Form FRA F 6180.282 FRA F 6180.282 C3RS User Satisfaction Survey - Employees

Expires XX/XX/XXXX OMB Control No. 2130-0593

Public reporting burden for this information collection is estimated to average 5 minutes per response, including the time for reading, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995 and its implementing regulations, a respondent is not required to respond to, conduct, or sponsor a collection of information that does not display a currently valid OMB control number. FRA intends to obtain such OMB approval for all activities within this collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Railroad Administration, Office of Research, Data, and Innovation, 1200 New Jersey Ave S.E., Washington D.C. 20590.

C³RS Program: Employee Satisfaction Survey

Instructions:

The following 12 questions ask about the Confidential Close Call Reporting System (C³RS) Program. Even if you have never filed a report, the FRA is interested in learning about your experiences with the C³RS Program in the following areas: familiarity; frequency and helpfulness of program outreach activities; ease of reporting; and perceived impact on safety, in addition to two non-identifying demographic questions at the end.

This data collection is strictly anonymous and voluntary. It should not take you more than 5 minutes. If results of this survey are reported, only grouped summary information will be presented.

1.

How familiar are you with the C3RS Program?

Not at all familiar

Somewhat familiar

Quite familiar

Very familiar

For the following questions, please answer based on experiences at your current railroad:

2.

How frequently do you receive communication about the C3RS program?

Never

Infrequently

Somewhat frequently

Very frequently

3.

Would you like to receive more or less communication about the C3RS program?

Less communication

The amount of communication is “just right”

More communication

4.

Of the communication you have received about the C3RS program, what has been the most helpful? (choose all that apply) [skip logic: do not answer if response to #2 is “never”]

How to submit a report

What types of events are relevant

Tips for excellent reporting

Information about C3RS specific corrective actions

Other [Open-ended]

None of the communication is helpful

5.

What communication materials would you like to receive that you do not currently receive? (choose all that apply)

How to submit a report

What types of events are relevant

Tips for excellent reporting

Information about C3RS specific corrective actions

Other [Open-ended]

I would not like any additional communication

6.

Have you ever submitted a C3RS incident report?

____Yes

____No

If “yes,” please answer the following questions: [skip logic: do not answer a-c if response is “no”]

a.

To your best recollection, how many times have you submitted a C3RS incident report? _________________ [Open-ended; restrict to # entry]

b.

To your best recollection, how many times have you received a call back from NASA after submitting an incident report? _________________ [Open-ended; restrict to # entry]

c.

What would make it easier for you to submit a detailed report? (choose all that apply)

A mobile application

Voice-to-text

Additional website interface improvements

Less time pressure on the job

Other [Open-ended]

7.

What changes to the C3RS program would encourage you to submit reports more often? (choose all that apply)

Improved ease of submitting a report

Greater assurance of confidentiality

Improved processing turnaround times

Greater awareness of the program

Other [Open-ended]

8.

How confident are you that the reporting process is kept confidential?

Not at all confident

Somewhat confident

Quite confident

Completely confident

9.

To what degree do you think the C3RS Program improves safety at your railroad?

I do not think the C3RS Program improves safety at all

I think the C3RS Program improves safety to a slight degree

I think the C3RS Program improves safety to a moderate degree

I think the C3RS Program improves safety to a great degree

Demographics:

10.

How many years have you been employed… at your current railroad? _______ as a railroader? _______ [Open-ended; restrict to # entry]

11.

Have you served on the PRT at your current railroad? ____Yes ____No

12.

What is your current craft?

Transportation (E.g., Conductor, Dispatcher, Engineer, etc.)

Mechanical (E.g., Carman, Laborer, Machinist, Pipe Fitter, etc.)

Engineering (E.g., Signal Maintainer, Track Inspector, Track Supervisor, etc.)

Other [Open-ended]

FRA F 6180.282 (07/2023) 1