DA Form 285-ab U.S. Army Abbreviated Ground Accident Report (Agar)

What Is DA Form 285-AB?

DA Form 285-AB, U.S. Army Abbreviated Ground Accident Report (AGAR) is a three-page form used for reporting ground accidents within the U.S. Army that range from Class C to Class E. Being an abbreviated report, the AGAR also serves to reduce reporting requirements.

All accidents regardless of accident class or personnel duty status must be reported to the local safety office and to the immediate commander or supervisor whose operation, personnel, or equipment is involved.

The form - sometimes confused with the DD Form 285, Appointment of Military Postal Clerk, Unit Mail Clerk or Mail Orderly - was last updated by the Department of the Army (DA) in February 2009. An up-to-date DA Form 285-AB fillable version is available for digital filing and download below or can be found through the Army Publishing Directorate (APD) website.

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U.S. ARMY ABBREVIATED GROUND ACCIDENT REPORT (AGAR)
REQUIREMENTS CONTROL SYMBOL
For use of this form, see and DA Pamphlet 385-40; the proponent agency is OCSA
CSOCS-308
1. TIME & DATE OF ACCIDENT
a. Yr
b. Mth
c. Day
d. Time
2. PERIOD OF DAY
3. ACDT CLASS
4. COMBAT STATUS
Combat
Non-Combat
Day
Night
Dusk
Dawn
5. UNIT IDENTIFICATION
a. UIC
(6-digit Code)
b. Unit Address
c. Unit's Branch
5d. Army HQ's
a. Exact Location
b. Type Location
6c. Grid Coordinates/Lat-Long
6. LOCATION OF ACCIDENT
e.
d. State/Country
Off Post
On Post Name:
7. EXPLOSIVES/AMMO INVOLVED?
Yes
No
8. MISSION
a. Briefly describe the mission.
b. METL Task?
Yes
No
9. VEHICLE/EQUIPMENT/MATERIEL INVOLVED
a. Type of Item (Nomenclature)
b. Make/Model #
c. Serial #
d. Ownership
e. Estimated Cost of Damage
f. Vehicle Collision
#1
Materiel Failure/Malfunction Information (Blks 9g-9I)
g. Failure Mode
h. Part Nomenclature
i. Part #
j. Part NSN
k. Part Manufacturer Code
l. EIR/QDR Submitted
Yes
No
a. Type of Item (Nomenclature)
b. Make/Model #
c. Serial #
d. Ownership
e. Estimated Cost of Damage
f. Vehicle Collision
#2
Materiel Failure/Malfunction Information (Blks 9g-9I)
g. Failure Mode
h. Part Nomenclature
i. Part #
j. Part NSN
k. Part Manufacturer Code
l. EIR/QDR Submitted
Yes
No
10. WHY DID THE MATERIEL FAIL/MALFUNCTION? (Check the root causes(s) in Blk 10a. In Blk 10b., explain how the root
b. Describe how the materiel failed/malfunctioned and
causes(s) led to the materiel failure/malfunction.)
explain why (root cause).
LEADER
STDS/PROCEDURES
SUPPORT
a.
(Not ready, willing, or able to
(Not clear, Not practical)
(Short comings in type, capability, amount or condition of equip/supplies/
enforce standards)
services/facilities)
Direct Supervision
AR
SOP
Equip/Materiel Improperly Designed
Inadequate Manufacture
Unit Command Supervision
TM
Other
Equip/Materiel Not Provided
Inadequate Maintenance
Higher Command Supervision
FM
None Exists
Inadequate Facilities/Services
Other
11a. NAME (Last, First, MI) (include Address and UIC if
12. SSN
13a. PERSONNEL CLASSIFICATION
13b. DATE ASSIGNED/HIRED (YYYYMMDD)
different than Blks 5a and 5b.)
13c. DATE OF REDEPLOYMENT
14. MOS/JOB SERIES
15a. DUTY STATUS
15b. IF OFF DUTY (if on leave/pass)
FROM COMBAT ZONE, IF
Date from (YYYYMMDD)
On-duty
Leave
APPLICABLE (YYYYMMDD)
11b. HOME ADDRESS
