DA Form 2806 Physical Security Survey Report

DA Form 2806 or the "Physical Security Survey Report" 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 2806 - was last revised on May 1, 2010. Download an up-to-date fillable DA Form 2806 down below in PDF-format or look it up on the Army Publishing Directorate website.

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Requirement Control Symbol
PHYSICAL SECURITY SURVEY REPORT
CSGA-1672
For use of this form, see AR 190-13; the proponent agency is PMG.
1. REPORT NUMBER
2. DATE(S) OF SURVEY
3. NAME AND LOCATION OF INSTALLATION SURVEYED
4. PREPARING AGENCY
5. NAME AND RANK OF INSTALLATION COMMANDER
6. NAME AND RANK OF PROVOST MARSHAL/SECURITY OFFICER
7. NAME(S) OF SURVEY PERSONNEL (Grade, Rank, Title, and
8. REPORT NUMBER AND DATE OF LAST SURVEY
Organization)
PART I - INSTALLATION DESCRIPTION
9. INSTALLATION ACREAGE
10. NUMBER OF MILITARY ASSIGNED
11. NUMBER OF CIVILIANS EMPLOYED
12. NUMBER OF TENANT ACTIVITIES
13. NUMBER OF BUILDINGS
14. TYPE INSTALLATION (Check One)
OPEN
CLOSED
LIMITED ACCESS (Temporary)
15. INSTALLATION MISSION
16. LIST AREAS CONSIDERED TO BE CRITICAL OR VULNERABLE:
a.
b.
c.
CRITICAL OR
PROTECTION REQUIREMENTS
PROJECT IMPLEMENTATION
VULNERABLE AREAS
PART II - PHYSICAL SECURITY PERSONNEL
17. SECTION A - GUARDS
18. SECTION B - PHYSICAL SECURITY INSPECTORS
TYPE
TYPE
AUTH
ASGD
AUTH
ASGD
a
MILITARY POLICE
a. MILITARY
.
b
MILITARY (NON-MP)
b. CIVILIAN
.
c
CONTRACT CIVILIAN GUARDS
.
d
DOD CIVILIAN GUARDS
.
e
GSA GUARDS
.
f.
FOREIGN DIRECT HIRE
g
FOREIGN CONTRACT
.
h
OTHER (Specify)
.
i
TOTAL
.
APD LC v1.02ES
DA FORM 2806, MAY 2010
PREVIOUS EDITIONS ARE OBSOLETE.
M
TAB
TAB
TAB
TAB
Requirement Control Symbol
PHYSICAL SECURITY SURVEY REPORT
CSGA-1672
For use of this form, see AR 190-13; the proponent agency is PMG.
1. REPORT NUMBER
2. DATE(S) OF SURVEY
3. NAME AND LOCATION OF INSTALLATION SURVEYED
4. PREPARING AGENCY
5. NAME AND RANK OF INSTALLATION COMMANDER
6. NAME AND RANK OF PROVOST MARSHAL/SECURITY OFFICER
7. NAME(S) OF SURVEY PERSONNEL (Grade, Rank, Title, and
8. REPORT NUMBER AND DATE OF LAST SURVEY
Organization)
PART I - INSTALLATION DESCRIPTION
9. INSTALLATION ACREAGE
10. NUMBER OF MILITARY ASSIGNED
11. NUMBER OF CIVILIANS EMPLOYED
12. NUMBER OF TENANT ACTIVITIES
13. NUMBER OF BUILDINGS
14. TYPE INSTALLATION (Check One)
OPEN
CLOSED
LIMITED ACCESS (Temporary)
15. INSTALLATION MISSION
16. LIST AREAS CONSIDERED TO BE CRITICAL OR VULNERABLE:
a.
b.
c.
CRITICAL OR
PROTECTION REQUIREMENTS
PROJECT IMPLEMENTATION
VULNERABLE AREAS
PART II - PHYSICAL SECURITY PERSONNEL
17. SECTION A - GUARDS
18. SECTION B - PHYSICAL SECURITY INSPECTORS
TYPE
TYPE
AUTH
ASGD
AUTH
ASGD
a
MILITARY POLICE
a. MILITARY
.
b
MILITARY (NON-MP)
b. CIVILIAN
.
c
CONTRACT CIVILIAN GUARDS
.
d
DOD CIVILIAN GUARDS
.
e
GSA GUARDS
.
f.
FOREIGN DIRECT HIRE
g
FOREIGN CONTRACT
.
h
OTHER (Specify)
.
i
TOTAL
.
APD LC v1.02ES
DA FORM 2806, MAY 2010
PREVIOUS EDITIONS ARE OBSOLETE.
M
TAB
TAB
TAB
PART III - PHYSICAL SECURITY PLANNING
YES
NO
19. HAS AN INSTALLATION PHYSICAL SECURITY THREAT STATEMENT BEEN PREPARED?
20. HAVE SUBORDINATE UNITS OR TENANT ACTIVITIES BEEN PROVIDED A COPY?
21. IS THERE AN INSTALLATION PHYSICAL SECURITY PLAN?
a.
DOES THE PLAN COVER PHYSICAL SECURITY FOR PEACETIME, MOBILIZATION, AND
WARTIME?
b.
DOES THE PLAN INCLUDE ANNEXES FOR COUNTERTERRORISM, BOMB THREATS, ADP PLANS, AND WORK STOPPAGE
PLANS AND INSTALLATION CLOSURE?
22.
DOES THE INSTALLATION PHYSICAL SECURITY PROGRAM SUPPORT OPERATIONS SECURITY AND CRIME PREVENTION
PROGRAMS?
23. IS PHYSICAL SECURITY INCLUDED IN INSTALLATION CONTINGENCY AND EXERCISE PLANS?
24. BRIEFLY EXPLAIN "NO" ANSWERS OF ITEMS 19 THROUGH 23
25. FINDINGS/RECOMMENDATIONS
26. SURVEYING OFFICIAL'S EVALUATION
27. OVERALL EVALUATION OF PHYSICAL SECURITY PROGRAM
EXCELLENT
POOR
GOOD
28a. SURVEY OFFICER (Name, Grade, Organization)
b. SIGNATURE
c. DATE
29a. APPROVING AUTHORITY (Name, Rank, Title)
b. SIGNATURE
c. DATE
30. DISTRIBUTION
31. DATE COMMANDER'S REPORT OF
CORRECTIVE ACTION RECEIVED
APD LC v1.02ES
PAGE 2, DA FORM 2806, MAY 2010

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