How to Fill Out DA Form 7632

DA Form 7632 at a glance

What it is: DA Form 7632 is the Deviation Approval and Risk Acceptance Document (DARAD).

Who signs: Under 14 e. REVIEWED BY, fill in PRINTED NAME/TITLE, DATE, CONCUR (YES/NO), ORGANIZATION, Attachment and SIGNATURE. Sign on the SIGN line for 14a. Safety Professional/Analyst (POC Info) and 14c. Submitter (POC Info), and on the SIGN line for 17. RANK/TITLE.

A filled-in DA Form 7632 example: a safety analyst submits a waiver

DA Form 7632 example filled out, example: a safety analyst submits a waiver
A safety analyst at Fort Example submits DA Form 7632. The deviation lasts 6 years, so 21d holds 6 and the rest of Duration of deviation stays empty. One reviewer concurs, so the other rows of 14 e. REVIEWED BY and 14c stay empty. The picture shows page 1; every value in it is made up. The picture cannot fill drop-down lists, so the drop-down boxes (Site information, 6. Deviation From, 7. Type of Deviation, 15. Army HQ, CONCUR, 19. Hazard Category, Residual risk and 22. Deviation Approval Authority) stay empty. 40. Total Potential Loss adds the 1 injury and the loss shown in 37 to the 1 injury and the loss shown in 38.

How to fill out DA Form 7632, box by box

Site information

DA Form 7632 example filled out, site information

Under SITE INFORMATION, fill in 3a. Installation Type, 2. Service, 1b. State, 1a. Country, 3b. Installation Name and 3c. Type of Site.

Deviation information

DA Form 7632 example filled out, deviation information

Under DEVIATION INFORMATION, fill in 6. Deviation From, 4. Deviation #, 5a. Effective Date and 5b. Expiration Date.

5a. Effective Date: Will auto populate from block 16.

Fill in 7. Type of Deviation.

Fill in 8a. Number/Title and Paragraph of Requirement, 8b. Synopsis of block 24, the action that deviates from 8a, and 8c. Operational, Strategic or Compelling Reason for Violation.

Potential consequences and date initiated

DA Form 7632 example filled out, potential consequences and date initiated

For 9. Potential Consequences of Deviation from Approved Standards, fill in 9a. # Fatalities, 9b. # Injuries and 9c. Equip/Fac Loss $, and fill in 10. Date Deviation Initiated.

Residual risk

DA Form 7632 example filled out, residual risk

Fill in 11. Residual Severity, 12. Residual Probability and 13. Residual Level of Risk.

Safety professional and submitter

DA Form 7632 example filled out, safety professional and submitter

Fill in 14a. Safety Professional/Analyst (POC Info).

Fill in 14c. Submitter (POC Info) if different from 14a.

14 e. REVIEWED BY

DA Form 7632 example filled out, 14 e. REVIEWED BY

Under 14 e. REVIEWED BY, fill in PRINTED NAME/TITLE, DATE, CONCUR (YES/NO), ORGANIZATION, Attachment and SIGNATURE.

Deviation approval and risk acceptance

DA Form 7632 example filled out, deviation approval and risk acceptance

DEVIATION APPROVAL/RISK ACCEPTANCE: I have reviewed the risk assessment and understand the hazard and potential consequences. I am approving this deviation and accepting the additional potential consequences and residual risk based on current operational necessity.

Fill in 15. Army HQ, 15b. Unit/Comm, 16a. DATE, 16b. Expiration Date, 17. RANK/TITLE, 17a. PRINTED NAME and 17c. Comment.

Current situation and hazard

RISK ASSESSMENT WORKSHEET, RISK ANALYSIS INFORMATION: under 18. Current Situation, provide a description of the situation that necessitates this deviation.

Fill in 19. Hazard Category and 20. Specific Hazard.

Duration of deviation

21. Duration of Deviation: choose one of the following. 21a. 1 month or less: (select the duration (in days)) 0. 21b. 1 month to 1 year: (select the duration (in months)) 0. 21c. 1 year to 5 years: (select the duration (in years)). 21d. Permanent or greater than 5 years: (enter number of years or PERMANENT) 0.