Date to (YYYYMMDD)
Off-duty
Pass
16. DOB (YYYYMMDD)
17. GENDER
18. PAY GRADE
19. FLIGHT STATUS
Yes
No
PREVIOUS EDITION IS OBSOLETE.
PAGE 1 of 3
DA FORM 285-AB, FEB 2009
APD AEM v1.00ES
U.S. ARMY ABBREVIATED GROUND ACCIDENT REPORT (AGAR)
REQUIREMENTS CONTROL SYMBOL
For use of this form, see and DA Pamphlet 385-40; the proponent agency is OCSA
CSOCS-308
1. TIME & DATE OF ACCIDENT
a. Yr
b. Mth
c. Day
d. Time
2. PERIOD OF DAY
3. ACDT CLASS
4. COMBAT STATUS
Combat
Non-Combat
Day
Night
Dusk
Dawn
5. UNIT IDENTIFICATION
a. UIC
(6-digit Code)
b. Unit Address
c. Unit's Branch
5d. Army HQ's
a. Exact Location
b. Type Location
6c. Grid Coordinates/Lat-Long
6. LOCATION OF ACCIDENT
e.
d. State/Country
Off Post
On Post Name:
7. EXPLOSIVES/AMMO INVOLVED?
Yes
No
8. MISSION
a. Briefly describe the mission.
b. METL Task?
Yes
No
9. VEHICLE/EQUIPMENT/MATERIEL INVOLVED
a. Type of Item (Nomenclature)
b. Make/Model #
c. Serial #
d. Ownership
e. Estimated Cost of Damage
f. Vehicle Collision
#1
Materiel Failure/Malfunction Information (Blks 9g-9I)
g. Failure Mode
h. Part Nomenclature
i. Part #
j. Part NSN
k. Part Manufacturer Code
l. EIR/QDR Submitted
Yes
No
a. Type of Item (Nomenclature)
b. Make/Model #
c. Serial #
d. Ownership
e. Estimated Cost of Damage
f. Vehicle Collision
#2
Materiel Failure/Malfunction Information (Blks 9g-9I)
g. Failure Mode
h. Part Nomenclature
i. Part #
j. Part NSN
k. Part Manufacturer Code
l. EIR/QDR Submitted
Yes
No
10. WHY DID THE MATERIEL FAIL/MALFUNCTION? (Check the root causes(s) in Blk 10a. In Blk 10b., explain how the root
b. Describe how the materiel failed/malfunctioned and
causes(s) led to the materiel failure/malfunction.)
explain why (root cause).
LEADER
STDS/PROCEDURES
SUPPORT
a.
(Not ready, willing, or able to
(Not clear, Not practical)
(Short comings in type, capability, amount or condition of equip/supplies/
enforce standards)
services/facilities)
Direct Supervision
AR
SOP
Equip/Materiel Improperly Designed
Inadequate Manufacture
Unit Command Supervision
TM
Other
Equip/Materiel Not Provided
Inadequate Maintenance
Higher Command Supervision
FM
None Exists
Inadequate Facilities/Services
Other
11a. NAME (Last, First, MI) (include Address and UIC if
12. SSN
13a. PERSONNEL CLASSIFICATION
13b. DATE ASSIGNED/HIRED (YYYYMMDD)
different than Blks 5a and 5b.)
13c. DATE OF REDEPLOYMENT
14. MOS/JOB SERIES
15a. DUTY STATUS
15b. IF OFF DUTY (if on leave/pass)
FROM COMBAT ZONE, IF
Date from (YYYYMMDD)
On-duty
Leave
APPLICABLE (YYYYMMDD)
11b. HOME ADDRESS
Date to (YYYYMMDD)
Off-duty
Pass
16. DOB (YYYYMMDD)
17. GENDER
18. PAY GRADE
19. FLIGHT STATUS
Yes
No
PREVIOUS EDITION IS OBSOLETE.
PAGE 1 of 3
DA FORM 285-AB, FEB 2009
APD AEM v1.00ES
a. Degree
Date of Death (YYYYMMDD)
b. Type
c. Body Part
d. Cause
20. MOST SEVERE INJURY (See Instructions)
21. LOST TIME
ACTIVITY OF INDIVIDUAL Provide code (from list in instructions) and describe in space below.
a. Days Hospitalized
23. ACTIVITY CODE (If
24. SPECIFIC DESCRIPTION OF ACTIVITY/TASK
activity is parachuting,
b. Days lost not Hospitalized
complete Blk 38)
c. Days Restricted
d. Treated in ER
Yes
No
22a. OSHA Log 300 Case No.
b. Name of Physician
c. Name and Address of Treatment Facility
25. PERSONAL PROTECTIVE EQUIPMENT
AVAILABLE?
USED?
26. ALCOHOL/DRUGS CAUSE/CONT
27. EQUIP THIS PERSON WAS ASSOCIATED WITH?
N/A
