Attachment 3a. Operator Survey
Form Approved OMB
NO. 0920-xxxx Expiration
Date: xx/xx/20xx
Q0 INSERT CONSENT FORM HERE
I agree to participate in this study.
I do not agree to participate in this study.
Skip To: END of Survey IF Informed Consent = I do not agree to participate in this study.
This survey begins with a few questions about your air carrier operation.
Q1 How many pilots does your company currently employ? Please include yourself if you also work as a pilot.
1
2
3 or more. How many? ________________________
Display This Question:
If How many pilots does your company currently employ? = 1
Q1a Do you hold a part 135 single pilot certificate?
Yes
No
Skip To: Q2 IF Are you a single-pilot operator = No
Public reporting burden of this collection of information is estimated to average 25 mins per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).
(Start of Single-Pilot Operator Questions)
Display These Questions
If Are you a single-pilot operator? = Yes
Q2_SPO How long have you operated this company? Please enter the number of months if less than 1 year.
Years: ________________________________________________
Months: ________________________________________________
These first questions are about your aircraft.
Q3_SPO How many aircraft does your company operate?
Number of aircraft:___________________________
Q4_SPO Please list total flight hours and departures for all aircraft flown by your company in YEAR (both scheduled and unscheduled).
|
YEAR |
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Scheduled |
Unscheduled |
Total flight hours |
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Instrument flight hours |
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Total number of departures |
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Q5_SPO How many of your company aircraft have the following types of equipment? Please rate each type as very helpful, somewhat helpful, or not at all helpful to flight safety in Alaska.
*If you are using a mobile device, like a smart phone or tablet, please turn it sideways so you can see the full question. You may need to turn off your "screen lock" feature so the screen will turn.
|
Number of Aircraft |
Helpfulness |
|||
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
|
Electronic Primary Flight Display (PFD) |
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Electronic Flight Bag (EFB) Installed |
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Terrain Awareness Warning System (TAWS) |
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Collision Avoidance (TCAS, TCAD, TIS) |
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Emergency Locator Transmitter: 121.5 MHz |
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Emergency Locator Transmitter: 406 MHz |
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Angle of Attack Display |
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
|
Global Positioning System – VFR Only |
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Global Positioning System – IFR Approved |
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Automatic Dependent Surveillance-Broadcast In |
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Automatic Dependent Surveillance-Broadcast Out |
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VOR (Very high frequency Omni-directional Range) |
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VOR/DME (Very high frequency Omni-directional Range/ Distance Measuring Equipment) |
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Satellite Tracking Device (SPOT, Spidertracks, InReach) |
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
I don’t know |
Q6_SPO In general, what survival equipment is in your company aircraft? Please select all that apply
Carry what is legally required
Sleeping or camping gear (blankets, sleeping bags, tarps, tents)
Cooking supplies (food, water, stove, etc.)
Company survival kit
First aid kit
Satellite phone
Flotation devices (personal flotation devices, life rafts, etc.)
Other. Please specify: ________________________________________________
Q7_SPO For aircraft maintenance, does your company contract for services, directly employ mechanics, or do something else? Please select all that apply.
Contract for services
Directly employ aircraft mechanics
Do something else. Please explain: _______________
Display This Question:
If For aircraft maintenance, does your company contract for services, directly employ mechanics, or do something else? = Directly employ aircraft mechanics
Q7a_SPO How many aircraft mechanics does your company currently employ directly, as employees?
1
2
3 or more
Display This Question:
If For maintenance, does your company contract for services, employ mechanics, or do something else? = Employ mechanics
Q7b_SPO How many aircraft mechanics does your company typically employ each season?
|
1 mechanic |
2 mechanics |
3 or more mechanics |
None |
Spring |
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Summer |
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Autumn |
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Winter |
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Q8_SPO In the last 18 months, have your company's insurance costs per seat changed?
Increased
Decreased
No change
Skip To: Q10_SPO IF In the last 18 months, have your company's insurance costs per seat changed? = Stayed the same
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? = Increased
Q8a_SPO By what percent did they increase?
% increased: ______________
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? = Decreased
Q8b_SPO By what percent did they decrease?
% decreased: ________________________________________________
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? != No change
Q9_SPO Why do you believe the insurance costs changed?
________________________________________________________________
Q10_SPO In YEAR, about what percentage of your company’s revenue came from the following sources?
Passengers |
_____ |
Cargo |
_____ |
_____ |
|
Other. Please describe: _________________ |
_____ |
Total |
_____ |
The questions in the table below ask for your opinion about measures that might improve aviation safety throughout Alaska (not just at your company).
Q11_SPO For each measure, please indicate how effective you think it could be in preventing aircraft crashes if it were widely applied in Alaska aviation.
Whiteout conditions are when blowing snow, fog, or haze limit all visual references.
