Da Form 2397 Ab PDF Details

The DA 2397-AB form, known as the Abbreviated Aviation Accident Report (AAAR), is a critical document within the U.S. Army's aviation accident reporting and investigation processes, particularly for Class C, D, E, F, combat Class A and B, and all aircraft ground accidents. Mandated by DA Pamphlet 385-40, and overseen by the Office of the Chief of Staff of the Army (OCSA) as the proponent agency, this form captures essential details to aid in the analysis and prevention of future incidents. From capturing the basic incident information such as date, time, and location, to more detailed data including accident classification, type of aircraft, and a comprehensive summary of the accident sequence, the DA 2397-AB form serves as a foundational step in understanding accident dynamics. Moreover, this form delves into the estimated accident costs, personnel data, and environmental conditions at the time of the incident, which are crucial for a thorough analysis. Notably, the form simplifies reporting for Class D, E, and F accidents that do not involve human error or injury, by requiring no further entry after completing sections 1 through 18. The incorporation of sections dedicated to moon illumination data, wire strike data, impact/protective/escapes/survival/rescue data, and accident cause factors highlights the comprehensive nature of this report in capturing varied aspects that could influence accident outcomes. Consequently, the DA 2397-AB form is instrumental in fostering a deeper understanding of aviation accidents, contributing to the U.S. Army's ongoing efforts to enhance safety and mitigate risks within its aviation operations.

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Form NameDa Form 2397 Ab
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda form 2397 ab, aso acft da print, acft dust da download, aso acft da create

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ABBREVIATED AVIATION ACCIDENT REPORT (AAAR)

FOR ALL CLASS C, D, E, F, COMBAT A AND B, AND ALL AIRCRAFT GROUND

For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.

REQUIREMENTS CONTROL SYMBOL

CSOCS-309

COMPLETE BLKS 1-18 FOR ALL ACDTS. NO FURTHER ENTRY IS REQUIRED FOR CLASS D, E, AND F ACDTS NOT INVOLVING HUMAN ERROR/INJURY.

1. DATE/CASE NO.

 

a. (YYYYMMDD)

b. Time

(Lcl)

c. Acft Ser No.

 

 

 

 

 

2.

a. Classification

A

B

C

 

D

E

F

OF ACCIDENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Category

 

 

Flight

Flight Related

 

Acft Ground

UAS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. TYPE OF ACFT (MTDS)

 

 

4. PERIOD

 

 

Dawn

Day

5. NO. ACFT

 

 

 

6. NEAREST MIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OF DAY

 

 

Dusk

Night

 

INVOLVED

 

 

 

 

 

INSTALLATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. ACCIDENT

a.

 

On-Post

b.

 

On Airfield

 

c. City (Nearest to acdt site)

d. State

 

 

 

e. Country (If not USA)

f. Grid or Lat./Long.

 

 

 

 

LOCATION

 

 

Off-Post

 

 

Not on Airfield

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATION INVOLVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Name of Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. UIC

(6 Digit Unit Id Code)

c. Home Station

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Army HQ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATION DEEMED ACCOUNTABLE

 

(If same as block 8 leave blank)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Name of Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. UIC

(6 Digit Unit Id Code)

c. Home Station

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Army HQ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. ESTIMATED ACCIDENT COST

 

a. Acft Total Loss

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Acft Damage

(Excl man hr)

 

 

c. No. Man Hrs

d. Man Hrs

 

 

 

e. Other Damage Mil

f. Civilian Damage

g. Injury Cost

h. Total

(This acft)

 

i. Total (All acft)

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.GEN.

a. Msn

(1) Type

 

 

(2)

 

 

 

 

 

 

b. Flight Plan

 

 

c. Digital Source Collector

Installed

 

 

 

 

d. Night Vision Device/System In use

DATA

 

 

 

 

(Tng, Svc, etc.)

 

 

Single-ship

 

 

NA

VFR

 

 

 

 

Yes

 

No

If "Yes" Specify type

 

 

 

 

Yes

No

 

If "Yes" Specify type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Multi-ship

 

 

 

 

IFR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Fire

None

 

 

Inflight

f. Flammable Fluid Spillage (If "Yes" for Class A, B,

 

 

g. Field Training Exercise

(FTX)

 

 

 

 

 

 

 

 

 

 

 

Postcrash

Other

and C acdts, attach DA Form 2397-6)

 

 

 

Yes

No

 

 

Yes

No If "Yes" Name of FTX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. FLIGHT

 

 

Flight

 

 

Phase of Operation (Enter max of 3

 

Altitude

 

Airspeed

 

Aircraft

 

 

Overgross for

13. TYPE EVENTS (Enter max 3 codes from

 

 

 

 

 

 

 

codes from Table 3-4 of DA Pam 385-40

 

 

 

 

 

Conditions

 

 

