DA Form 2397-8 Technical Report of U.S. Army Aircraft Accident, Part Ix - Personal Data

DA Form 2397-8 or the "Technical Report Of U.s. Army Aircraft Accident, Part Ix - Personal Data" 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 2397-8 - was last revised on February 1, 2009. Download an up-to-date fillable DA Form 2397-8 down below in PDF-format or look it up on the Army Publishing Directorate website.

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TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART IX - PERSONAL DATA
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
1.
ROLE OF THIS INDIVIDUAL
a. Errors That Caused/Contributed to Accident
b. On Controls When Accident Occurred
Definitely
Suspected
None
Undetermined
Yes
No
Undetermined
2.
BACKGROUND DATA
a. Age
g. Hours Worked Last 24 Hours
b. Hours Awake Prior to Accident
h. Hours Worked Last 48 Hours
c. Hours Duration Last Sleep Period
i. Hours Worked Last 72 Hours
d. Hours Slept Last 24 Hours
j. Hours Flown Last 24 Hours
e. Hours Slept Last 48 Hours
k. Hours Flown Last 48 Hours
f. Hours Slept Last 72 Hours
l. Hours Flown Last 72 Hours
3.
CREW MEMBER DATA
a. Primary Acft MTDS
j. NVG Qualified
Yes
No
b. Alternate Acft MTDS
k. Date Qualified In Acdt MTDS
(YYYYMMDD)
c. Additional Acft MTDS
l. ATM Task Number Associated With Initial
Indication of Emergency
d. FAC
Last Performed
(YYYYMMDD)
1
2
3
m. ATM Task Number Involved In Response
e. RL In Accident Acft MTDS
To Emergency
1
2
3
NA
Last Performed
(YYYYMMDD)
f. APART Completed
(YYYYMMDD)
g. Physical Exam Completed
n. Medical Waiver
Yes
No
(YYYYMMDD)
h. Most Recent Evaluation Flight In
o. Post-Accident Flight Eval
(YYYYMMDD)
Accident MTDS Acft
Result
(YYYYMMDD)
i. MTDS Acft Flown In Last 60 Days
p. Post-Accident Medical Exam/Autopsy
(1)
(YYYYMMDD)
(2)
q. Required Lab Tests Accomplished
(3)
Yes
No
r. Last redeployment from a combat theater
(YYYYMMDD)
4.
FLIGHT AND CREW DUTY EXPERIENCE (Round off to the nearest hour)
Acdt Aircraft Hrs
Rotary
Fixed
Imminent
a. Type Experience And Time
Total
Combat
Design
Series
Wing
Wing
Danger
(1) Military
(2) Civilian
(3) Total Hours
b.
Duty Experience
Duty
CP
PI
PC
UT
IP
IE
SP
MP
ME
XP
Total Hours
c.
Flight Condition Experience
Condition
D
N
H
W
NG
DG
NS
DS
TR
AA
Total Hours
d.
Monthly Flight Hours Past 3 Months In Accident Acft MTDS
e.
Other Crew Duty Experience
Date
Prev 90
Prev 60
Prev 30
This Mo.
Duty
CE
OR
AO
MO
FI
SI
Hours
Total Hours
5.
MAINTENANCE AND SUPPORT PERSONNEL DATA
a. PMOS
Title
e. Civilian Job Series or Title
b. SMOS
Title
c. DMOS
Title
f. Performance Standards Met For This Task
d. Deficient Task No.
Yes
No
a. Date
b. Time
c. Acft Serial No.
6. CASE
7. OTHER ACFT SERIAL NO.
(YYYYMMDD)
PREVIOUS EDITION IS OBSOLETE.
PAGE 1 OF 2
DA FORM 2397-8, FEB 2009
APD LC v1.01
TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART IX - PERSONAL DATA
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
1.
ROLE OF THIS INDIVIDUAL
a. Errors That Caused/Contributed to Accident
b. On Controls When Accident Occurred
Definitely
Suspected
None
Undetermined
Yes
No
Undetermined
2.
BACKGROUND DATA
a. Age
g. Hours Worked Last 24 Hours
b. Hours Awake Prior to Accident
h. Hours Worked Last 48 Hours
c. Hours Duration Last Sleep Period
i. Hours Worked Last 72 Hours
d. Hours Slept Last 24 Hours
j. Hours Flown Last 24 Hours
e. Hours Slept Last 48 Hours
k. Hours Flown Last 48 Hours
f. Hours Slept Last 72 Hours
l. Hours Flown Last 72 Hours
3.
CREW MEMBER DATA
a. Primary Acft MTDS
j. NVG Qualified
Yes
No
b. Alternate Acft MTDS
k. Date Qualified In Acdt MTDS
(YYYYMMDD)
c. Additional Acft MTDS
l. ATM Task Number Associated With Initial
Indication of Emergency
d. FAC
Last Performed
(YYYYMMDD)
1
2
3
m. ATM Task Number Involved In Response
e. RL In Accident Acft MTDS
To Emergency
1
2
3
NA
Last Performed
(YYYYMMDD)
f. APART Completed
(YYYYMMDD)
g. Physical Exam Completed
n. Medical Waiver
Yes
No
(YYYYMMDD)
h. Most Recent Evaluation Flight In
o. Post-Accident Flight Eval
(YYYYMMDD)
Accident MTDS Acft
Result
(YYYYMMDD)
i. MTDS Acft Flown In Last 60 Days
p. Post-Accident Medical Exam/Autopsy
(1)
(YYYYMMDD)
(2)
q. Required Lab Tests Accomplished
(3)
Yes
No
r. Last redeployment from a combat theater
(YYYYMMDD)
4.
FLIGHT AND CREW DUTY EXPERIENCE (Round off to the nearest hour)
Acdt Aircraft Hrs
Rotary
Fixed
Imminent
a. Type Experience And Time
Total
Combat
Design
Series
Wing
Wing
Danger
(1) Military
(2) Civilian
(3) Total Hours
b.
Duty Experience
Duty
CP
PI
PC
UT
IP
IE
SP
MP
ME
XP
Total Hours
c.
Flight Condition Experience
Condition
D
N
H
W
NG
DG
NS
DS
TR
AA
Total Hours
d.
Monthly Flight Hours Past 3 Months In Accident Acft MTDS
e.
Other Crew Duty Experience
Date
Prev 90
Prev 60
Prev 30
This Mo.
Duty
CE
OR
AO
MO
FI
SI
Hours
Total Hours
5.
MAINTENANCE AND SUPPORT PERSONNEL DATA
a. PMOS
Title
e. Civilian Job Series or Title
b. SMOS
Title
c. DMOS
Title
f. Performance Standards Met For This Task
d. Deficient Task No.
Yes
No
a. Date
b. Time
c. Acft Serial No.
6. CASE
7. OTHER ACFT SERIAL NO.
(YYYYMMDD)
PREVIOUS EDITION IS OBSOLETE.
PAGE 1 OF 2
DA FORM 2397-8, FEB 2009
APD LC v1.01
8.
LABORATORY TESTS
Type Test
Specimen Tested
Results
Name of Drug
USACRC Code Block
a. Carbon Monoxide
b. Alcohol/Volatiles
c. Drug Screen
d. Other
9.
HISTORY OF DISEASES/DEFECTS
Waivers
Method of Discovery
USACRC Code Block
Diagnosis
Anl
Sick
Date
Autopsy
Other
Auth.
Phy
Call
(YYYYMMDD)
10. REMARKS
11. NAME (Last, First, MI)
12. SSN
13. GRADE 14. GENDER 15. DUTY 16. SVC
17. UIC
DA FORM 2397-8, FEB 2009
PAGE 2 OF 2
APD LC v1.01

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