Flat light conditions are when an overcast limits visual cues, the features of the terrain, and make it hard to determine distance.
|
Not effective |
Somewhat effective |
Very effective |
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Pilot training in meteorology |
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Pilot training in aeronautical decision-making |
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Pilot training in whiteout conditions |
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Pilot training in flat light conditions |
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Not effective |
Somewhat effective |
Very effective |
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Pilot training in CFIT avoidance |
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Pilot training in regional hazards |
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Greater ability for pilots to refuse flights due to weather |
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Easing of time limit to move by-pass mail |
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Not effective |
Somewhat effective |
Very effective |
Don't know |
Changes in Medicare patient transport requirements |
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Improvement in infrastructure to allow more IFR flights |
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Improvements in company's operational control structure |
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Q12_SPO If you had to choose just two of the above measures as most useful, which would they be?
First choice: (Dropdown list of 11 measures in Q11_SPO above)
Second choice: (Dropdown list of 11 measures in Q11_SPO above)
Q13_SPO If there are other measures that you believe might improve aviation safety in Alaska, but which weren’t addressed in the previous question, please list them below.
________________________________________________________________________________________________________________________________________________________________________________
These next questions are about your experience as a pilot.
Q14_SPO What pilot ratings and certificates do you hold? Please select all that apply.
Commercial
Instrument
Airline Transport
Helicopter
Flight Instructor
Single-engine land
Multi-engine land
Single-engine sea
Multi-engine sea
Other. Please specify: ________________________________________________
Q15_SPO On your FAA pilot certificate, is your address listed in Alaska?
Yes
No
Q16_SPO Over your entire career, how many years have you been a pilot? Please enter the number of months if less than 1 year.
Number of years:
Number of months:
Q17_SPO Thinking about the number of years you have flown in Alaska, has your work ever been seasonal?
Yes
No
Display This Question:
If Thinking about the number of years you have flown in Alaska, has your work ever been seasonal? = Yes
Q17a_SPO How many years was your work seasonal?
Q18_SPO Thinking about the number of years you have flown in Alaska, has your work ever been year-round?
Yes
No
Display This Question:
If Thinking about the number of years you have flown in Alaska, has your work ever been year-round? = Yes
Q18a_SPO How many years was your work year-round?
Years
Q19_SPO Over your entire career, including Alaska and other locations, have you ever worked for anyone other than yourself as a pilot?
Yes
No
Display This Question:
If Over your entire career, including Alaska and other locations, have you ever worked for anyone other than yourself as a pilot? = Yes
Q19a_SPO Over your entire career, how many different companies, other than yourself, have you worked for as a pilot?
Number of companies: ________________________________________________
Display This Question:
If Over your entire career, including Alaska and other locations, have you ever worked for anyone other than yourself as a pilot? = Yes
AND
If Over your entire career, how many different companies, other than yourself, have you worked for as a pilot? > 1
Q19b_SPO Over how many years has that been?
Number of years: ________________________________________________
Q20_SPO Thinking about your total flight hours, in Alaska and elsewhere, please complete the table below.
*If you are using a mobile device, like a smart phone or tablet, please turn it sideways so you can see the full question. You may need to turn off your "screen lock" feature so the screen will turn.
|
Alaska |
All locations (including Alaska) |
||
|
Total Flight Career |
Last 12 Months |
Total Flight Career |
Last 12 Months |
Total paid flight hours |
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Instrument hours |
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Single-pilot operator hours |
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These next questions are about your current work schedule as a single-pilot operator.
Q21_SPO Some people work a rotating schedule such as 2 weeks on and 2 weeks off. Do you currently work a rotating schedule?
Yes
No
Display This Question:
If Some people work a rotating schedule such as 2 weeks on and 2 weeks off. Do you currently work a rotating schedule? = Yes
Q21a_SPO Do you currently work...
1 week on and 1 week off
2 weeks on and 2 weeks off
3 weeks on and 1 weeks off
Other. Please specify: ________________________________________________
Q22_SPO Is your work as a single-pilot operator seasonal or year-round?
Year-round
Mostly year-round
Seasonal
Mostly seasonal
Other. Please explain______
Q23_SPO Please estimate what percent of
your paid
flight hours in YEAR
occurred in each season.
Spring: _______
Summer: _______
Autumn: _______
Winter: _______
Total: ________
Q24_SPO Does your work as a single-pilot operator have a peak season?
Yes
No
I don’t know
Display This Question:
If Does your work as a single-pilot operator have a peak season? = Yes
Q24a_SPO Have you worked during peak season as a single-pilot operator?
Yes
No
Display This Question:
If Does your work as a single-pilot operator have a peak season? = Yes AND Have you worked during peak season as a single-pilot operator?= Yes
Q25_SPO As a single-pilot operator, during
the peak season, what is your typical duty time each day?