Table 3-2 DA Pam 385-40 or specify type event

DATA

 

 

Duration

 

 

 

AGL

 

 

KIAS

 

Weight

 

 

 

 

 

 

 

 

 

 

 

 

or specify phase (e.g., hover, NOE, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes No

 

 

which best describes the acdt/incdt, e.g.,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tree strike, generator failure, eng overspeed,

a. At

 

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hard landing fuel exhaustion, dropped

 

 

 

Emergency

 

Tenths

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cargo, oil cooler bearing failure, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. At

 

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Impact/Acdt

 

Tenths

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or Termination

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. ACCIDENT CAUSE FACTORS

(Enter

 

 

a. Human Error

(If D or

 

 

b. Materiel Failure/Malfunction

 

 

 

 

c. Environmental

 

 

 

 

 

 

 

 

 

D, S, or U to identify Definite, Suspected, or

 

 

 

S complete blks 21, 23, & 24)

 

 

(Includes mfg/design induced

 

 

 

 

(If D or S Complete blk 17)

 

 

 

 

Undetermined causes)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

failures)(If D or S complete blk 16)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. SUMMARY

(Enter summary of acdt sequence from onset of emergency through termination of flight. For Class D, E, and F, include the type of materiel failure and/or

 

 

 

 

environmental factors.)

16. COMPONENT AND PART FAILURE/MALFUNCTION DATA

(part that initiated failure/malfunction.)

17. ENVIRONMENTAL (Chk conditions at time of acdt.)

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification

 

Major Component

 

Part

a. General (1)

 

IMC (2)

VMC (3)

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Nomenclature

 

 

 

 

 

 

 

 

b. Environmental Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) Weather Conditions

(2) Other Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.Type, Design,

 

 

 

 

 

 

 

 

(a) Hail

 

 

 

(a) Animals

 

 

 

and Series

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Sleet

 

 

 

(b) Fowl

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Part Number

 

 

 

 

 

 

 

 

(c) Fog

 

 

 

(c) Surface

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d) Drizzle

 

 

 

(d) Noise

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. NSN

 

 

 

 

 

 

 

 

(e) Rain

 

 

 

(e) Chemicals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(f) Snow

 

 

 

(f) Radiation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e.Manufac-

 

 

 

 

 

 

 

 

(g) Lightning

 

 

 

(g) Glare

 

 

 

turer's

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(h) Thunderstorm

 

(h) FOD

 

 

 

Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

f. Part Serial

 

 

 

 

 

 

 

 

(i) Gusty Winds

 

 

(i) Temperature

 

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(j) Freezing Rain

 

(j) Vibration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g. Cause

(1)

Materiel (2)

Maintenance

FGCODE

(USACRC)

TYPEFL

CAUFL

(k) Other

 

 

 

(k) Dust

 

 

 

Failure/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)

Design

(4)

Manufacture

 

 

 

 

c. Acft Icing

No

Yes

d. Turbulence

No Yes

 

Malfunction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. BOARD PRESIDENT/ASO/POC

(Name, Signature, and Date)

Grade

 

Branch

Address and Tel No. (DSN and Com),

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 2397-AB, FEB 2009

PREVIOUS EDITION IS OBSOLETE.

PAGE 1 OF 2

APD PE v1.00

COMPLETE BLKS 19 - 26 FOR ALL CLASS C, COMBAT CLASS A, B, ACFT GROUND CLASS A, B, C, AND ALL CLASS ACDTS INVOLVING HUMAN ERROR/INJURY.

19. MOON ILLUMINATION DATA (For night Class A, B, or C acdts. If blk a is "no", no other entry is required.)

a. Moon Above Horizon

Yes

No

b. Moon Visible

Yes

No

c. Moon (Degrees

Above Horizon)

d. Percent of Moon

Illumination%

e. Moon (Clock Position from Flight Path/Nose of Acft)

20. WIRE STRIKE DATA (If "no" in blk a, no other entry is required)

a. Wire Strike

Yes No

b.WSPS Installed c. WSPS Engaged Wire

Yes

No

Yes

No

d. WSPS Cut Wire

Yes

No

e. WSPS Functioned as Designed

Yes

No

f. Wires Struck

No.

