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.
Instructions:
The following 12 questions ask about the Confidential Close Call Reporting System (C3RS) Program. 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; likelihood of encouraging reporting; and perceived impact on safety, in addition to two non-identifying demographic questions.
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? |
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Not at all familiar |
Somewhat familiar |
Quite familiar |
Very familiar |
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For the following questions, please answer based on your current railroad management position experience:
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2. |
How frequently do you receive communication about the C3RS program? |
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Never |
Infrequently |
Somewhat frequently |
Very frequently
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3. |
Would you like to receive more or less communication about the C3RS program? |
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Less communication |
The amount of communication is “just right” |
More communication |
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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”] |
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How to submit a report |
What types of events are relevant |
Tips to encourage reporting |
Information about C3RS specific corrective actions |
Other [Open-ended] |
None of the communication is helpful
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5. |
What communication materials would you like to receive that you do not currently receive? (choose all that apply) |
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How to submit a report |
What types of events are relevant |
Tips to encourage reporting |
Information about C3RS specific corrective actions |
Other [Open-ended] |
I would not like any additional communication |
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6. |
How likely are you to encourage an employee to submit a C3RS incident report if a reportable incident occurs?
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Not at all likely |
Somewhat likely |
Quite likely |
Very likely |
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a. |
What would prevent you from encouraging an employee to submit a report? (Choose all that apply) |
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I am not familiar with the C3RS Program |
I am not familiar with which event types are reportable |
I am not familiar with the reporting process
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I worry that the process is not confidential |
Other [Open-ended] |
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7. |
What changes to the C3RS Program would make it more likely for you to encourage an employee to submit a C3RS incident report? (choose all that apply) |
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Improved ease of submitting a report |
Greater assurance of confidentiality |
Improved processing turnaround times |
Greater awareness of the program
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Other [Open-ended] |
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8. |
How confident are you that the reporting process is kept confidential? |
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Not at all confident |
Somewhat confident |
Quite confident |
Completely confident |
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9. |
To what degree do you think the C3RS Program improves safety at your railroad? |
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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 |
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Demographics: |
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10. |
How many years have you been employed… in your current management position? _______ in other position(s) at your current railroad? _______ [Open-ended; restrict to # entry] |
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11. |
Have you served on the PRT at your current railroad? ____ Yes ____ No |
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12. |
In what department are you currently working? |
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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 6180.283 (07/2023 1
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Safar, Hadar (Volpe) |
File Modified | 0000-00-00 |
File Created | 2023-08-27 |