INSTRUCTIONS FOR COMPLETION OF RESPONDENTS' QUESTIONNAIRE · INSTRUCTIONS FOR COMPLETION OF...
Transcript of INSTRUCTIONS FOR COMPLETION OF RESPONDENTS' QUESTIONNAIRE · INSTRUCTIONS FOR COMPLETION OF...
Second Global status report on road safety:
Respondents' Questionnaire
Country:
Respondent's Information
Name:
Position:
Institution:
E-mail address:
Phone number:
Fax:
INSTRUCTIONS FOR COMPLETION OF RESPONDENTS' QUESTIONNAIRE
Thank you for completing this questionnaire. This questionnaire was developed to assess
the response to the road safety situation in your country. The same questionnaire will be
completed by several road safety colleagues from various sectors in your country, and your
National Data Coordinator will convene a consensus meeting to determine one set of
answers for the country.
We do not expect any one person to complete ALL the questions included here: what you
are able to answer will depend on your particular role with regard to road safety in your
country, so please just complete the following questions to the best of your ability. Then
please bring this with you when you attend the consensus meeting, organized by your
National Data Coordinator. He/she will compile ONE questionnaire for your country, based
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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on the responses obtained from you and other respondents. The information collected will
be compiled into a report, the Second Global status report on road safety, which will be
published in 2012.
We know that a great deal of information is being requested in this questionnaire and
sincerely appreciate your efforts. Should you have any queries, please do not hesitate to
contact your National Data Coordinator who has sent you this questionnaire.
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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SECTION A. LEAD AGENCY 1. Is there a government agency or department that takes responsibility for overseeing and / or
coordinating all road safety activities (i.e. a lead agency) in your country (please see Instruction
Booklet)?
□ Yes (please name this agency) _______________________________________
□ No (please skip to Q5)
□ Don't know (please skip to Q5)
2. Where is this agency placed within Government structure (please tick one)?
□ The agency is a single government ministry/department, or situated within one
government ministry/department (please specify ministry and department, if
relevant) _______________________
□ Stand-alone entity
□ Other (please specify) _____________________________________
□ Don't know
3. Which of the following functions is the lead agency responsible for? (please tick all that apply)
3.1 Coordination
3.1.1 □ Coordination of intergovernmental working processes at the central government
level
3.1.2 □ Coordination of road safety decision-making across central government
3.1.3 □ Coordination across different levels of government (e.g. central, regional, local)
3.1.4 □ Coordination of national mass media campaigns
3.2 Legislation
3.2.1 □ Periodic review of legislation, rules and standards against best practice, and
recommendations for improvement
3.2.2 □ Development and/or revision of legislation
3.3 Monitoring and evaluation
3.3.1 □ Establishing and supporting data systems that are used to monitor road safety
outcomes
3.3.2 □ Compilation and dissemination of national statistics
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3.4 Other (please specify) ______________________________________
4. Is funding allocated in the Government's budget for the lead agency to carry out the functions listed
above?
□ Yes
□ No
□ Don't know
SECTION B. STRATEGY AND TARGETS 5. Is there a national strategy for road safety in your country?
□ Yes
□ No (skip to Section C)
□ Don't know (skip to Section C)
5.1 If yes, does this strategy comprise: (please tick all that apply)
5.1.1 □ one national strategy
5.1.2 □ multiple national strategies (e.g. one in health, one in transport)
5.1.3 □ multiple provincial/state level strategies (skip to Section C)
5.1.4 □ Other (please specify and skip to Section C)
_____________________________________
5.2 Are funds available to implement part or all of this/these strategy/strategies?
□ Yes, fully funded
□ Partially funded
□ Not funded
□ Don't know
What is the annual budget allocated to fund all or part of this strategy/these strategies?
5.2.1 ___________ amount (Please specify currency_________)
5.2.2 ____________ year
□ Don't know
6. Does this national strategy set measurable targets to reduce the number of people killed and /or
seriously injured in a road traffic crash?