Please enter your
typical duty time in 24-hour clock format. That is, for 7AM please
enter 0700; for 1pm please enter 1300.
From: ________________________________________________
To: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = Yes AND Have you worked during peak season as a single-pilot operator?= Yes
Q26_SPO On the days you work during the peak season, how many flight hours per day do you typically log?
Flight hours per day: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = Yes AND Have you worked during peak season as a single-pilot operator?= Yes
Q27_SPO During the peak season, how many days per week do you typically work?
Duty days per week: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = Yes AND Have you worked during peak season as a single-pilot operator? = Yes
Q28_SPO During the peak season, do you typically work more than 40 hours per week (including non-flight time)?
Yes
No
Display This Question:
If During the peak season, do you typically work more than 40 hours per week (including non-flight time)? = Yes
Q28a_SPO During the peak season, about how many hours over 40 do you work per week?
Hours over 40 per week: ______________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = No -OR- I don’t know OR Have you worked during peak season as a single-pilot operator? = No
Q25z_SPO As a single-pilot operator, what is your typical duty time each day?
Please enter your typical duty time in 24-hour clock format. That is, for 7AM please enter 0700; for 1pm please enter 1300.
From: ________________________________________________
To: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = No -OR- I don’t know OR Have you worked during peak season as a single-pilot operator? = No
26z_SPO How many flight hours per day do you typically log?
Flight hours per day: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = No -OR- I don’t know OR Have you worked during peak season as a single-pilot operator? = No
Q27z_SPO How many days per week do you typically work?
Duty days per week: ________________________________________________
Display This Question:
If Does your work as a single-pilot operator have a peak season? = No -OR- I don’t know OR Have you worked during peak season as a single-pilot operator? = No
Q28z_SPO Do you generally work more than 40 hours per week (including non-flight time)?
Yes
No
Display This Question:
If Do you generally work more than 40 hours per week (including non-flight time)? = No
Q28az_SPO About how many hours over 40 do you work per week?
Hours over 40 per week: _________________
These next questions are about weather and decision-making in your job.
Q29_SPO From the list of resources below,
which ones do you use when making decisions to launch flights?
Please
select all that apply.
Flight Service Station - in person
Flight Service by telephone (1-800-WXBRIEF)
Alaska Aviation Weather Unit online – (weather.gov/aawu)
Aviation Weather Center online (aviationweather.gov)
Aviation applications (such as Aerovie, Foreflight, SkyVector, Garmin Pilot)
AWOS/ASOS/ATIS
FIS-B Weather
Weather cameras
PIREPs
Other pilots who are en route or have flown in that area that day
Station manager, company personnel, or village agent at destination
Dispatchers, flight followers, or other company personnel
Unofficial weather observer
Other. Please specify: ________________________________________________
Q30_SPO While working as a single-pilot operator, have you ever declined a flight due to poor visibility or other weather-related reasons?
Yes
No
Prefer not to answer
Q31_SPO How often do you fly into weather that is different from what was predicted when you started your flight?
Daily
Weekly
Monthly
Less often than monthly
Never
Q32_SPO How often do you have to decide whether to fly on a Visual Flight Rules (VFR) flight plan into unknown weather conditions that may deteriorate below VFR minimums?
Daily
Weekly
Monthly
Less often than monthly
Never
Q33_SPO If you refuse to launch a flight due to marginal weather, how likely is it that your customers will fly with a different company?
Not at all likely
Somewhat likely
Very likely
I don’t know
Q34_SPO Do you have standard procedures to follow if you unexpectedly fly into Instrument Meteorological Conditions (IMC)?
Yes
No
Q35_SPO How confident are you that you can safely fly under Visual Flight Rules (VFR) in the following conditions?
Whiteout conditions are when blowing snow, fog, or haze limit all visual references.
Flat light conditions are when an overcast limits visual cues, the features of the terrain, and make it hard to determine distance.
|
Not confident |
Somewhat confident |
Very confident |
Whiteout conditions |
|
|
|
Low visibility conditions |
|
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Flat light conditions |
|
|
|
These next few questions ask about training and safety.
Q36_SPO What types of survival training have you received? Please select all that apply.
Aircraft Egress Training
Basic Survival Training
Fixed Wing Underwater Egress Training
Helicopter Underwater Egress Training
Dunker Training
Other. Please describe: ________________________________________________
None
Q37_SPO Have you received training on proper lifting techniques?
Yes
No
Q38_SPO While at work, about how often did you lift more than 50 pounds without equipment?
Daily
2-3 times a week
Once a week
Once a month
2-3 times a year
Never
Other. Please describe
Q39_SPO Is any of the following equipment available at work to assist with moving heavy items? Please select all that apply.