 

Dia (inches)

 

 

 

21.PERSONNEL DATA (Complete for each crew member with access to flight controls or other personnel injured or having a contributing role in the accident; use additional forms as needed)

a. Name (last, first, MI)

 

(1) SSN

 

(2) Grade

(3) Gender

(4) Duty

(5) SVC

(6) UIC (Assigned)

(7) Contributing Role

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

S

N

U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8) On Flt

(9)(a) Lab Test

(9)(b) Results

(10) Activity

(a) Hrs Slept

(c) Hrs

(11)

(a) RL

1

2

3

 

(12)Injury

(If "yes"

(13) Total

(14)Total

Controls

 

 

(Last 24 Hrs)

 

 

Flown

 

complete DA Form

Flight Hours

Flight

 

 

 

 

 

(b) FAC

1

2

3

 

 

 

 

 

 

 

 

 

 

2397-9)

 

(acdt MTDS)

Hours

 

 

 

 

 

 

 

 

 

 

 

 

Yes

Yes

Pos

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

(b) Hrs Worked

 

 

(c) DATE Redeployed

 

 

 

 

 

 

 

 

 

 

 

 

from Combat Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

No

Neg

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Name (last, first, MI)

 

(1) SSN

 

(2) Grade

(3) Gender

(4) Duty

(5) SVC

(6) UIC (Assigned)

(7) Contributing Role

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

S

N

U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8) On Flt

(9)(a) Lab Test

(9)(b) Results

(10) Activity

(a) Hrs Slept

(c) Hrs

(11)

(a) RL

1

2

3

 

(12)Injury

(If "yes"

(13) Total

(14) Total

Controls

 

 

(Last 24 Hrs)

 

 

Flown

 

complete DA Form

Flight Hours

Flight

 

 

 

 

 

(b) FAC

1

2

3

 

 

 

 

 

 

 

 

 

 

2397-9)

 

(acdt MTDS)

Hours

 

 

 

 

 

 

 

 

 

 

 

 

Yes

Yes

Pos

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

(b) Hrs Worked

 

 

(c) DATE Redeployed

 

 

 

 

 

 

 

 

 

 

 

 

from Combat Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

No

Neg

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Name (last, first, MI)

 

(1) SSN

 

(2) Grade

(3) Gender

(4) Duty

(5) SVC

(6) UIC (Assigned)

(7) Contributing Role

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

S

N

U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8) On Flt

(9)(a) Lab Test

(9)(b) Results

(10) Activity

(a) Hrs Slept

(c) Hrs

(11) (a) RL

1

2

3

 

(12)Injury

(If "yes"

(13) Total

(14) Total

Controls

 

 

(Last 24 Hrs)

 

 

Flown

 

complete DA Form

Flight Hours

Flight

 

 

 

 

 

(b) FAC

1

2

3

 

 

 

 

 

 

 

 

 

 

2397-9)

 

(acdt MTDS)

Hours

 

 

 

 

 

 

 

 

 

 

 

 

Yes

Yes

Pos

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

(b) Hrs Worked

 

 

(c) DATE Redeployed

 

 

 

 

 

 

 

 

 

 

 

 

from Combat Zone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

No

Neg

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. IMPACT/PROTECTIVE/ESCAPES/SURVIVAL/RESCUE DATA

(For Class A, B, and C acdts)

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Acft Occupiable Space Compromised

(If "yes" DA Form 2397-6 is required)

Yes

No

b. Escape/Survival Difficulties (If "yes"

DA Form 2397-10 required for the individual)

Yes

No

c. Protective/Restraint Equip Functioned as designed

(If "no" DA Form 2397-10 required for the individual)

Yes

No

23.ACDT CAUSE FACTORS (Blk 24 must support all cause factors checked; See DA Pam 385-40 for definition of cause factors)

a.

 

Training Failure (Stds exist but not

known or ways to achieve them not known)

b.

 

Standards Failure (Stds

not clear, practical, or do not exist)

c. Leader Failure (Stds are known but not enforced)

d.

 

Individual Failure

(Stds known but not followed)

e.

 

Support Failure (Inadequate equip/

facilities/svcs/no or type personnel)

24.FINDINGS AND RECOMMENDATIONS (See instructions in DA Pam 385-40 for writing findings and recommendations. Use additional sheet if required)

 

USACRC

Duty

Role

Failure/error Code

SI 1

RM 1

RM 2

RM 3

 

use only

 

 

 

 

 

 

 

 

Phase of OP

Task/part no.

 

SI 2

RM 1

RM 2

RM 3

 

 

 

 

 

 

 

 

 

25.LIST OF ATTACHMENTS (CCAD, DA Forms 2397-4, 8, 9, etc.)

26. COMMAND REVIEW (Required for Class A and B combat and all Class C acdts. Use separate sheet for nonconcurrence, additional findngs, and recommendations.)

REVIEWER

Organization

Name (Typed/Printed)

Rank

Signature

Comments

 

 

 

 

 

 

 

a.

 

 

 

 

 

 

Unit

 

 

 

 

Concur

Non-concur

Commander

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

Concur

Non-concur

Reviewing

 

 

 

 

 

 

 

 

 

 

Official

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

Concur

Non-concur

Approving

 

 

 

 

Authority

 

 

 

 

 

 

 

 

 

 

 

 

d. DA

 

 

 

 

Approved for entry into

 

 

 

 

ASMIS (YYYYMMDD)

Review

USACRC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DA FORM 2397-AB, FEB 2009

 

 

 

 

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