6.1 For killed
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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□ Yes
□ No (please skip to question 6.2)
□ Don't know (please skip to question 6.2)
If yes, please provide the targets and their timeframes:
6.1.1 Fatality targeted reduction ________________
6.1.2 Time period relating to fatality target (please specify start and end years
that these targets relate to, e.g. 2002–2012) ________________
□ Don't know
6.2 For seriously injured
□ Yes
□ No (please skip to question 7)
□ Don't know
If yes, please provide the targets and their timeframes:
6.2.1 Non-fatal injury targeted reduction ________________
6.2.2 Time period relating to non-fatal injury target (please specify start and end
years that these targets relate to e.g. 2002–2012) ________________
□ Don't know (please skip to question 7)
If possible, please supply supporting documents that provide more detail on these fatality
and/or non-fatal injury targets
7. Does the national strategy include targets for any of the following: 7.1 Reducing speed
□ Yes
□ No
□ Don't know
7.2 Reducing alcohol impaired driving □ Yes
□ No
□ Don't know
7.3 Increasing seat-belt use
□ Yes
□ No
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□ Don't know
7.4 Increasing child restraint use
□ Yes
□ No
□ Don't know
7.5 Increasing motorcycle helmet use
□ Yes
□ No
□ Don't know
SECTION C. ROAD TRAFFIC DEATHS 8. How many road traffic DEATHS were recorded in your country in 2010? Please include the best
official estimate for this number for 2010. If data for 2010 are not available please provide data
for the most recent year for which it is available.
□ Data not available (skip to question 9)
8.1 Number of deaths ___________________
8.2 Year of data _________________
8.3 Source of data
______________________________________________________________
8.3.1 Is this information based on:
□ Police records
□ Health facility records
□ Vital registration data
□ Combined sources (please explain)
□ Other (please specify)
______________________________________________________________
8. 4 Definition of “road traffic death” used:
□ Died at scene of crash
□ Died within 24 hours of crash
□ Died within 7 days of crash
□ Died within 30 days of crash
□ Died within a year of crash
□ Unlimited time period following crash
□ Other (please specify) __________________
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Note to NDC: If the country uses a coefficient factor ("Smeed factor") to compensate for late deaths if a 24 hour period or less is used, please indicate this in the comment box
9. Please provide the number (or proportion if numbers are not available) of ROAD TRAFFIC DEATHS in your country, BY SEX AND AGE GROUP.
9.1 Distribution of deaths by sex
9.1.1 Total number of deaths (please fill in this number even if you have
included the same figure in Question 8).___________________
9.1.2 Males ___________________ 9.1.3 Females ___________________
9.1.4 Unknown___________________
` 9.1.5 Year of data ___________________
9.1.6 Source of data
______________________________________________________________
□ Data not available
9. 2 Distribution of deaths by age group
9.2.1 Total number of deaths (please fill in this number even if you have
included the same figure in Question 8).___________________
9.2.2 0-4 years _________
9.2.3 5-14 years _________
9.2.4 15-29 years _________
9.2.5 30-44 years _________
9.2.6 45-59 years _________
9.2.7 60-69 years _________
9.2.8 70+ years _________
9.2.9 Age unknown _________
9.2.10 Year for which the above data is supplied _________
9.2.11 Source of data _________
______________________________________________________________
□ Data not available
9.2.12 □ Data collected but using different age categories (please
attach/upload supporting documents in this case)
10. For road traffic deaths in 2010 (or most recent year), please provide a breakdown by type of road
user:
10.1 Total number of road traffic deaths (please fill in this number even if you have included the same figure in Question 8).___________________
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10.1.2 Source of data ________
10.1.3 Year ________
10.2 Number (or proportion of total number above) of deaths for drivers of four-
wheeled cars and light vehicles (includes vans, sport utility vehicles, pickup trucks)
________
10.3 Number (or proportion of total number)of deaths for passengers of four-wheeled
cars and light vehicles (includes vans, sport utility vehicles, pickup trucks)
________
10.4 Number(or proportion of total number)of deaths for drivers/passengers of
motorized two-wheelers and motorized three-wheelers ________
10.5 Number (or proportion of total number)of deaths for cyclists ________
10.6 Number (or proportion of total number)of deaths for pedestrians ________
10.7 Number (or proportion of total number)of deaths for drivers and/passengers of
heavy trucks
10.8 Number (or proportion of total number)of deaths for drivers and/passengers of
buses ________
10.9 Other (please specify and attach source) ________
10.10 Source of breakdown data by road user type listed above_______
10.11 Year _______
□ No data available
□ Data available using different categories to this (please upload this data as a
supporting document)
11. Please provide data on the rate of road traffic fatalities per 100 000 population over the last 10 years. If you do not have this information, please provide the NUMBER of road traffic deaths in your country over the same period. If you do not have data for the 10 year period please give us data for the most recent 10 year period that you have available (see Instruction booklet).
