DoDI 6055.7
DoDI 6055.7
DoDI 6055.7
INSTRUCTION
NUMBER 6055.07
October 3, 2000
Incorporating Change 1, April 24, 2008
USD(AT&L)
References: (a) DoD Instruction 6055.7, “Mishap Investigation, Reporting and Record
Keeping,” April 10, 1989 (hereby canceled)
(b) DoD Directive 4715.1, "Environmental Security," February 24, 1996
DoD Directive 4715.1E, “Environment, Safety, and Occupational Health
(ESOH),” March 19, 2005
(c) Executive Order 12196, “Occupational Safety and Health Programs for
Federal Employees,” February 26, 1980
(d) Title 29, Code of Federal Regulations, Part 1960, “Basic Program Elements
for Federal Employees Occupational Safety and Health Program,” October 21,
1980
(e) through (wx), see enclosure 1
This Instruction:
1.1.1. Inform the Secretary of Defense on the loss of assets through accidents.
1.1.2. Provide a factual basis for the allocation of resources in support of DoD accident
prevention programs developed under DoD Directive 4715.1E (reference (b)).
1.1.3. Comply with the Occupational Safety and Health Administration's (OSHA)
reporting requirements in accordance with E.O. 12196 and 29 CFR 1960 (references (c) and (d)).
Change 1, 04/24/2008
DoDI 6055.07, October 3, 2000
1.2. Provides format and instructions for preparing reports to fulfill the requirements
generated by references (c), (d), and DoD 6055.09-STD (reference (e)).
1.3. Centralizes the collection, dissemination, and reporting of DoD fire loss data.
1.4. Designates the Secretary of the Navy as the DoD Executive Agent for the fire incident
reporting system.
2.1. To the Office of the Secretary of Defense, the Military Departments (including the
Coast Guard when it is operating as a Military Service in the Navy), the Chairman of the Joint
Chiefs of Staff, the Combatant Commands, the Office of the Inspector General of the
Department of Defense, the Defense Agencies, the DoD Field Activities, and all other
organizational entities within the Department of Defense (hereafter referred to collectively as
"the DoD Components"). The term "Military Services," as used herein, refers to the Army, the
Navy, the Air Force, and the Marine Corps. For the purposes of this Instruction, the Army-Air
Force Exchange Service is considered a DoD Component.
2.2. The provisions of this Instruction may not be construed to limit the statutory authority of
the Inspector General of the Department of Defense to have access to all records, reports,
investigations, documents, or other material, including those called for by this Instruction, as
provided for in the Inspector General Act of 1978 (as amended), DoD Directive 5106.01, and
DoD Instruction 7050.3 (references (f) through (h)).
3. DEFINITIONS
4. POLICY
4.1. Investigate, report, and keep related records on accidental death, injury, occupational
illness, and property damage for DoD accidents covered by this Instruction and/or specific
statutory authority.
4.2. Prescribe and enforce regulations directly related to investigation, reporting, and
keeping records on accidental death, injury, occupational illness, and property damage.
Change 1, 04/24/2008 2
DoDI 6055.07, October 3, 2000
5. RESPONSIBILITIES
5.1. The Deputy Under Secretary of Defense for Environmental Security shall:
5.1.1. Represent the Secretary of Defense for both DoD and Department of Labor (DoL)
accident reporting procedures.
5.1.2. Collect, aggregate, and analyze data from the DoD Components; update the
“Measures of Merit” approved by the Environment, Safety, and Occupational Health Policy
Board under DoD Directive 4715.1E (reference (b)); and distribute results to communicate the
status of accident and illness prevention efforts.
5.2. The Heads of the DoD Components shall establish procedures, in accordance with
enclosure 4 under the cognizance of a designated safety and occupational health official, and
shall:
5.2.1. Collect, maintain, analyze, and report standardized property damage, injury, and
occupational illness data in accordance with this Instruction. That process should include input
from all available sources, including medical patient disposition and civilian employee
compensation data.
5.2.2. Ensure that effective corrective action is taken on identified accident causal
factors.
5.2.3. Ensure that historical safety data (lessons learned) are considered and used during
the development and acquisition of new systems as required by DoD 5000.2-R consistent with
risk reduction requirements of DoD Instruction 5000.2 (reference (i)).
5.2.4. Furnish, upon request, to the Deputy Under Secretary of Defense for
Environmental Security (DUSD(ES)) such safety investigation, reporting, records and related
information as may be required to evaluate DoD Component programs and develop DoD special
emphasis programs.
5.2.5. Designate a focal point responsible for forwarding serious accident (reference see
paragraph E3.1.2. of enclosure 3) report information, as required in enclosure 3.
5.2.6. Mandate that the identification of hazards and causal factors and the prevention of
accident recurrences are the primary objectives after an accident. The safety investigation is the
primary investigation and shall initially control all witnesses and evidence. The safety
investigators shall:
5.2.6.1. Ensure that factual information and documents that do not contain privileged
safety information are made available to other investigators as soon as the safety investigators
release them.
Change 1, 04/24/2008 3
DoDI 6055.07, October 3, 2000
5.2.6.2. Suspend the investigation, preserve the evidence, and immediately notify the
safety convening authority whenever evidence of criminal activity that is causal to the accident is
discovered. The safety convening authority shall notify the responsible Military Criminal
Investigative Organization when he or she determines any evidence of criminal activity as
reported by the safety investigator during the course of an accident investigation in accordance
with DoD Instruction 5505.3 (Reference (j)). The safety convening authority will determine,
under the circumstances, whether the safety investigation will proceed. The DoD Components
may delineate circumstances when the safety investigation is not required.
5.2.6.3. In the case of Friendly Fire incidents, comply with enclosure 4, section E4.7.
5.2.6.4. Investigate all fire losses to real property, wildland fires and personal
property (excluding military aircraft flight-related operations and Navy ships underway) to
determine point of origin and fire cause before initiating other safety or legal investigations.
