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An Anymouse Submission is a way to anonymously report a safety concern a directly to the NAVSAFECOM deputy commander and executive director.
A safety concern can be addressed in a way similar to the ORM mnemonic ABCD, which stands for Assess, Balance your Resources, Communicate, Do and Debrief. Sending an Anymouse form to the Naval Safety Command is used when other means of addressing a safety concern have failed.
A. Assess your situation and determine the best method to address your safety concern.
B. Balance your resources by reviewing policy and frequently asked questions.
C. Communicate by preparing your submission using the Anymouse Submission form at https://www.navalsafetycommand.navy.mil/portals/100/documents/anymouse_form.docx.
D. Do by sending the Anymouse form to the Naval Safety Command. When the Safety Command determines a resolution to the concern we will try to ensure a debrief is provided. This may occur directly to the individual if possible, or via message, a new safety poster or a Safety Command magazine.
Determine the best way to address your safety concern
We encourage you to first try to resolve your safety concern using the chain of command. Contact your chain of command to solve the problem. Start at the lowest possible level and use command channels before elevating them to the next higher level. Discuss your problem with members in your chain of command such as the legal staff, union representative, chaplain, human resource personnel, equal opportunity advisor, your immediate supervisor, and Commanding Officer. Our experience has shown, with few exceptions, that commands are responsive to complainants' issues.
Military members may want to bring the issue to the attention of: His or her immediate or second level supervisor Department Head Safety Officer Executive Officer Commanding Officer (see: Commanding Officer Request Mast)
Civilian personnel may want to bring the issue to the attention of: His or her immediate or second-level supervisor Safety Officer Executive Officer Commanding Officer Local Safety Office
If these methods are unsuccessful, consider submitting an Anymouse form to the Naval Safety Command. After you determine the best method to address your complaint, review applicable policy and Anymouse submission FAQs.
POLICY
Aviation. Chapter 2 of OPNAVINST 3750.6S. Anymouse Reporting. All command safety programs shall provide a system for anonymously reporting hazards. Command personnel must be able to make a submission without fear of retribution. Anonymous online or electronic systems such as ASAP may be used as long as all command personnel have access to the system. If used, Anymouse boxes must be placed in a location where command personnel can make a submission without being observed. Do not include a requirement for the name of the person making the submission. Commands shall set up a feedback mechanism to address issues raised by the program.
Ashore. Chapter 10 of OPNAVINST 5100.23A addresses Employee Reports of Unsafe/Unhealthful Working Conditions (directed under Section 29 CFR 1960.28) and provides OPNAV Form 5100/11, Navy Employee Report of Unsafe or Unhealthful Working Condition, to submit reports. Access the form at: https://navalsafetycommand.navy.mil/portals/100/documents/OPNAV%205100-11.pdf. The program makes provision for submitting an anonymous report if desired, and meets requirements for such a program set by 29 CFR 1960, Basic Program Elements for Federal Employee Occupational Safety and Health Programs and Related Matters. Section 29 CFR 1960.28 can be accessed at: https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=11279.
This program is structured to allow hazards to be abated as quickly as possible at the appropriate management level and allows for appeals up the chain of command if the originator is not satisfied with the response.
Afloat. OPNAVINST 5100.19F Section A, Chapter 4, paragraph 4a addresses hazard reporting by individual crewmembers. All hands are encouraged to orally report unsafe or unhealthful conditions to their immediate supervisor. That supervisor will promptly evaluate the situation and take appropriate corrective action. Individuals may report unsafe or unhealthful conditions using OPNAV 3120/5 Safety Hazard Reports via the NAVSAFECOM Anymouse Program. Access the form online at: https://navalsafetycommand.navy.mil/Portals/100/Documents/Anymouse_form.docx
The report may be hand written and should simply state the nature of the condition and its location. If the originator desires that his or her name not be revealed, this should be so stated in the report.
Marine Corps. The Marine Corps recommends the use of the Anymouse/Anonymous Report system within all organizations and at all levels. The Unit Ground Safety Officer should establish procedures for this program and train all personnel on the process for reporting unsafe or unhealthful working conditions via NAVMC 11401 or ANYMOUSE (RCS MC-S100-06) forms.
FREQUENTLY ASKED QUESTIONS
Q: Do I need to submit my name? A: No. By definition, the Anymouse program is designed for anonymous submissions. If you submit your name, we will maintain your confidentiality. Q: How will I know that my safety concern has been resolved? A: If you submit your name and contact information, we will communicate with you directly.
Q: Is there a time limit to submit an Anymouse? A: No. However, it is important to correct a safety concern by some means before someone is injured or property is damaged. Q: When I email the form to Anymouse Feedback, who receives it? A: The submission goes directly to the NAVSAFECOM Deputy Commander and the Executive Director ONLY.
PREPARE YOUR ANYMOUSE FORM FOR SUBMISSION Once you have determined the best method to address your safety concern and have read over the safety policy and FAQs, and you decide that a NAVSAFECOM Anymouse is appropriate, you can gather the information you will need to fill out the Anymouse form.
Make sure to include:
The more information you provide, the better we are able to assist you. The Anymouse form is available at: https://navalsafetycommand.navy.mil/Portals/100/Documents/Anymouse_form.docx
You can also send the form to NAVSAFECOM using the methods below:
Mail via U.S. Postal Service: Commander, Naval Safety Command Attn: Deputy Commander 375 A Street Norfolk, VA 23511-4399
Fax: Attn: Executive Director 757-444-7205 (DSN 564) Email: Attach form and send to: NAVSAFECOM_ANYMOUSE_FEEDBACK@navy.mil
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