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USAFE: Safety - BITS

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68 AFMAN91-221_<strong>USAFE</strong>SUP1_I 18 AUGUST 2005<br />

5.X.7. MAJCOM/DRU/FOA*.<br />

5.X.7.1. NAF.<br />

5.X.7.2. Center/Wing (Wing-equivalent Group).<br />

5.X.7.3. Group.<br />

5.X.7.4. Squadron.<br />

5.X.7.5. Unit.<br />

5.X.7.6. Base.<br />

5.X.8. Component.*<br />

5.X.9. TOX testing (positive, negative, pending, not suspected or not accomplished). If positive or not<br />

accomplished, explain in narrative. TOX test information must be identified in all mishaps.<br />

5.X.9.1. Substance type.*<br />

5.X.9.2. Substance level.<br />

5.X.10. Injury class.*<br />

5.X.10.1. Part of body injured.*<br />

5.X.10.2. Type injury.*<br />

5.X.11. Was individual training a factor in the mishap (Y or N)? Types of training include traffic safety,<br />

job task, life support, etc. If training was factor, answer following six questions:<br />

5.X.11.1. Was individual trained and, if required, certified to perform task (Y or N)?<br />

5.X.11.2. Was training program, as designed, adequate to perform task (Y or N)?<br />

5.X.11.3. Did training, as administered, comply with established training program (Y or N)?<br />

5.X.11.4. Were written instructions available (checklist, TO, etc.) (Y or N)?<br />

5.X.11.5. Were written instructions used (Y or N)?<br />

5.X.11.6. Were written instructions satisfactory (Y or N)?<br />

5.X.12. <strong>Safety</strong> equipment. Select available safety equipment (maximum of three) from Attachment 2,<br />

and state if it was used (Y or N) and if it worked (Y or N). Use following format: seat belts/yes/yes; parachute/yes/no/;<br />

helmet/no/(blank).*<br />

6. Property data. Give following data on each piece of property involved. If more than one piece of property<br />

is involved, provide information in subparagraphs entitled “Object 1,” “Object 2,” etc.<br />

6.X.1. Property Component.* Repeat all of entry 6.1 for each item if more than one item or property type<br />

is involved. Number as 6.X.1 through 6.X.8.<br />

6.X.1.1. *Organization assigned. If the organization is same as paragraph 2, state “same as paragraph 2.”<br />

6.X.1.1.1 MAJCOM/DRU/FOA*.<br />

6.X.1.1.2 NAF.<br />

6.X.1.1.3 Center/Wing (Wing-equivalent Group).

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