U.S. ARMY COMBAT READINESS
CENTER
Phase IV
Completing the
Technical Report
ACCIDENT
REPORT
U.S. ARMY SAFETY CENTER
LIMITED USE SAFETY ACIDENT
INVESTIGATION REPORT OF
US ARMY CLASS A ACCIDENT
Equipment:
Date of Accident:
Location:
Unit:
U.S. ARMY COMBAT READINESS
CENTER
ACCIDENT
REPORT
U.S. ARMY SAFETY CENTER
LIMITED USE SAFETY ACIDENT
INVESTIGATION REPORT OF
US ARMY CLASS A ACCIDENT
Equipment:
Date of Accident:
Location:
Unit:
The
Red
Book
U.S. ARMY COMBAT READINESS
CENTER
Aviation Accident Report
DA PAM 385-40 Chapter 3
Aviation Accident Report
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
DA Form 2397-13
Index A
U.S. ARMY COMBAT READINESS
CENTER
DA Form 2397-14
Index B
A
B
C
D
E
F
G
H
I
J
K
L
M
General Instructions
U.S. ARMY COMBAT READINESS
CENTER
• The information on the left side of the report will
aid in completing the 2397 series.
• Tab items 1, 2, 4, 6, 7, and 9 of DA Form 2397–13
will be submitted with all technical reports.
• Blocks 3, 5, 8, and 10 through 14 are required if
necessary to substantiate other parts of the
report.
• Special considerations.
– Legibility
– Extracts
– Highlighting key words and phrases
U.S. ARMY COMBAT READINESS
CENTER
Left Side
Substantiating Data
DA PAM 385-40
Paragraph 3-17
DA Form 2397-13
1
Copy of Orders Appointing Investigation Board
2
Weather Data
3
Certificate of Damage/ECOD
4
Diagrams and/or Photographs
5
Copy of Deficiencies Report
6
Special Technical Reports and Laboratory Analysis
7
Weight and Balance (DD Form 365-4)
8
Copy of Directives, Regulations, Etc.
9
Medical Data (Autopsy, Toxicology, AFIP, Etc.)
10
Flight Planning Data
11
Copy of Army Aviator’s Flight Record
12
Copy of Aircraft Inspection and Maintenance Record
13
Copy of uncorrected Fault Record
14
Copy of Equipment Modification Record (2408-5)
15
Other Specify
16
Other Specify
17
Other Specify
18
Other Specify
U.S. ARMY COMBAT READINESS
CENTER
Tab 1
Copy of Orders
Appointing
The Investigation
Board
U.S. ARMY COMBAT READINESS
CENTER
1
2
3
4
Tab 1
5
6
7
8
9
10
11
Board Orders
Copy of Orders
Appointing
The Investigation
Board
12
13
14
15
16
17
18
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
2
3
4
5
6
7
8
Tab 2
Weather
Data
9
10
11
12
13
14
15
16
17
18
(All reports)
Hourly Observations
U.S. ARMY COMBAT READINESS
CENTER
2
3
4
Tab 2
5
6
7
8
9
10
11
Weather
Report
Weather
Data
12
13
14
15
16
17
18
http://www.afccc.af.mil/
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
3
4
Tab 3
5
6
7
8
9
10
11
ECOD
Letter
Certificate of
Damage/ECOD
12
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
3
4
Tab 3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
ECOD
Letter
Certificate of
Damage/ECOD
TB 43-0002-3
Army Aircraft
Expenditure
Limits
U.S. ARMY COMBAT READINESS
CENTER
4
5
Tab 4
Blade debris in trees and
on ground resulting from
major impact with 90’ trees
6
90 Knots AS@ entry = 152 fps
7
8
9
280’
FAB debris
from fuselage
being drug
through 60’
trees
Trail separating new
And old growth
Tree Tops (Old growth) 90’
#1 Engine Impact
82’
Major Impact Crater
52’
10
11
Stabilator (Center)
#1 Engine
49’
60’
Diagrams and/or
Photographs
(All reports)
63’
12
9o
Fuselage
402’
13
454’ from main tree strike to fuselage
14
605’ from initial tree strike to fuselage
15
16
17
18
600’
450’
350’
250’
150’
50’
0’
Profile View of Crash Path
(All reports)
Accident Site
18 TVP
4808684083
44° 06.485 N
075° 38.981W
Elevation 592’
U.S. ARMY COMBAT READINESS
CENTER
4
Tab 4
5
6
Diagrams and/or
Photographs
7
8
9
10
11
12
13
Wheeler Sack
Army Airfield
Photo
With
Caption
Grid
North
Magnetic
North
13°
True
North
0°25’
14
15
Route of Flight for UH-60
16
17
18
1
2
3
4
5
Meters
Fort Drum Military Installation Map
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
4
Tab 4
5
6
Diagrams and/or
Photographs
7
8
9
10
11
12
13
14
15
16
17
18
3
Photo #3
2001.
