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CUI
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Command Safety Assessment
We cannot assure anonymity to respondents who admit to criminal activity or provide statements that imply a threat to themselves or others.
Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.
PURPOSE:
This survey is designed to give members of the opportunity to provide
anonymous
feedback to the commander. This process helps leadership identify concerns and highlight areas where they might best focus their efforts.
SURVEY INSTRUCTIONS:
ALL
survey items must be answered.
Once all survey items are completed, click on the Submit button at the bottom of the page.
When you have submitted the survey, a "Thank You" note will appear.
For purposes of this survey, CO refers to the squadron CO (Det OIC if survey conducted for detachment use). If respondents desire to address conditions at higher, adjacent, or lower levels, provide those remarks in the free text comments section.
OUR COMMITMENT TO ANONYMITY:
Responses
cannot
be tied to the respondent.
Your
responses
are anonymous.
Your responses are separated from your personal information (e.g., rank, gender, etc.) so that your CO cannot tie the two together. For example, you may be the only female, E-8 in your unit, but your CO cannot tie your responses to that information. Please call 888-603-3170 if you would like to learn how these protections are implemented.
Please select one:
Military
Civilian
7-Digit PIN:
Your rank/grade
E1
E2
E3
E4
E5
E6
E7
E8
E9
Cadet/Midshipman
WO1
CWO2
CWO3
CWO4
CWO5
O1
O2
O3
O4
O5
O6
O7 to O10
No response
Your rank/grade
GS-1 to GS-3
GS-4 to GS-8
GS-9 to GS-11
GS-12 & above
WL-5 & below
WL-6 & above
WS-7 & below
WS-8 to WS-13
WS-14 & above
WG-8 & below
WG-9 to WG-11
WG-12 & above
Contractor
Other
No response
Your branch of the military
I am in the USN
I am in the USMC
I am in the US Army
I am in the USAF
I am in the USCG
I am a U.S. civilian
Other
No response
Your status
Regular
Active Reserve
Drilling Reserve
Civil Service
Contractor
Other
No response
Your sex
Male
Female
No response
Your designation
Pilot
NFO
Aircrew
Flight Surgeon
Project Specialist
No response
Your current model aircraft
AH-1
AV-8B
BQM-74
C-2
C-9
C-12
C-20
C-26
C-35
C-37
C-40
C-130
E-2C
E-2D
E-6
EA-18G
EP-3E
F-5
F-16
F-35B
F-35C
F/A-18A
F/A-18C
F/A-18D
F/A-18E
F/A-18F
H-1
H-3
H-46
H-53
H-60R
H-60S
MQ-4C
MQ-8B
MQ-8C
MQ-9
OH-58C
P-3
P-8
PIONEER
QF-4
RQ-7B
RQ-21
RQ-26
T-1
T-6
T-38
T-39
T-44
T-45
TH-57
TH-73
U-1
U-6
UH-1Y
UH-60L
UH-72A
V-22
X-26
Other
No response
Your total flight hours
< 250
251 - 500
501 - 750
751 - 1000
1001 - 1500
1501 - 2000
2001 - 2500
> 2500
No response
Your total hours in model
< 100
101 - 250
251 - 500
501 - 750
751 - 1000
1001 - 1500
1501 - 2000
2001 - 2500
> 2500
No response
Are you currently a department head
Yes
No
No response
Your time in current unit:
< 2 months
2-6 months
7-12 months
13-24 months
> 2 years
No response
ORGANIZATIONAL PROCESSES
Our unit adequately trains aircrews to safely conduct all flights.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit provides adequate recognition for exceptional safety acts.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety decisions are made at the proper levels by the most qualified personnel.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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SOPs and safety rules are enforced in my unit.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Personnel must possess the appropriate experience/skills to earn qualifications in my unit.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Unit members, from the top down, incorporate Risk Management (RM) into daily activities.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Effective communication exists within my unit.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit keeps me well informed regarding important safety information.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Our Human Factors Councils/Boards are effective at improving safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Our flight surgeon is effective at helping to identify/manage high-risk personnel.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Aircrew in my unit are able to maintain flight proficiency/currency standards.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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NATOPS tests/check rides are conducted as intended, to honestly assess qualifications.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Our Crew Resource Management (CRM) program is helping to improve mission performance and safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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ORGANIZATIONAL CLIMATE
My unit has a reputation for high-quality performance.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Violations of SOPs, flying regulations, or general flight discipline are rare.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Training is conducted as scheduled.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Individuals are comfortable approaching their supervisor about personal issues/illness.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Individuals in my unit are comfortable reporting safety violations, unsafe behaviors, or hazardous conditions.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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All members of my unit have the authority to halt unsafe activities until the hazards/risks are addressed.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Our Safety Department is well-respected.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Our safety pauses are effective.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Unit members
do not
cut corners to accomplish their job/mission.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Crew rest standards are enforced in my unit.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Aircrew work effectively as a team.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Morale in my unit is high.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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RESOURCES
My unit has adequate resources (e.g., tools, equipment, publications, etc.) to perform its current tasks.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit has enough experienced personnel to perform its current tasks.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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I have adequate time to prepare for and brief my flights.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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I am provided the right number of flight hours to fly safely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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SUPERVISION
Leaders/Supervisors in my unit emphasize safe maintenance in achieving flight schedule goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors in my unit care about my quality of life.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Leaders/Supervisors in my unit set a good example for following standards.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors know who the high-risk members are in my unit.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
SAFETY PROGRAMS
My unit's privately owned vehicle (POV) / private motor vehicle (PMV) program is working well to reduce POV/PMV incidents.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit's motorcycle safety program is working well to reduce motorcycle incidents.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit's drinking and driving policies are working well to reduce DUI events.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit's off-duty and recreational activity safety program is working well to reduce injuries.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My unit's Substance Abuse Control Program is working well to address the risks of drug and alcohol abuse.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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OPEN-ENDED RESPONSE ITEMS
The most hazardous activity I perform is...
No Response
My Response Is
Characters remaining:
400
The next incident/mishap in my unit would most likely be caused by . . .
No Response
My Response Is
Characters remaining:
400
The most significant action(s) my unit can take to improve safety is(are):...
No Response
My Response Is
Characters remaining:
400
What is my unit doing
right
and why?
No Response
My Response Is
Characters remaining:
400
Use this space to provide any concern that you would like to comment upon.
No Response
My Response Is
Characters remaining:
400
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