DA Form 2397-1 Technical Report of U.S. Army Aircraft Accident Part Ii - Summary

DA Form 2397-1 - also known as the "Technical Report Of U.s. Army Aircraft Accident Part Ii - Summary" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 2397-1 - was last revised on February 1, 2009. Download an up-to-date fillable PDF version of the DA 2397-1 below or request a copy through the chain of command.

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TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART II - SUMMARY
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
C
a.
b.
c.
a. Type
A
B
b. Category
Flight
Flight Related
2. TYPE EVENTS
1. CLASSIFICATION
3. PERIOD OF DAY
Dawn
Day
Dusk
Night
4. a. On Post
Yes
No
b. On Airfield
Yes
No
5. NEAREST MIL INSTALLATION
6. NO. OF ACFT INVOLVED
b. State:
a. City:
c. Country:
d. Grid or Lat./Long.:
7. LOCATION
8. a. Acft MTDS:
b. (1) Orgn Acft Asgd:
(2) UIC:
c. Instal Acft Asgd:
9.
ORGN/CHAIN OF CMD INVOLVED AND ACCOUNTABLE
a.
Orgn Involved
Chain of Cmd
Chain of Cmd
Chain of Cmd
Chain of Cmd
Army HQ
ORGN/Chain
(1) Unit
of Cmd
Involved
(2) UIC
b.
Orgn Accountable
Chain of Cmd
Chain of Cmd
Chain of Cmd
Chain of Cmd
Army HQ
ORGN/Chain
(1) Unit
of Cmd
Accountable
(2) UIC
POSTCRASH
Total Loss
10. a. Estimated Cost
11. SURVIVABILITY 12. IN-FLT ESCAPE
13. FIRE
14.
ESCAPE
$
(1) Acft Damage Cost
Owner
Survivable
Ejection
None
DIFFICULTIES
Partially
$
(2) Repair M/Hrs Cost
No. M/Hrs
Bailout
Inflight
Yes
Survivable
Not
Post-
$
(3) Other Damage Mil
Owner
No
Accomplished
crash
Nonsurvivable
$
(4) Other Damage Civ
Owner
Acft Missing
NA
Other
NA
$
(5) Injury Cost
15. USABLE FUEL
$
lbs.
lbs.
(6) Total Cost This Acft
a. At Takeoff:
b. At Time of Emerg:
ABOARD
lbs.
$
c. At Acdt or Term:
d. Type Fuel:
b. Total Cost Multiple Acft
ACFT
Not
Disabling
Nondisabling
19. INJURIES (Number)
Yes
18. MISSION
16.
GENERAL DATA
No
17. FLIGHT
Fatal
Missing
injured
(A)
(H)
a. Type
(B - E)
(F-G)
PLAN
(I)
a. Fluid Spillage
b. (1) Night Visual Aids Used
a. Occupants Military
VFR
(2) Specify Type
b. Occupants Other
b. Operations
c. (1) Digital Source Collector Installed
c. Non-Occupants Mil
IFR
(2) Specify Type
Single-
d. Non-Occupants
ship
None
d. Field Training Exercise Involved
e. Total This Acft
Multi-
e. Heads-Up Display In Use
f. Multiple Acft Event
NA
ship
f. Emergency Locator Transmitter Installed
TERRAIN OF CRASH SITE (More than one may apply)
20.
a. General Characteristics
b. Surface at Crash Site
Mountain
Desert
Rolling
Flat
Water
Prepared
Ice
Sod
Snow
Soggy
Water
c. Crash Site Grade
Level
Slope
d. Obstacles at Crash Site
Stumps
Trees
Bldg
Wires
Rocks/Boulders
Degrees
Other
21. FLIGHT DATA
Altitude
Heading
Phase of
Airspeed
Overgross
Flight Duration
Aircraft Weight
(Compass)
Yes
No
Operation
TAS
AGL
MSL
a. Planned Data
Hr
Tns
b. When Emergency Occurred
Hr
Tns
c. Accident or Termination
Hr
Tns
22. ACCIDENT CAUSE FACTORS (Enter a D, S, or U in appropriate blocks to identify definite, suspected, or undetermined causes)
Personnel
a. Personnel
(Continued)
D, S, or U
D, S, or U
(1) Flight Crew:
(3) Supervisory
Duty
Duty
Duty
Duty
Duty
(4) Other
Duty
(2) Ground Crew:
Duty
b. Material Failure/Malfunction
c. Environmental
Duty
23. SEQUENCE (Factual accident sequence from onset of emergency through termination of flight. Use additional sheet if required.)
b. Signature
24. AVN SAFETY
a. Name, Rank, and Organization
OFFICER
25. CASE NO.
a. Date
