Inspection Simulation Questions

Inspection Simulation Questions

Page #1

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not required to
respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a current
valid OMB control number. The valid OMB control number for this information collection is 2137-0034. The information requested on
this form is being collected by the U.S. Department of Transportation, Pipeline and Hazardous Materials Safety Administration
(PHMSA). Public reporting burden for this collection of information is estimated to be 60 minutes per response, including time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. All responses to this collection are voluntary. Send comments regarding this burden estimate or any
other aspect of the collection of information, including suggestions for reducing this burden, to: Mr. T. Glenn Foster, Information
Collection Clearance Officer, U. S. Department of Transportation, PHMSA, Office of Hazardous Materials Safety, PHH-10, 1200
New Jersey Ave., S.E., 2nd Floor East, E24-301, Washington, DC 20520.

Page #2
Branching Information
 1. Name of inspection agency/organization you are representing:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 2. Main location of inspection agency/organization:
Town or City:

______________________

County:

______________________

State:

______________________

Zip Code:

______________________

 3. Affiliation of your inspection agency/organization:
 U.S. Federal Government
 A state--name of state: __________________________
 A county--name of county: __________________________
 A city or town--name of city or town: __________________________
 A private company--name of private company: __________________________
 Other, please identify: __________________________
 4. Point of Contact (POC) information for the inspector conducting the inspection simulation:
Name:

______________________

Title:

______________________

Address:

______________________

Phone:

______________________

Email:

______________________

 5. POC information for your inspection agency's/organization's paperless hazardous materials (e-HM) communication system
(e-system) (enter "UNKNOWN" or "UNWILLING" in each field if you do not know this information or do not want to provide it):
Name:

______________________

Title:

______________________

Address:

______________________

Phone:

______________________

Email:

______________________

 6. Describe the size and geographic parameters of your agency’s/organization’s jurisdiction:
 All U.S. (including navigable waters)
 Continental U.S.
 State-wide
 County-wide
 Within city/town limits
 Other, please describe: __________________________
 7. Which transportation mode(s) does your agency/organization inspect? Select all that apply:
 Roadway
 Rail

 Air
 Maritime
 8. How often are inspections conducted?
 Daily
 Weekly
 Monthly
 Quarterly (four times/year)
 Semi-annually (two times/year)
 Annually
 Other--identify frequency: __________________________
 Unknown
 9. In general, what percentage of inspections is pre-planned (i.e., conducted as part of a routine inspection program at a
checkpoint, waystation, etc.), and what percentage is impromptu (i.e., conducted on the spot based on an observed potential safety
risk on a transportation conveyance)?
Pre-planned:

______________________

Impromptu:

______________________

 10. Approximately how many conveyance inspections does your agency/organization perform annually?
 Less than 50
 51 to 250
 251 to 500
 501 to 750
 751 to 1000
 1001 to 10,000
 More than 10,000
 Unknown

Page #3
Branching Information
   • If not 12. Was a driver/pilot/captain/conductor involved... = Yes then Hide 12a. Provide POC information for the driver/pilot...
   • If 12. Was a driver/pilot/captain/conductor involved... = No then Hide 12a. Provide POC information for the driver/pilot...
   • If not 13. Do you have POC information for the shipper's... = Yes then Hide 13a. Provide POC information for the shipper’s an...
   • If 13. Do you have POC information for the shipper's... = No then Hide 13a. Provide POC information for the shipper’s an...
 11. Name and USDOT Number of shipper and/or carrier inspected:
Name:

______________________

USDOT Number:

______________________

 12. Was a driver/pilot/captain/conductor involved in the inspection simulation?
 Yes
 No
 12a. Provide POC information for the driver/pilot/captain/conductor involved in the inspection simulation:
Name:

______________________

Title:

______________________

Address:

______________________

Phone:

______________________

Email:

______________________

 13. Do you have POC information for the shipper's and/or carrier's e-system?
 Yes
 No
 13a. Provide POC information for the shipper’s and/or carrier’s e-system:
Name:

______________________

Title:

______________________

Address:

______________________

Phone:

______________________

Email:

______________________

Page #4
Branching Information
   • If not 19c. Was an attempt made to communicate any of thi... = Yes then Hide 19d. Was the information successfully
communicate...
   • If not 19d. Was the information successfully</st... = Yes then Hide 19e. In what format?
   • If not 20c. Did the inspection include interviews? = Yes then Hide 20d. Were personnel other than the driver/pilot/c...
   • If not 20d. Were personnel other than the driver/pilot/c... = Yes then Hide 20d1. Identify:
   • If 19. Did the inspector have any interaction with o... = No then Disable 19a. Please identify the other regulatory inspect...
   • If 19. Did the inspector have any interaction with o... = No then Disable 19b. What types of HM information was shared with...
   • If 19. Did the inspector have any interaction with o... = No then Disable 19c. Was an attempt made to communicate any of thi...
   • If 19. Did the inspector have any interaction with o... = No then Disable 19d. Was the information successfully communicate...
   • If 19. Did the inspector have any interaction with o... = No then Disable 19e. In what format?
   • If not 19. Did the inspector have any interaction with o... = Yes then Hide 19a. Please identify the other regulatory inspect...
   • If not 19. Did the inspector have any interaction with o... = Yes then Hide 19b. What types of HM information was shared with...
   • If not 19. Did the inspector have any interaction with o... = Yes then Hide 19c. Was an attempt made to communicate any of thi...
   • If not 19. Did the inspector have any interaction with o... = Yes then Hide 19d. Was the information successfully communicate...
   • If 19d. Was the information successfully</st... = No then Disable 19e. In what format?
   • If not 19d. Was the information successfully</st... = Yes then Hide 19e. In what format?
 14. Location of inspection simulation:
Street address:

______________________

City:

______________________

State:

______________________

Zip code:

______________________

Name of site/area, if available (port, airport, station, etc.):

______________________

 15. Date of inspection simulation (enter information in YYYY-MM-DD format):
______________________
 16. Total time duration of inspection simulation (enter information in HH:MM format):
______________________
 17. Was the inspection pre-scheduled or unannounced (with respect to notifying the HM shipper/carrier prior to the conduct of
the inspection)?
 Pre-scheduled
 Unnanounced
 18. What type(s) of transportation conveyances were either inspected, or used to hold the HM containers that were inspected,
during the simulation? Select all that apply:
 Trucks
 Planes
 Ships
 Railcars
 Other, please identify: __________________________
 19. Did the inspector have any interaction with other regulatory inspection entities (e.g., U.S. Coast Guard, Customs and Border
Protection, etc.) during HM inspection simulation activities?
 Yes
 No
 19a. Please identify the other regulatory inspection agency/ies:
_____________________________________________________________

_____________________________________________________________
_____________________________________________________________
 19b. What types of HM information was shared with these regulatory entities? Please select all that apply:
 Air Waybill Number
 Basic description the HM
 Technical name of the HM
 Proper shipping name
 Immediate hazards to health
 Risks of fire or explosion
 Immediate precautions to be taken in an accident or incident
 Immediate methods for handling fires, spills, or leaks
 Preliminary first aid measures
 Emergency response assistance plan (ERAP) reference number
 24-hour emergency response telephone number
 Whether the operator contacted the carrier in an incident involving HM
 UN identification number
 Hazard class or division number
 Packing group
 Tunnel restriction code
 Total quantity of material
 Number and type of packages
 Name and address of the consignor (i.e., shipper)
 Name and address of the consignee (i.e., receiver)
 Date shipping document was prepared or first given to a shipper
 Shipper's statement or supplementary requirements for loading, stowage, carriage, handling, and unloading, including any
special stowage provisions
 Shipper's restrictions on the mode of transport and any necessary routing instructions
 Shipper's signed certification statement
 Hazardous Waste Manifest (when necessary)
 None
 Unknown
 Other, please describe: __________________________
 19c. Was an attempt made to communicate any of this information electronically?
 Yes
 No
 19d. Was the information successfully communicated electronically?
 Yes
 No
 19e. In what format?
 pdf
 jpeg
 tiff
 Other, please identify format: __________________________
 Unknown

