Acdt Rpt 1 ACCIDENT INVESTIGATION AND REPORTING AR 385-40 DA PAM 385-40.
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Transcript of Acdt Rpt 1 ACCIDENT INVESTIGATION AND REPORTING AR 385-40 DA PAM 385-40.
Acdt Rpt 1
ACCIDENT INVESTIGATION AND REPORTING
AR 385-40DA PAM 385-40
Acdt Rpt 2
Accident Investigation PublicationsAccident Investigation Publications• AR 385-40AR 385-40 - Accident Reporting and Records,
1 Nov 94
• Provides policy and procedures and assigns responsibility for notification, investigation, reporting, and submission of Army accident reports.
• DA Pam 385-40DA Pam 385-40 - Army Accident Investigation and Reporting , 1 Nov 94
• Army Accident Investigation “HOW TO” manual for aviation and ground accidents.
ACCIDENT INVESTIGATION AND REPORTING
Acdt Rpt 3
ACCIDENT INVESTIGATION AND REPORTING
TERMINAL LEARNING OBJECTIVE:
ACTION: Investigate / report Army accidents
CONDITIONS: As a safety NCO / unit leader
STANDARDS: IAW AR 385-40 & DA PAM 385-40.
Acdt Rpt 4
ACCIDENT INVESTIGATION AND REPORTING
• PURPOSE OF ACCIDENT INVESTIGATION• DEFINE ARMY ACCIDENT• ACCIDENT INVESTIGATION RESPONSIBILITIES• CLASSIFICATION OF ACCIDENTS• REPORTING AND RECORDING ARMY
ACCIDENTS • CATEGORIES OF INVESTIGATION REPORTS• INVESTIGATION PROCEDURES• ACCIDENT REPORTING TERMINOLOGY
Acdt Rpt 5
ACCIDENT INVESTIGATION AND REPORTING
WHY INVESTIGATE / REPORT ACCIDENTS?
“Those who do not learn from their mistakes are doomed to repeat
them.”
Acdt Rpt 6
ACCIDENT INVESTIGATION AND REPORTING PURPOSE OF INVESTIGATION / REPORTINGTHE INVESTIGATION DETERMINES:
WHAT HAPPENED?
CAUSE FACTORS
•HUMAN ERROR / MISTAKE•MATERIEL FAILURE•ENVIRONMENTAL FACTOR
WHY DID ITHAPPEN?
SYSTEM INADEQUACY / ROOT CAUSE•SUPPORT•LEADER•TRAINING•STDS / PROCEDURES•INDIVIDUAL
WHAT TODO ABOUT
IT?RECOMMENDATIONS
FIXESCONTROL MEASURESCOUNTERMEASURES
Acdt Rpt 7
ACCIDENT INVESTIGATION AND REPORTING PURPOSE OF INVESTIGATION/REPORTING:
• Identify accident cause factors and system deficiencies
• Assess manpower and monetary losses due to accidents
• Collect accident data to develop accident prevention measures
• Prevention only (not to be used for litigation, claims, disciplinary action, or adverse administrative actions)
Acdt Rpt 8
ACCIDENT INVESTIGATION AND REPORTING LEGAL / REGULATORY REQUIREMENTS:
• OCCUPATIONAL SAFETY AND HEALTH ACT (OSHA) PL 91-596
• EXECUTIVE ORDER 12196• 29 CFR 1960, FEDERAL OSHA
PROGRAM• DOD INSTRUCTION 6055.7• AR 385-40• DA PAM 385-40
Acdt Rpt 9
DEFINITION - ACCIDENT
ACCIDENT - an unplanned event that causes personnel injury or illness, or property damage.
AR 385-40, TERMS
Acdt Rpt 10
DEFINITION - ARMY ACCIDENT
ARMY ACCIDENT - an accident that results in injury / illness to either army or non-Army personnel, and/or damage to Army or non-Army property as a result of Army operations (caused by the Army).
AR 385-40, TERMS
Acdt Rpt 11
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• PERMANENT TOTAL DISABILITY - Any nonfatal injury or occupational illness that in the opinion of the competent medical authority, permanently and totally incapacitates a person to the extent that he or she cannot follow any gainful employment. The loss, or loss of use of both hands, feet, eyes, or any combination thereof as a result of a single accident.