Point of origin and fire cause determination shall be provided for subsequent safety or legal
investigations. For fire losses meeting the Class A accident threshold, an independent fire
investigation and report shall be provided. Fire and emergency services response reporting will
be in accordance with DoD Instruction 6055.06 (reference (jk)).
5.2.7. Participate in the Bureau of Labor Statistics' Census of Fatal Occupational Injuries
reporting program.
5.2.8. Furnish the Commander, U.S. Joint Forces Command (USJFCOM), with
completed privileged friendly fire safety investigations. Privacy Act information may be
excluded. (See DoD 5400.11-R (reference (l)).)
5.3. The Secretary of the Navy shall administer and maintain the National Fire Incident
Reporting System for the Defense Logistics Agency and the Military Services DoD Components,
analyze including summarization and analysis of fire and emergency services incident response
data in accordance with DoDI 6055.06 (reference (k)).
5.4.2. Ensure that procedures that conform to the requirements of this Instruction are
established to provide for the proper safeguarding of safety investigation records and information
reviewed or received, including maintaining the restrictions on use and release as contained in
paragraph E4.5.3.
5.5. The Commander, USJFCOM, shall serve as lead agent for friendly fire mishap analysis
and gap resolution. Maintain a joint database of pertinent causal factors and coordinate Joint
Capabilities Integration and Development System analysis and joint capability development to
prevent or mitigate future friendly fire mishaps. Ensure USJFCOM handling of privileged safety
information meets requirements of paragraphs E4.4. and E4.5. of this Instruction.
Change 1, 04/24/2008 4
DoDI 6055.07, October 3, 2000
6. PROCEDURES
7. INFORMATION REQUIREMENTS
Reporting and record keeping requirements are consistent with DoD 8910.1-M (reference (km)).
7.1. The reporting of explosive and/or chemical agent accidents, Report Control Symbol
(RCS) DD-AT&L(AR)1020, has been assigned to paragraph E4.8.3.
7.2. The fire incident reporting requirements prescribed in section E4.10. are assigned RCS
DD-AT&L(AR)1765.
This Instruction is effective immediately. Detailed implementing instructions are only necessary
to provide for any DoD Component-unique accident reporting situations.
Enclosures - 7
E1. References, continued
E2. Definitions
E3. Special Reporting of Serious Accidents
E4. Procedures
E5. Special Instructions for Reporting Explosive and/or Chemical Agent Accidents (RCS
DD-AT&TL(AR)1020)
E6. Summary of Civilian Catastrophic or Fatal Accident
E7. Table for Computing Costs of Injuries, Fatalities, and Occupational Illnesses of DoD
Personnel
Change 1, 04/24/2008 5
DoDI 6055.07, October 3, 2000
E1. ENCLOSURE 1
REFERENCES, continued
(e) DoD 6055.09-STD, “DoD Ammunition and Explosives Safety Standards,” July 1, 1999
February 29, 2008
(f) Inspector General Act of 1978 (as amended)
(g) DoD Directive 5106.01, “Inspector General of the Department of Defense,” March 14,
1983 April 13, 2006
(h) DoD Instruction 7050.3, “Access to Records and Information by the Inspector General,
Department of Defense,” April 24, 2000
(i) DoD 5000.2-R, “Mandatory Procedures for Major Defense Acquisition Programs (MDAPs)
and Major Automated Information System (MAIS) Acquisition Programs,” March 15, 1996
DoD Instruction 5000.2, “Operation of the Defense Acquisition System,” May 12, 2003
(j) DoD Instruction 6055.6, “DoD Fire and Emergency Services Program,” December 15,
1994 DoD Instruction 5505.3, “Initiation of Investigations by Military Criminal
Investigative Organizations,” June 21, 2002
(k) DoD 8910.1-M, “DoD Procedures for Management of Information Requirements,” June 30,
1998 DoD Instruction 6055.06, “DoD Fire and Emergency Services (F&ES) Program,”
December 21, 2006
(l) DoD Directive 7230.8, “Leases and Demonstration of DoD Equipment,” February 16, 1995
DoD 5400.11-R, “Department of Defense Privacy Program,” May 14, 2007
(m) Title 10, United States Code, Subtitle E DoD 8910.1-M, “Department of Defense
Procedures for Management of Information Requirements,” June 30, 1998
(n) Title 32, United States Code, “National Guard” DoD Directive 7230.8, “Leases and
Demonstration of DoD Equipment,” February 16, 1995
(o) DoD Directive 5400.7, “DoD Freedom of Information Act Program,” September 29, 1997
Title 10, United States Code, Subtitle E
(p) DoD 5400.7-R, “DoD Freedom of Information Act Program,” September 1998 Title 32,
United States Code, “National Guard”
(q) DoD 5400.11-R, “Department of Defense Privacy Program,” August 1983 DoD Directive
5400.07, “DoD Freedom of Information Act (FOIA) Program, January 2, 2008
(r) Section 2254 of title 10, United States Code, “Treatment of Reports of Aircraft Accident
Investigations”DoD 5400.7-R, “DoD Freedom of Information Act Program,” September 4,
1998
(s) Section 2255 of title 10, United States Code, “Aircraft Accident Investigation Boards:
Composition Requirements”Section 2254 of title 10, United States Code, “Treatment of
Reports of Aircraft Accident Investigations”
(t) Occupational Safety and Health Administration (OSHA) Publication 2014, “Recordkeeping
and Reporting Guidelines for Federal Agencies,” 1986 Section 2255 of title 10, United
States Code, “Aircraft Accident Investigation Boards: Composition Requirements”
(u) Government-Industry Data Exchange Program, (GIDEP) Data Base, “On-line Access User
Guide,” August 1, 19931 Occupational Safety and Health Administration (OSHA)
Publication 2014, “Recordkeeping and Reporting Guidelines for Federal Agencies,” 1986
(v) Title 5 Code of Federal Regulations, Chapter 293, Subpart E, “Employee Medical File
System Records,” revised January 1, 1999 Government-Industry Data Exchange Program,
(GIDEP) Data Base, “On-line Access User Guide,” August 1, 19931
(w) U.S. Office of Personnel Management Operating Manual, “The Guide to Personnel
Recordkeeping,” December 31, 1998 Title 5 Code of Federal Regulations, Chapter 293,
Subpart E, “Employee Medical File System Records,” revised January 1, 1999
(x) U.S. Office of Personnel Management Operating Manual, Update 9, “The Guide to
Personnel Recordkeeping,” July 30, 2004
1
Available from the GIDEP Program Manager, GIDEP Operations Center, P.O. Box 8000, Corona, CA
9171792878-8000, http://www.gidep.corona.navy.mil/ http://www.gidep.org
E2. ENCLOSURE 2
DEFINITIONS
E2.1.1. Accident Categories. DoD accidents are divided into the following categories:
aircraft, explosives and chemical agents, motor vehicles, ground and industrial, off-duty military,
unmanned aerial vehicles, guided missiles, maritime, nuclear, and space.