We would like to analyse these data ourselves. Thus please give us raw data, i.e., a number of deaths that relates to each year, NOT a picture of a graph which will be difficult for us to use. Please provide the source for this data.
11.1 Source of data ________
□ No data available
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12. What is the estimated percentage of your country's Gross Domestic Product lost as a result of road
traffic crashes?
12.1 ___________%
12.2 ___________ (year)
12.3 __________ (source) (please provide either a copy of the study or a detailed source)
□ No estimate available
□ Don't know
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SECTION D. EXPOSURE TO RISK OF ROAD TRAFFIC CRASHES
13. Are there national policies in your country that encourage walking and/or cycling as an alternative to
car travel?
□ Yes
□ No, but sub-national policies exist
□ No
□ Don't know
13.1 If yes, please provide one example of a project that illustrates this policy that has been
initiated in the last 2 years. Please try to summarise this in less than 400 words and describe
the project, where and when it was conducted, and explain if the impact of this project has
been evaluated. You may upload supporting documents.
___________________________________________________________
___________________________________________________________
___________________________________________________________
14. Are there national policies to support investment in public transport as an alternative to car travel?
□ Yes
□ No, but sub-national policies exist
□ No
□ Don't know
14.1 If yes, please provide one example of a project that illustrates this policy that has been initiated
in the last 2 years.. Please try to summarise this in less than 400 words and describe the
project, where and when it was conducted, and explain if the impact of this project has been
evaluated. You may upload supporting documents.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
15. What is the total number of registered motorized vehicles in your country, and the breakdown by
vehicle type (please provide the most recent data)?
15.1 Total number of vehicles ________
15.1.1 Source of data ________
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15.1.2 Year _______
Please include the breakdown of this total number by vehicle type:
15.2 Number of four-wheeled cars and light vehicles (includes vans, sport utility
vehicles, pick up trucks) ________
15.2.1 Source of data ________
15.2.2 Year published for above ________
15.3 Number of motorized two-wheeled or three-wheeled vehicles ________
15.3.1 Source of data ________
15.3.2 Year published ________
15.4 Number of heavy trucks ________
15.4.1 Source of data ________
15.4.2 Year published ________
15.5 Number of buses ________
15.5.1 Source of data ________
15.5.2 Year published ________
□ Unknown / data not collected
□ Data collected but using different vehicle type categories (please provide
supporting documents in this case)
16. Is there a penalty/demerit point system in place in your country? (See instruction booklet for a
definition)
□ Yes
□ No
□ Don't know
17. Does a Graduated Driver Licensing (GDL) system for new car drivers exist in your country? (i.e.
that allows for controlled phasing in of car driver privileges over time - see Instruction Booklet for
more information)
□ Yes
□ No (skip to Section E)
□ Don't know (skip to Section E)
If yes, what restrictions are placed on NEW or young drivers? (please tick all that apply)
17.1 □ Requirements for adult supervision
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17.2 □ Requirements for minimum number of hours/ lessons of behind-the-
wheel training
17.3 □ Restrictions on speed
17.4 □ Restrictions on alcohol consumption
17.5 □ Seat-belt requirements (e.g. enough seat-belts for each person in car)
17.6 □ Restrictions on maximum number of passengers
17.7 □ Restrictions on use of mobile phones
17.8 □ Restrictions on driving at night time
17.9 □ Restrictions on road type (e.g. cannot drive on motorways)
17.10 □ Restrictions on car type (e.g. engine size)
17.11 □ Other (please specify)______________________________
SECTION E. VEHICLE STANDARDS 18. The following questions relate to regulations and/or legislation that applies to PRIVATE PASSENGER
CARS:
18.1 Does the legislation/ regulation require the following safety features for new cars
manufactured or assembled in your country?
