MC Manual P5102.1A of 29 Dec 000, Ch 3. Marine Corps Ground Mishap Investigation and Reporting Manual

1. PURPOSE. THIS MARADMIN DIRECTS PEN CHANGES TO THE 
SUBJECT MANUAL. THIS CHANGE IS APPLICABLE TO MARINE CORPS 
ACTIVITIES ON PCN 1020726801 DISTRIBUTION.
2. BACKGROUND. MISHAP REPORTING IN COMBAT CONTINGENCIES VIA 
MARTRAK WAS REPORTED IN OIF TO BE BURDENSOME. THIS CHANGE 
PROVIDES A COMBAT ZONE REPORT (CZR) MESSAGE TEMPLATE WITH 
DIRECTIONS TO ENHANCE MISHAP REPORTING TO HIGHER HEADQUARTERS 
WITH WEBSITE AVAILABILITY TO ENTER MISHAPS INTO MARTRAK. THE 
INFORMATION REQUIRED IN THE CZR ARE DATA FIELDS IN THE MARTRAK 
THAT CAN BE USED TO OPEN A FILE, TRACK INFORMATION, AND CONDUCT 
TREND ANALYSIS. 
3. ACTION. CHANGE REF A AS FOL:
A. ADD TO CHAPTER 4, PARAGRAPH 4002. 
 6. COMBAT ZONE REPORTING 
 A. MISHAP REPORTING IN A COMBAT ZONE (CZ) IS EXTREMELY 
 IMPORTANT BECAUSE OF THE UNIQUENESS OF WARTIME OPERATIONS AND 
 THE DIFFICULTY IN CAPTURING USEFUL INFORMATION.
 B. INITIAL NOTIFICATION OF AN INCIDENT, CASUALTY, OR 
 MATERIAL DAMAGE OF DOD OR NON-DOD PROPERTY FROM THE CZ SHALL BE 
 REPORTED BY PERSONAL CASUALTY REPORTS (PCR), OPERATIONAL REPORT 
 (OPREP-3) OR SITUATIONAL REPORT (SITREP) PER MCO P3040.4D, 
 MARINE CORPS CASUALTY PROCEDURES MANUAL AND MCO P5740.2F, OPREP-
 3 SERIOUS INCIDENT REPORT. ADDITIONALLY, COMMANDS ARE TO ENSURE 
 COMNAVSAFECEN NORFOLK VA//00/02/10/30/40/60/90// IS AN INFO 
 ADDRESSEE ON THE PCR, OPREP-3 OR SITREP. COMNAVSAFECEN WILL 
 REVIEW AND EXTRACT PERTINENT INFORMATION FOR DATABASE ENTRY. 
 THIS PROVIDES THE MEANS TO TRACK RECORDABLE AND REPORTABLE 
 MISHAPS UNTIL FINAL DEPOSITION HAS BEEN DETERMINED.
 C. THE CONTROLLING ACTIVITY SHALL REVIEW PCRS, OPREP-
 3S, AND SITREPS TO DETERMINE WHETHER THE INCIDENT OR CASUALTY IS 
 THE RESULT OF DIRECT ENEMY ACTION (DEA) OR IS A MISHAP. IF THE 
 INCIDENT OR CASUALTY IS A CLASS A OR B MISHAP, THE CONTROLLING 
 ACTIVITY SHALL CONTACT THE APPROPRIATE SUBORDINATE COMMAND 
 TO ESTABLISH THE REQUIREMENT FOR A CZ REPORT. MISHAP UNIT 
 COMMANDERS MAY ESTABLISH A SAFETY INVESTIGATION BOARD (SIB) AT 
 THEIR DISCRETION USING A SAFETY INVESTIGATION (SIREP) REPORT. 
 THE MISHAP COMMANDS HAVE 30 DAYS TO SUBMIT A CZ REPORT OR A SIREP.
 ALL CLASS A, B, AND C MISHAPS, AS DEFINED IN CHAPTER 2, THAT OCCUR
 IN A CZ SHALL BE REPORTED MONTHLY IN MARTRAK UTILIZING FIELDS 
 CONTAINED IN THE CZ REPORT. COMMANDS SHALL USE FIGURE 6-8 FOR A 
 CZ REPORT OR FIGURE 6-5 FOR A SIREP REPORT.
 D. FOR ALL INCIDENTS FALLING WITHIN THE DEFINITION OF FRIENDLY 
 FIRE, THE COMPONENT COMMANDER WILL CONVENE A LEGAL INVESTIGATION 
 TO DETERMINE THE FACTS OF THE INCIDENT AND GUIDE FURTHER ACTIONS 
 IAW DODI 6055.7, ACCIDENT INVESTIGATION, REPORTING, AND RECORD 
 KEEPING. COMMANDERS SHALL INCLUDE COMNAVSAFECEN ON DISTRIBUTION 
 OF THE LEGAL INVESTIGATION. COMPONENT COMMANDERS MAY CONVENE A 
 SIB AT THEIR DISCRETION.
