------------------+-----------------------+-----------------------+
| k\. maintain or test  | DAY 1\                | \_\_\_\_\_\_\_\_\_    |
| transmitters or do    | \_\_\_\_\_\_\_\_\_    | PER MONTH 3\          |
| bench level design,   | PER WEEK 2\           | \# WEEKS YEAR 4       |
| development, or       | \# HOURS MONTH 3\     |                       |
| testing of            | YEAR 4                | DID, DK HOW MANY      |
| radio-frequency-      |                       |                       |
| producing circuits?   | NEVER 005 (BOX EL-9)\ | WEEKS 966             |
|                       | DID, DK HOW MANY      |                       |
|                       |                       |                       |
|                       | HOURS 966\            |                       |
|                       | DK 988 (BOX EL-9)     |                       |
+-----------------------+-----------------------+-----------------------+

BOX EL-9

IF EL-7a + b + + c + d + e + f + g + h + i + j + k = \< 35 HOURS PER
WEEK, ASK EL-9. OTHERWISE, GO TO BOX EL-10.

EL-9. What (else did you/did your \_\_\_\_\_\_\_\_) do?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DK \_\_\_\_\_\_\_\_\_\_

BOX EL-10

IF EL-1d, 2b or 3b = 1, ASK EL-10. OTHERWISE, SKIP TO BOX EL-13.

EL-10. Did (you/your \_\_\_\_\_\_\_\_) work as a maintenance electrician
or as an electrician making a product?

a . Maintenance 1

b\. Made a product 2 (BOX EL-13)

c\. Both 3

d\. DK 8 (BOX EL-13)

BOX EL-11

IF RESPONDENT IS NEXT OF KIN/PROXY ONLY, GO TO BOX EL-13.

EL-11. How many hours a week did you spend in the maintenance or
electrician shop?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

EL-12. How many hours a week did you spend in the production areas of
the plant?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

BOX EL-12

IF EL-12 IS \> 5 HOURS, ASK EL-13. OTHERWISE, SKIP TO BOX EL-13.

EL-13. What were other workers doing in the production area where you
spent most of your time?

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DK \_\_\_\_\_\_\_\_\_\_\_

BOX EL-13

IF EL-1f = 1, ASK EL-14. OTHERWISE, SKIP TO BOX EL-14.

EL-14. How many hours a week did (you/your \_\_\_\_\_\_\_\_) . . .

a.  work on a ship repairing it?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

b.  work on building new ships?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

c.  work in the shop?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

> d\. work in the yard or the yard buildings as a maintenance
> electrician?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

BOX EL-14

IF RESPONDENT IS NEXT OF KIN/PROXY ONLY, GO TO NEXT MODULE. OTHERWISE,
GO TO BOX EL-15.

BOX EL-15

IF EL-7a OR 7b IS \> 1 HOUR PER WEEK, ASK EL-15. OTHERWISE, SKIP TO BOX
EL-16.

+---------------------+------------------------+-----------------------+
|                     | EL-15.\                | EL-16.\               |
|                     | You said you installed | On average, how many  |
|                     | or removed\            | hours\                |
|                     | insulation. Was the    | a week did you        |
|                     | insulation . . .       | install (TYPE)?       |
+---------------------+------------------------+-----------------------+
| a\. asbestos?       | YES 1\                 | DAY 1\                |
|                     | NO 2 (b)\              | \_\_\_\_\_\_\_\_\_PER |
|                     | DK 8 (b)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| b\. fiberglass?     | YES 1\                 | DAY 1\                |
|                     | NO 2 (c)\              | \_\_\_\_\_\_\_\_\_PER |
|                     | DK 8 (c)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| c\. mineral wool?   | YES 1\                 | DAY 1\                |
|                     | NO 2 (BOX EL-16)\      | \_\_\_\_\_\_\_\_\_PER |
|                     | DK 8 (BOX EL-16)       | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+

BOX EL-16

IF EL-7c \> 1 HOUR A WEEK, ASK EL-17. OTHERWISE, SKIP TO BOX EL-17.

