NYMTC Regional Pedestrian Safety Study - New York Metropolitan ...

Survey Form - Pedestrian Safety Program
Name: _____________________________ Title: _________________________________
Agency: _____________________________ Date: ________________________________
1 Does you agency have a pedestrian safety program in
place?
2 Who heads the program?
If you do not have a formal pedestrian safety program,
please list the person within your organization handles
pedestrian safety issues.
3 Do you have any documentation (e.g., studies, needs
evaluations, project documentation) of the pedestrian
safety program that you could send us?
(Please list titles on opposite side or separate sheet.)
4 What type of data do you collect for your pedestrian
program (e.g., accidents, accident location, number of
pedestrians)?
yes
Name:
Title:
Telephone:
Email:
yes
no
no
How do you collect them?
Who collects/ inputs the pedestrian safety data into
your pedestrian safety program?
Name:
Title:
Telephone:
Email:
5 What tools (software) do you use for pedestrian safety
analysis?
6 How is the data stored?
How long is the data stored?
7 Does your organization have a formal policy
concerning pedestrian safety?
If yes, please enclose a copy with this questionnaire.
8 Please list other agencies/organizations that are
involved in pedestrian safety in your geographic area?
(Please list on opposite side or separate sheet if
needed.)
yes
Agency:
Contact person:
Telephone:
Email:
no
NYMTC Pedestrian Safety Study 116