Pov Inspection Worksheet Form PDF Details

The Privately Owned Vehicle (POV) Inspection Worksheet form is a comprehensive tool designed to elevate the safety and readiness of individuals and units within military and related environments. With an emphasis on risk management for privately owned vehicles, this form encapsulates a broad spectrum of checks and balances ranging from pre-trip planning to post-incident analysis. The inclusion of the Six Point POV Program sets a foundational standard, ensuring that every unit incorporates these minimum safety protocols. The inspection checklist and pre-trip checklist further bolster preparations by guiding soldiers through detailed vehicle inspections and trip planning procedures, respectively. Additionally, the Motorcycle Operator Agreement extends these safety measures to include motorcycles and all-terrain vehicles, acknowledging the unique risks these modes of transportation present. The form also integrates educational components such as video information from country music artists to engage and inform soldiers on POV safety effectively. Other crucial elements covered include a Leave/Pass Form Statement, POV Safety Status Board, and tools for commanders and leaders, such as the Command Safety Review Board and accident/incident after-action reviews, highlighting the form's role in fostering a culture of safety and responsibility among military personnel. This document serves not only as a procedural guide but also as a testament to the commitment to preventing vehicle-related accidents and fatalities, showcasing a multifaceted approach to safety that extends beyond the individual to encompass unit-wide and community-focused initiatives.

QuestionAnswer
Form NamePov Inspection Worksheet Form
Form Length102 pages
Fillable?No
Fillable fields0
Avg. time to fill out25 min 30 sec
Other namesarmy pov inspection sheet pdf, pov inspection sheet, army pov inspection form, fc form 2005 pov inspection

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SUMMARY of CHANGE

New materials includes--

oSix Point POV Program - CSA Directed that this Six Point Program be used in every unit. It is the minimum standard. A copy of the 6-point POV Program has been included.

oPOV inspection checklist - Checkout this great new tool developed from a review of all the best military and public (State) programs.

oPre-trip checklist – Checklist designed to be completed for all planned trips outside the immediate local area when soldiers are going on leave/pass.

oMotorcycle operator agreement - A sample “Motorcycle Operator/All Terrain Vehicle (ATV) Requirements and Individual Responsibilities Agreement” to be signed by the individual soldier operating or intending to operate a motorcycle or ATV

oVideo information - Several talented country music artists have joined up in the Army’s campaign to prevent soldier deaths in POV accidents. Five short public service video clips are now available

PRIVATELY OWNED VEHICLE (POV)

RISK MANAGEMENT TOOLBOX FOR COMMANDERS, LEADERS, NON-

COMMISSIONED OFFICERS AND INDIVIDUALS

Contents

NEW 1. Six Point POV Program………………………………………………….pg 4

2.Taxi Card...............................................................................…........pg 5-6

3.Leave/Pass Form Statement (DA Form 31)...................................…pg 7

4.Privately Owned Vehicle (POV) Safety Status Board………………..pg 9-11

5. Designated Driver/Unit Transportation

..............................................pg 12

6.Wind Down Time................……........................................................pg 13

7.Command Leave & Pass program (policy sample)…………………..pg 14-15

NEW

8.

Pre-Trip Checklist

..............................................................................pg 16-19

NEW

9.

POV Inspection Checklist……………………………………………..pg 20-21

10.Pre-Trip Safety Briefing Guide…………………………………………pg 22-25

11.NCOER/OER - Bullet Comment on POV Safety............…………….pg 26

12.Chain of Command Calling Card.............................…………………pg 27-28

13.Accident/Incident After-Action Review (AAR) ..........................….…pg 29

14.Commander's Policy on Motor Vehicle Violations/POV Safety.…....pg 30

15.Administrative Sanctions for Driving Under the Influence

(DUI) Alcohol……………………………………………………………..pg 31

16.Command Safety Review Board......................……………………...pg 32

17.Privately Owned Vehicle (POV) Safety Quiz..............................….pg 33-37

NEW 18. Motorcycle all Terrain Vehicle Operator Agreement……………….pg 38-41

19.

Motorcycle Safety Quiz.............................................................…..pg 42–44

20.

Fatal/Local POV Accident Scenarios

..............................................pg 45-48

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21.

Safety Day..........................................................…………………...pg 49

NEW 22. Videos & e-mail information…………………………………………..pg 50-51

23.

