245 Background: Much work has focused on the importance of culture as a key factor in advancing the patient safety discussion. No assumption can be made that a culture of safety equates to embracing responsibility to report when errors and near misses occur. Underreporting exists. Without data, the opportunity to redesign care and address system failures is diminished. This research aimed to answer: what impact do various factors have on influencing the likelihood of reporting across a hospital network of oncology providers? Methods: The AHRQ Hospital Culture on Safety was used coupled with 15 custom questions of interest. Dependent variables (DVs) included: structure for reporting (definition, policy and ease), incentives to report, supervisor/employee relationship and management support. Independent variables (IVs) included number of errors reported and perceived frequency by which events are reported, influenced by tenure and extent of patient interaction. Higher scores associated with the IVs were posited to be positively associated with the errors reported as well as the reporting frequency. A principle component analysis was conducted as a variable reduction technique to affirm factors; the reliability of factors tested; and multiple regression analyses conducted to test the strength of relationships. Results: 2,103 surveys were completed. The 4 factors are found to weakly predict the DVs. Infrastructure had the greatest association in both models. Tenure and patient interaction influenced the likelihood of reporting. Conclusions: This research moves beyond culture in ascertaining factors pivotal in the underreporting of errors and near misses. An infrastructure promoting reporting must also exist ensuring staff know what, how, when, and why to report, linking data to action.[Table: see text]