AR 385-40, TERMS
Acdt Rpt 12
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• PERMANENT PARTIAL DISABILITY - Any injury or occupational illness that does not result in death or permanent disability but, in the opinion of the competent medical authority, results in the loss or permanent impairment of any part of the body with the following exceptions:• Loss of teeth• Loss of fingernails or toenails• Loss of tip of finger or tip of toe• Hearing loss
Acdt Rpt 13
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• LOST-TIME CASE- A nonfatal traumatic injury that causes any loss of time from work beyond the day or shift on which it occurred or a nonfatal non-traumatic illness / disease that causes loss of time from work or disability at any time.
AR 385-40, TERMS
Acdt Rpt 14
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• LOST-WORKDAY CASE- Cases in which an accident results in Army personnel missing one or more days of work. Days away from work are those workdays (consecutive or not) on which Army personnel would have worked but could not because of injury, occupational illness, or job-related physical deficiencies detected during medical surveillance examinations.
AR 385-40, TERMS
Acdt Rpt 15
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• NONFATAL CASE WITHOUT LOST WORKDAYS - (Light duty / restricted work activity) - cases other than lost workday cases where army military, civilian personnel, because of an injury or occupational illness, experienced one or more of the following:• Permanent transfer to another job or termination.• Loss of consciousness
• Restricted duty (profile)
AR 385-40, TERMS
Acdt Rpt 16
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• INJURY- A traumatic wound or other condition of the body caused by external forces, including stress or strain. The injury is identifiable to time and place of occurrence and member or function of the body affected, and is caused by a specific event or incident or series or events or incidents within a single day or work shift.
AR 385-40, TERMS
Acdt Rpt 17
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• OCCUPATIONAL ILLNESS - Nontraumatic physiological harm or loss of capacity produced by systemic infection; continued or repeated stress or strain; exposure to toxins, poisons, fumes, etc., or other continued and repeated exposures to conditions of the work environment over a long period of time. A condition that does not meet the definition of an injury.
AR 385-40, TERMS
Acdt Rpt 18
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• MEDICAL TREATMENT- Any treatment (other than first aid) administered by a physician or by registered professional medical personnel under orders of a physician
AR 385-40, TERMS
Acdt Rpt 19
ACCIDENT INVESTIGATION AND REPORTING - AR 385-40
ACCIDENT REPORTING TERMINOLOGY
• FIRST AID - One-time medical treatment for minor scratches, cuts, burns, and similar injuries that do not ordinarily require medical attention, plus any follow-up visits for observation. Such one-time treatment and follow-up visits will be considered first aid, even if provided by a physician.
AR 385-40, TERMS
Acdt Rpt 20
WHAT TO INVESTIGATE / REPORT -Commanders will investigate / report:
• Damage to Army property.• Injury (fatal or nonfatal) to military personnel• Injury to on-duty civilian personnel• Occupational injury or illness (fatal or
nonfatal) to military personnel or Army civilian employees
AR 385-40, 2-3
Acdt Rpt 21
WHAT TO INVESTIGATE / REPORT -Commanders will investigate / report:
• Injury / illness to non-Army personnel as a result of Army operations.
• Damage to non-Army property as a direct result of Army operations.
• Class E Aviation incident• FOD incidents (class F)
Acdt Rpt 22
OCCURRENCES - NOT AN ARMY ACCIDENT
• Combat losses• Directly caused by enemy action• Due to evasive action taken to avoid enemy
fire• Failure to return from a combat mission
• Malfunction or failure of component parts
AR 385-40, 2-5
Acdt Rpt 23
OCCURRENCES - NOT AN ARMY ACCIDENT (CON’T)
• Expected damage (testing)• Property damage as a result of
vandalism, riot, civil disorder, felony• Deliberate damage to aircraft or
equipment or to occupants• Accidents occurring during transport by
commercial carrier
Acdt Rpt 24
NONREPORTABLE INJURIES / ILLNESSES
• NONOCCUPATIONAL ILLNESS / INJURY - Injury / illness is not proximate cause. Example -excessive bleeding of hemophiliac
• SELF-INFLICTED INJURIES - Suicide or self-inflicted injury
• CRIMINAL ASSAULT - Fist-fight or brawl
• PRIOR-SERVICE INJURIES - Injury prior to service entry
AR 385-40, 2-7
Acdt Rpt 25
NONREPORTABLE INJURIES / ILLNESSES
• INFECTIVE AND PARASITIC DISEASE - Example - respiratory disease or food-poisoning
• STRAINS - Resulting from pre-existing musculoskeletal disorder (strain occurs during sneeze)
• HOSPITALIZATION (OBSERVATION ONLY)
• ESCAPE FROM CUSTODY - Injury occurring while attempting escape
Acdt Rpt 26
NONREPORTABLE INJURIES / ILLNESSES
• DEATH DUE TO NATURAL CAUSES - Example - heart attack
• ADVERSE REACTION- Reaction to alcohol or drugs not administered by medical authority
• PRE-EXISTING INJURIES OR ILLNESSES
Acdt Rpt 27
CLASSIFICATION OF ARMY ACCIDENTS
• Notification requirements, • Site security requirements,• Investigation procedures and
responsibilities, • Required accident reports
Accident Type And Classification are used to determine:
AR 385-40, 2-2
Acdt Rpt 28
CLASSIFICATION OF ARMY ACCIDENTS
• The resulting total cost of property damage is $1,000,000 or more;
• An Army aircraft or missile is destroyed, missing, or abandoned; or
• An injury and/or occupational illness results in a fatality or permanent total disability.
