JBSANANTONIOVA91-201 — Mishap Reporting Procedures

JBSANANTONIOVA91-201 governs mishap reporting procedures for injuries to personnel and damage to government or equipment property.

Search JBSANANTONIOVA91-201

  • Publication number: JBSANANTONIOVA91-201
  • Title: MISHAP REPORTING PROCEDURES
  • Date: 2025-05-27

View JBSANANTONIOVA91-201 on armypubs.army.mil

It sets out immediate notifications, reporting steps, and the roles of supervisors, unit safety representatives, and commanders. It requires specified forms, reviews, signatures, and forwarding to the Safety Office within 5 duty days.

Topics covered

  • Mishap notification
  • Supervisor mishap reports
  • Federal employee injury claims
  • NAF injury reports
  • Safety Office submissions
  • Mishap email transmissions

Questions and answers

When must a supervisor complete the AF Form 978?

Supervisors will complete the AF Form 978, Supervisor Mishap Report, for each Military, Civilian, and NAF person injured. (paragraph 2)

What additional forms are required for DOD civilians and NAF personnel?

NOTE: In addition to supervisors completing the AF Form 978, a Form CA-1, Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation, is required for DOD Civilians, and an LS Form 202, Employer's First Report of Injury or Occupational Illness, is required for NAF personnel. (paragraph 2)

What does the supervisor do after reviewing the AF Form 978?

Supervisors will review the AF Form 978, sign the form, and forward it to the USR along with the Form CA-1 or LS-202 as applicable. (paragraph 2)

What does the USR do with the mishap documentation?

USR will review for appropriate documentation, sign, and forward to the Commander. (paragraph 2)

How long does the commander have to forward the mishap report to the Safety Office?

Commander will review the form, add comments, sign, and return to USR for forwarding to the Safety Office within 5 duty days. (paragraph 2)

Ask Reggie.Bot a question about JBSANANTONIOVA91-201