AH-64A, 86-09019, Poland, 9 October
Picture of the left side of the fuselage
taken looking east after trees were removed.
The aircraft came to rest against several
pines trees. The fuselage was oriented 009o,
approximately 9o nose low and 36o right roll.
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
5
6
7
8
9
Tab 5
Copy of
Deficiency
Reports
10
11
12
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 6
6
Special
Technical
Reports and
Laboratory
Analysis
7
8
9
10
11
12
13
14
15
16
17
18
Special Report
From Boeing
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
Tab 6
6
Special
Technical
Reports and
Laboratory
Analysis
7
8
9
10
11
12
13
14
15
16
17
18
Special Report
From CCAD
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
Tab 6
6
Special
Technical
Reports and
Laboratory
Analysis
7
8
9
10
11
12
13
14
15
16
17
18
Oil & Fuel Analysis
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
Tab 7
7
8
9
10
11
12
13
14
15
16
17
18
Weight
And Balance
Form
Weight and
Balance
(DD Form 365-4)
Crew W&B
IP W&B
Maintenance
Chart C
Confirmation
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
Tab 8
8
9
10
11
12
Any Source Stating Standards
(Adequate & Inadequate
AR 95-1, 385-10, DA PAM 385-90
DA PAM 738-751,
Operators Manual (-10)
Unit SOP, policy, procedures
TC 1-210, ATMS
FM 5-19, 1-300
Airworthiness, ISAQ
Copies of
Directives,
Regulations,
Etc.
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 8
8
9
10
11
Regulation
Excerpt
Copies of
Directives,
Regulations,
Etc.
12
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 9
9
10
11
Autopsy
Medical Data
(Autopsy,
Toxicology,
AFIP, Etc.)
12
13
14
15
16
17
18
(All reports)
U.S. ARMY COMBAT READINESS
CENTER
Tab 10
10
11
Flight
Plan
12
Flight
Planning
Data
(FP, Msn Brief,
PPC, RAW)
13
14
15
16
17
18
DD Form 175
(As necessary)
RW PERFORMANCE PLANNING CARD
For use of this form, see TCs 1-209, 1-215, and 1-216; the proponent agency is TRADOC.