 E. DEFINITIONS:
 (1). COMBAT ZONE: THE COMBAT ZONE IS AN AREA REQUIRED BY 
 FORCES TO CONDUCT LARGE-SCALE COMBAT OPERATIONS. IT NORMALLY 
 EXTENDS FORWARD FROM THE LAND FORCE REAR BOUNDARY. THIS DEFINITION
 IS EXTRACTED FROM THE JOINT DOCTRINE ENCYCLOPEDIA.
 (2). DIRECT ENEMY ACTION (DEA): IDENTIFIES A CASUALTY THAT 
 CAN BE DIRECTLY RELATED TO INVOLVEMENT OF ENEMY FORCES OR ACTION 
 AND WOULD NOT HAVE OCCURRED HAD THE ENEMY NOT COMMITTED A 
 DELIBERATE ACT.
B. ADD TO CHAPTER 6 FOLLOWING FIGURE 6-7, PAGE 40. 
 FIGURE 6-8 IS THE MESSAGE TEMPLATE FOR COMBAT ZONE REPORTING 
 MESSAGE.
 FIGURE 6-8 COMBAT ZONE MISHAP REPORT MESSAGE FORMAT
 FM (REPORTING ACTIVITY) 
 TO CMC WASHINGTON DC//SD//(USMC ONLY) 
 COMNAVSAFECEN NORFOLK VA//00/02/10/30/40/60/90// 
 INFO JOINT STAFF J3 READINESS DIV 
 (REPORTING ACTIVITY APPROPRIATE CHAIN OF COMMAND) 
 UNCLAS FOUO //N05102// 
 MSGID/GENADMIN/MSG ORIG/SER NO/MONTH// 
 REF/A/DOC/ (ENTRY EITHER OPNAVINST 5102.1D OR MCO P5102.1B AS 
 APPROPRIATE) 
 REF/B/MSG/ (REQUIRED FIELD)(REFERENCE ACTIVITY PCR, OPREP-3 OR 
 SITREP AND DTG) 
 NARR/REF A IS THE MARINE CORPS MISHAP AND SAFETY INVESTIGATION 
 REPORTING MANUAL.// 
 REF B IS THE ACTIVITY MESSAGE REPORT CONCERNING THE MISHAP// 
 SUBJ: COMBAT ZONE MISHAP REPORT - REPORT SYMBOL 5102-7C// 
 THIS REPORT IS FOR OFFICIAL USE ONLY. THIS IS A PRIVILEGED, 
 LIMITED USE CONTROLLED DISTRIBUTION, MISHAP REPORT. 
 UNAUTHORIZED DISCLOSURE OF THE INFORMATION IN THIS REPORT BY 
 MILITARY PERSONNEL IS A CRIMINAL OFFENSE PUNISHABLE UNDER 
 ARTICLE 92, UNIFORM CODE OF MILITARY JUSTICE. UNAUTHORIZED 
 DISCLOSURE OF THE INFORMATION IN THIS REPORT BY CIVILIAN 
 PERSONNEL WILL SUBJECT THEM TO DISCIPLINARY ACTION UNDER 
 CIVILIAN PERSONNEL INSTRUCTION 752. 
 RMKS/1. MISHAP SUMMARY: (SUMMARIZE THE MISHAP OPERATION, 
 EVOLUTION OR PROCEDURE IN 3 LINES OR LESS. EXAMPLE: A. 
 TRANSPORTING SUPPLIES WHEN VEHICLE ON HILL HAD NO BRAKES, 
 HITTING EMBANKMENT AND ROLLED OVER KILLING DRIVER. B. TANK 
 CROSSING BRIDGE WENT OVER THE EDGE AND LANDED UPSIDE DOWN IN 
 RIVER KILLING ALL INSIDE.) (DO NOT PLACE NAMES OF INDIVIDUALS 
 INVOLVED IN THE MISHAP OR CAUSAL FACTORS IN THIS SECTION.
 2. MISHAP DATA: : (EXAMPLE: CLASS A MISHAP) 
 A. REPORTING ACTIVITY UIC/MCC/RUC: 
 B. UIC/MCC/RUC OF MISHAP OWNER: 
 C. MISHAP LOCATION: 
 D. PARENT COMMAND: (LIST THE OPCON COMMAND. BATTALION, 
 SQUADRON, MEF, MAGTF, FSSG, DIV, MAW, BASE, STATION, OR EQUIV 
 PARENT ACTIVITY OF THE ORGANIZATION OR UNIT HAVING THE MISHAP.)
