DA Form 5376 Individual Training Evaluation Record

DA Form 5376 or the "Individual Training Evaluation Record" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 5376 - was last revised on January 1, 2009. Download an up-to-date fillable DA Form 5376 down below in PDF-format or look it up on the Army Publishing Directorate website.

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NAME
CALENDAR YEAR
INDIVIDUAL TRAINING EVALUATION RECORD
For use of this form, see AR 420-1; the proponent agency is ACSIM
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
L
TOTAL
I
SUBJ
TRAINING SUBJECTS
YEAR
Eval
Eval
Eval
Eval
Eval
Eval
Eval
Eval
Eval
Eval
Eval
Eval
N
FREQ
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Hrs
Gr
Gr
Gr
Gr
Gr
Gr
Gr
Gr
Gr
Gr
Gr
Gr
HRS
E
FIRE SUPPRESSION
PROFICIENCY TRAINING
1
AIRCRAFT EGRESS
Q
2
FIRST AID - CPR
Q
3
PUMPER OPERATIONS
A
4
RESCUE TOOLS
Q
5
TRAINING FIRES
SA
6
MUTUAL AID
A
7
STRUCTURAL DRILLS
M
8
PREFIRE PLANNING
Q
9
WATER SUP FOR FIRE PROT
Q
10
SPRINKLER SYSTEMS
Q
11
FIRE INSP PROCEDURES
SA
12
BREATHING APPARATUS
SA
13
APPARATUS TESTS
A
14
COMMUNICATIONS
SA
15
NATURAL COVER FIRES
Q
16
HAZARDOUS CML ACDT
Q
17
OTHER (List)
17A
17B
17C
17D
17E
17F
FIRE PREVENTION
PROFICIENCY TRAINING
18
INSPECTION PROCEDURES
SA
19
BUILDING CONSTRUCTION
SA
20
CLAS/OCCUPANCIES
SA
21
MEANS OF EGRESS
SA
22
FEATURES OF FIRE PROT
SA
23
BLDG SERVICE EQUIP
SA
DA FORM 5376, JAN 2009
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00

Download DA Form 5376 Individual Training Evaluation Record

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