Forklift
Pallet jack
Mechanical lift
Other. Please describe: ________________________________________________
None of the above
Q40_SPO Compared to other jobs, how safe is your pilot job?
Much safer than other jobs
Slightly safer than other jobs
As safe as other jobs
Slightly more dangerous than other jobs
Much more dangerous than other jobs
The following questions are about work-related exposure, illnesses, and injuries and measures to eliminate them at your job as a single-pilot operator.
Examples of exposures are workplace exposures to harmful substances, fumes, loud noises, and temperature extremes.
Examples of illnesses are skin diseases, respiratory disorders, and poisonings resulting from work exposures.
Examples of injuries are work-related cuts, fractures, sprains, hearing loss, and amputations.
These questions refer to a time when your body was damaged and required medical attention at the time of the event, or caused you to take time away from work, or required you to change how you did your job.
Q41_SPO Exposures in the workplace may be to harmful substances, fumes, loud noises, or temperature extremes. In the past five years, have you had any exposures as a result of your work that required medical care, first aid, time off work, or changes in how you do your job?
Yes. Please explain:
No
Q42_SPO Other than piloting the aircraft, which of your duties or tasks are most likely to make you ill?
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q43_SPO In the past five years, have you been made ill as a result of your work?
Yes. Please explain:
No
Q44_SPO Other than piloting the aircraft, which of your duties or tasks are most likely to injure you?
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q45_SPO In the past five years, have you been injured as a result of your work?
Yes
No
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q46_SPO In the past five years, how many different times have you been injured at work?
Once
Twice
Three or more times
Display This Statement:
If In the past five years, how many different times have you been injured at work? != Once
AND
If In the past five years, have you been injured as a result of your work? = Yes
Please think about your most serious injury when answering these next questions.
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q47_SPO How did your injury occur?
Lifting (picking up cargo, baggage, equipment, etc.)
Slip (on ice, wet or oily surfaces, etc.)
Trip (over objects, uncovered hoses or cables, etc.)
Fall
Pushing or pulling
Contact injury with object (aircraft wing, tug, etc.)
Assault or injury by another person
Other. Please specify: ________________________________________________
Display This Question:
If How did your injury occur? = Fall
AND
If In the past five years, have you been injured as a result of your work? = Yes
Q47a_SPO Was your fall while you were above ground level or at ground level?
Above ground level (on a ladder, aircraft wing, etc.)
At ground level
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q48_SPO How was your injury treated?
Did not receive any treatment
Received first aid at work
Self-treatment at home after work
Went to medical or community clinic
Went to hospital or emergency room, but wasn't admitted to hospital
Hospitalized 1-3 days
Hospitalized 4-7 days
Hospitalized more than 7 days
Received outpatient long-term care including therapy (physical, occupational, massage, counseling, etc.)
Other. Please explain: ________________________________________________
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q49_SPO Due to your injury, did you miss any workdays?
Yes
No
I don’t remember
Prefer not to answer
Display This Question:
If Due to your injury, did you miss any workdays? = Yes
AND
If In the past five years, have you been injured as a result of your work? = Yes
Q49a_SPO Due to your injury, about how much time did you miss from work?
Days ________________________________________________
Weeks ________________________________________________
Months ________________________________________________
Years
I don’t remember_____________________________________________________
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q50_SPO What part or parts of your body
were affected?
Please select all that apply.
Head
Neck
Upper limbs (shoulders, arms, hands, wrists)
Lower limbs (legs, knees, feet)
Trunk (back, lungs, stomach, chest, hips, buttocks)
Other. Please explain: ________________________________________________
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q51_SPO At the time of your injury, about how long had you been at work that day?
Less than 1 hour
1 – 2 hours
3 – 5 hours
6 – 8 hours
More than 8 hours
I don’t remember
Display This Question:
If In the past five years, have you been injured as a result of your work? = Yes
Q52_SPO Did you file a worker's compensation claim for your injury?
Yes
No, I didn’t have coverage at the time
No, other
Prefer not to answer
I don’t remember
Display This Question:
If Did you file a worker's compensation claim for your injury? = No, other
AND
If In the past five years, have you been injured as a result of your work? = Yes
Q52a_SPO Which of following best describes your reasons for not filing a worker's compensation claim?
I didn't think the injury was bad enough, filing was unnecessary
I didn't know I could
I didn't know how
I didn’t want to hurt my company
I was worried it would make me look bad
Other. Please describe: ________________________________________________
If In the past five years, have you been injured as a result of your work? = Yes
Q53_SPO Do you think your injury could have been prevented?
Yes. What could have prevented it? ________________________________
No. Please explain: ______________________________
I don't know
Q54_SPO What do you think contributes most to injuries in aviation in Alaska?
________________________________________________________________________________________________________________________________________________________________________________
Q55_SPO If you could make changes, how would you make your job safer?
