Da Form 2397 Ab R PDF Details

In the complex tapestry of aviation safety and accident reporting, the DA Form 2397-AB-R, known as the Abbreviated Aviation Accident Report (AAAR), stands as a crucial document designed to encapsulate the essential details of aviation incidents. Tailored for a wide array of occurrences including Class C, D, E, F, Combat A and B, and all aircraft ground incidents, this form serves a foundational role in the systematic analysis and prevention of future accidents. With stipulations laid out in both AR 385-40 and DA Pamphlet 385-40, the completion of this form, encompassing blocks 1 through 18 for all accidents, is mandated, while specifying that no further entry is needed for Class D, E, and F incidents absent of human error or injury. The AAAR collects data ranging from the date, time, and aircraft serial number to more detailed accident cause factors, including human error, materiel failure, or environmental conditions, providing a comprehensive snapshot of each incident. Furthermore, sections such as estimated accident costs, flight data, and a summary of the accident sequence enhance its functionality as a vital tool for the Office of the Chief of Staff of the Army (OCSA), the proponent agency overseeing this form. Designed to facilitate a thorough review and analysis process, the DA 2397-AB-R epitomizes the Army's committed approach to fostering aviation safety and operational efficacy through meticulous documentation and review.

QuestionAnswer
Form NameDa Form 2397 Ab R
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesMTDS, Stds, Flt, ACDTS

Form Preview Example

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 AR 385-40 and 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.

(YYMMDD)

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. TYPE OF ACFT (MTDS)

 

4

PERIOD

Daw n

Day

 

5. NO. ACFT

6. NEAREST MIL

 

 

 

 

 

 

 

 

 

.

 

 

INVOLVED

 

INSTALLATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dusk

Night

 

 

 

 

 

 

 

 

 

 

7. ACCIDENT LOCATION

a.

On-Post

Off -Post

b.

On Airfield

 

 

Not on Airfield

c. City (Nearest to acdt site)

d. State

e.Country (If not USA)

a. Name of Unit

ORGANIZATION INVOLVED

b. UIC(6 Digit Unit Id Code) c. Home Station

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. ESTIMATED ACCIDENT COST

a. Acft Total Loss

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Acft Damage (Excl man

c. No. Man

 

d. Man Hr

e. Other Damage Mil

 

f . Civilian

 

 

g. Injury

 

 

 

h. Total (This acft)

i. Total (All acft)

hr)

 

 

 

Hrs

 

 

 

 

 

 

 

 

 

 

 

 

Damage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. GEN.

a. Msn

(1) Type (Tng, Svc,

(2)

 

 

b. Flight Plan

 

 

 

c. Flight Data Recorder

 

 

d. Night Vision Device/System In use

DATA

 

 

 

etc.)

 

 

 

 

 

 

Single-ship

 

NA

VFR

 

 

Installed

 

 

Yes

 

 

 

 

 

Yes

No

If " Yes" Specify

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Multi-ship

 

IFR

 

 

 

 

 

 

 

 

No

 

 

 

 

type

 

 

 

 

 

 

 

 

e. Fire

None

 

Inflight

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

g. Field Training Exercise (FTX)

 

 

 

 

 

 

 

 

 

 

 

 

and C acdts, attach DA Form 2397-6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcrash

Other

 

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

If " Yes" Name of FTX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. FLIGHT

 

Flight

 

Phase of Operation (Enter max of 3

 

Altitude

Airspeed

 

Aircraf t

 

Overgross for

 

13. TYPE EVENTS

(Enter max 3 codes from

 

 

codes from fig 3-5 DA Pam 385-40 or

 

 

 

 

Conditions

 

 

fig 3-4 DA Pam 385-40 or specify type event

DATA

 

Duration

 

 

AGL

 

KIAS

 

 

 

Weight

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

w hich best describes the acdt/incdt, e.g.,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. At

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tree strike, generator failure, eng overspeed,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hard landing fuel exhaustion, dropped cargo,

Emergency

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tenths

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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, &

 

 

(Includes mfg/design induced

 

 

 

 

 

 

(If D or S Complete blk 17)

 

 

 

Undetermined causes)

 

 

 

 

 

 

 

24)

 

 

 

 

 

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)

Unknow n

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Nomenclature

 

 

 

 

 

 

 

 

b. Environmental Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) Weather Conditions

 

 

(2) Other Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.Type, Design,

 

 

 

 

 

 

 

 

(a) Hail

 

 

 

(a) Animals

 

 

and series

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Sleet

 

 

 

(b) Fow l

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code

 

 

 

 

 

 

 

 

(h) Thunderstorm

 

 

(h) FOD

 

 

f . Part Serial

 

 

 

 

 

 

 

 

(i) Gusty Winds

 

 

(i) Temperature

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(j) Freezing Rain

 

 

(j) Vibration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g.Cause

(1)

Materiel (2)

Maintenance

FGCODE

(USASC)

TYPEFL

CAUFL

(k) Other

 

 

 

(k) Dust

 

 

 

 

 

 

 

 

 

 

 

 

 

Failure/

 

 

 

 

 

 

 

 

 

 

 

