Safety Army Mishap Investigations and Reporting
THE UNITED STATES ARMY
Headquarters
Department of the Army
Washington, DC
24 July 2023
*Department of the Army
Pamphlet 385-40
Safety
Army Mishap Investigations and Reporting
By Order of the Secretary of the Army:
JAMES C. MCCONVILLE
General, United States Army
Chief of Staff
MARK F. AVERILL
Administrative Assistant to the
Secretary of the Army
History. This publication is a major revision. The portions affected by this major revision are listed in the summary of change.
Applicability. This pamphlet applies to the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve, unless otherwise stated. In addition, it applies to Department of Army Civilian employees, all Department of Defense personnel, and foreign military with and under Army operational control, as well as contract personnel, as prescribed in AR 385-10.
Proponent and exception authority. The proponent of this pamphlet is the Director of Army Staff. The proponent has the authority to approve exceptions or waivers to this pamphlet that are consistent with controlling law and regulations. The proponent may delegate this approval authority, in writing, to a division chief within the proponent agency or its direct reporting unit or field-operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this pamphlet by providing justification that includes a full analysis of the expected benefits and must include formal review by the activity's senior legal officer. The commander or senior leader of the requesting activity will endorse all waiver requests and forward them through their higher headquarters to the policy proponent. Refer to AR 25-30 for specific requirements.
Suggested improvements. Send comments and suggested improvements on DA FormDA FormDepartment of the Army form 2028 (Recommended Changes to Publications and Blank Forms) directly to usarmy.pentagon.hqda-aso.mbx.army-safety-office@army.mil.
Distribution. This publication is available in electronic media only and is intended for the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve.
*This pamphlet supersedes DA PamDA PamDepartment of the Army Pamphlets 385-40, dated 18 March 2015.
DA PAM 385-40 • 24 July 2023
UNCLASSIFIED
TOCTable of Contents
Chapter 1Introduction
Chapter 2Phase I, Safety Investigation Board Organization and Training
Chapter 3Phase II, Mishap Site Examination and Data Collection
Chapter 4Phase III, Analysis and Deliberations
Chapter 5Phase IV, Complete the Mishap Report
Appendix AReferences
Appendix BExplanations, Examples, and Keywords
Appendix CMedical
Appendix DNotification Phone Numbers
Appendix EMishap Reports
Appendix FBasic Examples of Fractures and Damaging Stresses
Appendix GMishap Investigation Information/Equipment Requirements
Appendix HOccupational Safety and Health Administration Recordkeeping Requirements
Glossary
Summary of ChangeSummary of Change DA PAM 385 – 40
Army Mishap Investigations and Reporting This major revision, dated 24 July 2023— • Changes the title from “The Army Accident Investigations and Reporting” to “The Army Mishap Investigations and Reporting.” (cover). • Fundamentally shifts the way the Army investigates mishaps by transitioning to the use of the Army Safety Information Management System to complete the mishap investigations online (para 5 – 1 and app E). • Addresses Human Factors as an integral part of mishap investigations (throughout). • Replaces the term “accident” with the term “mishap” (throughout). • Cancels the following previously prescribed forms: • DA FormDA FormDepartment of the Army form 285 (Technical Report of U.S. Army Ground Accident) • DA FormDA FormDepartment of the Army form 285 – A (Technical Report of U.S. Army Ground Accident Index A) • DA FormDA FormDepartment of the Army form 285 – AB (U.S. Army Abbreviated Ground Accident Report (AGAR)) • DA FormDA FormDepartment of the Army form 285 – B (Technical Report of U.S. Army Ground Accident Index B) • DA FormDA FormDepartment of the Army form 285 – O (Technical Report of U.S. Army Ground Accident Statement of Reviewing Officials) • DA FormDA FormDepartment of the Army form 2397 (Technical Report of U.S. Army Aircraft Accident Part I–Statement of Reviewing Officials) • DA FormDA FormDepartment of the Army form 2397 – 1 (Technical Report of U.S. Army Aircraft Accident Part II–Summary) • DA FormDA FormDepartment of the Army form 2397 – 2 (Technical Report of U.S. Army Aircraft Accident Part III–Findings and Recommendations) • DA FormDA FormDepartment of the Army form 2397 – 3 (Technical Report of U.S. Army Aircraft Accident Part IV–Narrative) • DA FormDA FormDepartment of the Army form 2397 – 4 (Technical Report of U.S. Army Aircraft Accident Part V–Summary of Witness Interview) • DA FormDA FormDepartment of the Army form 2397 – 5 (Technical Report of U.S. Army Aircraft Accident Part VI–Wreckage Distribution) • DA FormDA FormDepartment of the Army form 2397 – 6 (Technical Report of U.S. Army Aircraft Accident Part VII–In-Flight or Terrain Impact and Crash Damage Data) • DA FormDA FormDepartment of the Army form 2397 – 7 (Technical Report of U.S. Army Aircraft Accident Part VIII–Maintenance and Material Data) • DA FormDA FormDepartment of the Army form 2397 – 8 (Technical Report of U.S. Army Aircraft Accident Part IX–Personal Data) • DA FormDA FormDepartment of the Army form 2397 – 9 (Technical Report of U.S. Army Aircraft Accident Part X–Injury/Occupational Illness Data) • DA FormDA FormDepartment of the Army form 2397 – 10 (Technical Report of U.S. Army Aircraft Accident Part XI–Personnel Protective/Escape/Survival/Rescue Data) • DA FormDA FormDepartment of the Army form 2397 – 11 (Technical Report of U.S. Army Aircraft Accident Part XII– Weather/Environmental) • DA FormDA FormDepartment of the Army form 2397 – 12 (Technical Report of U.S. Army Aircraft Accident Part XIII–Fire) • DA FormDA FormDepartment of the Army form 2397 – 13 (Technical Report of U.S. Army Aircraft Accident Index A) • DA FormDA FormDepartment of the Army form 2397 – 14 (Technical Report of U.S. Army Aircraft Accident Index B) • DA FormDA FormDepartment of the Army form 2397 – AB (Abbreviated Aviation Accident Report) • DA FormDA FormDepartment of the Army form 2397 – U (Unmanned Aircraft System Accident Report)
