94AWI91-201 — Mishap Reporting

94AWI91-201 governs mishap reporting procedures and precautionary measures for the 94th Airlift Wing.

Search 94AWI91-201

  • Publication number: 94AWI91-201
  • Title: MISHAP REPORTING
  • Date: 2014-03-04

View 94AWI91-201 on armypubs.army.mil


It defines reportable mishaps involving injuries, occupational illness, property damage, high accident potential, and nuclear or radiological safety. It requires prompt notifications, specified reporting forms, records maintenance, and Privacy Act protection.

Applies to: This publication establishes the mishap reporting program and procedures for the 94th Airlift Wing and applies to all personnel who perform duties on or around Dobbins ARB, on and off-duty.

Topics covered

  • Mishap reporting
  • Mishap classification
  • Injury and illness reporting forms
  • Civilian injury reporting
  • High Accident Potential
  • Nuclear and radiological safety
  • Safety investigations

Questions and answers

What records must be maintained under 94AWI91-201?

Ensure all records created as a result of processes prescribed in this publication are maintained in accordance with AFMAN 33-363, Management of Records, and disposed of in accordance with the Air Force Records Disposition Schedule (RDS) located at https://www.my.af.mil/afrims/afrims/afrims/rims.cfm.

What should happen when a mishap occurs?

If any of the above should occur, notify the Safety Office at 655-5121 and Command Post at 655-5106. (paragraph 3)

What form is required for a military injury or job related illness?

To report a military injury or job related illness, use 94 AW Form 18, MISHAP REPORT INJURY & NON-INJURY. (paragraph 3)

When must 94 AW/SE receive a military injury report?

Ensure 94 AW/SE receives a copy within 24 hours of the incident. (paragraph 3)

What form is used for an appropriated fund civilian injury or job related illness?

To report an appropriated fund civilian injury or job related illness, use Form CA-1 Federal Employee’s Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation or CA-2 Notice of Occupational Disease and Claim for Compensation. (paragraph 3)

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