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1 - TAKE A SURVEY
2 - SURVEY INFORMATION
a) Survey Overview
b) Survey Policy
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f) Optional Survey Items
3 - SAMPLE SURVEYS
a) GCA Survey
b) HHQ Survey
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d) MTRCYCL Survey
e) D&D Survey
f) OD&R Survey
g) VPP Survey
h) MLC/IHA Survey
i) KGS Safety Survey
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b) GCA Survey
c) HHQ Survey
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e) MTRCYCL Survey
f) D&D Survey
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RCS MC-5100-07
CUI
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Voluntary Protection Program 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 senior CO in the unit; (e.g., Bn CO in a battalion). 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:
Grade/Rank
Cadet
E1-E3
E4-E6
E7-E8
E9
WO1-CWO5
O1-O3
O4-O5
O6 & above
Other
No response
Grade/Rank
GS-1 to GS-3
GS-4 to GS-8
GS-9 to GS-11
GS-12 & above
WG-8 & below
WG-9 to WG-11
WG-12 & above
WL-5 & below
WL-6 & above
WS-7 & below
WS-8 to WS-13
WS-14 & above
YA-1/2/3
YB-1/2/3
YC-1/2/3
YD-1/2/3
YE-1/2/3/4
YF-1/2/3
YG-2/3
YH-1/2/3
YI-1/2/3
YJ-1/2/3/4
YK-1/2/3
YL-1/2/3/4
YM-1/2
YN-1/2/3
YP-1
NAF
DR-I
DR-II
DR-III
DR-IV
DO-I
DO-II
DO-III
DO-IV
Other (Civilian)
Total years in service
< 1
1-2
3-5
6-10
11-15
16-20
20+
No response
Your time in this unit
<1 month
1 to 3 months
4 to 6 months
7 to 12 months
13 to 24 months
2 to 5 years
6 to 10 years
11 to 20 years
> 20 years
No response
Your status
Military
Federal Civil Service
Civilian, Non-civil service
Work study, intern
Temporary employee
No response
Your military affiliation
Active Duty
Traditional Reservist/IMA
Full-time Reserve Technician
N/A
No response
Your union status
Union
Not union
N/A
No response
Your supervisor status
Supervisor
Non-supervisor
No response
Your work center
Facilities Maintenance
Other Maintenance Facilities
Fire Department
Security/DoD Police
MCCS
Range Control
Operations
Installation staff
School House
Military operational units
Other
No response
Your service
I am in the ANG
I am in the USAF
I am in the US Army
I am in the USMC
I am in the USN
I am in the USCG
US Civilian
I am in a Foreign Military
I am in another Service
No response
Your occupation/career field
Maintenance
Health
Safety
Operations Support
Administrative
Human Resources
Warehouse
Engineering
Fire Personnel
Security Personnel
MCCS Warehousing
MCCS Store Operations
MCCS Club Operations
Military
Other
No response
LEADERSHIP & MANAGEMENT COMMITMENT
Leaders/Supervisors in my organization balance safety concerns with achieving mission tasks.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors in my organization are actively engaged in the safety program.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors in my organization participate in communicating safety goals to all personnel.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Leaders/Supervisors recognize unsafe conditions and manage risks within my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Organizational leadership sets and monitors annual safety goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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In my organization members are pressured by supervisors to sign off work actions before they are completed.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My organization encourages the reporting and evaluating of near-miss safety incidents (i.e., incidents when an accident almost occurs).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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When near miss incidents (i.e., incidents when an accident almost occurs) are reported in my organization, leadership uses the opportunity to improve procedures or training.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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EMPLOYEE INVOLVEMENT
I know my organization's safety and health goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Peer influence discourages violations of MCOs/FMs/SOPs and other policy in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Lack of experienced personnel has adversely affected my organization's ability to operate safely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Within my organization, effective communication exists up and down the chain of command.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Organization members, from the top down, incorporate risk management into daily activities.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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In my organization everyone is responsible/accountable for safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Individuals in my organization feel free to report hazardous conditions, unsafe behaviors, or safety violations.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My organization considers, and implements if appropriate, personnel suggestions for improving operational and occupational safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Employees participate in accident or incident investigations.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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My organization encourages personnel to provide recommendations, when appropriate, for incorporating operational and occupational safety requirements that go beyond the regulatory and policy requirements.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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I have seen first hand how VPP has increased personnel focus on safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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ATTITUDES OF SAFETY CULTURE
Signing off on personnel qualifications and training is taken seriously in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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In my organization production is considered more important than safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety is part of planning in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My organization 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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My organization is genuinely concerned about safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Promotion of safety policies/procedures and safety compliance are evaluated parameters for annual performance evaluations and promotion consideration.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety NCO/Unit Safety Representative positions are sought after in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Conflicts between members degrade safety within my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Contractors are held to the same safety performance standards as Marines and civilians.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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I have heard of VPP and that it is being implemented at this organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Violations of MCOs/FMs/SOPs and other policies are common in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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HAZARD PREVENTION & CONTROL
In my organization, safety is a key part of all operations.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My organization adequately reviews and updates safety standards and operating procedures.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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In my organization procedural guidance (e.g., MCOs/FMs/SOPs) is available and current.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Official guidance (e.g., MCOs/FMs/SOPs) is incorporated into day-to-day safety decisions in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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My organization has a published safety policy statement.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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My organization has a formal safety committee which holds regularly scheduled meetings.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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Safety decisions are made at the proper levels by the most qualified individuals in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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My organization uses Risk Management (RM) in its day-to-day operations.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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My organization uses Job Safety Analysis or Job Hazard Analysis (JHA) as a means to identify risk and risk mitigation for hazardous processes.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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TAD and deployment rates for the last year created safety problems in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Workers are briefed on potential hazards associated with work activities in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Available medical services are sufficient.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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VPP at this organization has had an impact in reducing mishaps and near misses.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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TRAINING
Training is often postponed/cancelled due to operational commitments in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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I am adequately trained to safely conduct my job.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety education and training (in addition to ORM/JHA) is provided at least annually or whenever a change in recognized workplace hazards occur.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety professionals or personnel trained in safety are available to assist me whenever I have a question or concern regarding safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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My organization holds regularly scheduled safety meetings.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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Safety days/standdowns are effective at reducing incidents in my organization.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
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I believe operational readiness and operational safety are improved in my organization because of the way the organization safety officer promotes safety.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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Safety is included in new employee orientation.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
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400
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My organization has an emergency preparedness plan which is kept current, reviewed, and practiced at least annually.
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:
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The most significant action(s) my organization can take to improve safety is(are):
No Response
My Response Is
Characters remaining:
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What is my organization doing
right
and why?
No Response
My Response Is
Characters remaining:
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Use this space to provide any concern that you would like to comment upon.
No Response
My Response Is
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