CLASS A - an Army accident in which:
AR 385-40, 2-2
Acdt Rpt 29
CLASSIFICATION OF ARMY ACCIDENTS
• The resulting total cost of property damage is $200,000 or more,
• But less than $1,000,000; • An injury and/or occupational illness
results in permanent partial disability, or • When five or more personnel are
inpatient hospitalized from a single occurrence.
CLASS B - an Army accident in which:
AR 385-40, 2-2
Acdt Rpt 30
CLASSIFICATION OF ARMY ACCIDENTSNOTIFICATION, SECURITY, INVESTIGATION NOTE:
• Class A & B accident investigations are conducted by an accident investigation board (CAI or IAI Board).
• Immediate notification is required through chain of command to USASC
• If possible, unit must secure the accident site for the accident board to see. (May not be possible for traffic accident)
AR 385-40, 3-2, 4-2
Acdt Rpt 31
CLASSIFICATION OF ARMY ACCIDENTS
• The resulting total cost of property damage is $10,000 or more,
• But less than $200,000; • A nonfatal injury that causes any loss of
time from work beyond the day or shift on which it occurred;
• Or a nonfatal occupational illness that causes loss of time from work (e.g. 1 work day) or disability at any time (lost time case).
CLASS C - an Army accident in which:
AR 385-40, 2-2
Acdt Rpt 32
CLASSIFICATION OF ARMY ACCIDENTS
• The resulting total cost of property damage is $2,000 or more,
• But less than $10,000.• Example:
An Army 5 ton truck backed into a parked civilian auto resulting in $2500 damage to the privately owned vehicle (as a result of Army operations).
• Note: An Army accident resulting in less than $2000 property damage and no lost time injury are reported using local procedures.
CLASS D - an Army accident in which:
AR 385-40, 2-2
Acdt Rpt 33
CLASSIFICATION OF ARMY ACCIDENTS
• An Army incident in which the resulting damage cost and injury severity do not meet the criteria for Class A-D accident ($2,000 or more damage; lost time/restricted activity case).
• A Class E aviation incident is reportable when the mission is interrupted or not completed.