18.1.1 Front and rear seat belts □ Yes □ No □ Don’t know
18.1.2 ABS (Anti locking Brake System) □ Yes □ No □ Don’t know
18.1.3 ESC (Electronic Stability Control) □ Yes □ No □ Don’t know
18.1.4 Airbags □ Yes □ No □ Don’t know
□ No car manufacturers/assemblers in my country
18.2 Does the legislation/ regulation require the following safety features for NEW cars
imported into your country?
18.2.1 Front and rear seat belts □ Yes □ No □ Don’t know
18.2.2 ABS (Anti locking Brake System) □ Yes □ No □ Don’t know
18.2.3 ESC (Electronic Stability Control) □ Yes □ No □ Don’t know
18.2.4 Airbags □ Yes □ No □ Don’t know
18.3 Does the legislation/ regulation require the following safety features for SECOND HAND
cars imported into your country?
18.3.1 Front and rear seat belts □ Yes □ No □ Don’t know
18.3.2 ABS (Anti locking Brake System) □ Yes □ No □ Don’t know
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18.3.3 ESC (Electronic Stability Control) □ Yes □ No □ Don’t know
18.3.4 Airbags □ Yes □ No □ Don’t know
□ Legislation different depending on age of second hand car
19. Does the government apply any of the following international or regional vehicles safety standards
or features? (please tick all that apply)
19.1 □ New Car Assessment Programmes (NCAP)
19.2 □ United Nation's World forum on harmonization of vehicle standards
19.3 □ Other regional programme (please specify) _______________________
19.4 □ No international or regional vehicle safety standards applied
19.5 □ Don't know
SECTION F. INFRASTRUCTURE 20. Do plans for NEW road infrastructure projects require a safety review prior to construction?
□ Yes
□ No
□ Don't know
21. Are road safety inspections of EXISTING road infrastructure conducted on a regular basis?
□ Yes
□ On some parts of road networks only (please explain___________________)
□ No
□ Don't know
21.1 If yes, are these inspections conducted by an agency that is INDEPENDENT from
the agency responsible for road construction and maintenance?
□ Yes
□ No
□ Don't know
22. Are there policies in your country to separate road users as a way of protecting vulnerable road
users (e.g. motorcycle lanes, separated cycle lanes, see Instruction booklet)
□ Yes, national policies
□ Yes, but at sub-national level only
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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□ No
□ Don't know
22.1 If yes, please provide an example of such a project that has been initiated in the last 12
months. Please try to summarise this in less than 200 words and describe the intervention,
where and when it was conducted, and explain if the impact of this project has been evaluated.
You may upload supporting documents.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
23. Has an International Road Assessment Progam, iRAP ever been conducted in your country? (See
Instruction Booklet for a definition)
□ Yes (please specify when and where this was conducted)
___________________________________________
□ No
□ Don't know
SECTION G. SPEED CONTROL 24. In your country are there national speed limits FOR PRIVATE PASSENGER CARS?
□ Yes (go to question 26)
□ No, but speed limits are set at provincial/state or local level (go to question 25)
□ Don't know (skip to Section H)
25. If legislation on speed is set at a provincial/state level, does legislation in all states/provinces in the
country set the same speed limits?
□ Yes
□ No (skip to Section H)
□ Non applicable
26. What are the maximum NATIONAL speed limits (or state/provincial level if you ticked yes to
question 25) FOR PRIVATE PASSENGER CARS on the following roads (please provide these
limits in km/h)?