Page #5
Branching Information
   • If 20c. Did the inspection include interviews? = No then Disable 20d. Were personnel other than the driver/pilot/c...
   • If 20c. Did the inspection include interviews? = No then Disable 20d1. Identify:
   • If 20c. Did the inspection include interviews? = No then Disable 20d1. Identify: | Name(s) and title(s) of personnel interviewed:
   • If 20c. Did the inspection include interviews? = No then Disable 20d1. Identify: | HM information obtained:
   • If not 20c. Did the inspection include interviews? = Yes then Hide 20d. Were personnel other than the driver/pilot/c...
   • If 20d. Were personnel other than the driver/pilot/c... = No then Disable 20d1. Identify: | Name(s) and title(s) of personnel
interviewed:
   • If 20d. Were personnel other than the driver/pilot/c... = No then Disable 20d1. Identify: | HM information obtained:
   • If not 20d. Were personnel other than the driver/pilot/c... = Yes then Hide 20d1. Identify:
   • If not 20d. Were personnel other than the driver/pilot/c... = Yes then Hide 20d1. Identify: | Name(s) and title(s) of personnel
interviewed:
   • If not 20d. Were personnel other than the driver/pilot/c... = Yes then Hide 20d1. Identify: | HM information obtained:
  20. Describe the simulated pilot test HM conveyance inspection: 20a. What was the reason for the simulated inspection?
 Inspection at a temporary site (e.g., switching yard at rail station, roadside weigh station, etc.)
 Inspection at a border crossing location
 Inspection at a fixed site (e.g., shipper facility, marine terminal, transfer station, air terminal, sort facility, warehouse, etc.)
 Other, please identify: __________________________
 20b. What HM information did the inspector look for or request? Select all applicable from the following list:
 Air Waybill Number
 Basic description of the HM
 Technical name of the HM
 Proper shipping name
 Immediate hazards to health
 Risks of fire or explosion
 Immediate precautions to be taken an accident or incident
 Immediate methods for handling fires, spills, or leaks
 Preliminary first aid measures
 Emergency response assistance plan (ERAP) reference number
 24-hour emergency response telephone number
 Ability of the operator to contact the carrier in an incident involving HM
 UN identification number
 Hazard class or division number
 Packing group
 Tunnel restriction code
 Total quantity of material
 Number and type of packages
 Name and address of the consignor
 Name and address of the consignee
 Date shipping document was prepared or first given to a shipper
 Shipper's statement or supplementary requirements for loading, stowage, carriage, handling, and unloading, including any
special stowage provisions
 Shipper's restrictions on the mode of transport and any necessary routing instructions
 Shipper's signed certification statement
 Hazardous Waste Manifest (when necessary)
 None
 Unknown
 Other, please describe: __________________________
 20c. Did the inspection include interviews?
 Yes
 No

 20d. Were personnel other than the driver/pilot/captain/conductor (e.g., shipper/carrier POCs) questioned?
 Yes
 No
  20d1. Identify:
Name(s) and title(s) of personnel interviewed:

______________________

HM information obtained:

______________________

 20e. What conveyance documentation did the inspector review? Please select all that apply:
 HM shipping papers
 Bill of lading
 Emergency response information
 Other, please describe: __________________________
 None

