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2 - SURVEY INFORMATION
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b) Survey Policy
c) Survey Instructions
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e) Hierarchy View
f) Optional Survey Items
3 - SAMPLE SURVEYS
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e) CTR Survey
f) HHQ Survey
g) MTRCYCL Survey
h) D&D Survey
i) OD&R Survey
j) POV/PMV Survey
k) ATC Survey
l) FLT MET Survey
m) Hazing Survey
n) CVN Survey
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CVN Maintenance to Operations Survey
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 a DOD Civilian
Other
Your status
Regular
Active Reserve
Drilling Reserve
Civil Service
Contractor
Other
No response
Your sex
Male
Female
No response
Your department
Administration
AIMD
Air
Combat Systems
Deck
Engineering
Executive
Intelligence
Legal
Media
Medical/Dental
Navigation
Operations
Reactor
Religious Ministries
Safety
Security
Supply
Training
Weapons
Other
Your time in current unit:
< 2 months
2-6 months
7-12 months
13-24 months
> 2 years
No response
Shipboard deployments in the Navy (>= 4 months at sea)
0
1
2
3
> 3
ORGANIZATIONAL PROCESSES
My command adequately trains members of my work center to perform our mission at sea.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My chain of command reinforces safety rules during pre-evolution briefings.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Members of my department must possess the appropriate experience or skills to earn qualifications.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of my work center understand their roles and responsibilities during major evolutions and drills.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of my work center have been trained to operate emergency equipment (e.g., Emergency Escape Breathing Device, fire bottles, etc.).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of
my work center
know how to egress to a weather deck.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Members of
my berthing area
know how to egress to a weather deck.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of my work center have been trained how to draw/return hazardous materials (HAZMAT).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My shipmates, 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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My command makes good use of special staff (e.g., legal, chaplain, medical, etc.) to help manage high-risk personnel.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Effective communication exists within my division.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My chain of command 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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Required publications are current and used in my work center.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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ORGANIZATIONAL CLIMATE
My ship 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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Training is conducted as scheduled in my work center.
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
Enter any comment here:
Members of my work center 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
Enter any comment here:
All members of my work center 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 interesting and make me think.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of my work center take personal ownership of all tasks that we perform.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My shipmates
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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Members of my work center arrive at work prepared (i.e., well rested, properly equipped, motivated, etc.) to do their jobs safely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Members of my work center understand our command goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Morale in my work center is high.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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RESOURCES
My work center 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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Members of my work center have attended formal Naval Schools prior to arrival at my command.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My work center 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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SUPERVISION
Leaders/Supervisors in my work center communicate command goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Leaders/Supervisors in my work center train members to conduct our jobs safely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Leaders/Supervisors in my department 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 in my department care about my quality of life.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors in my department know who are high-risk members.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
SAFETY PROGRAMS
Members of my work center regularly report shipboard hazard(s)
to our supervisor
.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Members of my work center regularly report shipboard hazard(s)
to the Safety Department
.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Reported shipboard hazards are corrected quickly.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My command'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 LCPO briefs recreational and off duty safety to the division.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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The command DAPA has made it clear that drug use and alcohol abuse are incompatible with Navy service.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
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 command would most likely be caused by...
No Response
My Response Is
Characters remaining:
400
The most significant action(s) my department can take to improve safety is (are)...
No Response
My Response Is
Characters remaining:
400
The best way for
me
to improve safety within my work center would be to...
No Response
My Response Is
Characters remaining:
400
What is my command doing
right
?
No Response
My Response Is
Characters remaining:
400
What three things could the command improve upon?
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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