26.1 Urban roads _____km/h
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26.2 Rural roads _____ km/h
26.3 Intercity roads/highways _____ km/h
26.4 Other (please specify) ___________________ km/h
□ Don't know
27. Are local authorities (e.g. municipalities, districts, or states or provinces in federations) allowed to
modify the national limits and set their own speed limits that are lower than national level limits?
□ Yes
□ No
□ Don't know
28. What is the national speed limit around schools
______________km/h
□ Don't know
29. What are the mechanisms that are used for each of the following:
29.1 To ENFORCE speed limits or control speed (please tick all that apply)
29.1.1 □ Roadside police enforcement
29.1.2 □ Automated speed enforcement (i.e. fixed radars or speed cameras)
29.1.3 □ Traffic calming measures (e.g. roundabouts, speed bumps, rumble strips)
29.1.4 □ Design standards to control speed
29.1.5 □ Slow (passing) lanes
29.1.6 □ Other (please explain) ____________________________
□ Don't know
29.2 To PENALISE transgressors of speed laws (please tick all that apply)
29.2.1 □ Licence suspended or revoked
29.2.2 □ Penalty-demerit points
29.2.3 □ Vehicle impoundment
29.2.4 □ Fines
29.2.5 □ Prison/jail/detention terms
29.2.6 □ Other (please explain) ____________________________
□ Don't know
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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30. In your opinion, how effective is the enforcement of speed limits in your country (please rate
enforcement on a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)
0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10
NOT EFFECTIVE HIGHLY EFFECTIVE
SECTION H. DRINK-DRIVING 31. Is alcohol consumption legally prohibited in your country?
□ Yes
□ No
32. Is there a national drink-driving law in your country
□ Yes (skip to question 34)
□ No, but laws are set at provincial/state level
□ No (skip to Section I)
33. If legislation on drink-driving is set at a provincial/state level, is the legislation in all
states/provinces in the country the same?
□ Yes, please explain___________________________________
□ No (skip to question 39)
34. Is this law based on:
□ Blood Alcohol Concentration (BAC) or an equivalent Breath Alcohol
Concentration (BrAC) level
□ Other (e.g. physician certificate, police assessment) (skip to question 38)
□ Don't know (skip to Section I)
35. What is the maximum legal Blood Alcohol Concentration for vehicle drivers (that is, the level at
which penalties can be applied)? (This can be a national level, or state/provincial level IF you
answered YES to question 33).
35.1 Level _____________
35.2 units (g/dl or mg/ml) _____________
36. What is the maximum BAC level for young /novice drivers in your country? (This can be a
national level, or state/provincial level IF you answered YES to question 33).
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36.1 Level _____________
36.2 units (g/dl or mg/ml) _____________
37. What is the maximum BAC level for professional/commercial drivers in your country? (This can
be a national level, or state/provincial level IF you answered YES to question 33).
37.1 Level _____________
37.2 units (g/dl or mg/ml) _____________
38. What are the mechanisms used for each of the following:
38.1 To ENFORCE drink-driving laws (please tick all that apply)
38.1.1 □ Use of breath testing at specific locations or times (e.g. holiday periods,
outside pubs or bars)
38.1.2 □ All year-round random (population) breath testing
38.1.3 □ Other (please explain) __________________________
□ Don't know
38.2 To PENALISE transgressors of drink-driving law (please tick all that apply)
38.2.1 □ Licence suspended or revoked
38.2.2 □ Vehicle impoundment
38.2.3 □ Penalty-demerit points
38.2.4 □ Assessment and rehabilitation
38.2.5 □ Community or public service
38.2.6 □ Mandatory treatment
38.2.7 □ Fines
38.2.8 □ Alcohol ignition interlock
38.2.9 □ Prison/jail/detention terms
38.2.10 □ Other (please explain) ____________________________
□ Don't know
39. In your opinion, how effective is the enforcement of drink-driving laws (please rate enforcement on
a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)
0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10
NOT EFFECTIVE HIGHLY EFFECTIVE
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40. Are drivers injured /killed in road traffic crashes tested for blood alcohol content? (see Instruction
booklet)
□ Yes
□ No
□ Don't know
If yes, who is tested? (please tick all that apply)
40.1 □ All fatally-injured drivers
40.2 □ Some fatally-injured drivers
40.3 □ All non-fatally injured drivers
40.4 □ Some non-fatally injured drivers (e.g. random sample, based on age group,
etc)
40.5 □ Other (please specify)_____________
41. What is the best estimate for the proportion of annual road traffic DEATHS in your country that is
attributable to alcohol impairment (i.e. those over the country-defined limit)
41.1 Estimated percentage of road traffic DEATHS attributable to alcohol _________
41.2 Year ___________
41.3 Data source _______________________
□ Don’t know
42. In your country are drivers who are killed in a road traffic crash tested for use of substances other
than alcohol (e.g. recreational or prescription drugs) ?