Seminars Every Couple of Months on POV Safety Problem Areas and Pre-

 

Holiday Safety Briefings/Discussions.................................…...pg 52

24.Strip Maps.................................................................................…..pg 53-55

25.Seatbelt/Safety Testimonials/Videos..............................................pg 56

26.Newcomer Orientation/Briefing - POV Safety Segment.................pg 57-58

27.POV Safety Displays.....…….....................................……………...pg 59

28.Police (MP & Local) Spot Checks................................…………….pg 60

29.Newspaper Articles/Bulletins/Flyers/Posters................……………pg 61

30.Mapping Program............................................……………..………pg 62

31.Periodic Safety Council Meetings........................................……...pg 63

32.Morale, Welfare & Recreation (MWR) Designated

Driver Program…………………………………………………….…..pg 64-65

33.Example Contract for Taxi Service …………………………….…..pg 66-67

34.Next Accident Assessments for Individuals & Leaders...........…...pg 68-69

35.Pre-Trip Counseling Statement ..............................................…..pg 70-73

36.Travel Pass…………………………………………………………....pg 74

37.Better Opportunities for Single Soldiers (B.O.S.S.)……………...pg 75

38.Army Accident Prevention Awards Program (AR 672-74)…….…pg 76

35.Hotel/Motel Discounts…………………………………………….….pg 77

36.Morale, Welfare & Recreation (MWR) Facilities & Services….…. pg 78-79

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Appendix A: Corrective/Administrative Actions

Appendix B: Privately Owned Vehicle Safety Quiz - Answer Key

Appendix C: Motorcycle Safety Quiz - Answer Key

Appendix D: Next Accident Assessments - Individual & Leader

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CSA DIRECTED THAT THIS SIX POINT PROGRAM BE USED IN EVERY UNIT. IT IS THE MINIMUM STANDARD. THE MODEL POV SAFETY PROGRAM REQUIRES:

1.COMMAND EMPHASIS: POSITIVE LEADERSHIP AT ALL LEVELS IS IMPERATIVE. LEADER EMPHASIS ON POV SAFETY MUST BE UNRELENTING. OUR JUNIOR OFFICERS AND NON-COMMISSIONED OFFICERS SEE THEIR SOLDIERS EVERY DAY. THEY SHOULD KNOW WHERE THEIR SOLDIERS GO, WHAT THEY DO, AND THEN ASSERT POSITIVE INFLUENCE ON HOW, WHEN, AND WHERE THEY OPERATE THEIR POVS.

2.DISCIPLINE: OUR JUNIOR LEADERS WORK WITH THEIR SOLDIERS DAILY AND KNOW THEM WELL. SOLDIERS SOMETIMES TELEGRAPH SIGNALS THAT TRANSLATE LATER INTO ACCIDENTS. NEGATIVE BEHAVIOR SUCH AS TRAFFIC OFFENSES, ALCOHOL ABUSE, MISCONDUCT, AND POOR PERFORMANCE OFTEN ARE INDICATORS OF POTENTIAL POV ACCIDENT VICTIMS. IDENTIFY "AT RISK" SOLDIERS; COUNSEL THEM; TAKE PROACTIVE MEASURES TO MODIFY THEIR RISKY BEHAVIOR.

3.RISK MANAGEMENT: USE RISK MANAGEMENT. IDENTIFY HAZARDS ASSOCIATED WITH POV OPERATIONS; ASSESS THE HAZARDS; MAKE DECISIONS TO CONTROL THEM; IMPLEMENT THE CONTROLS; AND SUPERVISE EXECUTION. THE DIRECTOR OF ARMY SAFETY HAS PREPARED A POV RISK MANAGEMENT TOOLBOX FOR COMMANDERS AND LEADERS. THIS TOOLBOX PROVIDES A COMPREHENSIVE SET OF TOOLS AND CONTROLS THAT HAVE PROVED SUCCESSFUL THROUGHOUT OUR ARMY. THE TOOLBOX IS AVAILABLE AT HTTP://SAFETY.ARMY.MIL/PAGES/POV/INDEX.HTML. USE IT. MAKE IT AVAILABLE TO LEADERS AT ALL LEVELS.

4.STANDARDS: SET HIGH AND UNMISTAKABLE STANDARDS. ENFORCE THEM. FOLLOW ARMY REGULATORY TRAFFIC STANDARDS. BE UNCOMPROMISING ON THE USE OF SEATBELTS AND MOTORCYCLE SAFETY EQUIPMENT. EDUCATE SOLDIERS ON THE RISKS OF SPEED, FATIGUE AND USE OF ALCOHOL. CONDUCT MANDATORY POV SAFETY INSPECTIONS AND RANDOM ROADSIDE CHECKS. EMPHASIZE THE USE OF DESIGNATED DRIVERS FOR SOCIAL EVENTS.

