DA Form 7401 Radioactive Commodity Incident Report

DA Form 7401 or the "Radioactive Commodity Incident 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 7401 - was last revised on December 1, 1999. Download an up-to-date fillable DA Form 7401 down below in PDF-format or look it up on the Army Publishing Directorate website.

ADVERTISEMENT
RADIOACTIVE COMMODITY INCIDENT REPORT
For use of this form, see DA PAM 700-48; the proponent agency is DCS, G-4.
1. UNIT
2. STATION
3. UNIT DESIGNATION
4. APO
5. INCIDENT LOCATION
6. DATE (YYYYMMDD)
7. TIME
8. COMMODITIES INVOLVED
a. ITEM
b. NSN
c. SERIAL & CELL NUMBERS
d. QUANTITY
e. PHYSICAL CONDITION
9. DESCRIPTION OF INCIDENT (List all persons involved. If more space is needed, continue on following page.)
10. ACTIONS TAKEN AND PLANNED (Include type of investigation planned)
11. SPECIFY ASSISTANCE CURRENTLY REQUIRED
12. POINTS OF CONTACT
a. UNIT COMMANDER
b. TELEPHONE NUMBER AND FAX NUMBER
d. TELEPHONE NUMBER AND FAX NUMBER
c. UNIT LRPO
e. PRINTED NAME (Individual completing form)
f. TELEPHONE NUMBER AND FAX NUMBER
g. SIGNATURE
h. DATE (YYYYMMDD)
DA FORM 7401, DEC 1999
APD LC v1.01ES
RADIOACTIVE COMMODITY INCIDENT REPORT
For use of this form, see DA PAM 700-48; the proponent agency is DCS, G-4.
1. UNIT
2. STATION
3. UNIT DESIGNATION
4. APO
5. INCIDENT LOCATION
6. DATE (YYYYMMDD)
7. TIME
8. COMMODITIES INVOLVED
a. ITEM
b. NSN
c. SERIAL & CELL NUMBERS
d. QUANTITY
e. PHYSICAL CONDITION
9. DESCRIPTION OF INCIDENT (List all persons involved. If more space is needed, continue on following page.)
10. ACTIONS TAKEN AND PLANNED (Include type of investigation planned)
11. SPECIFY ASSISTANCE CURRENTLY REQUIRED
12. POINTS OF CONTACT
a. UNIT COMMANDER
b. TELEPHONE NUMBER AND FAX NUMBER
d. TELEPHONE NUMBER AND FAX NUMBER
c. UNIT LRPO
e. PRINTED NAME (Individual completing form)
f. TELEPHONE NUMBER AND FAX NUMBER
g. SIGNATURE
h. DATE (YYYYMMDD)
DA FORM 7401, DEC 1999
APD LC v1.01ES
9. DESCRIPTION OF INCIDENT (Continued)
PAGE 2, DA FORM 7401, MAY 1999
APD LC v1.01ES

Download DA Form 7401 Radioactive Commodity Incident Report

1147 times
Rate
4.4(4.4 / 5) 166 votes
ADVERTISEMENT
Page of 2