________________________________________________________________________________________________________________________________________________________________________________
Q56_SPO Have you ever felt so tired at work that you forgot what you were doing, what you had done, or made a mistake?
Yes
No
I don’t remember
Prefer not to answer
Q57_SPO During YEAR, about how often would you have liked to decline a flight because you were too tired, but you flew anyway?
Daily
Weekly
Monthly
Less often than monthly
Never
Prefer not to answer
Q58_SPO How much of a problem is pilot fatigue in pilot scheduling?
Not a problem
Minor problem
Major problem
Q59_SPO In the list of equipment below, indicate how helpful you think each is in preventing aircraft crashes:
|
Not helpful |
Somewhat helpful |
Very helpful |
Don't know |
Autopilot |
|
|
|
|
ADS-B (Automatic Dependent Surveillance-Broadcast) |
|
|
|
|
VOR (Very high frequency omni-directional range navigation equipment) |
|
|
|
|
GPS (Global Positioning System) |
|
|
|
|
NDB (Non-directional beacon) |
|
|
|
|
Interactive map |
|
|
|
|
TAWS (Terrain awareness and warning system) |
|
|
|
|
TCAS (Traffic collision avoidance system) |
|
|
|
|
Other. Please describe: |
|
|
|
|
Q60_SPO In the list of equipment below, indicate how helpful you think each is in surviving after a crash:
|
Not helpful |
Somewhat helpful |
Very helpful |
Don't know |
Satellite phone |
|
|
|
|
Cell phone |
|
|
|
|
Personal Location Beacon |
|
|
|
|
ELT (Emergency Locator Transmitter) |
|
|
|
|
Satellite Tracking Device (Spidertracks, SPOT) |
|
|
|
|
Survival kit |
|
|
|
|
Other. Please describe: |
|
|
|
|
Q61_SPO What do you think contributes most to aviation accidents in Alaska?
________________________________________________________________________________________________________________________________________________________________________________
These final questions ask about you.
Q62_SPO What is the highest level of education you have completed?
Less than high school
Attended high school; didn't graduate
GED or equivalent
High school diploma
Attended college; no degree
Associate's degree
Bachelor's degree
Graduate or Professional degree
Q63_SPO Are you male or female?
Male
Female
Prefer not to answer
Years: ________________________________________________
Prefer not to answer
Q65_SPO What is your race?
Please
select all that apply.
American Indian or Alaska Native
White
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
Some other race. Please specify: ________________________________________________
Prefer not to answer
Q66_SPO Please add any other comments about aviation safety in Alaska you think we should know.
________________________________________________________________
________________________________________________________________
Thank you for your help!
(End of Single-Pilot Operator Survey)
(Start of Operator Qs)
These first questions ask about your current employment.
Q2 Which of the following best describes your primary role or position with your company?
Director of Maintenance
Director of Operations
Director of Safety
Chief Pilot
Other. Please specify: ________________________________________________
Display This Question:
If Which of the following best describes your primary role or position with this your company? = Chief Pilot
Q2a_Do you ever work as a pilot for your company?
Yes
No
Display This Question:
If Do you ever work as a pilot for this your company? = Yes
Q2b Do you fly on a regular schedule for your company?
Yes
No
Q3 How long have you worked for your company?
Please enter the number of months if less than 1 year.
Years: ________________________________________________
Months: ________________________________________________
Q4 How many aircraft does your company operate?
Number of aircraft: ________________________________________________
Q5 Please list total flight hours and departures for all aircraft flown by your company in YEAR (both scheduled and unscheduled).
|
YEAR |
|
|
Scheduled |
Unscheduled |
Total flight hours |
|
|
Instrument flight hours |
|
|
Total number of departures |
|
|
This next set of questions asks about employees working at your company in YEAR.
Q6 In total, how many workers does your company currently employ?
Less than 10
11 - 20
21 - 49
More than 50
Q7 For aircraft maintenance, does your company contract for services, directly employ mechanics, or do something else? Please select all that apply.
Contract for services
Directly employ aircraft mechanics
Do something else. Please explain: _______________
Display This Question:
If For maintenance, does your company contract for services, employ mechanics, or do something else? = Contract for services
Q7a Please provide the company contact information for the contract services.
Company name: _______________
Phone number (907-555-1234): ________________
Email: _______________________
Display This Question:
If For maintenance, does your company contract for services, employ mechanics, or do something else? = Employ mechanics
Q7b How many aircraft mechanics does your company currently employ directly, as employees?
1
2
3 or more
Display This Question:
If For maintenance, does your company contract for services, employ mechanics, or do something else? = Employ mechanics
Q7c How many aircraft mechanics does your company typically employ each season?