5.PROVIDE ALTERNATIVES: PROVIDE ALTERNATIVES FOR SOLDIERS TO DRIVING POVS. SCHEDULE ACTIVITIES ON POST TO KEEP SOLDIERS ON POST AND OFF THE ROAD. KEEP GYMS, RECREATION CENTERS AND OTHER PLACES SOLDIERS USE OFF-DUTY OPEN LATER. THESE SAME MEASURES ALSO CAN PROVIDE ALTERNATIVES TO ALCOHOL USE. LOOK FOR TRANSPORTATION ALTERNATIVES AS WELL. PROMOTE USE OF ALTERNATE TRANSPORTATION METHODS TO POV USE. PROMINENTLY POST PUBLIC TRANSPORTATION SCHEDULES. WHERE POSSIBLE, USE MORALE, WELFARE, AND RECREATION (MWR) SERVICES TO PROVIDE BUSES OR VANS TO TRANSPORT SOLDIERS TO THE PLACES THEY GO WHEN OFF-DUTY. ARRANGE REDUCED HOTEL RATES IN NEARBY COMMUNITIES TO ENCOURAGE SOLDIERS TO REMAIN OVERNIGHT ON WEEKENDS AND STAY OFF THE HIGHWAYS LATE AT NIGHT.

6.COMMANDER'S ASSESSMENT: FOLLOWING EVERY FATAL AND SERIOUS INJURY POV ACCIDENT, COMMANDERS WILL CONDUCT AN ASSESSMENT OF THE ACCIDENT WITH THE INVOLVED SOLDIER'S CHAIN OF COMMAND. DETERMINE WHAT HAPPENED, WHY IT HAPPENED, AND HOW IT COULD HAVE BEEN PREVENTED. IMPLEMENT CORRECTIVE AND PREVENTIVE MEASURES. PUBLICIZE LESSONS LEARNED.

POC: Mr. Brown ( brownj@safetycenter.army.mil )

TAXI CARD

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March 2002

 

1/13 IN TAXI CARD

 

BeenDrinkingor TooTiredToDrive?

 

Call aTaxi andArriveALIVE!!

 

SMITHVILLE - 678-1000 (24 hours)

 

CARVER - 842-2100 (After 2400 - 842-3200)

 

DENTON - 456-7500 (After 2000 - 456-7600)

 

WESTON - 234-4202 (24 hours)

EXAMPLE

Front

 

Card is valid for individual listed & one

Taxi Ride to residence listed below.

NAME: John Doe

ADDRESS:

123 Jones Street

Weston, AL

Taxi Fare

Back

1.PURPOSE: Provides soldier with an alternative to driving after drinking or while too fatigued to drive safely. Taxi card is valid for one free taxi ride home.

2.SIZE: Business card.

3.CONTENTS:

a.Unit name/insignia.

b.Phone numbers for taxi companies in each surrounding community.

c.Reverse side should have soldier's name and address so that taxi driver knows where to take soldier. This provides information that soldier may not be able to remember if he is very drunk/fatigued and prevents abuse/misuse of card. It also provides a means of returning the card to the soldier for re-use at a later time (card re-circulates back to soldier after taxi company turn in).

d.National Guard/Reserves - The reverse side should have the soldier’s name and the address of the Armory where the soldier is currently attending drill.

4.USE:

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a.Soldier who has been drinking or is too fatigued to drive safely surrenders card to local taxi company for free ride home.

b.No retaliation for use of card.

c.Unit can require soldier to pay funds back later (reimburse the fund within 15 days of

use).

d.After taxi company turn in, card is re-circulated back to soldier for re-use.

e.Soldiers can be provided with cards and briefed on their use during unit in- processing.

f.Periodic checks are suggested to ensure soldiers have Taxi Cards with them at all times (e.g., prior to long weekends/pass)

g.National Guard/Reserves - Provide CQ/Duty Officer to ensure 24 hour access to the Armory in case a soldier needs to use the Taxi Card during drill weekends when drills are scheduled at the Armory.

