Professional Documents
Culture Documents
Questionnaire
Name of respondent:
Agency:
Title:
INSTRUCTIONS
The information collected will be used to develop a National Cooperative Highway Research Program
(NCHRP) synthesis report on “Road Safety Audits: State of the Practice.” If you or your agency has
conducted
any Road Safety Audits or Road Safety Audit Reviews, or conducted related safety assessments, please
review
The purpose of this survey is to document information on existing experiences and planned activities in
the
application of road safety audits and related proactive safety programs. For the purpose of this survey,
the
Road Safety Audit—An RSA is a formal examination of a future roadway project by an independent,
Road Safety Audit Review—An RSAR is a road safety audit of an existing roadway made by a qualified
independent audit team that reports on the potential safety issues on the existing roadway section.
There are three parts to this survey. All DOTs are asked to please respond to Part I (10 questions). Please
The survey should be completed by the person(s) with knowledge of the agency’s activities related to
safety
evaluations. You may skip any questions that are not applicable. Attach additional sheets, if necessary.
Please
Eugene M. Wilson
Laramie, WY 82072
If you have any questions, please contact Dr. Wilson by telephone: (307) 766-3202 or by e-mail at:
mlipinsk@memphis.edu.
1. Does your agency have a safety management plan? ___ Yes ____ No
2. Is a road safety audit/road safety audit review program part of the safety management plan?
____Yes ___ No
3. Does your state have sovereign immunity? _____ Full ____ Partial _______ None
4. Does your agency have measurable safety goals? Are these goals specific to reduction in numbers of
fatalities_____
5. What are the measures of accountability used for the achievement of these goals?
6. What are the institutional barriers to implementing a road safety audit/road safety audit review
program?
7. If your agency has developed and used modified concepts of road safety audit and road safety audit
reviews, please
8. Has your agency participated in any road safety audit training? Please describe.
9. Please provide any additional information that you feel would be helpful to improve the
understanding of the state of
the practice of road safety audits and road safety audit reviews.
10. Does your agency have case studies of actual audits/reviews that you would provide for use in the
synthesis? If Yes,
please check if you want them returned________. Please return all information provided to:
Thanks for your cooperation and assistance. If you know of any other agency within your state or
international
contacts that you feel would provide information that would imp