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1 mechanic |
2 mechanics |
3 or more mechanics |
None |
Spring |
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Summer |
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Autumn |
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Winter |
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Display This Question:
If For maintenance, does your company contract for services, employ mechanics, or do something else? = Directly employ mechanics
AND How many aircraft mechanics does your company currently employ directly, as employees? != 1
Q7d Do mechanics usually work alone or do they work as part of a team?
Alone usually
Work as part of a team
Other. Please explain: ________________________________________________
Q8 How many ramp/baggage/cargo/dock agents does your company currently employ?
1
2
3 or more
None
Display This Question:
If How many ramp/baggage/cargo/dock agents does your company currently employ? != None
Q8a How many ramp/baggage/cargo/dock agents does your company typically employ each season?
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1 |
2 |
3 or more |
None |
Spring |
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Summer |
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Autumn |
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Winter |
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Q9 How many customer service/gate agents does your company currently employ?
1
2
3 or more
None
If How many customer service/gate agents does your company currently employ? != None
Q9a How many customer service/gate agents does your company typically employ each season?
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1 |
2 |
3 or more |
None |
Spring |
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Summer |
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Autumn |
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Winter |
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Q10 How many pilots does your company typically employ each season?
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1 Pilot |
2 Pilots |
3 or more pilots |
None |
Spring |
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Summer |
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Autumn |
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Winter |
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Q11 How many pilots did your company employ in each of the last 3 years?
YEAR 1______________________________________________
YEAR 2______________________________________________
YEAR 3______________________________________________
Q12 Beginning with “1” for the most important, then “2” for the second most important, and so on, please rank the importance of these skills and experiences when hiring a pilot.
______ Flight hours in the area of Alaska where the pilot will fly
______ Flight hours in Alaska (total Alaska flight hours)
______ Total flight hours, anywhere
______ Flight hours in the type of aircraft your company uses
______ Instrument flight hours
______ Stick and rudder skills (basic airmanship skills)
______ Customer service skills
______ Other. Please describe: ___________________
Q13 How does your company pay your pilots?
Hourly for flight hours only
Salary
Combination of salary and flight hours
Combination of flight hours, duty hours, and salary
By flight completions
Other. Please explain: ________________________________________________
Q14 Does your company pay your pilots overtime?
Yes
No
Display This Question:
If Does your company pay your pilots overtime? = Yes
Q14a Under what conditions does your company pay your pilots overtime?
________________________________________________________________
This next set of questions asks about policies, operations, and equipment at your company.
Q15 Do your pilots perform duties other than piloting the airplane?
Yes
No
Display This Question:
If Do your pilots perform duties other than piloting the airplane? = Yes
Q15a What other duties do pilots typically perform? Please list.
________________________________________________________________
Q16 Does your company require higher than FAA weather minimums for flying?
Yes
No
Display This Question:
If Does your company require higher than FAA weather minimums for flying? = Yes
Q16a Please describe your policy that requires higher than FAA weather minimums for flying. Note when your company began this requirement.
________________________________________________________________
Q17 Some companies have written policies that require pilots to complete ground school training and demonstrate abilities through a simulator check out, check ride, another activity or task, or some other means.
For each of the conditions listed below, please indicate if your company’s policy has these requirements.
Whiteout conditions are when blowing snow, fog, or haze limit all visual references.
Flat light conditions are when an overcast limits visual cues, the features of the terrain, and make it hard to determine distance.
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No policy |
Ground school discussion |
Simulator check out |
Check ride |
Activity or task |
Other |
Whiteout conditions |
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Low visibility conditions |
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Flat light conditions |
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Inadvertent VFR into IMC |
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Other. Please list: |
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Q18 Does your company have a written list of required conditions to launch a flight (for example, a risk assessment worksheet)?
Yes
No
Q19 Who can decide to cancel a flight? Mark all that apply.
Pilot
Someone else in the company. What is their position? ______
Someone outside the company. What is their position? ______
Display This Question:
IF Who can decide to cancel a flight? != Pilot
Q19a If a non-pilot employee makes decisions about launching flights, what training (initial and recurrent) does the company require that person to have?
________________________________________________________________________________________________________________________________________________________________________________
Q20 How many of your company aircraft have the following types of
equipment?
Please rate each type as very helpful, somewhat
helpful, or not at all helpful to flight safety in Alaska.
*If you are using a mobile device, like a smart phone or tablet, please turn it sideways so you can see the full question. You may need to turn off your "screen lock" feature so the screen will turn.
