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RCS MC-5100-07

CUI

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Higher Headquarters 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.

In all survey items, "headquarters" refers to:
[my unit name].

Please select one:
Military Civilian

7-Digit PIN:

Your grade/rank:

Your age

Your service

I am in the USMC

I am in the US Army

I am in the USAF

I am in the USN

I am in the USCG

I am in the Foreign Service

Other (e.g., civil service)

No response

Your status

Your gender

Male

Female

No response

Your department

Are you currently deployed

Yes

No

No response

Your time in current unit:

< 2 months

2-6 months

7-12 months

13-24 months

> 2 years

No response

Your current location

CONUS (Contiguous U.S.)

OCONUS (Outside Contiguous U.S.)

No response

ORGANIZATIONAL PROCESSES

SOPs and safety rules are clearly defined in my headquarters.

Characters remaining: 400 Enter any comment here:

SOPs and safety rules are enforced in my headquarters.

Characters remaining: 400 Enter any comment here:

Personnel must possess the appropriate experience/skills to earn qualifications in my headquarters.

Characters remaining: 400 Enter any comment here:

Effective communication exists within my headquarters.

Characters remaining: 400 Enter any comment here:

Effective communication flow exists with external commands.

Characters remaining: 400 Enter any comment here:

My department provides adequate oversight of similar departments in subordinate commands.

Characters remaining: 400 Enter any comment here:

My headquarters keeps me well informed regarding important safety information.

Characters remaining: 400 Enter any comment here:

Our headquarters safety representatives effectively promote safety.

Characters remaining: 400 Enter any comment here:

My headquarters provides adequate recognition for exceptional safety acts.

Characters remaining: 400 Enter any comment here:

Headquarters members, from the top down, incorporate risk management into daily activities.

Characters remaining: 400 Enter any comment here:

My headquarters makes good use of special staff (e.g., legal, chaplain, medical, etc.) to assist high-risk personnel.

Characters remaining: 400 Enter any comment here:

My headquarters' privately owned vehicle (POV) / private motor vehicle (PMV) program is working well to reduce POV/PMV incidents.

Characters remaining: 400 Enter any comment here:

My headquarters' motorcycle safety program is working well to reduce motorcycle incidents.

Characters remaining: 400 Enter any comment here:

My headquarters' drinking and driving policies are working well to reduce DUI events.

Characters remaining: 400 Enter any comment here:

My headquarters' off duty and recreational activity safety program is working well to reduce injuries.

Characters remaining: 400 Enter any comment here:

My headquarters' Substance Abuse Control Program is working well to address the risks of drug and alcohol abuse.

Characters remaining: 400 Enter any comment here:

ORGANIZATIONAL CLIMATE

Members of my headquarters work well together.

Characters remaining: 400 Enter any comment here:

Headquarters members do not cut corners to accomplish their job/mission.

Characters remaining: 400 Enter any comment here:

My headquarters employs a fatigue management plan (i.e., work-rest policy) to ensure personnel have sufficient rest to perform their work safely.

Characters remaining: 400 Enter any comment here:

Training is conducted as scheduled.

Characters remaining: 400 Enter any comment here:

Individuals in my headquarters are comfortable reporting safety violations, unsafe behaviors, or hazardous conditions.

Characters remaining: 400 Enter any comment here:

All members of my unit have the authority to halt unsafe activities until the hazards/risks are addressed.

Characters remaining: 400 Enter any comment here:

Morale in my headquarters is high.

Characters remaining: 400 Enter any comment here:

RESOURCES

My headquarters has enough experienced personnel to perform its current tasks.

Characters remaining: 400 Enter any comment here:

My headquarters has adequate resources (e.g., tools, equipment, publications, etc.) to perform its current tasks.

Characters remaining: 400 Enter any comment here:

SUPERVISION

Leaders/Supervisors in my headquarters set a good example by following standards.

Characters remaining: 400 Enter any comment here:

Leaders/Supervisors routinely monitor operations in my headquarters.

Characters remaining: 400 Enter any comment here:

Leaders/Supervisors in my headquarters are actively engaged in the safety program.

Characters remaining: 400 Enter any comment here:

Leaders/Supervisors know who the high-risk members are in my headquarters.

Characters remaining: 400 Enter any comment here:

Leaders/Supervisors in my headquarters care about my quality of life.

Characters remaining: 400 Enter any comment here:

OPEN-ENDED ITEMS

The most hazardous activity I perform is:

No Response My Response Is

Characters remaining: 400

The next incident/mishap in my headquarters would most likely be caused by:

No Response My Response Is

Characters remaining: 400

The most significant action(s) my headquarters can take to improve safety is(are):

No Response My Response Is

Characters remaining: 400

What is my headquarters 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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