E2.1.2. Accident Rate. The number of recordable accidents per units of exposure; e.g., Class
A Flight accidents per 100,000 flying hours, lost time injuries per 100 man-years, etc.
E2.1.3. Accident Severity Classification. DoD accidents are classified according to the
severity of resulting injury, occupational illness, or property damage. Property damage severity
is generally expressed in terms of cost and is calculated as the sum of the costs associated with
DoD property and non-DoD property that is damaged in a DoD accident. Additionally, if injury
or occupational illness results, an event is reportable even if the associated costs are less than the
minimum dollar criteria.
E2.1.3.1. Class A Accident. The resulting total cost of damages to Government and
other property in an amount of $1 million or more; a DoD aircraft is destroyed; or an injury
and/or occupational illness results in a fatality or permanent total disability.
E2.1.3.2. Class B Accident. The resulting total cost of damage is $200,000 or more, but
less than $1 million. An injury and/or occupational illness results in permanent partial disability
(Table E7.T1. of enclosure 7); or when three or more personnel are hospitalized for inpatient
care (which, for accident reporting purposes only, does not include just observation and/or
diagnostic care) as a result of a single accident.
E2.1.3.3. Class C Accident. The resulting total cost of property damage is $20,000 or
more, but less than $200,000; a nonfatal injury that causes any loss of time from work beyond
the day or shift on which it occurred; or a nonfatal occupational illness or disability that causes
loss of time from work or disability at any time (lost time case). Components may collect a
minimal amount of data for off-duty military lost time injuries.
E2.1.4.1. Aircraft Flight Accident. An accident in which there is intent for flight and
damage to the aircraft (not including Unmanned Arial Vehicles (UAVs)). Explosives, chemical
agent, or missile events that cause damage to an aircraft with intent for flight are categorized as
Flight Accidents to avoid dual reporting. (Enclosure 5 applies to Flight Accidents involving
Explosives and Chemical Agents.)
E2.1.6.2.2. Civil aircraft owned by civil operators and accomplishing contract air
missions for the DoD Components.
E2.1.7. DoD Accident. An unplanned event, or series of events, that results in damage to
DoD property. Occupational illness to DoD military or civilian personnel, injury to DoD
military personnel on- or off-duty; injury to on-duty DoD civilian personnel; damage to public or
private property, or injury or illness to non-DoD personnel caused by DoD operations.
E2.1.8. DoD Fire Loss. All DoD fire losses will be reported through the National Fire
Incident Reporting System (NFIRS) and may be reported under other reporting systems
depending on the circumstances involved.
E2.1.9.1. Civilian. DoD Civil Service System employees (including Reserve component
military technicians (dual status), unless in a military duty status), and non-dual status
technicians; non-appropriated fund employees (to avoid dual reporting. This excludes military
personnel working part-time); Corps of Engineers Civil Works employees; Youth or Student
Assistance Program employees; foreign nationals employed by the DoD Components; and
Army-Air Force Exchange Service employees.
E2.1.9.2. Military. All U.S. military personnel on active duty or Reserve status under the
provisions of 10 U.S.C. ((mo)). National Guard personnel under the provisions of 32 U.S.C.
(reference (np)); Service Academy cadets; Reserve Officer Training Corps cadets when engaged
in directed training activities; foreign national military personnel assigned to the DoD
Components.
E2.1.10. DoD Space Systems. Space and space support systems that are as follows:
E2.1.11.1.1. Physically present at any location where they are to perform their
officially assigned work. Officially assigned work includes organization-sponsored events an
employee is permitted to attend, regardless of location. This includes those activities incident to
normal work activities that occur on DoD installations, such as lunch, coffee, or rest breaks, and
all activities aboard military vessels.
E2.1.11.2. Off-Duty. DoD personnel are off-duty when they are not on-duty, as defined
in paragraph E2.1.10.1., above. Reserve and National Guard personnel performing inactive duty
training (drill) will be considered off-duty:
E2.1.11.2.1. When traveling to or from the place at which such duty is performed; or
Pesticides, insecticides, and industrial chemicals, unless selected by the DoD Components for
chemical warfare purposes, are also excluded.
E2.1.13.2.3. The agent quantity released to the atmosphere is such that a serious
potential for exposure is created by exceeding the applicable maximum allowable concentration-
time levels for exposure of unprotected workers or the general population or property.
E2.1.14. Fire Incident and Emergency Incident Response. An event or accident that requires
professional assistance from a DoD or outside fire department. Types of events include all fires,
aircraft emergencies both fire and impact related, hazardous material responses, emergency
medical services, fire protection system actuation, mutual aid support, water and confined space
rescues, vehicle extraction's standbys, and any other type of fire incidents or emergencies.