+---------------------+------------------------+-----------------------+
|                     | EL-17.\                | EL-18.\               |
|                     | You said you welded,   | On average, how many  |
|                     | cut, or brazed. On     | weeks\                |
|                     | average, how many      | a year did you do     |
|                     | hours a week did you   | (ACTIVITY)?           |
|                     | do . . .               |                       |
+---------------------+------------------------+-----------------------+
| a\. any kind of arc | DAY 1\                 | \_\_\_\_\_\_\_\_\_    |
| welding?            | \_\_\_\_\_\_\_\_\_ PER | PER MONTH 3\          |
|                     | WEEK 2\                | \# WEEKS YEAR 4       |
|                     | \# HOURS MONTH 3\      |                       |
|                     | YEAR 4                 | DID, DK HOW MANY      |
|                     |                        |                       |
|                     | NEVER 005 (b)\         | WEEKS 966             |
|                     | DID, DK HOW MANY       |                       |
|                     |                        |                       |
|                     | HOURS 966\             |                       |
|                     | DK 988                 |                       |
+---------------------+------------------------+-----------------------+
| b\. any kind of gas | DAY 1\                 | \_\_\_\_\_\_\_\_\_    |
| welding?            | \_\_\_\_\_\_\_\_\_ PER | PER MONTH 3\          |
|                     | WEEK 2\                | \# WEEKS YEAR 4       |
|                     | \# HOURS MONTH 3\      |                       |
|                     | YEAR 4                 | DID, DK HOW MANY      |
|                     |                        |                       |
|                     | NEVER 005 (EL-19)\     | WEEKS 966             |
|                     | DID, DK HOW MANY       |                       |
|                     |                        |                       |
|                     | HOURS 966\             |                       |
|                     | DK 988                 |                       |
+---------------------+------------------------+-----------------------+

+---------------------+------------------------+-----------------------+
|                     | EL-19.\                | EL-20.\               |
|                     | What metals did you    | On average, how many  |
|                     | weld, cut, or braze?   | hours a week did you  |
|                     |                        | weld, cut, or braze   |
|                     |                        | (TYPE)?               |
+---------------------+------------------------+-----------------------+
| a\. Stainless       | YES 1\                 | DAY 1\                |
| steel?              | NO 2 (b)               | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| b\. Mild steel      | YES 1\                 | DAY 1\                |
| (ordinary or        | NO 2 (c)               | \_\_\_\_\_\_\_\_\_PER |
| construction        |                        | WEEK 2\               |
| steel)?             |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| c\. Galvanized iron | YES 1\                 | DAY 1\                |
| or steel?           | NO 2 (d)               | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+

+---------------------+------------------------+-----------------------+
|                     | EL-19.\                | EL-20.\               |
|                     | What metals did you    | On average, how many  |
|                     | weld, cut, or braze?   | hours a week did you  |
|                     |                        | weld, cut, or braze   |
|                     |                        | (TYPE)?               |
+---------------------+------------------------+-----------------------+
| d\. Cadmium-plated  | YES 1\                 | DAY 1\                |
| steel?              | NO 2 (e)               | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| e\. Lead-plated or  | YES 1\                 | DAY 1\                |
| leaded steel?       | NO 2 (f)               | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| f\. Brass or        | YES 1\                 | DAY 1\                |
| bronze?             | NO 2 (g)               | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| g\. Cast iron?      | YES 1\                 | DAY 1\                |
|                     | NO 2 (BOX EL-17)       | \_\_\_\_\_\_\_\_\_PER |
|                     |                        | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+

BOX EL-17

IF EL-7h IS \> 1 HOUR PER WEEK, ASK EL-21. OTHERWISE, SKIP TO BOX EL-18.

+---------------------+------------------------+-----------------------+
|                     | EL-21.\                | EL-22.\               |
|                     | You said you applied   | On average, how many  |
|                     | coating to cables.     | hours\                |
|                     | What type of coating   | a week did you use    |
|                     | did you use?           | (TYPE)?               |
+---------------------+------------------------+-----------------------+
| a\. asphalt?        | YES 1\                 | DAY 1\                |
|                     | NO 2 (b)\              | \_\_\_\_\_\_\_\_\_PER |
|                     | DK 8 (b)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| b\. epoxy resins?   | YES 1\                 | DAY 1\                |
|                     | NO 2 (c)\              | \_\_\_\_\_\_\_\_\_PER |
|                     | DK 8 (c)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| c\. something else? | YES 1                  | DAY 1\                |
|                     |                        | \_\_\_\_\_\_\_\_\_PER |
|                     | (SPECIFY)              | WEEK 2\               |
|                     | \_\_\_\_\              | \# HOURS MONTH 3\     |
|                     | _\_\_\_\_\_\_\_\_\_\_\ | YEAR 4                |
|                     | NO 2 (BOX EL-18)\      |                       |
|                     | DK 8 (BOX EL-18)       | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+

BOX EL-18

IF EL-7e IS \> 1 HOUR PER WEEK, ASK EL-23. OTHERWISE, SKIP TO BOX EL-20.

