DA Form 7399 Survey/Decontamination Records

DA Form 7399 or the "Survey/decontamination Records" 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 7399 - was last revised on June 1, 2009. Download an up-to-date fillable DA Form 7399 down below in PDF-format or look it up on the Army Publishing Directorate website.

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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

Download DA Form 7399 Survey/Decontamination Records

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