DEPARTURE
PA
+2276 / +2368
TAKEOFF GWT
FAT
4909
CALIBRATION FACTOR
F = 0.8
U.S. ARMY COMBAT READINESS
CENTER
+ 20 / +37
LOAD
N/A
FUEL
650
DUAL ENG
SINGLE ENG
CAL
IND
MAX TORQUE AVAILABLE
100%
CONT TORQUE AVAIL
77%
GO/NO-GO TORQUE (OGE/IGE)
PREDICTED HOVER TORQUES
72%
HOVER OGE TORQUE
84%
MAX ALLOWABLE GWT (OGE/IGE)
MAX R/C OR ENDURANCE IAS
49 KTS
MAX RANGE IAS
92 KTS
SINGLE-ENG CAPABILITY IAS (MIN/MAX)
10
11
VALIDATION FACTOR
SAFE PEDAL MARGIN
YES
NO
ARRIVAL DATA
12
PA
13
LANDING GWT
+2368
FAT
+37
4460 LB
DUAL ENG
14
SINGLE ENG
CAL
IND
MAX TORQUE AVAILABLE
15
CRUSIE SPEED
100%
16
CRUISE TROQUE
65%
17
CRUISE FUEL FLOW
76%
18
SAFE PEDAL MARGIN
YES
Tab 10
Flight
Planning
Data
(FP, Msn Brief,
PPC, RAW)
Crew PPC
IP PPC
NO
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 10
Flight
Planning
Data
(FP, Msn Brief,
PPC, RAW)
Crew PPC
IP PPC
10
11
12
13
14
15
16
17
18
Risk Assessment Worksheets
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 11
-12
11
Copy of Army
Aviator’s Flight
Record
(DA Form 2408-12)
12
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 12
12
Copy of Aircraft
Inspection and
Maintenance
Record
(DA Form 2408-13)
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 13
-14
Copy of
Uncorrected
Fault
Record
(DA Form 2408-14)
13
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab 14
Copy of
Equipment
Modification
Record
(DA Form 2408-5)
14
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Radar Plot
MEDEVAC Log
Crash Rescue Log
FDR Data
Quarterly Training Brief
Risk Assessment Worksheet
Tab 15-18
Other
Specify
Any type of data not covered in
previous tabs that substantiates
any portion of the final report.
15
16
17
18
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Technical Report
Right Side
DA Form 2397 Series
DA Form 2397-14
U.S. ARMY COMBAT READINESS
CENTER
Statement of Reviewing Official
A
Summary of Accident
B
Findings and Recommendations
C
Accident Narrative
D
Summary of Witness Interviews
E
Wreckage Distribution Data
F
In-Flight or Terrain Impact and Crash Damage G
Maintenance and Materiel Data
H
Personal Data
I
Injury Occupational Illness Data
J
Personal Protection/Escape/Survival/Rescue
K
Weather
L
Fire Data
M
Right Side
Tabs
A-E
DA Form 2397-1
&
Narrative
U.S. ARMY COMBAT READINESS
CENTER
A
B
C
D
E
F
G
H
Tab A
Statement
Of
Reviewing
Officials
(2397)
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
B
C
D
E
F
G
Tab B
Summary
Of
Accident
(2397-1)
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
C
D
E
F
G
Tab C
Findings
And
Recommendations
(2397-2)
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
1.
2.
3.
4.
History of Flight
Human Factors
Materiel Factors
Analysis
Tab D
D
E
F
Accident
Narrative
(2397-3)
G
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
1. History of Flight
a. Pre-flight phase
b. Flight phase
c. Post-flight phase
Tab D
D
E
F
Accident
Narrative
(2397-3)
G
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
2. Human Factors
a. Personnel background info
b. Personnel management
c. Aircraft suitability
d. Communication/Air Traffic
e. Nav Aids
f. Meteorological information
g. Ground support services
h. Crash survival
i. Emergency egress
j. Special investigation
k. Witness investigation
Tab D
D
E
F
Accident
Narrative
(2397-3)
G
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
3. Materiel Factors
a. Aircraft airworthiness
b. Flight recorders
c. Airframe
d. Systems
e. Powerplant
f. Rotor systems or props
g. Transmissions/gearboxes
h. Laboratory analysis
i. Crash site information
j. Fire
Tab D
D
E
F
Accident
Narrative
(2397-3)
G
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
4. Analysis
a. Identify human errors,
materiel failures,
Environmental factors
b. Discuss results of factors
c. Identify system inadequacies