Approval authority and mission impact

Fill in 22. Deviation Approval Authority (or Equivalent) and 23. Mission Impact of Not Accepting Risk.

Description, control measures, corrective actions and supporting documents

24. Provide a detailed description of the action that deviates from the standards.

25. Control Measures: measures taken, or will take, to reduce hazards of risk being accepted.

26. Permanent Corrective Actions (with Milestones): include estimated cost, military construction project number, etc.

28. Attach any supporting documents (i.e. Photos, MOU, ASAP-X, ESS, etc.)

Alternatives considered

27. Alternatives Considered: things considered doing but didn't, and why, as Alternative 1, Alternative 2 and Alternative 3.

Potential explosion site and hazard divisions

AMMUNITION AND EXPLOSIVES WORKSHEET: under INFORMATION ON THE POTENTIAL EXPLOSION SITE (PES), fill in 29a. PES Name/#, 29b. PES Function, 30. PES # People, 31. PES Equip/Fac (Value) $, 32. Required Blast Distance and 33. Required Fragment Distance.

Fill in 34a. Hazard Division 1.1: NEW, 34b. Hazard Division 1.2.1: NEW, 34c. Hazard Division 1.2.2: NEW, 34d. Hazard Division 1.2.3: NEW, 34e. Hazard Division 1.3: NEW and 34f. Hazard Division 1.4: NEW/MEQ.

Coordination and site plan

35a. QD arcs exceed the installation boundary? YES or NO. Are other Services affected? YES or NO. Was coordination made? YES or NO. Provide other coordination documentation, as necessary. Why coordination was/was not made. Coordination paperwork attached?

35b. Is this deviation associated with a hybrid or risk-base safety submission? 35c. If YES, provide site plan #.

Exposed sites

36. EXPOSED SITES (Attachment?): under INFORMATION ON THE EXPOSED SITES (ES), fill in FACILITY, EXPOSURE TYPE, ON/OFF INSTALLATION, # PEOPLE, EQUIP/FAC (VALUE) $, REQUIRED / ACTUAL DISTANCE, FATALITIES, INJURIES and EQUIP/FAC (LOSS) $ At Required Distance and At Requested Distances, and VIOLATION?

Expected potential consequences and total loss

EXPECTED POTENTIAL CONSEQUENCES, 37. Potential Explosion Site: a. Fatalities, b. Injuries and c. Equip/Fac $.

38. Potential Losses for Exposed Sites (ES) Meeting Criteria: a. Fatalities, b. Injuries and c. Equip/Fac $.

39. Potential Loss Being Accepted for Deviating from Approved Standards: a. Fatalities, b. Injuries and c. Equip/Fac $.

40. Total Potential Loss (#/$): a. Fatalities, b. Injuries and c. Equip/Fac $.

More rules for DA Form 7632

For use of this form, see DA PAM 385-64, and the proponent agency is DAS; previous editions are obsolete.

Click to Delete the added Continuation Page.

Sources

[1] DA Form 7632 (JUL 2023), Deviation Approval and Risk Acceptance Document (DARAD), U.S. Army (the Official source link on this page).

DA Form 7632 PDF Details

I have reviewed the risk assessment and understand the hazard and potential consequences.

Approval: I am approving this deviation and accepting the additional potential consequences and residual risk based on current operational necessity.

Current situation: Provide a description of the situation that necessitates this deviation.

Alternatives considered: Things considered doing but didn't, and why.

Control measures: Measures taken, or will take, to reduce hazards of risk being accepted.

Duration: Duration of Deviation (Choose one of the following): 1 month or less, 1 month to 1 year, 1 year to 5 years, Permanent or greater than 5 years

Supporting documents: Attach any supporting documents (i.e. Photos, MOU, ASAP-X, ESS, etc.)

QuestionAnswer
Form NameDA Form 7632
Form Length3 pages
Fillable?Yes
Fillable fields320
Avg. time to fill out54 min
EditionJUL 2023
Issuing agencyDAS
Other namesDA Form 7632, DA 7632, DA7632, Form 7632, DARAD, Deviation Approval and Risk Acceptance Document
Official sourceDA Form 7632 (Rev JUL 2023), DAS