CLASS E aviation incident -
AR 385-40, 2-2
Acdt Rpt 34
CLASSIFICATION OF ARMY ACCIDENTS
• Recordable incidents are confined to aircraft turbine engine damage only as a result of internal or external FOD
FOREIGN OBJECT DAMAGE (FOD) AVIATION INCIDENT (CLASS F) -
AR 385-40, 2-2
Acdt Rpt 35
ARMY ACCIDENT TYPES• ARMY AIRCRAFT ACCIDENT• ARMY MOTOR VEHICLE
ACCIDENT (AMV)• ARMY COMBAT VEHICLE
(ACV)• ARMY OPERATED VEHICLE• OTHER ARMY VEHICLE• PRIVATELY OWNED
VEHICLE (POV)• PERSONNEL INJURY -
OTHER• MARINE ACCIDENT
• FIRE• CHEMICAL AGENT
ACCIDENT• EXPLOSIVES ACCIDENT• IONIZING AND
NONIONIZING RADIATION ACDT & INCIDENT
• NUCLEAR • BIOLOGICAL DEFENSE
MISHAP• DRONE AIRCRAFT (RPV)• FRATRICIDE
PE # 1
Acdt Rpt 36
COMMAND RESPONSIBILITIES PRELIMINARY ACCIDENT SITE PROCEDURES:
• Initiate actions IAW unit pre-accident plan• Contact emergency services - fire, rescue, MP,
HAZMAT team, EOD• Notification - chain of command
• First priority - safety of victims, personnel involved, and the general public
AR 385-40, 2-9, 3-2
Acdt Rpt 37
COMMAND RESPONSIBILITIES PRELININARY ACCIDENT SITE PROCEDURES:
• Neutralize accident site hazards:• Fire• Ammunition cook-off / explosion• Fuel spill / hazardous materials. • Burnt carbon fibers (composite
materials). • Traffic hazards / additional collisions.• Electrical hazards • Bloodborne pathogen
AR 385-40, 2-9, 3-2
Acdt Rpt 38
COMMAND RESPONSIBILITIES PRELININARY ACCIDENT SITE PROCEDURES:
• Take action to secure / preserve the accident scene
• Safeguard from bystanders• Control access to site• Rope off site - keep unauthorized
personnel out• Protect physical evidence - ground
markings / scars, placement of wreckage / equipment
AR 385-40, 2-9, 3-2
Acdt Rpt 39
COMMAND RESPONSIBILITIES PRELIMINARY ACCIDENT SITE PROCEDURES:
• Notify the commander of personnel involved
• Notify USASC, DSN 558-2660/3410 (Class A & B (Avn / Gnd); & Class C Avn mishap)
• Notify USASC - (DA Civilian injuries - 3 or more hospitalized from a single accident - OSHA DOL notification)
• Provide information from Notification Worksheet DA Form 7306-R
AR 385-40, 2-9, 3-2
Acdt Rpt 40
COMMAND RESPONSIBILITIES INVESTIGATION / REPORTING RESPONSIBILITIES:
• Commanders at all levels (installation level down to company or detachment) are responsible for investigating and reporting accidents.• Class A & B On-duty - CAI / IAI board• Class A & B Off-duty - Unit prepares AGAR / follow
MACOM /installation procedures for fatal accidents.• Class C & D - unit prepares AGAR
• Accident report submitted through chain of command / installation safety to USASC
AR 385-40 Table E-1 / E-2
Acdt Rpt 41
ACCIDENT INVESTIGATION RESPONSIBILITIES - GROUND
ACDT CLASS RESPONSIBILITY REPORTCLASS A & B (NOTIFY USASC) DA 285 + ON-DUTY CAI / IAI BOARD TECH RPT
CLASS C & D UNIT CDR AGARON-DUTY 30 DAYS
CLASS A-D UNIT CDR AGAROFF-DUTY 30 DAYS
DA CIVILIAN (CLASS A & B CA-1, CA-2ON-DUTY NOTIFY USASC) CA-6CLASS A & B CAI / IAI BOARD TECH RPTCLASS C SUPERVISOR CA-1, CA-2
CLASS A & B (NOTIFY USASC) AGAR OFF-DUTY MAY APPOINT IAI 30 DAYS
Acdt Rpt 42
ACCIDENT INVESTIGATION RESPONSIBILITIES -
AVIATION
ACDT CLASS RESPONSIBILITY REPORTCLASS A (NOTIFY USASC) DA 2397 + CAI / IAI BOARD TECH RPT
CLASS B (NOTIFY USASC) DA 2397 + CAI / IAI BOARD TECH RPT
CLASS C (NOTIFY USASC) AAAR IAI BOARD 90 DAYS
CLASS D - F UNIT CDR AAAR (PE # 2) 10 DAYS
Acdt Rpt 43
REPORTING vs. RECORDINGARMY ACCIDENTS
REPORTABLE ACCIDENTS
(ALL ACCIDENTS)
MINOR INJURY OR DAMAGE
LOCAL REPORT PROCEDURES
REPORTED TO UNITSAFETY OFFICER OR
INSTALLATION SAFETY
AR 385-40REPORTED AND RECORDED IAW
ARMY PROCEDURES
MEETS CRITERIA FOR RECORDABLE ACCIDENT /
INCIDENT
Acdt Rpt 44
REPORTING vs. RECORDINGARMY ACCIDENTS
• REPORTING - Report all accidents to the unit safety officer / installation safety office
• Local reporting procedures for:• Property damage less than $2000• Military personnel injury - no lost time /
restricted duty only• Military personnel injury - first aid only
Acdt Rpt 45
REPORTING vs. RECORDINGARMY ACCIDENTS
RECORDING - Meets AR 385-40 criteria for recordable accident / incident.
