DA Form 2397-12 Technical Report of U.S. Army Aircraft Accident, Part Xiii - Fire

DA Form 2397-12 - also known as the "Technical Report Of U.s. Army Aircraft Accident, Part Xiii - Fire" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 2397-12 - was last revised on February 1, 2009. Download an up-to-date fillable PDF version of the DA 2397-12 down below or look it up on the Army Publishing Directorate website.

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TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART XIII - FIRE (To be completed for all events involving fire)
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
1. FIRE STARTED (Check D - Definite S - Suspected)
D
S
4. IGNITION SOURCE (Continued)
D
S
a. Inflight
l. Static Electricity
b. Upon Impact (Less than 1 minute)
m. Other (Specify)
c. Upon Impact (More than 1 minute)
n. Undetermined
d. During Refueling
D
S
5. COMBUSTIBLE MATERIAL
e. Other (Specify)
a.
Main Fuel
f. Undetermined
b.
Auxiliary Fuel
2. INDICATIONS OF FIRE
c.
Hydraulic Fluid
(More than one may apply. Enter 1, 2, or 3 to show sequence)
d.
Engine Oil
e.
Transmission Oil
a.
Fire Warning System
d.
Smell
g.
Other (Specify)
f.
Electrical Insulation
b.
Other Instruments
e.
Explosion (Sound)
g.
Acoustical Materials
c.
Sight
f.
External Commo
h. Metal (Specify)
3. INITIAL AND PRINCIPAL LOCATION OF FIRE
i.
Explosives
D
S
(Enter 1 to indicate initial location, 2 to indicate principal
j.
Upholstery Materials
location)
a.
Engine Section
k.
Cargo
b.
Transmission Section
l.
External Material
(Specify)
c.
Cockpit
m.
Other
(Specify)
d.
Tail Assembly
n.
Undetermined
6. FIRE EXTINGUISHING SYSTEM
e.
Passenger Section
a. Gnd
b.
Aircraft
f.
Baggage Compartment
Inst
Port
g.
External Stores
(1) No Effect When Discharged
h.
Ammunition Stores
(2) Activated, But Did Not Discharge
i.
Avionic Section
(3) Reduced Fire
j.
APU
(4) Extinguished Fire
k.
Wheel Well
(5) Not Activated And Not Near Fire
l.
Wheel Brake
(6) Not Activated, But Near Fire
m.
Tail Pipe
(7) Not Installed
n.
Instrument Panel
o.
Battery Compartment
Yes
No
Undet
7. FIRE SMOKE DETECTION SYSTEM
p.
Heater Compartment
a. System Installed
q. Fuel Cell (Specify)
b. Warning System Operated Properly
r.
Wing
c. Sensors Within Range of Smoke/Fire
8. EFFECT OF EMER SHUTOFF PROCEDURE
s.
Gun Turret
(Enter D, S, or U)
t.
Tail Boom
Eng
Fuel
Elect
u. Cargo Section
a. Extinguished Flame
v.
Tires
b. Reduced Fire
w. Other (Specify)
c. No Effects
x. Undetermined
d. Not Accomplished
4. IGNITION SOURCE
D
S
e. Used Faulty Procedure
a.
Exhaust Flames
9. GENERAL DATA
b.
Sparks, Friction, e.g., Skidding
a. Est of Aircraft Fire Damage
(Excl of impact damage)
0-25%
26-50%
51-75%
76-100%
c.
Electrical Sparks
d.
Hot Surfaces, e.g., Exhaust Ducts
b. Fire Dimension: To Clear Fire,
Aircraft Occupants Had To Move (feet):
e.
Aircraft Subsystem
f.
Aircraft Occupant, e.g., Lighted Cigar
c. Toxicity: Was There Evidence of Toxic Products?
Yes
No
g.
External of Aircraft, e.g., Grass Fire
h.
Cargo
d. Distance To Nearest Available Military Firefighting Equipment
(1) Air Miles (NM):
(2) Road Miles (SM):
i.
Explosives
j.
Short Circuit
e. G-Force Activated Fire Extinguishing System Functioned As Designed
Yes
No
NA
k.
Lightning
10. REMARKS (Use additional sheet if required)
