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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

 


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