 

 

(4)

 

 

 

 

 

c. Acft Icing

No

Yes

d. Turbulence

No Yes

Malfunction

(3)

Design

Manufacture

 

 

 

 

18. BOARD PRESIDENT/ASO/POC

(Name, Signature, and Date) SSN

 

 

Address and Tel No. (DSN and Com)

 

 

Grade

Branch

DA FORM 2397-AB-R, JUL 94

APD 9V3.000

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

b. Moon Visible

 

c. Moon (Degrees

 

 

 

d. Percent of

%

e. Moon (Clock Position from

 

Yes

No

 

Yes

No

Above Horizon)

 

 

 

Moon

 

Flight Path/Nose of Acft)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Wire Strike

b. WSPS

 

c. WSPS Engaged Wire

d. WSPS Cut Wire

e. WSPS Functioned as

f . Wires

 

 

 

 

 

 

 

 

 

Installed

 

 

 

 

 

 

 

Designed

Stuck

 

 

 

 

 

 

 

 

Yes

Yes

 

 

Yes

 

Yes

 

Yes

 

 

 

No.

 

 

 

 

 

 

 

 

 

 

Dia (inches)

 

No

No

 

 

No

 

No

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

. PERSONNEL DATA (Complete for each crew member w ith access to fit 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)Sex (4)Duty (5)SVC (6)UIC (Assigned)

(7)Contributing Role

D S N U

(8) On Flt

 

(9) Lab Test (Blood/urine; for pos

 

(10)Activity

(a)Hrs Slept

 

(c) Hrs

 

(11) (a)RL

 

 

 

(12)Injury (If " yes"

 

(13)Tot Flt

Controls

 

attach AFIP report)

 

 

 

(Last 24 Hrs)

 

 

Flow n

 

1

2

3

complete DA Form

Yes

Hrs (acdt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b)FAC

1

2

3

2397-9-R)

 

MTDS)

 

 

 

 

 

 

 

 

(b)Hrs Worked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

Yes

No

Pos

Neg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Name (last, first, MI)

 

 

(1) SSN

 

(2) Grade

(3)Sex

 

(4)Duty

(5)SVC

(6)UIC (Assigned)

(7)Contributing Role

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

S

N

U

(8) On Flt

 

(9) Lab Test (Blood/urine; for pos

 

(10)Activity

(a)Hrs Slept

 

(c) Hrs

 

(11) (a)RL

 

 

 

(12)Injury (If " yes"

 

(13)Tot Flt

Controls

 

attach AFIP report)

 

 

 

(Last 24 Hrs)

 

 

Flow n

 

1

2

3

complete DA Form

Yes

Hrs (acdt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b)FAC

1

2

3

2397-9-R)

 

MTDS)

 

 

 

 

 

 

 

 

(b)Hrs Worked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

Yes

No

Pos

Neg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Name (last, first, MI)

 

 

(1) SSN

 

(2) Grade

(3)Sex

 

(4)Duty

(5)SVC

(6)UIC (Assigned)

(7)Contributing Role

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

S

N

U

(8) On Flt

 

(9) Lab Test (Blood/urine; for pos

 

(10)Activity

(a)Hrs Slept

 

(c) Hrs

 

(11) (a)RL

 

 

 

(12)Injury (If " yes"

 

(13)Tot Flt

Controls

 

attach AFIP report)

 

 

 

(Last 24 Hrs)

 

 

Flow n

 

1

2

3

complete DA Form

Yes

Hrs (acdt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b)FAC

1

2

3

2397-9-R)

 

MTDS)

 

 

 

 

 

 

 

 

(b)Hrs Worked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

Yes

No

Pos

Neg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. IMPACT/PROTECTIVE/ESCAPES/SURVIVAL/RESCUE DATA (For Class A, B, and C acdts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Acft Occupiable Space Compromised (If " yes"

b. Escape/Survival Difficulties (If " yes" DA Form

 

 

c. Protective/Restraint Equip Functioned as designed

 

Yes

 

DA Form 2397-6-R required)

 

2397-10-R required for the individual)

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

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

b.

 

Standards Failure (Stds not

c.

 

Leader Failure (Stds

d.

 

Individual Failure

e.

 

Support Failure (Inadequate equip/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

know n or w ays to achieve them not know n)

clear,

practical, or do not exist)

are

know n but not enforced)

(Stds know n but not follow ed)

 

facilities/svcs/no or type personnel)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

USASC

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 non-concurrence, additional findings, and recommendations.)

REVIEWER

Organization

Name (Typed/Printed)

Rank

Signature

Comments

 

 

 

 

 

 

 

a.

 

 

 

 

 

 

Unit

 

 

 

 

Concur

Non-concur

Commander

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

 

Review ing

 

 

 

 

Concur

Non-concur

Official

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

Approving

 

 

 

 

Approved

Disapproved

Authority

 

 

 

 

 

 

 

 

 

 

d. DA

 

 

 

 

Approved for entry into

Review

US Army Safety Center

 

 

 

ASMIS (YYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

REVERSE OF DA FORM 2397-AB-R, JUL 94

APD 9V3.000