DA Form 3821 Report of Administrative Officer of the Day

DA Form 3821 - also known as the "Report Of Administrative Officer Of The Day" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 3821 - was last revised on January 1, 1972. Download an up-to-date fillable PDF version of the DA 3821 down below or look it up on the Army Publishing Directorate website.

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PERIOD
REPORT OF ADMINISTRATIVE OFFICER OF THE DAY
FROM (Hour & Date)
TO (Hour & Date)
For use of this form, see AR 40-400;
the proponent agency is the Office of The Surgeon General
HOSPITAL
Complete in single copy only. Submit to Executive Officer upon completion of
tour of duty. Attach copies of all messages sent or received with notation of
action taken where appropriate.
HOUR OF
RESULT (Include needed repairs and any fire or safety hazards noted)
1.
INSPECTION
HOSPITAL
HOUR OF
RESULT
2.
INSPECTION
P&N WARDS
PRIS WARD
HOUR OF
RESULT
3.
INSPECTION
GROUNDS
HOUR OF
4.
RESULT (When applicable list of vehicles will be attached)
INSPECTION
MOTOR
VEHICLES
HOUR OF
RESULT
5.
INSPECTION
SECURITY
HOUR
HOUR
6. INSPECTION OF MESSES
7. ADDITIONS TO SERIOUSLY ILL LISTS AND DEATHS*
ADMIN
SAT-
UNSAT-
TYPE OF INSPECTION
NAME
WARD
ACTION
ISFAC
ISFAC
COMPL
TORY
TORY
a. QUALITY OF FOOD CHECKED
VERY SERIOUSLY ILL
b. QUANTITY OF FOOD CHECKED
a.
c. SANITATION
b.
EXPLAIN DEFICIENCIES NOTED
c.
d.
SERIOUSLY ILL
e.
f.
g.
h.
DEATHS
i.
j.
k.
l.
REMARKS (Comments, recommendations, unusual circumstances, etc. Use reverse side if necessary)
PRINT OR TYPE NAME & GRADE OF ADMIN OFFICER OF THE DAY
SIGNATURE
*IF ADMINSTRATIVE ACTION IS NOT COMPLETED EXPLAIN IN REMARKS SECTION.
DA FORM 3821, JAN 1972
REPLACES DA FORM 8-195, 1 FEB 58, WHICH WILL BE USED.
APD LC v1.02ES

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