d. Report preventable injuries
e. Discuss command influence
Tab D
D
E
F
Accident
Narrative
(2397-3)
G
H
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
Tab E
E
F
G
H
Summary
Of
Witness
Interviews
(2397-4)
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
#
Debris Description
Dist
Dir
#
Debris Description
Dist
Dir
1
Tree, severed @ 9’
20’
360°
9
MMS, cradled in tree
10’
150°
2
Tree, severed @ 9’
17’
353°
10
Tree trunk, 11 dia, 11’ tall
12’
145°
3
Tree, severed @ 7’
13’
342°
11
Tree, severed portion, 34’ long
10’
150°
4
Tree, severed @ 6.5’
11’
018°
12
Trees (3) severed @ 6.5’
4’
095°
5
Trees (3), severed @ 6’
10’
274°
O
Orange main rotor blade
6
Tree, severed @6.5’
7’
254°
B
Blue main rotor blade
7
Tree, severed @ 11’
15’
210°
R
Red main rotor blade
8
Tree, severed @ 6.5’
15’
180°
G
Green main rotor blade
Main Fuselage
3
Heading
320°
A
5
2
F
4
N
12
O
B
34’
B
11
6
R
7
D
Aircraft drift
right and forward
~200°
1
18TVP 50827471
44°01.435N
075°36.817W
Elevation: 779’
Tab F
C
G
8
H
I
J
9
11’
Wind
Forecast: 330/10
Observed: Calm
G
Wreckage
Distribution
Data
(2397-5)
10
K
L
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab G
G
H
I
J
In-flight Or
Terrain Impact
And Crash
Damage
Data
(2397-6) (1of 2)
K
L
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab G
G
H
I
J
In-flight Or
Terrain Impact
And Crash
Damage
Data
(2397-6) (2 of 2)
K
L
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab H
H
Maintenance
And
Materiel
Data
(2397-7)
I
J
K
L
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab I
Personal
Data
(2397-8) (1 of 2)
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
Tab I
Personal
Data
(2397-8) (2 of 2)
I
J
K
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
Tab J
Injury
Occupational
Illness
Data
(2397-9)
J
K
L
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Tab K
K
Personal
Protection/
Escape/
Survival/
Rescue
Data
(2397-10)
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
Tab L
Weather
(2397-11)
L
M
(Required)
U.S. ARMY COMBAT READINESS
CENTER
Tab M
Fire
Data
(2397-12)
M
(As necessary)
U.S. ARMY COMBAT READINESS
CENTER
Ground Accident Report
DA PAM 385-40 Chapter 4
Ground Accident Report
U.S. ARMY COMBAT READINESS
CENTER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
DA Form 285-B
DA Form 285-A
A
B
C
D
E
F
G
H
I
J
K
L
M
U.S. ARMY COMBAT READINESS
CENTER
1
Serious Incident/Casualty Report
2
Copy of Orders Appointing Investigation Board
3
Map of Accident Site
4
Diagrams and/or Photographs
5
Certificate of Damage/ECOD
6
Copy of Deficiency Reports
7
Copy of Directives, Regulations, Etc.
8
Special Technical Reports and Laboratory Analysis
9
Copy of Uncorrected Fault Record
10
Copy of Equipment Modification Record (2408-5)
11
Weather Data
12
Medical Data (Autopsy, Toxicology, AFIP, Etc.)
13
Other Specify
14
Other Specify
15
Other Specify
16
Other Specify
17
Other Specify
18
Other Specify
Left Side
Tabs
1-18
Substantiating
Data
U.S. ARMY COMBAT READINESS
CENTER
Right Side
Statement of Reviewing Official (285-O)
A
U.S. Army Accident Report (DA Form 285)
B
Findings and Recommendations
C
Narrative of Accident
D
Summary of Witness Interviews (285-W)
E
Tabs
A-E
DA Form 285
&
Narrative
U.S. ARMY COMBAT READINESS
CENTER
Right Side
Tab A
DA Form 285- O
Statement of Reviewing Official (DA Form 285-O)
A
B
C
D
E
U.S. ARMY COMBAT READINESS
CENTER
Right Side
Technical Report (DA Form 285)
Tab B
DA Form 285
A
B
C
D
E
U.S. ARMY COMBAT READINESS
CENTER
Right Side
Tab E
DA Form 285-W
Summary of Witness Interview DA Form 285-W)
A
B
C
D
E
Prepare An Out-Brief
U.S. ARMY COMBAT READINESS
CENTER
• Tell the story (History)
• Provide analysis with a logical flow of
data
• List findings one at a time
• Recommendations follow the findings
• Special observations
U.S. ARMY COMBAT READINESS
CENTER
QUESTIONS?