26. OTHER ACFT SERIAL NO.
(YYYYMMDD)
b. Time
c. Acft Serial No.
APD LC v1.01ES
PREVIOUS EDITION IS OBSOLETE.
DA FORM 2397-1, FEB 2009
TECHNICAL REPORT OF U.S. ARMY AIRCRAFT ACCIDENT
REQUIREMENTS CONTROL SYMBOL
PART II - SUMMARY
CSOCS-309
For use of this form, see DA Pamphlet 385-40; the proponent agency is OCSA.
C
a.
b.
c.
a. Type
A
B
b. Category
Flight
Flight Related
2. TYPE EVENTS
1. CLASSIFICATION
3. PERIOD OF DAY
Dawn
Day
Dusk
Night
4. a. On Post
Yes
No
b. On Airfield
Yes
No
5. NEAREST MIL INSTALLATION
6. NO. OF ACFT INVOLVED
b. State:
a. City:
c. Country:
d. Grid or Lat./Long.:
7. LOCATION
8. a. Acft MTDS:
b. (1) Orgn Acft Asgd:
(2) UIC:
c. Instal Acft Asgd:
9.
ORGN/CHAIN OF CMD INVOLVED AND ACCOUNTABLE
a.
Orgn Involved
Chain of Cmd
Chain of Cmd
Chain of Cmd
Chain of Cmd
Army HQ
ORGN/Chain
(1) Unit
of Cmd
Involved
(2) UIC
b.
Orgn Accountable
Chain of Cmd
Chain of Cmd
Chain of Cmd
Chain of Cmd
Army HQ
ORGN/Chain
(1) Unit
of Cmd
Accountable
(2) UIC
POSTCRASH
Total Loss
10. a. Estimated Cost
11. SURVIVABILITY 12. IN-FLT ESCAPE
13. FIRE
14.
ESCAPE
$
(1) Acft Damage Cost
Owner
Survivable
Ejection
None
DIFFICULTIES
Partially
$
(2) Repair M/Hrs Cost
No. M/Hrs
Bailout
Inflight
Yes
Survivable
Not
Post-
$
(3) Other Damage Mil
Owner
No
Accomplished
crash
Nonsurvivable
$
(4) Other Damage Civ
Owner
Acft Missing
NA
Other
NA
$
(5) Injury Cost
15. USABLE FUEL
$
lbs.
lbs.
(6) Total Cost This Acft
a. At Takeoff:
b. At Time of Emerg:
ABOARD
lbs.
$
c. At Acdt or Term:
d. Type Fuel:
b. Total Cost Multiple Acft
ACFT
Not
Disabling
Nondisabling
19. INJURIES (Number)
Yes
18. MISSION
16.
GENERAL DATA
No
17. FLIGHT
Fatal
Missing
injured
(A)
(H)
a. Type
(B - E)
(F-G)
PLAN
(I)
a. Fluid Spillage
b. (1) Night Visual Aids Used
a. Occupants Military
VFR
(2) Specify Type
b. Occupants Other
b. Operations
c. (1) Digital Source Collector Installed
c. Non-Occupants Mil
IFR
(2) Specify Type
Single-
d. Non-Occupants
ship
None
d. Field Training Exercise Involved
e. Total This Acft
Multi-
e. Heads-Up Display In Use
f. Multiple Acft Event
NA
ship
f. Emergency Locator Transmitter Installed
TERRAIN OF CRASH SITE (More than one may apply)
20.
a. General Characteristics
b. Surface at Crash Site
Mountain
Desert
Rolling
Flat
Water
Prepared
Ice
Sod
Snow
Soggy
Water
c. Crash Site Grade
Level
Slope
d. Obstacles at Crash Site
Stumps
Trees
Bldg
Wires
Rocks/Boulders
Degrees
Other
21. FLIGHT DATA
Altitude
Heading
Phase of
Airspeed
Overgross
Flight Duration
Aircraft Weight
(Compass)
Yes
No
Operation
TAS
AGL
MSL
a. Planned Data
Hr
Tns
b. When Emergency Occurred
Hr
Tns
c. Accident or Termination
Hr
Tns
22. ACCIDENT CAUSE FACTORS (Enter a D, S, or U in appropriate blocks to identify definite, suspected, or undetermined causes)
Personnel
a. Personnel
(Continued)
D, S, or U
D, S, or U
(1) Flight Crew:
(3) Supervisory
Duty
Duty
Duty
Duty
Duty
(4) Other
Duty
(2) Ground Crew:
Duty
b. Material Failure/Malfunction
c. Environmental
Duty
23. SEQUENCE (Factual accident sequence from onset of emergency through termination of flight. Use additional sheet if required.)
b. Signature
24. AVN SAFETY
a. Name, Rank, and Organization
OFFICER
25. CASE NO.
a. Date
26. OTHER ACFT SERIAL NO.
(YYYYMMDD)
b. Time
c. Acft Serial No.
APD LC v1.01ES
PREVIOUS EDITION IS OBSOLETE.
DA FORM 2397-1, FEB 2009

Download DA Form 2397-1 Technical Report of U.S. Army Aircraft Accident Part Ii - Summary

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