Download pdf Fill PDF online

AF Form 4392 "Predeparture Safety Briefing"

What Is AF Form 4392?

AF Form 4392, Pre-Departure Safety Briefing - also known as the Pre-Departure Safety Briefing Form - is a document used to identify mitigating strategies and assess risk when planning for a trip. Commanders, supervisors, and managers must mentor and guide employees to manage safety.

The Pre-Departure Travel Safety Program is a management tool for supervisors and commanders. It helps civilian and military employees to reduce the potential for a traffic mishap by identifying and mitigating risks involving travel by private motor vehicle to a permanent change of station, leave, and temporary duty assignments.

The latest version of the form was released by the Air Force (AF) on August 5, 2011, with all previous editions obsolete. An up-to-date fillable AF Form 4392 is available for download below or can be found through the Air Force e-Publishing website. Additional information and filing guidelines can be found in AFI 91-202, The U.S. Air Force Mishap Prevention Program. This instruction sets mishap prevention program requirements, contains program management information, and assigns responsibilities for the program elements.

AF Form 4392 Instructions

The instructions for the AF 4392 Form are as follows:

The unit commanders must ensure that before departure on leave, temporary duty, or permanent change of station, the military personnel are reminded of the dangers involving travel by private motor vehicles and recreational activities;
The unit commander, the immediate supervisor, the flight commander, the first sergeant, or the military training manager must conduct a briefing;
The units are responsible for adding educational materials adapted to the installation's location, the recreational activities, and the climatic conditions.

How to Fill out AF Form 4392?

Section I, "Instructions" includes main guidelines on how to complete the form;
Section II, "Briefing guide" urges the driver to plan the trip intelligently and carefully; advises the traveler to contact the command post in the event of an emergency situation or an accident; encourages the traveler to check the weather forecast for the route of travel and to make sure sufficient funds to cover expenses are available; stresses the importance of vehicle condition and the value of restraint devices; discourages driving during late night hours; discusses the requirements for personnel planning to engage in high-risk activities, as well as the main causes of injury and death by vehicle accidents; reminds personnel to extend common sense and safety principles in recreational activities;
Section III, "Proposed Travel Itinerary" must be completed by the departing member and reviewed by the unit commander, the first sergeant, the flight commander, the immediate supervisor, or the military training manager before the member's departure. It covers the modes of transportation, the final destination, the departure date, the departure point and the arrival point for every day of travel, the approximate mileage, and the length of the rest period;
Section IV, "Other Information" may be overprinted for a group briefing, for local information.

The informed individual writes down their full name, grade, organization, the actual date, and signs the form.

Download AF Form 4392 "Predeparture Safety Briefing"

3961 times

Rate (4.5 / 5) 50 votes

Show Pagination

PREDEPARTURE SAFETY BRIEFING

PART I.

INSTRUCTIONS

1. Unit commanders must ensure that military personnel under the age of 26 are reminded, before departure on

leave, TDY, or PCS, of the hazards involving recreational activities and travel by private motor vehicles.

2. The unit commander, first sergeant, flight commander, immediate supervisor, or military training manager will

conduct this briefing. Group briefing may be given if so desired.

3. Units are responsible for adding to the following guidance by using educational materials tailored to the

installation's location, climatic conditions, and recreational activities. Supplemental educational and briefing

material can be obtained from the ground safety office.

4. Part III, "Travel Itinerary" will be completed by the departing member and reviewed by the unit commander,

first sergeant, flight commander, immediate supervisor, or the military training manager for approval prior to

member's departure.

5. Part IV, "Other Information," may be overprinted for local information, group briefing, etc.

6. Dispose of this IMT in accordance with Air Force Records Disposition Schedule (RDS).

PART II.

BRIEFING GUIDE

1. Urge the driver to carefully and intelligently plan the trip, allowing time for rest prior to departure and at least

every 2 hours while traveling. Travelers should not drive more than 10 hours during any 24-hour period.

2. Encourage the traveler to be sure sufficient funds are available to cover expenses. A shortage of funds often

leads to exhausting, marathon driving.

3. Encourage the traveler to check the weather forecast for the intended route of travel.

4. Discourage driving during late night hours. Many drivers on the road after dark possibly have been drinking.

5. Stress the value of occupant restraint devices, including child and head restraints.

6. Stress the importance of vehicle condition; vehicle defects also contribute to mishaps.

7. Discuss the main causes of injury and death by vehicle mishaps, which are speeding, fatigue, alcohol, nonuse

of occupant restraints, and nonuse of helmets by motorcyclists.

8. Remind personnel to extend safety principles and common sense in planned recreational activities while off

duty. Sports and recreational injuries are the leading cause of injuries to Airmen. These injuries can be

prevented. While there are inherent risks associated with every activity, these risks can be minimized by

performing warm-up and stretching exercises prior to physical activities, drinking plenty of fluids during the

activity, avoiding overexertion, and stretching after the activity.

9. Discuss the requirement for personnel who plan on engaging in high-risk activities such as flying civil aircraft,

hang gliding, skydiving, parasailing, white-water rafting, motorcycle and auto racing, scuba diving, bungee

jumping, etc., to inform their military training manager, immediate supervisor, flight commander, first sergeant, or

unit commander. These personnel will schedule a follow-on briefing with the appropriate individual to discuss the

hazards and potential for injuries associated with their activity.

AF Form 4392, 20110805