Page #6
Branching Information
   • If not 23. Had the shipment undergone any intramodal tra... = Yes then Hide 23a. How many?
   • If not 23. Had the shipment undergone any intramodal tra... = Yes then Hide 23b. What information was shared? Please select
a...
   • If not 23. Had the shipment undergone any intramodal tra... = Yes then Hide 23c. By what mechanism was such information
commu...
   • If 23. Had the shipment undergone any intramodal tra... is one of [u'1', u'2'] then Disable 23a. How many?
   • If 23. Had the shipment undergone any intramodal tra... is one of [u'1', u'2'] then Disable 23b. What information was shared?
Please select a...
   • If 23. Had the shipment undergone any intramodal tra... is one of [u'1', u'2'] then Disable 23c. By what mechanism was such
information commu...
   • If not 24. Had the shipment undergone any intermodal tr... = Yes then Hide 24a. What mode(s) were involved? Please select al...
   • If not 24. Had the shipment undergone any intermodal tr... = Yes then Hide 24b. How many intermodal transfers?
   • If not 24. Had the shipment undergone any intermodal tr... = Yes then Hide 24c. What information was shared? Please select a...
   • If not 24. Had the shipment undergone any intermodal tr... = Yes then Hide 24d. By what mechanism was such information
commu...
   • If 24. Had the shipment undergone any intermodal tr... is one of [u'1', u'2'] then Disable 24a. What mode(s) were involved?
Please select al...
   • If 24. Had the shipment undergone any intermodal tr... is one of [u'1', u'2'] then Disable 24b. How many intermodal transfers?
   • If 24. Had the shipment undergone any intermodal tr... is one of [u'1', u'2'] then Disable 24c. What information was shared?
Please select a...
   • If 24. Had the shipment undergone any intermodal tr... is one of [u'1', u'2'] then Disable 24d. By what mechanism was such
information commu...
   • If not 21. What type(s) of HM containers were included i... contains Non-bulk packaging then Hide 21a. Non-bulk
packaging--select all that apply:
   • If not 21. What type(s) of HM containers were included i... contains Bulk packaging then Hide 21b. Bulk packaging--select all that
apply:
   • If not 21. What type(s) of HM containers were included i... contains Radioactive material packaging then Hide 21c. Radioactive
material packaging--select all t...
 21. What type(s) of HM containers were included in the shipment? Please select all that apply:
 Non-bulk packaging
 Bulk packaging
 Radioactive material packaging
 21a. Non-bulk packaging--select all that apply:
 Drums/pails
 Jerricans
 Barrels
 Boxes
 Bags
 Cylinders
 Other, please identify: __________________________
 21b. Bulk packaging--select all that apply:
 Cargo tanks
 Tank cars
 Intermediate bulk containers (IBCs)/portable tanks
 Freight containers
 Other, please identify: __________________________
 21c. Radioactive material packaging--select all that apply:
 Type A
 Type B

 Industrial
 Excepted, please identify: __________________________
 22. What class(es) of HM did the shipment being inspected include? Please select all that apply:
 Class 1 Explosives
 Class 2 Gases
 Class 3 Flammable Liquids (100°F or less, closed cup)
 Class 4 Other Flammable Substances
 Class 5 Oxidizing Substances and Organic Peroxides
 Class 6 Toxic (Poisonous) and Infectious Substances
 Class 7 Radioactive Materials
 Class 8 Corrosives
 Class 9 Miscellaneous Dangerous Materials
 23. Had the shipment undergone any intramodal transfers (i.e., transfers between conveyances within a single transportation
mode) prior to the simulation?
 Yes
 No
 Unknown
 23a. How many?
 One
 Two
 Three or more
 Unknown
 23b. What information was shared? Please select all that apply:
 Air Waybill Number
 Basic description the HM
 Technical name of the HM
 Proper shipping name
 Immediate hazards to health
 Risks of fire or explosion
 Immediate precautions to be taken in an accident or incident
 Immediate methods for handling fires, spills, or leaks
 Preliminary first aid measures
 Emergency response assistance plan (ERAP) reference number
 24-hour emergency response telephone number
 Ability of the operator to contact the carrier in an incident involving HM
 UN identification number
 Hazard class or division number
 Packing group
 Tunnel restriction code
 Total quantity of material
 Number and type of packages
 Name and address of the consignor (i.e., shipper)
 Name and address of the consignee (i.e., receiver)
 Date shipping document was prepared or first given to a shipper
 Shipper's statement or supplementary requirements for loading, stowage, carriage, handling, and unloading, including any
special stowage provisions
 Shipper's restrictions on the mode of transport and any necessary routing instructions
 Shipper's signed certification statement
 Hazardous Waste Manifest (when necessary)
 None
 Unknown
 Other, please describe: __________________________