□ Yes, please list substances included for testing ______________________
□ No
□ Don’t know
SECTION I. MOTORCYCLE HELMET USE 43. In your country, is there NATIONAL legislation requiring helmet use among users of motorized
two-wheelers?
□ Yes (skip to question 45)
□ No, but legislation set at provincial/state or local level
□ No (skip to Section J)
□ Don't know(skip to Section J)
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44. If legislation on motorcycle helmet use is set at a provincial/state level, is this legislation the same
in all states/provinces in the country?
□ Yes, please explain__________________
□ No (skip to Section J)
□ Non applicable
45. Does national legislation on helmet use require helmet use by:
drivers of motorized two-wheelers □ Yes □ No □ Don't know
adult passengers of motorized two-wheelers □ Yes □ No □ Don't know
46. Does national legislation on helmet wearing require helmet use:
46.1 On all road types?
□ Yes
□ No
□ Don't know
46.2 For all engine types?
□ Yes
□ No
□ Don't know
47. What is the minimum age or minimum height at which children are allowed to ride as passengers
on motorized two-wheelers?
______ years
_______ minimum height
□ No minimum age or height restriction
□ Don't know
48. Are child passengers (who are legally allowed to ride as passengers on motorized two-wheelers)
required to use helmets?
□ Yes
□ No
□ No child passengers allowed on motorized two-wheelers
□ Don't know
49. What are the mechanisms used for each of the following:
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49.1 To ENFORCE helmet use law
49.1.1 □ Road checks or blocks
49.1.2 □ Other (please specify)_____________
□ Don't know
49.2 To PENALISE transgressors of law(please tick all that apply)
49.2.1 □ Licence suspended or revoked
49.2.2 □ Vehicle impoundment
49.2.3 □ Penalty-demerit points
49.2.4 □ Fines
49.2.5 □ Prison/jail/detention terms
49.2.6 □ Other (please explain) ____________________________
□ Don't know
50. In your opinion, how effective is the enforcement of helmet laws (please rate enforcement on a
scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)
0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10
NOT EFFECTIVE HIGHLY EFFECTIVE
51. Does the law require that motorcycle helmets meet a recognised standard?
□ Yes
□ No
□ Don't know
51.1 If yes, please specify which standard?_____________
52. What is the best ESTIMATE of the percentage of helmet wearing among users of motorized two-
wheelers in your country? (If no official figures are provided, please include any research or
academic studies that may have been published on this issue. Please provide the date and source of
this estimate and attach the relevant hard copies of this information)
52.1 Percentage for ALL RIDERS: _______%
□ Don't know (skip to Section J)
52.1.1 Source of data _____________
52.1.2 Year published _____________
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52.1.3 Is this a national or subnational estimate?