5.REQUIREMENTS:

a.Coordination with Taxi Companies. Requires coordination with your installation/organization’s Contracting Directorate to determine requirements for contracting taxi services and with local taxi companies and agreement by unit to pay fees. Fees should be collectable from BN POC whose name; phone number and location are provided to taxi companies. Taxi companies will not be likely to participate if they have to track down individual soldiers for payment. Remind taxi companies that having their names/numbers on the card are good free advertisement for them.

b.Unit Funds. Use of unit funds will be required (at least initially) to ensure money is available when needed. Reimbursement of funds by soldier within 15 days after use can be required.

c.Taxi Cards. Consider providing each soldier with two cards. If soldier must give the card to the taxi driver, he will be without one (if needed) until it is cashed in by taxi driver and returned to soldier.

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March 2002

LEAVE/PASS FORM STATEMENT

(DA FORM 31)

EXAMPLE STATEMENT

You will be on leave/pass from ____________ until

_____________. You are scheduled to be back at work

on _____________. You should plan to be in the

first formation of the day in a ready to work condition. This means you must plan your return travel so you arrive with time for adequate rest before formation. You are required to have this DA Form 31 in your possession at all times. If an emergency or other situation arises which might prevent you from returning safely to work on time, contact one of the individuals listed below and arrangements will be made to ensure your safe return.

SAMPLE

BN SDNCO

334-321-2888

SECTION CHIEF

334-678-8765

PLATOON SERGEANT

334-678-6543

1SG

334-678-4321

CSM

334-678-9876

RED CROSS

334-321-1234

Don’t Drink and Drive

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1.PURPOSE: Informs soldier he/she is expected to be ready to work after returning from leave/pass and provides instructions for emergencies/situations that might prevent a safe, on-time return.

2.STATEMENT CONTENTS:

a.Expected ready-to-work condition after return from leave/pass.

b.Calling instructions for delayed return.

3.USE:

a.Statement should be in Block 17 of DA Form 31 (Sep 93).

b.All leave/pass forms should include such a statement, and soldiers should be required to have the DA Form 31 in their possession at all times while on leave/pass. This will ensure that phone numbers are always available.

c.If soldier's return is delayed, supervisor can arrange to charge additional leave time for extension or schedule makeup work.

d.If strip maps for the local area's frequently visited resorts/recreation areas have been developed (see Strip Map page), provide copies to soldiers when DA Form 31 indicates one of these destinations.

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March 2002

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1. Start filling out the fc form 2005 pov inspection checklist with a selection of necessary blanks. Collect all of the required information and be sure there's nothing omitted!

Stage # 1 in filling out fc form 2005 pov inspection pdf

2. Just after this section is filled out, go on to type in the suitable information in these - Administrative Sanctions for, NEW NEW POV Inspection, Privately Owned Vehicle POV, FatalLocal POV Accident, AccidentIncident AfterAction, Commanders Policy on Motor, Command Safety Review Boardpg, and Motorcycle Safety Quizpg.

Step no. 2 of filling out fc form 2005 pov inspection pdf

3. In this specific step, look at Safety Daypg, NEW Videos email informationpg, Seminars Every Couple of Months, Holiday Safety, Strip Mapspg, SeatbeltSafety, POV Safety Displayspg, Police MP Local Spot Checkspg, Newspaper, Newcomer OrientationBriefing POV, and Driver Programpg. Each one of these have to be filled out with greatest attention to detail.

Guidelines on how to fill in fc form 2005 pov inspection pdf portion 3

4. To move forward, this next section involves typing in a handful of form blanks. Examples include Newspaper, Mapping Programpg, Periodic Safety Council, Driver Programpg, PreTrip Counseling Statement pg, Morale Welfare Recreation MWR, Better Opportunities for Single, Army Accident Prevention Awards, HotelMotel Discountspg, Next Accident Assessments for, Example Contract for Taxi Service, Morale Welfare Recreation MWR, and Travel Passpg, which you'll find crucial to moving forward with this particular form.

Completing part 4 of fc form 2005 pov inspection pdf

5. Since you come near to the conclusion of your form, you will find just a few extra requirements that must be met. Notably, Appendix A, Appendix C Motorcycle Safety Quiz, Appendix B Privately Owned Vehicle, and Appendix D Next Accident should be filled out.

Appendix C Motorcycle Safety Quiz, Appendix A, and Appendix B Privately Owned Vehicle inside fc form 2005 pov inspection pdf

Regarding Appendix C Motorcycle Safety Quiz and Appendix A, make certain you do everything right in this current part. The two of these are the most significant ones in this file.

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