 23c. By what mechanism was such information communicated?
 Hardcopy
 Internet
 Facsimile (FAX) machine
 Unknown
 Other, please identify: __________________________
 24. Had the shipment undergone any intermodal transfers (i.e., transfers between transportation modes) prior to the simulation?
 Yes
 No
 Unknown
 24a. What mode(s) were involved? Please select all that apply:
 Roadway (truck)
 Rail
 Air
 Maritime (vessel)
 24b. How many intermodal transfers?
 One
 Two
 Three or more
 Unknown
 24c. What information was shared? Please select all that apply:
 Air Waybill Number
 Basic description the HM
 Technical name of the HM
 Proper shipping name
 Immediate hazards to health
 Risks of fire or explosion
 Immediate precautions to be taken in an accident or incident
 Immediate methods for handling fires, spills, or leaks
 Preliminary first aid measures
 Emergency response assistance plan (ERAP) reference number
 24-hour emergency response telephone number
 Ability of the operator to contact the carrier in an incident involving HM
 UN identification number
 Hazard class or division number
 Packing group
 Tunnel restriction code
 Total quantity of material
 Number and type of packages
 Name and address of the consignor (i.e., shipper)
 Name and address of the consignee (i.e., receiver)
 Date shipping document was prepared or first given to a shipper
 Shipper's statement or supplementary requirements for loading, stowage, carriage, handling, and unloading, including any
special stowage provisions
 Shipper's restrictions on the mode of transport and any necessary routing instructions
 Shipper's signed certification statement
 Hazardous Waste Manifest (when necessary)
 None
 Unknown
 Other, please describe: __________________________
 24d. By what mechanism was such information communicated?

 Hardcopy
 Internet
 Facsimile (FAX) machine
 Unknown
 Other, please identify: __________________________
 25. Was the shipment involved in the simulation a less than truckload (LTL) type HM shipment?
 Yes
 No
 Unknown

Page #7
  26. What device(s), electronic data exchange language, communication mechanism(s), and data format did inspectors use
when conducting the simulated inspection? Please select all that apply: 26a. Device(s)--please select all that apply:
 Personal digital assistants (PDAs)
 Vehicle laptops
 Workplace computers
 Computer aid dispatch (CAD) terminals
 Home computers
 Landline telephones
 Cellular telephones
 Smartphones
 Videos
 Facsimile (FAX) machines
 Live web cameras
 Pagers
 Two-way radios
 Walkie-talkies
 Tablets
 None, no technology available
 Unknown
 Other, please identify: __________________________
 26b. Data exchange language--please select all that apply:
 Extensible Markup Language (XML)
 Universal Business Language (UBL)
 Electronic Data Interchange (EDI)
 United Nations/Electronic Data Interchange For Administration, Commerce and Transport (UN/EDIFACT)
 None, no electronic data was exchanged
 Unknown
 Other, please specify: __________________________
 26c. Mechanism(s) used for communication--please select all that apply:
 Email
 Direct device-to-device transmission
 Internet reference/link
 Facsimile (FAX) document
 Audio transmission (e.g., via phone, radio, etc.)
 Unknown
 Other, please identify: __________________________
 26d. Data format--please select all that apply:
 Portable Document Format (pdf)
 Tagged Image File Format (tiff)
 Joint Photographic Experts Group (jpeg)
 None, no electronic data was exchanged
 Unknown
 Other, please specify: __________________________
  27. What device(s) and electronic data exchange language did the shipper/carrier use to transmit the shipping papers during
the simulated inspection? Please select all that apply: 27a. Device(s)--please select all that apply:
 Personal digital assistants (PDAs)
 Vehicle laptops
 Workplace computers
 Computer aid dispatch (CAD) terminals