E2.1.15.1. For military members, any initial one-time treatment and any follow-up visit
for observation of minor scratches, cuts, burns, and splinters, etc., that does not ordinarily require
medical care. Such one-time treatment and follow-up visit for observation is considered first aid,
even though provided by a physician or medical professional.
E2.1.15.2. For DoD civilians, any initial one-time treatment and any follow-up visit for
observation of minor scratches, cuts, burns, and splinters, etc., that does not ordinarily require
medical care. Such one-time treatment and follow-up visit(s) for observation is considered first
aid, even though provided by a physician or medical professional, as long as no leave or
continuation of pay (COP) is charged to the employee and no medical expense is incurred.
E2.1.17. Government Motor Vehicle (GMV). A motor vehicle that is owned, leased, or
rented by a DoD Component (not individuals); primarily designed for over-the-road operations;
and whose general purpose is the transportation of cargo or personnel. Examples of GMVs are
passenger cars, station wagons, vans, ambulances, buses, motorcycles, trucks, and tractor-
trailers. Vehicles on receipt to, and operated by, non-DoD persons or agencies and activities
such as the U.S. Postal Service or the American Red Cross are not GMVs.
E2.1.18. Government Vehicle Other (GVO). Vehicles designed primarily for off-the-
highway operation such as construction tracked vehicles, forklift, road graders, agricultural-type
wheeled tractors, and aircraft tugs. Includes military combat/tactical vehicles; e.g., tanks, self-
propelled weapons, armored personnel carriers, amphibious vehicles ashore, and HMMWV.
E2.1.19. Motor Vehicle Accident. A DoD Accident involving the operation of a motorized
land vehicle by DoD personnel. A DoD Accident involving the operation of a DoD-owned
motorized land vehicle by non-DoD personnel while operationally controlled by a DoD
Component. Motor Vehicle Accidents include collisions with other vehicles, objects, terrain
features, animals or pedestrians; personal injury or property damage due to cargo shifting in a
moving vehicle; personal injury occurring within, or falling or jumping from a moving vehicle;
towing or pushing accidents. This category does not include ground and industrial accidents
such as injuries occurring while loading or unloading, mounting or dismounting a non-moving
vehicle; cargo damaged by weather; damage to a parked DoD vehicle, unless caused by an
operating DoD vehicle. Damage to a DoD vehicle caused by objects thrown or propelled into it
by weather or natural phenomena, or by fire when no collision occurred; or, damage to a DoD
vehicle when it is being handled as a commodity or cargo and not operating under its own power.
E2.1.19.3. Private Motor Vehicle (PMV) Accident. A motor vehicle accident, regardless
of the identity of the operator, that does not involve a GMV or GVO, but results in a fatality or
lost time case injury (involving days away from work) to military personnel on- or off-duty or to
on-duty civilian personnel, or reportable damage to DoD property.
E2.1.20. Ground and Industrial Accidents. DoD accidents that occur on land, involve DoD
operations, and do not involve the following: DoD Aircraft (Property Damage), Missiles,
Explosives, Chemical Agents, Motor Vehicles, Space Systems and Support Equipment, Nuclear
Weapons or Reactors.
E2.1.21. Guided Missile. All missiles propelled through air or water that are unmanned,
guided by internal or external systems, and self-propelled. This term includes individual major
missile components such as stages, guidance and control sections, payloads other than nuclear
reentry vehicles; system equipment required to place the missile in an operational status while at
the launch or launch control facility or on the launching aircraft; and system equipment required
to launch and control the missile. Examples are intercontinental ballistic missiles; surface-to-air,
air-to-air, and air-to-surface guided missiles; and torpedoes. This term includes all missiles that
are, as follows:
E2.1.22. Guided Missile Accident. An accident involving guided missiles or missile support
equipment. Missiles that are damaged or destroyed after launch from an aircraft but there is no
aircraft damage will be classified as a missile mishap. (Enclosure 5 applies for missile accidents
involving the explosive components of a guided missile.)
E2.1.24. Injury. A traumatic wound or other condition of the body caused by external force
or deprivation (drowning, suffocation, exposure, cold injury, and dehydration), including stress
or strain. The injury is identifiable as to time and place of occurrence and member or function of
the body affected, and is caused by a specific event or incident or series of events or incidents in
a single day or work shift.
E2.1.25. Intent for Flight. Intent for flight is considered to exist when aircraft or UAV
brakes are released and/or takeoff power is applied for commencing an authorized flight. For
catapult-assisted takeoffs, flight begins at first motion of the catapult after the pilot has indicated
readiness for launch. Intent for flight continues until either the fixed-wing aircraft taxies clear of
the runway or, for helicopters and/or vertical takeoff and landing aircraft, the aircraft has alighted
and the aircraft weight is supported by the landing gear.
E2.1.26. Joint Service Accident. A single accident involving two or more Services in which
one or more Service experiences reportable injuries or damages.
E2.1.27. Lost Time Case. A nonfatal traumatic injury that causes any loss of time from
work beyond the day or shift it occurred, or a nonfatal non-traumatic illness and/or disease that
causes disability at any time.
E2.1.28. Maritime Accident. Except as noted in paragraph E2.1.28.2., below, any DoD
accident involving on board, or as the result of the operation of, a DoD vessel. This also
includes DoD diving or swimmer operations.
E2.1.28.1. This term includes accidents occurring while loading and/or off-loading or
receiving services at dockside, and accidents occurring up to the high water mark during
amphibious or inshore warfare training operations. It applies also to all injuries to DoD
personnel occurring on board, whether or not job-related.
E2.1.28.2. This term does not include accidents that are reportable under other major
categories prescribed in this Instruction, such as flight, missile, explosive and/or chemical agent,
nor to injuries to assigned personnel that occur away from the vessel, whether or not job-related.