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Number of Aircraft |
Helpfulness |
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
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Electronic Primary Flight Display (PFD) |
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Electronic Flight Bag (EFB) Installed |
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Terrain Awareness Warning System (TAWS) |
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Collision Avoidance (TCAS, TCAD, TIS) |
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Emergency Locator Transmitter: 121.5 MHz |
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Emergency Locator Transmitter: 406 MHz |
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Angle of Attack Display |
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
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Global Positioning System – VFR Only |
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Global Positioning System – IFR Approved |
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Automatic Dependent Surveillance-Broadcast In |
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Automatic Dependent Surveillance-Broadcast Out |
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VOR (Very high frequency Omni-directional Range) |
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VOR/DME (Very high frequency Omni-directional Range /Distance Measuring Equipment) |
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Satellite Tracking Device (SPOT, Spidertracks, InReach) |
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# |
Not at all helpful |
Somewhat helpful |
Very helpful |
I don’t know |
Q21 In general, what survival equipment is in your company
aircraft?
Please select all that apply.
Carry what is legally required
Sleeping or camping gear (blankets, sleeping bags, tarps, tents)
Cooking supplies (food, water, stove, etc.)
Company survival kit
First aid kit
Satellite phone
Search and rescue aids (flares, mirror, rescue laser, etc.)
Flotation devices (personal flotation devices, life rafts, etc.)
Other. Please specify: ________________________________________________
Q22 Does your company provide training to on how to use the survival equipment in the aircraft?
Yes
No
We have a few more questions about training provided by your company.
Q23 Does your company provide training on proper lifting techniques?
Yes
No
Display This Question:
If Does your company provide training on proper lifting techniques? = Yes
Q23a Which employees receive this training? Please select all that apply.
Company management
Pilots
Customer service agents
Mechanics, including mechanic helpers, assistants, maintenance staff, inspectors, etc.
Ramp, baggage, cargo, or dock agents
Other. Please describe: ________________________________________________
Q24 Does your company provide tools or equipment to help reduce stress or strain on the body caused by lifting or transferring heavy items?
Yes
No
Display This Question:
If Does your company provide tools or equipment to reduce stress or strain on the body caused by lifting or transferring heavy items? = Yes
Q24a Is any of the following equipment available at work to assist with moving heavy items? Please select all that apply
Forklift
Pallet jack
Mechanical lift
Other. Please describe: _________
None of the above
Q25 What types of survival training does your company provide? Please select all that apply.
Aircraft Egress Training
Basic Survival Training
Fixed Wing Underwater Egress Training
Helicopter Underwater Egress Training
Dunker Training
Other. Please describe: ________________________________________________
None
Q26 Does your company provide fatigue prevention training for pilots?
Yes
No
Q27 How much of a problem is pilot fatigue in pilot scheduling?
Not a problem
Minor problem
Major problem
The next few questions are about safety at your company.
Q28 Does your company have an internal system for tracking events or conditions related to safety?
Yes
No
Q29 Does your company offer safety awards or incentives?
Yes
No
Display This Question:
If Does your company offer safety awards or incentives? = Yes
Q29a Please describe what type(s) of safety awards or incentives your company offers.
________________________________________________________________________________________________________________________________________________________________________________
The following questions are about work-related exposures, illnesses, and injuries and measures to eliminate them at your job as a single-pilot operator.
Examples of exposures are workplace exposures to harmful substances, fumes, loud noises, and temperature extremes.
Examples of illnesses are skin diseases, respiratory disorders, and poisonings resulting from work exposures.
Examples of injuries are work-related cuts, fractures, sprains, hearing loss, and amputations.
These questions refer to a time when your body was damaged and required medical attention at the time of the event, or caused you to take time away from work, or required you to change how you did your job.
Q30 Does your company have an internal system for tracking employee on-the-job injuries or illnesses?
Yes
No
I don’t know
Q31 In the past five years, about how many employees have been injured on-the-job?
Number of employees: __________
None
I don’t know
Display This Question:
If In the past five years, about how many employees have been injured on-the-job? != None
Q32 In the past five years, which employee groups have been most frequently injured on-the-job at your company?
Company management
Pilots
Customer service agents
Flight support personnel
Mechanics, including mechanic helpers, assistants, maintenance staff, inspectors, etc.
Ramp, baggage, cargo, or dock agents
Other. Please describe:
No one group of employees is injured more frequently than any other
I don’t know
Display This Question:
If In the past five years, about how many employees have been injured on-the-job? != None
Q33 When employees were injured on-the-job, what were the most frequently affected part or parts of the body?
Head
Neck
Upper limbs (shoulders, arms, hands, wrists)
Lower limbs (legs, knees, feet)
Trunk (back, lungs, stomach, chest, hips, buttocks)
None
I don’t know
Other. Please explain: ________________________________________________
Display This Question:
If In the past five years, about how many employees have been injured on-the-job? != None
Q34 In the past five years, about how many employees have filed worker's compensation claims?
Number of employees: __________
None
I don’t know
Q35 What do you think contributes most to injuries in aviation in Alaska?