 Home computers
 Landline telephones
 Cellular telephones
 Smartphones
 Videos
 Facsimile (FAX) machines
 Live web cameras
 Pagers
 Two-way radios
 Walkie-talkies
 Tablets
 None, no technology available
 Unknown
 Other, please identify: __________________________
 27b. Data exchange language--please select all that apply:
 Extensible Markup Language (XML)
 Universal Business Language (UBL)
 Electronic Data Interchange (EDI)
 United Nations/Electronic Data Interchange For Administration, Commerce and Transport (UN/EDIFACT)
 None, no electronic data was exchanged
 Unknown
 Other, please specify: __________________________

Page #8
Simple Skipping Information
   • If 28. Was the inspection simulation information col... = Yes then Skip to Page 9
   • If 28. Was the inspection simulation information col... = No then Skip to Page 10
 28. Was the inspection simulation information collected electronically?
 Yes
 No

Page #9
Simple Skipping Information
   • If 33. Did your agency/organization identify any ben... = No then Skip to Page 10
Branching Information
   • If 30. Did the inspector review the HM data received... = No then Disable 30a. Describe the process used for data validatio...
   • If not 30. Did the inspector review the HM data received... = Yes then Hide 30a. Describe the process used for data validatio...
   • If 32. Did the HM information accurately reflect the... = Yes then Disable 32a. Describe the discrepancies:
   • If not 32. Did the HM information accurately reflect the... = No then Hide 32a. Describe the discrepancies:
   • If 31. Did the electronic information match that rec... = Yes then Disable 31a. Describe the discrepancies:
   • If not 31. Did the electronic information match that rec... = No then Hide 31a. Describe the discrepancies:
   • If 33. Did your agency/organization identify any ben... = No then Skip to Page 10
   • If not 33. Did your agency/organization identify any ben... = Yes then Hide 33a. Which of the following benefits related to e...
   • If not 33. Did your agency/organization identify any ben... = Yes then Hide 33b. Describe the benefit(s):
   • If not 29. How long did it take for the inspector to rec... = More than one hour, identify time: then Hide 29a. If possible, identify the
reason for the del...
 29. How long did it take for the inspector to receive the electronic information from when it was requested?
 Instantaneous
 5 minutes or less
 6 to 15 minutes
 16 to 30 minutes
 31 to 60 minutes
 More than one hour, identify time: __________________________
 29a. If possible, identify the reason for the delay in receipt of the information:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 30. Did the inspector review the HM data received during the simulation for accuracy and completeness?
 Yes
 No
 30a. Describe the process used for data validation:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 31. Did the electronic information match that recorded on the hardcopy shipping paper?
 Yes
 No
 31a. Describe the discrepancies:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 32. Did the HM information accurately reflect the details of the HM being transported?
 Yes
 No
 32a. Describe the discrepancies:
_____________________________________________________________
_____________________________________________________________

_____________________________________________________________
 33. Did your agency/organization identify any benefits related to e-system components during the simulation?
 Yes
 No
 33a. Which of the following benefits related to e-system components were identified during the simulation? Please select all that
apply:
 Benefits regarding electronic/wireless devices used
 Benefits associated with the data language (e.g., XML, EDI, etc.) used
 Benefits in the communication mechanism (e.g., email, Internet reference/link, etc.) utilized
 Benefits associated with the data format (e.g., jpeg, tiff, etc.) used
 Benefits associated with the time required to receive the shipping paper information
 Other, please identify: __________________________
 33b. Describe the benefit(s):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