(Enter Item No. from Blk 9)
Yes
No
Yes
No
CHECK APPROPRIATE BLOCK(S)
Yes BAC %
No
Unknown
a. Seat Belt
b. Restraint System
28a. LICENSED TO OPERATE EQUIPMENT
28b. MANDATORY 4hr TRAFFIC SAFETY TRAINING
Yes
No
If Yes, Date:
c. Goggles/glasses/visor
Yes
No
N/A
d. Gloves
28c. MSF CERTIFIED
29. DUTY HOURS
a. Time work began (e.g., 0645):
e. Ear Plugs
Yes
No
If Yes, Date:
b. Continuous hours:
f. IBA
g. Other (Specify)
30. HRS SLEEP
31. TACTICAL TRAINING
32. TYPE TRAINING FACILITY
33. LAST TRAINING
LAST 24
h. Helmet
Yes
No
DOT Approved (if Motorcycle) ?
Yes
No
34. FIELD EXERCISE/NAMED OPERATION
35. NIGHT VISION SYSTEM USED
Yes
No
Yes
No
If Yes, provide type:
If Yes, provide name:
36. DID INDIVIDUAL MAKE A MISTAKE THAT CAUSED/CONTRIBUTED TO ACCIDENT OR SEVERITY OF INJURY/DAMAGE? In Blk a, indicate if individual made a mistake. If yes, provide the code
(from instructions) in Blk b and describe in Blk c.
a. Mistake
c. Tell what the mistake was and how it caused/contributed to the accident or severity of injury/damage.
Yes
No
b. Code
37. WHY WAS THE MISTAKE MADE? ((ROOT CAUSE) (Check the root cause(s) in Blk a. In Blk b, tell how the root cause(s) led to the mistake.)
a.
LEADER
TRAINING
STDS/PROCEDURES
SUPPORT
INDIVIDUAL
(Not ready, willing, or
(Insufficient in
(Not clear/Not practical)
(Shortcomings in type, capability, amount or condition of
(Mistake due to own personal factors)
able to enforce standards)
Content/Amount
equip/supplies/services/facilities)
Equip/Materiel
Inadequate
Direct Supervision
School
AR
SOP
Poor/Bad Attitude
Fatigue
Improperly Designed
Manufacture
Inadequate
Unit Command
Equip/Materiel Not
Unit
TM
Other
Overconfident
Alcohol, Drugs
Maintenance
Supervision
Provided
Higher Command
Inadequate
Experience,
FM
None exists
Other
In a Hurry
Fear/Excitement
Supervision
Facilities/Services
OJT
PAGE 2 of 3
DA FORM 285-AB, FEB 2009
APD AEM v1.00ES
37b. Describe root cause(s) (reason) and tell how it/they caused the mistake.
38. PARACHUTE INFORMATION FOR PERSON LISTED IN Blk 11.
a. Jumper Height
g. Wind Direction/Speed at
m. Type of Last Jump
39. ENVIRONMENTAL CONDITIONS
a. Present:
b. Jumper Weight
n. Number of Previous Jumps
Jump Height
Drop Zone
#1
Yes
No
Unk
Yes
No
Unk
c. Type of Jump
h. Jump Altitude
o. Date Graduated Basic Airborne Training
#2
(YYYYMMDD)
#3
Yes
No
Unk
d. Parachute Type/Model
i. Position in Stick
b. Caused/Contributed:
j. Door Exited
p. Type Aircraft
e. Equipment
#1
Yes
No
Unk
k. Time Pre-jump Conducted
q. Accident Factors (parachute):
(Explain as necessary)
Yes
No
Unk
#2
f. Wt. of Equipment
l. Date of Last Jump
Yes
No
Unk
#3
40. PROVIDE BRIEF SYNOPSIS OF ACDT (Use additional sheets if required)(Explain sequence of events, tell how acdt happened.)
41. CORRECTIVE ACTION(S) TAKEN OR PLANNED
42. EXPLOSIVE/AMMUNITION INFORMATION
ITEM 1
ITEM 2
ITEM 3
ITEM 4
a. Lot#
b. Quantity
c. Net Explosive Weight (NEW)
d. DoDIC/DoDAC
43. POINT OF CONTACT INFORMATION ON THE ACCIDENT
a. Name (Last, First, MI), Rank Position/Title
b. Telephone No.
DSN:
COM:
c. Email Address:
d. Date
44. COMMAND REVIEW
a. Name
b. Signature
c. Rank
(YYYYMMDD)
45. SAFTETY OFFICE REVIEW
a. Name, Rank & Title
b. Phone Number
d. Date Reviewed
c. Email Address
(YYYYMMDD)
e. Local Report No. (Safety Office use only)
PAGE 3 of 3
DA FORM 285-AB, FEB 2009
APD AEM v1.00ES