+---------------------+------------------------+-----------------------+
|                     | EL-23.\                | EL-24.\               |
|                     | You said you machined  | On average, how many  |
|                     | parts. What type of    | hours\                |
|                     | cutting or cooling     | a week did you use    |
|                     | oils did you use?      | (TYPE)?               |
+---------------------+------------------------+-----------------------+
| a\. straight        | YES 1\                 | DAY 1\                |
| cutting oils clear  | NO 2 (b)\              | \_\_\_\_\_\_\_\_\_PER |
| and feels oily)?    | DK 8 (b)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| b\. soluble cutting | YES 1\                 | DAY 1\                |
| oils (milky white   | NO 2 (c)\              | \_\_\_\_\_\_\_\_\_PER |
| and feels watery)?  | DK 8 (c)               | WEEK 2\               |
|                     |                        | \# HOURS MONTH 3\     |
|                     |                        | YEAR 4                |
|                     |                        |                       |
|                     |                        | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+
| c\. something else? | YES 1                  | DAY 1\                |
|                     |                        | \_\_\_\_\_\_\_\_\_PER |
|                     | (SPECIFY)              | WEEK 2\               |
|                     | \_\_\_\_\              | \# HOURS MONTH 3\     |
|                     | _\_\_\_\_\_\_\_\_\_\_\ | YEAR 4                |
|                     | NO 2 (BOX EL-18)\      |                       |
|                     | DK 8 (BOX EL-18)       | DID, DK HOW MANY      |
|                     |                        |                       |
|                     |                        | HOURS 966             |
+---------------------+------------------------+-----------------------+

BOX EL-19

IF EL-24a OR 24b OR 24c \> 0, ASK EL-25. OTHERWISE, GO TO BOX EL-20.

EL-25. How many hours a week, on average, did you have cutting oils on
your hands?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

BOX EL-20

IF EL-7i IS \> 1 HOUR PER WEEK, ASK EL-26. OTHERWISE, SKIP TO BOX EL-21.

EL-26. You said you worked on transformers. On average, how many [times
a year]{.underline} did you have transformer oil or dielectric fluid on
your hands?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# TIMES MONTH 3 YEAR 4

NEVER 005 (BOX EL-21)

DID, DK HOW MANY TIMES 966

DK 988 (BOX EL-21)

EL-27. On average, how many [times a year]{.underline} did you have
transformer oil that contained PCBs on your hands?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# TIMES MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY TIMES 966

DK 988

BOX EL-21

IF EL-7f IS \> 1 HOUR PER WEEK, ASK EL-28. OTHERWISE, SKIP TO EL-31.

+-----------------------+-----------------------+-----------------------+
|                       | EL-28.\               | EL-29.\               |
|                       | You said you cleaned  | On average, how many  |
|                       | or degreased metal    | hours\                |
|                       | parts. Which of the   | a week did you use    |
|                       | following did you use | (AGENT)?              |
|                       | to clean or degrease  |                       |
|                       | parts?                |                       |
+-----------------------+-----------------------+-----------------------+
| a\. carbon            | YES 1\                | DAY 1\                |
| tetrachloride?        | NO 2 (b)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (b)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| b\. chloroform?       | YES 1\                | DAY 1\                |
|                       | NO 2 (c)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (c)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| c\. methylene         | YES 1\                | DAY 1\                |
| chloride?             | NO 2 (d)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (d)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+

+-----------------------+-----------------------+-----------------------+
|                       | EL-28.\               | EL-29.\               |
|                       | You said you cleaned  | On average, how many  |
|                       | or degreased metal    | hours\                |
|                       | parts. Which of the   | a week did you use    |
|                       | following did you use | (AGENT)?              |
|                       | to clean or degrease  |                       |
|                       | parts?                |                       |
+-----------------------+-----------------------+-----------------------+
| d\.                   | YES 1\                | DAY 1\                |
| trichloroethylene?    | NO 2 (e)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (e)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| e\. trichloroethane?  | YES 1\                | DAY 1\                |
|                       | NO 2 (f)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (f)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| f\. Any other         | YES 1                 | DAY 1\                |
| chemicals?            |                       | \_\_\_\_\_\_\_\_\_PER |
|                       | (SPECIFY) \_\_\_      | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       | \_\_                  | YEAR 4                |
|                       | \_\_\_\_\_\_\_\_\_\_\ |                       |
|                       | NO 2 (g)\             | DID, DK HOW MANY      |
|                       | DK 8 (g)              |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| g\. Acids?            | YES 1\                | DAY 1\                |
|                       | NO 2 (h)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (h)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| h\. Alkalis?          | YES 1\                | DAY 1\                |
|                       | NO 2 (i)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (i)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| i\. Freon?            | YES 1\                | DAY 1\                |
|                       | NO 2 (j)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (j)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+