Accidents occurring on board that result from shipyard, repair facility, or private contractor
operations are not maritime accidents.
E2.1.29. No Lost Time Case. A nonfatal injury or illness and/or disease that does not meet
the definition of a lost time case (usually created by a compensation claim for medical expense)
or first aid case.
E2.1.31. Nuclear Accident. A DoD accident that involves destruction of, or serious damage
to nuclear weapons, nuclear weapons systems, or nuclear weapons components, resulting in an
actual or potential threat to national security or life and property.
E2.1.33. Off-Duty Military Accident. A DoD accident that results in a fatality or lost time
case to off-duty DoD military personnel whether or not on a DoD installation, excluding Private
Motor Vehicle (PMV) accidents.
E2.1.35. Space Accident. An accident involving space systems and/or unique space support
equipment.
E2.1.36. Space Vehicle. A vehicle designed to orbit or travel beyond the earth's atmosphere.
The term includes satellites, orbiters, payloads, and sounding rockets.
E2.1.38.2. Due to either an accident or the result of natural causes occurring during or
within one hour after any training activity where the exercise or activity could be a contributing
factor.
E3. ENCLOSURE 3
E3.1.1. The requirements of this enclosure are not intended to modify reporting by the
Chairman of the Joint Chiefs of Staff.
E3.1.2. The DoD Components shall establish procedures for reporting serious accidents to
the Assistant Deputy Under Secretary of Defense (Force Protection) (ADUSD(FP)) within 48
hours of their occurrence. Reporting may be accomplished by telephone, fax, e-mail, or message
copy. That requirement includes the following on-duty accidents:
E3.1.3.2. Location.
E3.1.3.5. Any action(s) taken by the DoD Component as a result of the accident.
E3.1.4. The ADUSD(FP), or designee, will forward to the Secretary of Labor accident
reports that are responsive to the requirements of E.O. 12196 (reference (c)). Refer to enclosure
6 for format.
E3.1.5.1. Notify the OSHA Area and/or Regional Office within eight hours of
Component knowledge of the accident.
E3.1.5.2. Provide Summary Report to ADUSD(FP) within 120 days of the accident IAW
format in enclosure 6.
E3.1.6. Accidents reported to the Department of Defense Explosive Safety Board (DDESB)
under explosive or chemical agent accidents (enclosure 5) need not be reported separately to the
ADUSD(FP).
E4. ENCLOSURE 4
PROCEDURES
E4.1. INTRODUCTION
There are several reasons for investigating accidents. Safety investigations are conducted solely
for accident prevention. Legal investigations are conducted for all other purposes including
claims, disciplinary, and administrative actions.
E4.2. GENERAL
E4.2.1. Adopt the accident categories, classification criteria, and reporting formats and
procedures contained in this Instruction. This does not prevent the DoD Components from
collecting, classifying, and maintaining additional data for their individual accident prevention
needs.
E4.2.3. Develop qualification criteria for accident investigators based on the complexity or
severity of the accidents involved.
E4.2.4. Establish procedures to screen every fatality and determine whether or not it was
accidental. All DoD training-related deaths will be investigated to determine if changes are
needed in the training.
E4.2.5. Develop policies and procedures that establish time lines for routinely updating the
primary next of kin of accident fatalities regarding the status of safety and legal investigations.
Documents, other than safety investigation reports, that are originated by the Service components
of a Unified Combatant Command, while performing joint exercises or operations under the
Combatant Commander's authority, are considered joint in nature. The Combatant Commander,
or his or her designee, is responsible for establishing procedures to implement DoD Directive
5400.07 (reference (oq)) within his or her command. All correspondence concerning Freedom of
Information Act (FOIA) requests for documents will be handled in accordance with procedures
established by DoD 5400.7-R (reference (qr)) and any Component-implementing instructions.
The Initial Denial Authority designated for each Service component is the release authority for
any record held by the Service component.
The sole purpose of safety investigations is to prevent accidents. Pursuant to regulations of the
DoD Component, safety investigators will collect and analyze information to determine the
causes(s) of the accident and make recommendations for corrective action. The reports
generated by safety investigators may contain privileged safety information as well as publicly
releasable information. (Information deemed privileged, see paragraph E4.4.2., below.) The
Department of Defense treats safety investigation reports confidentially to ensure that
commanders and safety officials can obtain accurate accident information, thereby promoting
safety and national defense. Safety investigations are exempt from the licensing requirements of
paragraphs C4.4.3. and C4.4.7. of DoD 8910.1-M (reference (km)).
E4.4.2.1.1. These promises must be explicit and cannot be implied from the
investigator's status or function. The DoD Components will document all instances in which a
witness gives a statement pursuant to a promise of confidentiality. These promises may be given
only as needed to ensure forthright cooperation of the witness concerned and may not be given
on a blanket basis to all witnesses.
E4.4.2.1.3. The witness will be told that the promise only applies to information
provided by the witness for the safety investigation, even if the same information is provided to
other investigations.
E4.5.2. Review. The DoD Components shall review safety investigation reports, establish a
system to identify problem areas, and ensure that corrective actions from safety investigations
are validated, approved, and monitored by competent authority until corrective action is
complete.
E4.5.3. Restrictions on Use and Release. Privileged safety information shall be used for
safety purposes only. Requests for safety reports are governed by DoD Directive 5400.07
(reference (oq)) and this Instruction. Requests for safety reports pursuant to litigation, discovery
requests, subpoenas, or court orders are governed by applicable case law and this Instruction.
E4.5.3.1. General Statement of Policy. The DoD Components shall not release
privileged safety information, except as provided in subparagraphs E4.5.3.3., nor shall the DoD
Components use or condone the use of privileged safety information for any purpose other than
accident prevention.
prepared according to this Instruction (or its predecessors), provided no national defense or
safety interest exists as determined by the respective Service Safety Chief. For the purpose of
this provision, historical safety reports shall be defined as those concerning accidents more than
25 years old.
