DA Form 7399 "Survey/Decontamination Records"

What Is DA Form 7399?

This is a military form that was released by the U.S. Department of the Army (DA) on June 1, 2009. The form, often mistakenly referred to as the DD Form 7399, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 7399 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 7399 "Survey/Decontamination Records"

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SURVEY/DECONTAMINATION RECORDS
For use of this form, see DA PAM 700-48; the proponent agency is DCS, G-4.
SECTION I - PERSONNEL CONTAMINATION RECORD (ESSENTIAL INFORMATION)
1. PATIENT NAME
2. AKO E-MAIL ADDRESS
3. DATE OF INCIDENT (YYYYMMDD)
4. TIME OF OCCURRENCE
5. LOCATION OF INCIDENT
6. GRID COORDINATES, IF KNOWN
7. CAUSE OF CONTAMINATION
8. WHEN WAS CONTAMINATION DISCOVERED?
SECTION II - SURVEY RESULTS
9. SURVEY PERFORMED BY
10. UNIT
11. SURVEY INSTRUMENT MANUFACTURER
12. SERIAL NUMBER
13. PROBE TYPE
14. CALIBRATION EXPIRATION DATE (YYYYMMDD)
15. INDICATE TYPE, EXTENT, AND MAGNITUDE OF CONTAMINATION BELOW ON A SKETCH OF A HUMAN FIGURE
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 7399, JUN 2009
APD LC v1.00
SURVEY/DECONTAMINATION RECORDS
For use of this form, see DA PAM 700-48; the proponent agency is DCS, G-4.
SECTION I - PERSONNEL CONTAMINATION RECORD (ESSENTIAL INFORMATION)
1. PATIENT NAME
2. AKO E-MAIL ADDRESS
3. DATE OF INCIDENT (YYYYMMDD)
4. TIME OF OCCURRENCE
5. LOCATION OF INCIDENT
6. GRID COORDINATES, IF KNOWN
7. CAUSE OF CONTAMINATION
8. WHEN WAS CONTAMINATION DISCOVERED?
SECTION II - SURVEY RESULTS
9. SURVEY PERFORMED BY
10. UNIT
11. SURVEY INSTRUMENT MANUFACTURER
12. SERIAL NUMBER
13. PROBE TYPE
14. CALIBRATION EXPIRATION DATE (YYYYMMDD)
15. INDICATE TYPE, EXTENT, AND MAGNITUDE OF CONTAMINATION BELOW ON A SKETCH OF A HUMAN FIGURE
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 7399, JUN 2009
APD LC v1.00