Investigation results are recorded on the appropriate form and forwarded to USASC
for entry into Army accident database.
• Class A-D Accidents• Class E & FOD Aviation• Damage exceeds $2000• Soldier injury results in 1 or more lost
workdays
Acdt Rpt 46
CATEGORIES OF ACCIDENT REPORTS
• SAFETY ACCIDENT INVESTIGATION REPORT - Used for prevention purposes only• Limited Use Report• General Use Report
• COLLATERAL INVESTIGATION REPORT - Used to determine accountability, liability, claims, disciplinary action
• CRIMINAL INVESTIGATION (MP / CID)
AR 385-40, 2-9, 1-7
Acdt Rpt 47
SAFETY ACCIDENT INVESTIGATION REPORTS Limited Use Safety Accident Investigation Report
• All flight accidents• Fratricide / friendly fire• Selected accidents involving other
complex weapons systems as determined by Cdr, USASC
AR 385-40, 1-7
Acdt Rpt 48
SAFETY ACCIDENT INVESTIGATION REPORTS Limited Use Safety Accident Investigation Report
• Report is for accident prevention• May offer confidentiality to witness• Findings, recommendations, and witness
statements not releasable to public or outside DoD
• Purely factual information - pictures, drawings, tests may be released / shared with collateral investigator
Acdt Rpt 49
SAFETY ACCIDENT INVESTIGATION REPORTS - AR 385-40, 1-7 General Use Safety Accident Investigation Report
• USE - To record data concerning all reportable accidents not covered by limited use reports.
• Used for accident prevention• Not for administrative or disciplinary action within DoD• Not generally releasable - need to know for the purpose
of accident prevention• Witness statements not exempt from disclosure in
response to a request under FOIA
Acdt Rpt 50
COLLATERAL INVESTIGATION(NOT A SAFETY INVESTIGATION)
• USE - Record facts for use in litigation, claims and administrative and disciplinary actions
• Required on all on-duty Class A accidents (LOD will suffice for off-duty fatality)
• Public Interest • Safety personnel do not conduct, review, or
store collateral investigations.• Accident investigation has priority• Collateral investigation covered by: AR 27-
20 or AR 15-6
AR 385-40, 1-8
Acdt Rpt 51
CRIMINAL INVESTIGATION (MP / CID)
• MP / CID - Investigate to determine if criminal activity is involved.
• Safety accident investigation board has access to MP / CID evidence, photos, witness statements
• Accident investigation will halt if criminal activity is discovered. (Other than negligence, dereliction of duty or disobedience of an order)
AR 385-40, 4-7
Acdt Rpt 52
COMPLETING THE ACCIDENT REPORT
DA PAM 385-40
Investigate /ReportArmy
Accidents•DA 285 Army Accident Report•DA 285-AB-R Abbreviated Ground Accident Report
Acdt Rpt 53
ACCIDENT INVESTIGATION AND REPORTING
THE INVESTIGATION PROCESS:
WHAT HAPPENED?
CAUSE FACTORS
•HUMAN ERROR / MISTAKE•MATERIEL FAILURE•ENVIRONMENTAL FACTOR
WHY DID ITHAPPEN?
SYSTEM INADEQUACY / ROOT CAUSE•SUPPORT•LEADER•TRAINING•STDS / PROCEDURES•INDIVIDUAL
WHAT TODO ABOUT
IT?RECOMMENDATIONS
FIXESCONTROL MEASURESCOUNTERMEASURES
Acdt Rpt 54
ACCIDENT INVESTIGATION AND REPORTING
Example of a completed AGAR form, DA PAM 385-40, page 103-104
PRACTICAL EXERCISE #3
Acdt Rpt 55
ACCIDENT INVESTIGATION AND REPORTING
• Purpose of accident investigation• Define Army accident• Accident investigation responsibilities• Classification of accidents• Reporting and Recording Army accidents • Categories of investigation reports• Reporting Procedures- AGAR• Accident reporting terminology
Acdt Rpt 56
ACCIDENT INVESTIGATION AND REPORTING
QUESTIONS??
Acdt Rpt 57
ACCIDENT INVESTIGATION AND REPORTING
PRACTICAL EXERCISE # 3COMPLETING THE ACCIDENT
REPORT FORM
HOMEWORK DUE AT START OF CLASS IN THE MORNING.