E4.5.3.3.1. For all investigations where safety investigators are not authorized to
grant promises of confidentiality, the Secretary of the Military Department, or his or her
designee, may assert the privilege to oppose any court-ordered release of privileged safety
information. Upon determination by the Service Secretary or designee, that no safety or national
defense interest is jeopardized, he or she may authorize the release of safety investigation board
findings.
E4.5.3.3.2. For all investigations where safety investigators are authorized to grant
promises of confidentiality, including investigations of flight and flight-related accidents,
friendly fire mishaps, and those stated in the Department's implementation regulations, the
Secretary of the Military Department, or his or her designee, shall assert the privilege to oppose
any court-ordered release of privileged safety information. If a Secretary of a Military
Department determines that exceptional circumstances warrant release of privileged safety
information, the Secretary may request the DUSD(ES) to permit the selective release of such
information. The request must include certification by the Secretary of the Military Department
that the purposes to be served are compelling and solely related to safety and the interests of
safety are better served by release. When the DUSD(ES), or designee, after consultation with the
individual Secretaries of the Military Departments, determines that the interests of safety are
better served, the DUSD(ES) may permit the selective use of privileged safety information in
exceptional circumstances.
Legal Investigation Reports are used to inquire into all the facts and circumstances surrounding
accidents as well as to obtain and preserve all available evidence for use in litigation, claims,
disciplinary action, or adverse administrative actions. Legal Investigation Reports include the
reports identified as Accident Investigation Reports in 10 U.S.C. 2254 (reference (rs)) and 10
U.S.C. 2255 (reference (st)).
E4.6.3. Required Legal Investigation Reports. DoD Components shall prepare a report, in
addition to any authorized Safety Investigation report, whenever a DoD accident involves one or
more of the following:
E4.6.4. Special Rules for Aircraft Legal Investigations. Aircraft legal investigations are
controlled by 10 U.S.C. 2254 and 10 U.S.C. 2255 (references (rs) and (st)). With regard to board
composition:
E4.6.4.1.1. A majority of the members (or in the case of a single member, the
member) are selected from units other than the mishap unit (i.e., the unit at the squadron or
battalion level or equivalent to which was assigned the flight crew of the aircraft that sustained
the accident that is the subject of the investigation) or a unit subordinate to the mishap unit.
E4.6.4.1.2. In the case of a board consisting of more than one member, at least one
member of the board is a member of the Armed Forces or an officer or an employee of the
Department of Defense who possesses specialized knowledge and expertise relating to aircraft
accident investigations.
E4.6.4.2. Exception. In the case of an aircraft accident, the Secretary of the Military
Department concerned may waive the requirement of paragraph E4.6.4.1.1., above, if the
Secretary determines that:
E4.6.4.2.1.3. A lack of available persons outside of the mishap unit who have
adequate knowledge and expertise regarding the type of aircraft involved in the accident; and
E4.6.4.2.3. The Secretary will notify Congress of a waiver exercised under this
subsection and the reasons therefore.
E4.6.4.4. Designation Of Class A Accidents. Not later than 60 days after an aircraft
accident involving an aircraft under the jurisdiction of the Secretary of a Military Department,
the Secretary shall determine whether the aircraft accident should be designated as a Class A
accident for purposes of this section.
E4.6.5. Review. The DoD Components shall provide for the review of legal investigation
reports to identify safety corrective actions and ensure they are monitored until action is
complete.
E4.6.6. Policy on Release of Legal Investigation Report. Requests for legal investigation
reports pursuant to the FOIA are governed by DoD 5400.7-R (reference (pr)). Other requests for
release, including requests for use in litigation, are governed by 10 U.S.C. 2254 (reference (rs)),
applicable case law, and DoD Component regulations on legal investigation reports and release
of information for use in litigation.
For all incidents falling within the definition of Friendly Fire, the Combatant Commander will
convene a legal investigation to determine the facts of the incident and guide further actions. In
consultation with the Combatant Commander, Service or other commanders may convene a
safety investigation as required.
E4.7.1. Safety Investigation. Unless otherwise agreed, the Service whose forces
suffer the preponderance of loss or injury will conduct a safety investigation at the
discretion of the Combatant Commander and, after consultation and coordination with
the Combatant Commander, through the Combatant Commander’s Service Component.
The safety investigation will be conducted in accordance with Service rules and any
applicable inter-Service arrangements or agreements. For mishaps involving other
friendly nations, the involved Service Safety Chief shall consult with the DUSD
(Installations and Environment) and the Combatant Commander to determine what role
the other involved nations will play in the investigation. In those circumstances where
the only forces lost or injured are those of other friendly nations, the Service conducting
the safety investigation will be determined at the discretion of the Combatant
Commander.
E4.7.2. Legal Investigation. For all incidents falling within the definition of friendly fire, the
Combatant Commander or his or her designee shall convene a legal investigation to determine
the facts of the incident and guide further actions. The Combatant Commander, in consultation
with the involved Service Component Commander, shall determine which Service regulation
governing legal investigations will be followed.
E4.7.3. Criminal Activity. If either the safety or legal investigative authority determines any
evidence of criminal activity during the course of the investigation, that authority shall notify the
appropriate Military Criminal Investigative Organization (reference (j)).