+-----------------------+-----------------------+-----------------------+
|                       | EL-28.\               | EL-29.\               |
|                       | You said you cleaned  | On average, how many  |
|                       | or degreased metal    | hours\                |
|                       | parts. Which of the   | a week did you use    |
|                       | following did you use | (AGENT)?              |
|                       | to clean or degrease  |                       |
|                       | parts?                |                       |
+-----------------------+-----------------------+-----------------------+
| j\. Gasoline?         | YES 1\                | DAY 1\                |
|                       | NO 2 (k)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (k)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| k\. Methyl Ethyl      | YES 1\                | DAY 1\                |
| Ketone (MEK)?         | NO 2 (l)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (l)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| l\. Mineral spirits?  | YES 1\                | DAY 1\                |
|                       | NO 2 (m)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (m)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| m\. Naphta?           | YES 1\                | DAY 1\                |
|                       | NO 2 (n)\             | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (n)              | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+
| n\. Stoddard solvent? | YES 1\                | DAY 1\                |
|                       | NO 2 (EL-30)\         | \_\_\_\_\_\_\_\_\_PER |
|                       | DK 8 (EL-30)          | WEEK 2\               |
|                       |                       | \# HOURS MONTH 3\     |
|                       |                       | YEAR 4                |
|                       |                       |                       |
|                       |                       | DID, DK HOW MANY      |
|                       |                       |                       |
|                       |                       | HOURS 966             |
+-----------------------+-----------------------+-----------------------+

EL-30. Please describe how you degreased parts:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DK \_\_\_\_\_\_\_\_\_\_\_\_\_\_

EL-31. How many hours a week were you in an area where you had to shout
to be heard by someone within three feet of you?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

DK 988

EL-32. How many hours a day did you:

> a\. use a hand-held electrical tool?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

> b\. use or work near a medium-sized electrical machine or equipment
> about the size of a household washer or dryer?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

> c\. use or work near heavy duty industrial electrical equipment larger
> than a household washer or dryer?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

> d\. work within 30 feet of energized high-voltage electrical
> equipment, such as power lines or transformers or large magnetic
> fields?

DAY 1

\_\_\_\_\_\_\_\_\_ PER WEEK 2

\# HOURS MONTH 3 YEAR 4

NEVER 005

DID, DK HOW MANY HOURS 966

BOX EL-22

IF EL-32b IS \> 5 HOURS PER WEEK, ASK EL-33. OTHERWISE, SKIP TO BOX
EL-23.

EL-33. You said you used or worked near medium-sized equipment. On
average, did you work within three feet of the motor of that equipment?

YES 1

NO 2

DK 8

BOX EL-23

IF EL-32c IS \> 5 HOURS PER WEEK, ASK EL-34. OTHERWISE, SKIP TO BOX
EL-24.

EL-34. You said you used or worked near heavy-duty equipment. On
average, how far away did you work from the motor of that equipment?

a\. Less than three feet, 1

b\. Three to six feet, or 2

c\. Greater than six feet? 3

d\. DK 8

BOX EL-24

IF EL-32d IS \> 5 HOURS PER WEEK, ASK EL-35. OTHERWISE, GO TO EL-36.

EL-35. You said you used or worked near high-voltage equipment. On
average, how far away did you work from that equipment?

a\. Less than 15 feet, 1

b\. Fifteen to 30 feet, or 2

c\. Greater than 30 feet? 3

e\. DK 8

EL-36. Did you wear any protective clothing or equipment?

YES 1

NO 2 (GO TO NEXT MODULE)

DK 8 (GO TO NEXT MODULE)

EL-37. What protective clothing or equipment did you wear?

[YES]{.underline} [NO]{.underline}

a\. A FILTER-CARTRIDGE RESPIRATOR 1 2

b\. AN AIR-SUPPLIED OR SCUBA RESPIRATOR 1 2

c\. A SIMPLE DUST MASK 1 2

d\. GLOVES 1 2

e\. HEADGEAR 1 2

f\. FOOTWEAR 1 2

g\. FACE SHIELD 1 2

h\. DK 1 2