□ National
□ Subnational
52.1.4 Source type. (see Instruction Booklet for more information)
□ Observational study
□ Police reports
□ Research survey
□ Other
52.2 Percentage for DRIVERS: _______%
□ Don't know (skip to Section J)
52.2.1 Source of data _____________
52.2.2 Year published _____________
52.2.3 Is this a national or subnational estimate?
□ National
□ Subnational
52.2.4 Source type. (see Instruction Booklet for more information)
□ Observational study
□ Police reports
□ Research survey
□ Other
52.3 Percentage for PASSENGERS: _______%
□ Don't know (skip to Section J)
52.3.1 Source of data _____________
52.3.2 Year published _____________
52.3.3 Is this a national or subnational estimate?
□ National
□ Subnational
52.3.4 Source type. (see Instruction Booklet for more information)
□ Observational study
□ Police reports
□ Research survey
□ Other
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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SECTION J. SEAT-BELTS AND CHILD RESTRAINTS 53. In your country, is there NATIONAL legislation requiring seat-belt use among car occupants?
□ Yes (go to question 55)
□ No, but legislation set at provincial/state or local level
□ No (skip to question 60)
□ Don't know (skip to question 60)
54. If legislation on seat-belt use is set at a provincial/state level, is this legislation the same in all
states/provinces in the country?
□ Yes, please explain__________________
□ No (skip to question 60 )
□ Don't know (skip to question 60)
□ Non applicable
55. Does this legislation require the use of seat-belts among all occupants (FRONT and REAR seats):
□ Yes
□ No
□ Don't know
56. Does this legislation require seat-belt use on all roads?
□ Yes
□ No
57. What are the mechanisms used for the following:
57.1 To ENFORCE seat-belt law
57.1.1 □ Road checks or blocks
57.1.2 □ Other (please specify) _____________
□ Don't know
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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57.2 To PENALISE transgressors of law (please tick all that apply)
57.2.1 □ Licence suspended or revoked
57.2.2 □ Vehicle impoundment
57.2.3 □ Penalty-demerit points
57.2.4 □ Fines
57.2.5 □ Prison/jail/detention terms
57.2.6 □ Other (please explain) ____________________________
□ Don't know
58. In your opinion, how effective is enforcement of seat-belt use laws (please rate enforcement on a
scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)
0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10
NOT EFFECTIVE HIGHLY EFFECTIVE
59. What is the best ESTIMATE of seat-belt wearing rates in your country? (If no official figures are
provided, please include any research or academic studies that may have been published on this
issue. Please provide the date and source of this estimate and attach the relevant hard copies of this
information)
59.1 Percentage for drivers only: _______%
□ Don't know (skip to question 60)
59.1.2 Source of data _____________
59.1.3 Year published _____________
59.1.4 Is this a national or subnational estimate?
□ National
□ Subnational
59.1.5 Source type (see instruction booklet for more information)
□ Observational study
□ Police report
□ Research survey
□ Other
59.2 Percentage for FRONT seat occupants: _______%
□ Don't know (skip to question 60)
59.2.1 Source of data _____________
59.2.2 Year published _____________
59.2.3 Is this a national or subnational estimate?
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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□ National
□ Subnational
59.2.4 Source type (see instruction booklet for more information)
□ Observational study
□ Police report
□ Research survey
□ Other
59.3 Percentage for REAR seat occupants: _______%
□ Don't know (skip to question 60)
59.3.1 Source of data _____________
59.3.2 Year published _____________
59.3.3 Is this a national or subnational estimate?
□ National
□ Subnational
59.3.4 Source type (see instruction booklet for more information)
□ Observational study
□ Police report
□ Research survey
□ Other
59.4 Percentage for ALL occupants: _______%
□ Don't know (skip to question 60)
59.4.1 Source of data _____________
59.4.1 Year published _____________
59.4.3 Is this a national or subnational estimate?
□ National
□ Subnational
59.4.4 Source type (see instruction booklet for more information)
□ Observational study
□ Police report
□ Research survey
□ Other
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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60. In your country, is there NATIONAL legislation requiring the use of child restraints
□ Yes
□ No, but legislation set at provincial/state level (skip to Section K)
□ No (skip to Section K)
□ Other (please specify)______________________________________
□ Don't know (skip to Section K)
61. What mechanisms are used in your country to increase the use of child restraints? (please tick all
that apply)
61.1 □ Loan schemes to subsidize the cost of child restraints
61.2 □ Borrowing schemes to encourage use of child restraints
61.3 □ Enforcement checks by police to ensure correct use of child restraints
61.4 □ Penalties (such as fines) for non compliance with laws on child restraints
61.5 □ Other (please explain) ____________________________
□ Don't know
62. In your opinion, how effective is enforcement of child restraint use laws (please rate enforcement
on a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)
0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10
NOT EFFECTIVE HIGHLY EFFECTIVE
SECTION K. MOBILE PHONE USE 63. Are data ROUTINELY collected in your country on mobile phone use while driving?