E4.8.1. Log of Occupational Injuries and Illnesses. A log (automated or manual) will be
maintained for civilian personnel at each DoD installation or distinctly separate DoD activity
using the format and instructions in the OSHA Publication 2014 (reference (tu)) and current
OSHA guidance. Separate accounting for on- and off-duty accidents will be maintained for
military personnel. On-duty injuries and occupational illnesses will be entered on the log within
6 workdays of notification of such occurrences. Log retention and access are outlined in GIDEP
Data Base (reference (uv)). The summary portion of the log will be posted for a minimum of 30
days in a conspicuous place (including a local activity Internet site if such a site is easily
accessible by employees) not later than 45 days after the conclusion of the fiscal year. A similar
log will be maintained for military personnel, with on-duty and off-duty accidents recorded
separately.
E4.8.2. Special Reporting of Serious Accidents. The requirements and instructions for those
reports of serious accidents are in enclosure 3.
E4.8.3. Special Reporting of Explosive and Chemical Agent Accidents to the DDESB. Send
safety investigation reports of Class A and B accidents involving explosives and/or chemical
agents to the Chair, DDESB, as detailed in enclosure 5.
E4.8.4. Joint Accidents. Requests for documents that are joint in nature will be handled in
accordance with section E4.3. of this enclosure, above.
E4.8.5. Destroyed Aircraft. The Military Departments will provide ADUSD(FP) a monthly
report of the numbers of destroyed aircraft.
E4.8.6. For Civilian Employee Accidents, also refer to reporting requirements in 29 CFR
1960 (reference (d)), OSHA Publication 2014 (reference (tu)), 5 CFR Chapter 239293, Subpart E
(reference (vw)), and OPM Guide to Personnel Recordkeeping (reference (wx)).
The following accidents/events need not be reported or investigated under this Instruction;
however, for DoD civilians, paragraphs E4.9.1. and E4.9.2., below, are considered to have
occurred in the performance of duty under provisions of FECA and are considered reportable to
the Department of Labor (DoL):
E4.9.2. Damage or injury by direct action of an enemy or hostile force. This does not
include suspected cases of Friendly Fire.
E4.9.3. Intentional, controlled jettison or release, during flight, of canopies, cargo, doors,
drag chutes, hatches, life rafts, auxiliary fuel tanks, missiles, drones, rockets, non-nuclear
munitions, and externally carried equipment not essential to flight. When there is no injury, no
reportable damage to the aircraft or other property, and, in the case of missiles, drones or non-
nuclear munitions, when the reason for jettison is not malfunction.
E4.9.4. Replacement of component parts due to normal wear and tear, and when any
associated damage is confined to the component part. This exemption only applies to items that
are normally used until they fail or until predetermined wear limits are reached. Replacement
need may not be evident until malfunction or failure of the part.
E4.9.5. Injuries associated with non-occupational diseases, when the disease, not the injury,
is the proximate cause of the lost time, such as diabetes and its resultant complications like loss
of vision. Complications of the injury (such as the infection of a cut aggravated by a work-
related activity) that result in lost time are reportable.
E4.9.7. Injuries resulting from altercations, attack, or assault, unless incurred in the
performance of official duties.
E4.9.8. Injuries sustained before entry into Military Service or employment by the United
States Government, unless specifically aggravated by current tenure of service.
E4.9.9. Hospitalization for treatment where the patient is retained beyond the day of
admission solely for administrative reasons. (See enclosure 2, definition E2.1.32.)
E4.9.11.2. Minimum stress and strain (simple, natural, and nonviolent body positions or
actions, as in dressing, sleeping, coughing, or sneezing.) Those are injuries unrelated to
accident-producing agents or environments normally associated with active participation in daily
work or recreation.
E4.9.12. Injuries or fatalities to persons in the act of escaping from or eluding military or
civilian custody or arrest.
E4.9.13. Death due to natural causes that are unrelated to the work environment. See
paragraph E4.2.4. of this enclosure, above, and definition E2.1.38. of enclosure 2 for training-
related deaths.
E4.9.16. Property damage, death, or injury as a result of vandalism, riots, civil disorders,
sabotage, terrorist activities, or criminal acts, such as arson.
E4.9.17. Adverse bodily reactions resulting directly from the use of drugs under the
direction of competent medical authority.
E4.9.18. Death or injury resulting solely from illegal use of drugs or other substances.
DoD Fire Departments shall use the National Fire Incident Reporting System to report all fire
and emergency incident responses. All fire losses shall be investigated to determine point of
origin and fire cause. For losses meeting the Class A Accident threshold, an independent fire
investigation shall be performed and a formal fire investigation report provided.
E4.11.1. Develop procedures to ensure that accidents that occur as a result of a Government
contractor's operations in which there is reportable damage or personnel injuries are investigated
and reported. That includes non-delivered equipment for which the Government has assumed
responsibility.
E4.11.2. Direct the contracting DoD Component to conduct the investigation and prepare a
report for accidents, exclusive of explosives.
E4.12.1. The standardized cost data in enclosure 7 will be used to compute the cost of
injuries and occupational illness of DoD personnel reported in this Instruction. In those cases
when the actual time lost is not known at the time a report is submitted, the best official estimate
of lost time will be used in computing the cost of the injury or occupational illness.
E4.12.2. Calculate the direct cost of an accident by adding all costs of damaged or destroyed
assets, including resultant costs such as environmental decontamination, property clean-up, and
restoration. The direct cost of damage to DoD or non-DoD property will be computed using the
actual cost of repair or replacement (including work hours for repair), or the best official estimate
available.
E4.12.3. The cost of a destroyed aircraft shall include the original fly-away cost plus the cost
of all modifications in then-year dollars. An aircraft that is damaged but will not be repaired is
not automatically a destroyed aircraft. The decision whether or not to return an aircraft to
service must be independent of any effect on accident classification. If a damaged aircraft is
repaired, the direct cost is the actual cost of repairs. If it is not repaired, use the best available
estimate for repair cost, or destroyed cost, whichever is lower.
E4.12.4. When an aircraft or UAV engine (or engine module, in the case of modular
engines) is damaged to the extent that it must be returned to a repair facility, the cost of damage
shall be reported as the actual cost for repairs, if such figures are available. If the repair facility
uses established standard repair costs and can not determine actual costs, use the established
figures. For engines or engine modules damaged beyond economical repair, use replacement
cost.