Page #10
Branching Information
   • If 34. Did your agency/organization identify any e-s... = No then Disable 34a. Which of the following e-system impediments/...
   • If 34. Did your agency/organization identify any e-s... = No then Disable 34b. Describe the impediment(s)/limitation(s):
   • If 34. Did your agency/organization identify any e-s... = No then Disable 34c. Explain how your agency/organization address...
   • If not 34. Did your agency/organization identify any e-s... = Yes then Hide 34a. Which of the following e-system impediments/...
   • If not 34. Did your agency/organization identify any e-s... = Yes then Hide 34b. Describe the impediment(s)/limitation(s):
   • If not 34. Did your agency/organization identify any e-s... = Yes then Hide 34c. Explain how your agency/organization address...
 34. Did your agency/organization identify any e-system impediments/limitations during the simulation?
 Yes
 No
 34a. Which of the following e-system impediments/limitations were identified during the simulation? Please select all that apply:
 Lack of electronic access in rural areas
 Incompatibility issues with other internal or external e-systems
 Problems with electronic/wireless devices
 Problems with the data language (e.g., XML, EDI, etc.)
 Problems with the communication mechanism (e.g., email, Internet reference/link, etc.)
 Problems with the data format (e.g., jpeg, tiff, etc.)
 Other, please describe: __________________________
 34b. Describe the impediment(s)/limitation(s):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 34c. Explain how your agency/organization addressed the impediment(s)/limitation(s):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

Page #11
Branching Information
   • If 35. Was the information included within the elect... = Yes then Disable 35a. What other information was needed to determi...
   • If not 35. Was the information included within the elect... = No then Hide 35a. What other information was needed to determi...
   • If 39. Do you have any lessons learned that should b... = No then Disable 39a. Please describe the lessons learned:
   • If not 39. Do you have any lessons learned that should b... = Yes then Hide 39a. Please describe the lessons learned:
   • If 37. Is training needed to conduct electronic tran... = No then Disable 37a. Please describe needed training:
   • If not 37. Is training needed to conduct electronic tran... = Yes then Hide 37a. Please describe needed training:
   • If 38. Is additional equipment needed to conduct ele... = No then Disable 38a. Please describe additional equipment needed:
   • If not 38. Is additional equipment needed to conduct ele... = Yes then Hide 38a. Please describe additional equipment needed:
 35. Was the information included within the electronic transmittal sufficient to determine a failed or passed inspection?
 Yes
 No
 35a. What other information was needed to determine whether the inspection was a PASS or FAIL?
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 36. How do you feel the e-information satisfied the required HM paper documentation (e.g., shipping paper, transportation of
dangerous goods manifest, bill of lading, notification to pilot in command, etc.)?
 Fully
 Mostly
 Partially
 Not at all
 37. Is training needed to conduct electronic transfers of information for inspections?
 Yes
 No
 37a. Please describe needed training:
______________________
 38. Is additional equipment needed to conduct electronic transfers of information for inspections?
 Yes
 No
 38a. Please describe additional equipment needed:
______________________
 39. Do you have any lessons learned that should be considered for improvement of the use of e-shipping papers in HM
commerce?
 Yes
 No
 39a. Please describe the lessons learned:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
 40. What benefits do you think an e-system would offer over a paper-based system for your agency/organization? Please select
all that apply:
 Reduced staff time and/or cost to prepare shipping papers

 Reduced costs for transfer between modes or carriers
 Reduced error rate in data entry
 Ease of data entry
 Reduced costs for hardcopy storage and retrieval
 Faster transport times for shipments
 Improved customer satisfaction
 Reduced insurance or risk management costs
 No benefits
 Other, please describe: __________________________
 41. How do you believe e-systems will affect the time to conduct an inspection?
 Positively
 Negatively
 No impact
 Other, please explain: __________________________