63.1 □ data collected as part of regular police crash reports
63.2 □ data collected regularly through observational studies
□ No, but specific studies on this have been conducted (please provide any supporting
documents)
□ No
□ Don't know
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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64. Is there NATIONAL legislation in your country regulating the use of mobile phones while
driving?
□ Yes
□ No, but legislation set at provincial/state level
□ No
□ Don't know
If yes, does this legislation prohibit the use of: (please tick all that apply)
64.1 □ Hand-held mobile phones
64.2 □ Hand-held and hands-free mobile phones
64.3 □ Text messaging only
64.4 □ Other (please specify)_____________________________________
SECTION L. SURVEILLANCE SYSTEMS AND POST CRASH RESPONSE 65. Do you have a vital registration/death certification system in your country?
□ Yes
□ No
□ Don't know
If yes, what is the annual number of road traffic deaths recorded through this system. Please provide this data for 2010, or for the most recent year for which data are available.
65.1 Number of deaths estimated using vital registration data
_____________________
65.2 Year ______________________
□ Don't know
65.3 Does this information reflect:
□ The entire national case load
□ A sample (a proportion of total population covered)
______________________
66. Do you have a national Emergency Room-based injury surveillance system in your country?
□ Yes
□ No
□ Don't know
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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67. How many patients a year PRESENT to Emergency Rooms in your country as a result of a road traffic injury?
67.1 Number of patients presenting _____________________
67.2 Source ______________________
67.3 Year ______________________
□ Don't know
67.4 Does this information reflect:
□ The entire national case load
□ A sample (for example, government hospitals only, data from one city only, or a
sentinel system - please explain) ______________________
68. From your hospital data, how many patients in your country are ADMITTED to hospital wards
annually as a result of a road traffic injury?(see Instruction booklet)
68.1 Number of patients admitted _____________________
68.2 Source ______________________
68.3 Year ______________________
□ Don't know
68.4 Does this information reflect:
□ The entire national case load
□ A sample (for example, government hospitals only, data from one city only or a
sentinel system - please explain) ______________________
69. Is there a nationwide emergency access telephone number in your country (please tick all that
apply)?
69.1 □ Yes, one national number (please state what this number is________)
69.2 □ Yes, multiple national numbers (e.g. one for State-run ambulance services
and a different one for private ambulance providers)
69.3 □ No only State / provincial or city specific number(s)
69.4 □ Other (please specify) ________________________________
□ No nationwide number at all
□ Don't know
RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety
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70. What percentage of all seriously injured persons (e.g. seriously injured enough
to need to be admitted to a hospital) are taken to hospital by an ambulance? (Please see Instruction
booklet).
□ less than 10 %,
□ 11–49 % ,
□ 50–74%
□ > 75 %
□ no ambulance services in my country (skip to Q72)
70.1 Please state if this figure is
□ Nationally representative data
□ Only representative of a specific area (please specify which area)________________
□ An estimate based on professional opinion
71. Is there a specialty of Emergency Medicine for MEDICAL DOCTORS that is recognized in your
country?
□ Yes
□ No
□ Don't know
72. Are formal post graduate training programmes in Emergency Medicine recognized for NURSES
involved in your country
□ Yes
□ No
□ Don't know
73. What is the estimated proportion of people injured in a road traffic crash in your country (i.e. those
presenting at an Emergency Room) who incur a permanent disability as a result of the crash?(See
Instruction booklet for details. Please provide a detailed source for this information or upload a
supporting document)
______ Estimated %
Source of this information______________
□ Don't know