E4.12.5. The cost of intentionally jettisoned items, as listed in paragraph E4.9.3. of this
enclosure, above, shall not be included in the cost of the accident.
E4.12.6. When components are damaged to the extent they must be returned to a repair
facility, the cost of damage shall be reported as the actual cost for repairs, if such figures are
available. If the repair facility uses established standard repair costs and can not determine
actual costs, use the established figures. If neither of these figures is available, the reported cost
for repair shall be computed at 15 percent of the initial unit cost. For components damaged
beyond economical repair, use replacement cost.
E4.12.7. For Joint Service accidents, the involved DoD Components will determine/allocate
costs and losses according to asset ownership and personnel assignment. Each DoD Component
will report their own losses attributable to a Joint Service accident.
To avoid duplicative investigations and reports of DoD Joint Service accidents, DoD
Components Safety Chiefs will determine a lead DoD Component to conduct the investigation
and prepare the report. This will normally be the DoD Component accruing the greater loss.
Other involved DoD Components are entitled to representation and will provide representatives
as required to address all accident factors. The Joint Service accident report will appropriately
reflect DoD Components' losses and associated cost accountable to each DoD Component.
Additionally, to avoid duplicative reporting of DoD Component personnel, Uniformed Service
members assigned to non-Military Service DoD Components are accounted to that DoD
Component not their Branch of Service.
E4.14.2. Ensure that civilian records and reports required by 29 CFR 1960 (reference (d))
are retained for at least 5 years following the end of the fiscal year to which they relate.
E4.15.1.1. Shall provide for the cross-feed of accident data that involves like equipment
or similar operations among the DoD Components and U.S. Coast Guard. That cross-feed shall
include applicable information about equipment safety modifications and human error.
E4.15.1.3. May establish procedures to provide Federal Agencies and foreign military
safety agencies with non-privileged safety information or sanitized accident cross-feed data for
the promotion of safety when deemed warranted by Secretaries of the Military Departments
concerned with the accident.
E4.15.2.1. Where there are significant industrial operations, participate in the Failure
Experience Data Bank of the Government-Industry Data Exchange Program (GIDEP) described
in the GIDEP Data Base On-line Access User Guide (reference (uv)). Each SAFE-ALERT
issued by GIDEP as a result of part, component, process, or material failure shall be reviewed
and action taken to disseminate the information therein.
E4.15.1.2. Establish procedures to ensure the timely distribution of the lessons learned
from significant accidents to all affected organizations in the Department of Defense.
E5. ENCLOSURE 5
E5.1.1. The DDESB exercises statutory authority to prescribe explosive safety standards for
explosives and chemical agents under DoD jurisdiction. To accomplish its mission, the DDESB
requires the reporting of information from explosives and chemical agent accidents in all
operations under DoD jurisdiction.
E5.1.2. Report serious explosive and chemical agent accidents to the Chair, DDESB, in
accordance with detailed procedures in Chapter 13, DoD 6055.09-STD (reference (e)).
E5.1.2.1.4. Loss of major weapons system; e.g., tank, aircraft, ship, or large missile.
E5.1.2.2. Message and/or telephonic reports shall be conveyed to the Chair, DDESB, as
soon as practical.
E5.1.2.4. Investigation reports about reportable accidents shall be sent to the DDESB as
soon as they are released by the DoD Component having releasing authority.
E5.1.3. Information about accidents that are less serious shall be reported to the DDESB if,
in the opinion of the investigating team or the Chair, DDESB, the information will contribute to
the development or verification of safety procedures or standards.
E5.1.4. Each DoD Component shall designate a central office, responsible to the DDESB,
for those reporting requirements.
E6. ENCLOSURE 6
E6.1.3. LOCATION
E6.1.8.2. VIOLATIONS
E7. ENCLOSURE 7
E7.1.1. Table E7.T1. will be used to provide standardized average figures for use in
computing injury and/or occupational illness costs for DoD reporting purposes. Those estimates
were derived by considering the following costs:
E7.1.1.3. Hospitalization.
E7.1.1.6. Burial.
E7.1.1.7. Compensation.
(For civilian employees, use actual worker compensation costs, when available.)
E7.1.2. The following special definitions apply when using the Cost Standards Table:
E7.1.2.1. Fatal Injury or Occupational Illness (column 6). One that results in death from
an accident or he complications arising therefrom, regardless of the length of time intervening
between the accident and a subsequent death.
E7.1.2.2. Permanent Total Disability (column 5). Any nonfatal injury or occupational
illness that, in the opinion of competent medical authority, permanently and totally incapacitates
a person to the extent that he or she cannot follow any gainful occupation and results in a
medical discharge or civilian equivalent. (The loss, or the loss of use of both hands, both feet,
both eyes, or a combination of any of those body parts as a result of a single accident will be
considered as a permanent total disability.)
E7.1.2.3.5. Disfigurement.
E7.1.2.4. Lost Time Case (column 3). A nonfatal traumatic injury that causes any loss of
time from work beyond the day or shift it occurred or a non-fatal non-traumatic illness and/or
disease that causes disability at any time.
E7.1.2.5. No Lost Time Case (column 1). A nonfatal injury or illness and/or disease that
does not meet the definition of a lost time case (usually created by a compensation claim for
medical expense).
1
These estimates are intended to provide generalized figures to enable order of magnitude estimates of costs.
They were developed in 1988 and have not been updated so that analysts can make generalized comparisons against
historical data.
2
For civilian employees, use actual worker compensations costs when available.
3
Nonflight crew member fatality.
4
Flight crew member fatality.
5
Total costs, including days involving lost time and days hospitalized.
6
Includes cost for days involving lost time.