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805C-PAD-2060 (SL2) - Report Casualties

Standards: Recorded all known data elements accurately and legibly on DA Form 1156 and DA Form 1155, without error.

Conditions: Given a casualty, DA Form 1155, DA Form 1156, a map, and a pen or pencil.

Standards: Recorded all known data elements accurately and legibly on DA Form 1156 and DA Form 1155, without error.

Performance Steps

1.   Prepare DA Form 1156.

a. Leave the Control Number item blank.

b. Complete the Check Applicable Box item as it pertains to the casualty.

c. Complete item 1 with the casualty's last name, first name, and middle initial (to include Jr, Sr, III).

d. Complete item 2 with the casualty's complete Social Security number.

e. Complete item 3 with the casualty's rank.

f.  Complete item 4 with the hour and date of incident to include the time zone.

g. Complete item 5 with the casualty's unit.

h. Complete item 6 with the geographical location (nearby town) and grid coordinates to include the 100,000-meter square grid coordinates, 2‑letter designator, and nearest village or field trainers.

i.   Complete item 7 with a check in the appropriate box to enter the type of casualty (only medical personnel may enter a check in the lightly wounded or injured in action and seriously injured or injured in action boxes); check yes or no to indicate if the body was recovered; check yes or no to indicate if the body has been identified; enter the collection point to which the casualty is evacuated, if unknown indicate "unknown."

j.   Complete item 8 with the witnesses who saw the incident or identified remains to include the name, grade, social security number, and unit(s) of witnesses.

k. Complete item 9 with the applicable remarks to include additional circumstances such as, religious ministration performed, type of mission the unit was conducting, short synopsis of the incident.

l.   Do not complete the first three boxes in item 10 but enter his or her unit, grade, Social Security number, date, and signature in item 10 as the person who prepared the report.

2.   Prepare DA Form 1155.

a. Check the applicable box at the top of the form as it relates to the casualty witnessed.

b. Complete item 1 with the casualty's last name, first name, and middle name.

c. Leave item 2 blank.

d. Complete item 2a with the casualty's complete Social Security number

e. Complete item 3 with the casualty's rank.

f.  Complete item 4, if appropriate, with the date of the casualty's death or the date when the casualty was last seen along with the time zone.

g. Complete item 5 with the casualty's unit.

h. Complete item 6 with the geographical location including the six-digit coordinate as well as the nearest town to the incident.

i.   Complete item 7 only if name or Social Security number of the casualty is unknown or not positive.  If they are unknown or not positive enter the estimated age, weight, height, hair color, eye color, race, home town, civilian occupation, nickname, spouse's name, children's name(s), (if applicable), other identifying marks (such as birthmarks or tattoos), and other persons who may have witnessed the incident or have further information.

j.   Complete item 8 with a short, concise narrative of the circumstances regarding the incident and, if known, the cause of death or condition when last seen and how identified.

k. Complete items 9 through 13 with the name, Social Security number, unit, date, and signature of the person making the statement.

l.   Submit form in accordance with local guidance.

Evaluation Preparation:

Setup: Provide soldier with DA Form 1155 and DA Form 1156, a map, pencil and paper. Give the soldier a scenario that provides all the information needed to accomplish the performance measures.

Brief Soldier: Tell the soldier that he will be evaluated on his ability to report casualties, by preparing DA Form 1155 and DA Form 1156.

Performance Measures

GO

NO GO

1.   Prepared DA Form 1156.

--

--

a. Left the Control Number item blank.

 

 

b. Completed the Check Applicable Box item as it pertained to the casualty.

 

 

c. Completed item 1 with the casualty's last name, first name, and middle initial (to include Jr. Sr. III).

 

 

d. Completed item 2 with the casualty's complete Social Security number.

 

 

e. Completed item 3 with the casualty's rank.

 

 

f.  Completed item 4 with the hour and date of incident to include the time zone.

 

 

g. Completed item 5 with the casualty's unit.

 

 

h. Completed item 6 with the geographic location (nearby town) and grid coordinates to include the 100,000-meter square grid coordinates, 2-letter designator, and nearest village or field trainers.

 

 

i.   Completed item 7 with a check in the appropriate box; entered the type of casualty (only medical personnel may enter a check in the lightly wounded or injured in action and seriously injured or injured in action boxes); checked yes or no to indicate if the body was recovered; checked yes or no to indicate if the body has been identified; entered the collection point to which the casualty was evacuated, if unknown indicated "unknown."

 

 

j.   Completed item 8 with the witnesses who saw the incident or identified remains to include the name, grade, Social Security number, and unit(s) of witnesses.

 

 

k. Completed item 9 with the applicable remarks to include additional circumstances, such as religious ministration performed, type of mission the unit was conducting, short synopsis of the incident.

 

 

l.   Did not complete the first three boxes in item 10 but entered his or her unit, grade, Social Security number, date, and signature in item 10 as the person who prepared the report.

 

 

2.   Prepared DA Form 1155.

--

--

a. Checked the applicable box at the top of the form as it related to the casualty witnessed.

 

 

b. Completed item 1 with the casualty's last name, first name, and middle name.

 

 

c. Left item 2 blank.

 

 

d. Completed item 2a with the casualty's complete Social Security number.

 

 

e. Completed item 3 with the casualty's rank.

 

 

f.  Completed item 4, if appropriate, with the date of the casualty's death or the date when the casualty was last seen along with the time zone.

 

 

g. Completed item 5 with the casualty's unit.

 

 

h. Completed item 6 with the geographic location including the six-digit coordinate as well as the nearest town to the incident.

 

 

i.   Completed item 7 only if name or Social Security number of the casualty is unknown or not positive.  If they are unknown or not positive entered the estimated age, weight, height, hair color, eye color, race, home town, civilian occupation, nickname, spouse's name, children's name(s), (if applicable), other identifying marks (such as birthmarks or tattoos), and other persons who may have witnessed the incident or have further information.

 

 

j.   Completed item 8 with a short, concise narrative of the circumstances regarding the incident and, if known, the cause of death or condition when last seen and how identified.

 

 

k. Completed items 9 through 13 with the name, Social Security number, unit, date, and signature of the person making the statement.

 

 

l.   Submitted form in accordance with local guidance.

 

 

Evaluation Guidance: Score the soldier GO on performance measures passed. Score the soldier NO GO on any performance measures failed. The soldier must score a GO on all of the performance measures to receive a GO on the task. If the soldier scores NO GO, show the soldier what was done wrong.

References

 

Required

Related

 

DA Form 1155

AR 600-8-1

 

DA Form 1156