Seat Belt Survey Worksheet

The survey consists of observing the driver and front passengers for wearing safety belts in at least 100 vehicles. If a driver or front passenger is not wearing a seat belt, that vehicle will be counted as a “no”.  When the driver and all front seat passengers are wearing their seat belt, it is counted as a "yes." The number of “yes” observations out of 100 vehicles will be the usage rate for that location. Surveys should be taken from at least three locations within a jurisdiction. The safety belt usage rate from each survey will be averaged and entered on a 100 percent basis. The worksheet is only used to tally survey results and need not be saved after you have entered the observation rate online in your Click It or Ticket report.

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