a. Date
11. CASE NO.
(YYYYMMDD)
b. Time
c. Acft Serial No.
12. OTHER ACFT SERIAL NO.
DA FORM 2397-12, FEB 2009
PREVIOUS EDITION IS OBSOLETE.
APD LC v1.00
TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART XIII - FIRE (To be completed for all events involving fire)
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
1. FIRE STARTED (Check D - Definite S - Suspected)
D
S
4. IGNITION SOURCE (Continued)
D
S
a. Inflight
l. Static Electricity
b. Upon Impact (Less than 1 minute)
m. Other (Specify)
c. Upon Impact (More than 1 minute)
n. Undetermined
d. During Refueling
D
S
5. COMBUSTIBLE MATERIAL
e. Other (Specify)
a.
Main Fuel
f. Undetermined
b.
Auxiliary Fuel
2. INDICATIONS OF FIRE
c.
Hydraulic Fluid
(More than one may apply. Enter 1, 2, or 3 to show sequence)
d.
Engine Oil
e.
Transmission Oil
a.
Fire Warning System
d.
Smell
g.
Other (Specify)
f.
Electrical Insulation
b.
Other Instruments
e.
Explosion (Sound)
g.
Acoustical Materials
c.
Sight
f.
External Commo
h. Metal (Specify)
3. INITIAL AND PRINCIPAL LOCATION OF FIRE
i.
Explosives
D
S
(Enter 1 to indicate initial location, 2 to indicate principal
j.
Upholstery Materials
location)
a.
Engine Section
k.
Cargo
b.
Transmission Section
l.
External Material
(Specify)
c.
Cockpit
m.
Other
(Specify)
d.
Tail Assembly
n.
Undetermined
6. FIRE EXTINGUISHING SYSTEM
e.
Passenger Section
a. Gnd
b.
Aircraft
f.
Baggage Compartment
Inst
Port
g.
External Stores
(1) No Effect When Discharged
h.
Ammunition Stores
(2) Activated, But Did Not Discharge
i.
Avionic Section
(3) Reduced Fire
j.
APU
(4) Extinguished Fire
k.
Wheel Well
(5) Not Activated And Not Near Fire
l.
Wheel Brake
(6) Not Activated, But Near Fire
m.
Tail Pipe
(7) Not Installed
n.
Instrument Panel
o.
Battery Compartment
Yes
No
Undet
7. FIRE SMOKE DETECTION SYSTEM
p.
Heater Compartment
a. System Installed
q. Fuel Cell (Specify)
b. Warning System Operated Properly
r.
Wing
c. Sensors Within Range of Smoke/Fire
8. EFFECT OF EMER SHUTOFF PROCEDURE
s.
Gun Turret
(Enter D, S, or U)
t.
Tail Boom
Eng
Fuel
Elect
u. Cargo Section
a. Extinguished Flame
v.
Tires
b. Reduced Fire
w. Other (Specify)
c. No Effects
x. Undetermined
d. Not Accomplished
4. IGNITION SOURCE
D
S
e. Used Faulty Procedure
a.
Exhaust Flames
9. GENERAL DATA
b.
Sparks, Friction, e.g., Skidding
a. Est of Aircraft Fire Damage
(Excl of impact damage)
0-25%
26-50%
51-75%
76-100%
c.
Electrical Sparks
d.
Hot Surfaces, e.g., Exhaust Ducts
b. Fire Dimension: To Clear Fire,
Aircraft Occupants Had To Move (feet):
e.
Aircraft Subsystem
f.
Aircraft Occupant, e.g., Lighted Cigar
c. Toxicity: Was There Evidence of Toxic Products?
Yes
No
g.
External of Aircraft, e.g., Grass Fire
h.
Cargo
d. Distance To Nearest Available Military Firefighting Equipment
(1) Air Miles (NM):
(2) Road Miles (SM):
i.
Explosives
j.
Short Circuit
e. G-Force Activated Fire Extinguishing System Functioned As Designed
Yes
No
NA
k.
Lightning
10. REMARKS (Use additional sheet if required)
a. Date
11. CASE NO.
(YYYYMMDD)
b. Time
c. Acft Serial No.
12. OTHER ACFT SERIAL NO.
DA FORM 2397-12, FEB 2009
PREVIOUS EDITION IS OBSOLETE.
APD LC v1.00

Download DA Form 2397-12 Technical Report of U.S. Army Aircraft Accident, Part Xiii - Fire

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