________________________________________________________________________________________________________________________________________________________________________________
Q36 If you could make changes, how would you reduce injuries, prevent illnesses, and increase safety at your company?
________________________________________________________________________________________________________________________________________________________________________________
Q37 Please indicate how much you agree or disagree with each of the following statements. Where I work…
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Where I work… |
Strongly Disagree |
Disagree |
Neither Disagree nor Agree |
Agree |
Strongly Agree |
the safety of workers is a high priority with management. |
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workers are discouraged from reporting safety issues. |
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there are no significant compromises or shortcuts taken when worker safety is at stake. |
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keeping aircraft in the air is more important than worker safety. |
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employees and management work together to ensure the safest possible working conditions. |
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management isn’t interested in safety issues. |
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Company Insurance
Q38 In the last 18 months, have your company's insurance costs per seat changed?
Increased
Decreased
No change
Skip To: Q40 IF In the last 18 months, have your company's insurance costs per seat changed? = No change
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? = Increased
Q38a By what percent did they increase?
% increased: ________________________________________________
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? = Decreased
Q38b By what percent did they decrease?
% decreased: ________________________________________________
Display This Question:
If In the last 18 months, have your company's insurance costs per seat changed? != No change
Q39 Why do you believe the insurance costs changed?
________________________________________________________________
Q40 In YEAR, about what percentage of your company’s revenue came from the following sources?
Passengers |
_____% |
Cargo |
_____% |
_____% |
|
Other. Please describe: _________________ |
_____% |
Total |
_____% |
The questions in the table below ask for your opinion about measures that might improve aviation safety throughout Alaska (not just at your company).
Q41 For each measure, indicate how effective you think it could be in preventing aircraft crashes if it were widely applied in Alaska aviation, and how often your pilots receive this training.
*If you are using a mobile device, like a smart phone or tablet, please turn it sideways so you can see the full question. You may need to turn off your "screen lock" feature so the screen will turn.
Whiteout conditions are when blowing snow, fog, or haze limit all visual references.
Flat light conditions are when an overcast limits visual cues, the features of the terrain, and make it hard to determine distance.
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Effectiveness |
Frequency |
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Not effective |
Somewhat effective |
Very effective |
Don't know |
At hire |
Annually |
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Pilot training in meteorology |
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Pilot training in aeronautical decision-making |
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Pilot training in whiteout conditions |
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Pilot training in flat light conditions |
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Pilot training in CFIT avoidance |
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Pilot training in regional hazards |
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Not effective |
Somewhat effective |
Very effective |
Don't know |
At hire |
Annually |
Never |
Greater ability for pilots to refuse flights due to weather |
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Easing of time limit to move by-pass mail |
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Changes in Medicare patient transport requirements |
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Improvement in infrastructure to allow more IFR flights |
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Improvements in company's operational control structure |
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Q42 If you had to choose just two of the above measures as most useful, which would they be?
First choice: (Dropdown list of 11 measures in Q39 above)
Second choice: (Dropdown list of 11 measures in Q39 above)
Q43 If there are other measures that you believe might improve aviation safety in Alaska, but which weren’t listed in the two questions above, please list them below.
________________________________________________________________________________________________________________________________________________________________________________
Q44 What do you think contributes most to aviation accidents in Alaska?
________________________________________________________________________________________________________________________________________________________________________________
Q45 Please add any other comments about aviation safety in Alaska you think we should know. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Employee Contact Information
As you read earlier, we are asking people in different aviation occupations about their work. We want to send them a survey similar to the one you just answered.
We need to select a scientific sample of people in each occupation. We are asking for the name, phone number, email address, and mailing address for all of your employees in each job group for two reasons.
First is so we can learn how many people in Alaska are employed in each job group. Once we know how many people are in this job group we can determine how many we need to complete the survey to have a representative sample of that occupation. The other reason we ask for everyone in each job group is so no one can figure out who completed a survey. When we have all people in an occupation, no individual can be identified.
The job groups are:
Job Group P: pilots
Job Group M: mechanics (ground, equipment, auto, diesel, etc.), maintenance inspectors, avionics technicians, etc.
Job Group C: customer service agents, office or administrative flight support personnel, flight or ground specialists, village agents, flight followers, etc.
Job Group R: baggage or cargo handlers, ramp agents, dock agents, etc.
If you have 50 or more employees, please select the option below and we will contact you to find the easiest way to get this information.
If you have any questions, please call our toll-free number XXX-XXX-XXXX.
Thank you.
Category (please choose one) |
Employee’s name |
Current mailing address |
Phone # |
Email address |
P, M, C, R |
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Thank you for your help!
End of Survey
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | NIOSH2018 - Aviation Safety_Operators |
Author | OConnor, Mary B. (CDC/NIOSH/WSD) |
File Modified | 0000-00-00 |
File Created | 2022-01-28 |