Da Form 5457 PDF Details

The Department of the Army Form 5457, also known as the "Record of Individual Ready Reserve or IRR Member" is a document used to track and monitor IRR members' participation in mandatory training events. This form must be filled out by all IRR members and their Unit Commanders, and submitted to the Manpower and Reservation Directorate (MRD) for tracking purposes. In this blog post, we'll take a closer look at the DA Form 5457, what it is used for, and how to complete it correctly. Stay tuned!

QuestionAnswer
Form NameDa Form 5457
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesarmy water buffalo inspection, water buffalo inspection form, 01ES, 2005

Form Preview Example

 

 

POTABLE WATER CONTAINER INSPECTION

 

REPORT DATE

 

For use of this form see TB MED 577; the proponent of this form is the Office of The Surgeon General.

 

 

 

 

 

 

 

 

 

TO

 

 

FROM

 

 

 

 

 

 

 

 

 

INSPECTION RATING

 

SERIAL NUMBER

MAP COORDINATE LOCATION

 

 

 

 

 

 

OWNING UNIT

 

MAINTENANCE NCO

UNIT REPRESENTATIVE

 

 

 

 

 

 

INSPECTION UNIT

 

DATE/TIME GROUP

INSPECTED BY

 

 

 

 

 

 

 

SECTION I. WATER TRAILER INSPECTION CRITERIA

YES

NO

1.

CONTAINER EXTERIOR

a.

Marked "POTABLE WATER ONLY"

 

 

 

 

 

 

 

b.

Clean/Good Repair

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

MANHOLE COVERS

a.

Rubber Gasket Intact

 

 

 

 

 

 

 

 

 

b.

Locking Mechanism Functions

 

 

 

 

 

 

 

 

c.

No Rust/Insulation Intact

 

 

 

 

 

 

 

 

d. Pressure Relief Valve Operates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

DISPENSING SPIGOTS

All Spigots Function

 

 

 

 

 

 

 

b. "T" Handle Operates Easily

 

 

 

 

 

 

 

 

c.

Protective Box Intact

 

 

 

 

 

 

 

 

d.

Locking Devices Function

 

 

 

 

 

 

4.

 

a.

 

 

 

 

DRAIN

Plug Installed Hand-Tight

 

 

 

 

 

 

 

 

 

b. Cracks Do Not Expose Fiberglass

 

 

 

 

 

 

 

 

c.

Plug/Hole Threads Undamaged

 

 

 

 

 

 

 

 

d.

Threads Not Rusted

 

 

 

 

 

 

5.

CONTAINER INTERIOR:

a.

 

 

 

 

 

Clean/Good Repair

 

 

 

 

 

 

STAINLESS STEEL AND

b.

 

 

 

 

 

 

 

 

 

No Rust

 

 

 

 

 

 

ALUMINUM

 

 

 

 

 

 

c.

Not Painted/Coated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

No Cracks/Dents Exposing

 

6.

CONTAINER INTERIOR:

a.

Polyurethane

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clean/Good Repair

 

 

 

 

 

 

 

FIBERGLASS

b.

Cracks/Chips Less Than 10%

 

 

 

 

 

 

 

 

c.

Fiberglass Exposed

 

 

 

 

 

 

 

 

d. Paint Surface Not Flaking

 

 

 

 

 

 

SECTION II. WATER TANK TRUCK INSPECTION CRITERIA

1.

CONTAINER EXTERIOR

a.

Marked "POTABLE WATER ONLY"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

Clean/Good Repair

 

 

 

 

 

 

2.MANHOLE COVERS AND FILLING PORTS

3.DISPENSING VALVES

4.TANK INTERIOR

a.Rubber Gaskets Intact

b.Locking Mechanisms Function

c.No Rust/Insulation Intact

a.Valves Operate Easily

b.Hose Coupling Threads Undamaged

c.Dust Caps Attached to Valve Ports

a.Clean/Good Repair

b.No Rust

c.Steel/Aluminum Not Painted

DA FORM 5457, NOV 2005

APD LC v1.01ES

SECTION III. FABRIC TANK/DRUM INSPECTION CRITERIA

 

 

 

 

 

 

 

 

YES

NO

 

1.

CONTAINER EXTERIOR

a. Marked "POTABLE WATER ONLY"

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

Clean/Good Repair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

VALVE ASSEMBLY

c.

Plugs/Patches Secure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

Check-Valve Adapter Undamaged

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Coupler Valve Operates Easily

 

 

 

 

 

 

 

 

 

 

c. Dust Cap Attached to Coupler

 

 

 

 

 

 

 

 

 

SECTION IV. CONTAINER LOCATION (FIELD USE) INSPECTION CRITERIA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

SITE CONDITIONS

a. Manholes/Parts Closed

 

 

 

 

 

 

 

 

 

 

b. Soakage Pits Constructed Beneath

 

 

 

 

 

 

 

 

 

 

 

Spigots

 

 

 

 

 

 

 

 

2.

WATER CONDITIONS

a. Chlorine Residual Adequate (

 

ppm)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Procured From:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMENTS AND RECOMMENDATIONS:

 

 

 

 

 

 

 

 

 

 

 

 

PRINTED/TYPED NAME AND GRADE OF PVNTMED INSPECTOR: SIGNATURE:

REVERSE OF DA FORM 5457, NOV 2005

APD LC v1.01ES

2

How to Edit Da Form 5457 Online for Free

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1. Start completing the PVNTMED with a group of essential blanks. Note all the necessary information and be sure there is nothing missed!

water buffalo certification writing process shown (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - DISPENSING SPIGOTS, DRAIN, CONTAINER INTERIOR STAINLESS STEEL, CONTAINER INTERIOR FIBERGLASS, a b c d, a b c d, a b c d, a b c d, All Spigots Function T Handle, Plug Installed HandTight Cracks Do, CleanGood Repair No Rust Not, CleanGood Repair CracksChips Less, SECTION II WATER TANK TRUCK, CONTAINER EXTERIOR, and MANHOLE COVERS AND FILLING PORTS with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

water buffalo certification conclusion process explained (step 2)

As for a b c d and CONTAINER INTERIOR FIBERGLASS, be certain that you take a second look in this section. The two of these are thought to be the most important fields in this page.

3. This step is generally easy - fill out all the empty fields in DISPENSING VALVES, TANK INTERIOR, a b c, a b c, Valves Operate Easily Hose, CleanGood Repair No Rust, DA FORM NOV, and APD LC vES in order to complete this part.

water buffalo certification completion process clarified (step 3)

4. This specific part comes next with the next few empty form fields to fill out: YES, CONTAINER EXTERIOR, VALVE ASSEMBLY, a b c, a b c, Marked POTABLE WATER ONLY, CheckValve Adapter Undamaged, SECTION IV CONTAINER LOCATION, SITE CONDITIONS, a b, ManholesParts Closed Soakage Pits, WATER CONDITIONS, a b, Chlorine Residual Adequate, and ppm.

a b c, CheckValve Adapter Undamaged, and SECTION IV CONTAINER LOCATION inside water buffalo certification

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Stage # 5 of submitting water buffalo certification

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