Download DA Form 285-ab U.S. Army Abbreviated Ground Accident Report (Agar)

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How to Fill out DA Form 285-AB?

Procedural guidelines and additional information can be found in the DA PAM 385-40, released in March 2015. DD Form 285-AB instructions are as follows:

  1. One complete form is required is required for every involved individual. If more than one person is involved in the accident, an additional form should be filed for each individual with only Blocks 1 through 5 and Blocks 9 through 37 completed.
    Any person that was injured in the accident or took actions that caused or contributed to the accident is considered involved.
  2. Block 1 is for the date and time of the accident. Block 2 is for the period of the day the accident took place. The class of the accident is entered in Block 3. Block 4 is used to specify whether the accident occurred during combat or not. Block 5 is for identification of the unit associated with the accident.
  3. The location of the accident is provided in Block 6. Block 7 is filled out if any explosives, ammunition, or pyrotechnics were involved. Block 8 requires the description of the mission associated with the accident. Block 9 should contain a description of the vehicles, equipment or materials damaged in the accident. The reasons for the equipment failure or malfunction should be described in Block 10.
  4. Blocks 11 through 19 are for the information about the individual involved. Block 20 is for describing the damage taken. Time lost due to the accident is provided in Block 21 (in days). Block 22 requires an OSHA Log 300 case number, the name of the physician and the location of treatment if the treatment was provided away from the worksite.
  5. Block 23 is for the code of the activity performed during the accident. A specific description of the activity is given in Block 24. Block 25 is for specifying what protective equipment was available or used during the accident. Block 26 is for specifying if alcohol or drugs were involved in the accident.
  6. The equipment the individual involved was associated with is specified in Block 27. Block 28 is for specifying whether the individual involved had traffic safety training, an MSF certificate and a license required to operate the vehicle or equipment. Duty hours are entered in Block 29. Hours of sleep are entered in Block 30.
  7. Block 31 is filled out if the accident happened during tactical training. The type of training facility is specified in Block 32. Block 33 is for the information about the training. Block 34 requires specifying if the training included field exercises or operations. The use of night vision systems is disclosed in Block 35.
  8. Blocks 36 and 37 are filled out if the accident was a direct result of the actions of the individual involved.
  9. Block 38 should be completed if the accident occurred during parachuting. Environmental conditions are described in Block 39.
  10. A brief synopsis of the accident should be provided in Block 40. All actions taken, planned or recommended to eliminate or reduce the root cause of the accident should be described in Block 41.
  11. Block 42 should be completed if Block 7 was answered positively. Blocks 43 and 45 are for electing a point of contact for everything accident-related and for providing information about the Command review and Safety office review.

DA 285-AB Related Forms

  1. DA Form 285, Technical Report of U.S. Army Ground Accident is a form used for reporting any ground accidents that happen on U.S. Army grounds.
  2. DA Form 285-A, Technical Report of U.S. Army Ground Accident Index A is a form used for reporting Class A ground accidents.
  3. DA Form 285-B, Technical Report of U.S. Army Ground Accident Index B is a form used for reporting Class B accidents.
  4. DA Form 285-O, Technical Report of U.S. Army Ground Accident Statement of Reviewing Officials contains a statement of the officials authorized to record the details of the accident.
  5. DA Form 285-W, Technical Report of U.S. Army Ground Accident Summary of Witness Interview is a form that serves as a record of interviews with the witnesses of the accidents.
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