 E. TIME, DAY, AND DATE OF MISHAP: (EXAMPLE: 0134, TUESDAY, 
 24 MARCH 2003) 
 F. OPERATION/EVOLUTION/PROCEDURE: (DESCRIBE WHAT OPERATION, 
 EVOLUTION OR PROCEDURE WAS ONGOING AT TIME OF MISHAP.) 
 G. PERSONNEL INFORMATION: 
 (1) NAME OF INJURED PERSON (1): (LAST NAME, FIRST NAME, 
 MIDDLE INITIAL) 
 (A) AGE OR DATE OF BIRTH: 
 (B) PAY GRADE: EXAMPLE: (0-4, E-3, GS-12, WG-06, ETC.) 
 (C) DESIGNATOR/PRIMARY NEC/MOS (NEC/MOS AS RELATES TO 
 EVENT)/CIVILIAN JOB SERIES: (IF KNOWN. EXAMPLE: 1120, HM-8404, 
 9956,3502, GS-0018, ETC.)
 (D) TASK (JOB) AT THE TIME OF THE MISHAP: (DESCRIBE 
 THE SPECIFIC JOB THIS INDIVIDUAL HAD IN RELATIONSHIP TO THE 
 OPERATION, EVOLUTION OR PROCEDURE.)
 (E) INJURY CATEGORY: (SELECT ONE FATALITY, PERMANENT 
 TOTAL DISABILITY, PERMANENT PARTIAL DISABILITY, LOST TIME)
 (F) INJURY: (DESCRIBE MOST SIGNIFICANT INJURY OR CAUSE 
 OF FATALITY. FOR INJURED PERSONNEL, PROVIDE THE APPROPRIATE 
 LOST TIME DATA BELOW, OTHERWISE, INDICATED N/A.)
 1. LIGHT OR RESTRICTED DUTY START DATE AND TIME 
 (MMDDYYYY/LOCAL TIME): (EXAMPLE: 03102003/1625) 
 2. LIGHT OR RESTRICTED DUTY END DATE AND TIME 
 (MMDDYYYY/LOCAL TIME): (EXAMPLE: 03102003/1625) 
 3. LOST WORK DAY START DATE AND TIME 
 (MMDDYYYY/LOCAL TIME): (EXAMPLE: 03102003/1625) 
 4. LOST WORK DAY END DATE AND TIME (MMDDYYYY/LOCAL 
 TIME): (EXAMPLE: 03102003/1625) 
 5. HOSPITALIZATION START DATE AND TIME 
 (MMDDYYYY/LOCAL TIME): (EXAMPLE: 03102003/1625) 
 6. HOSPITALIZATION END DATE AND TIME 
 (MMDDYYYY/LOCAL): (EXAMPLE: 03102003/1625) 
 (G) IF PERMANENT LOSS TO COMMAND, PROVIDE TRANSFER 
 UIC/MCC/RUC: 
 (2) NAME OF INJURED PERSON (2): LIST ITEMS (1)(A) - (1)(G).
 (3) NAME OF FATALITY (1): LIST ITEMS (1)(A) - (1)(F). 
 (4) NAME OF FATALITY (2): LIST ITEMS (1)(A) - (1)(F). 
 (5) NAME OF NON-INJURED PERSONNEL: (PROVIDE A LISTING OF 
 NON-INJURED PERSONNEL WHO WERE DIRECTLY INVOLVED IN THE 
 OPERATION, EVOLUTION OR PROCEDURE. INDICATE WHAT THEIR 
 RESPONSIBILITY WAS DURING THE MISHAP.)
 E. PROPERTY DAMAGE AND COST: (LIST BELOW THE PROPERTY 
 INVOLVED IN THE MISHAP AND PROVIDE COST OR ESTIMATED COST.) 
 (1) DOD 
 (A) PROPERTY: (DESCRIBED EACH PIECE OF PROPERTY 
 DAMAGED AND LIST COST. DESCRIBE PROPERTY DAMAGE, ITEMIZED COST 
 AND INCLUDE HOURS TO REPAIR. IF PROPERTY WAS DESTROYED, SO 
 STATE.)
 (B) PERSONAL PROTECTIVE EQUIPMENT: (LIST ANY PPE THAT 
 WAS REQUIRED, WHETHER OR NOT IT WAS USED, AND WHETHER OR NOT IT 
 WAS EFFECTIVE.)
 (2) NON-DOD 
 (A) PROPERTY: (LIST EACH PIECE OF PROPERTY DAMAGE AND 
 ITEM COST. IF PROPERTY WAS DESTROYED, SO STATE.) 
 (B) PERSONAL PROTECTIVE EQUIPMENT: (LIST ANY PPE THAT 
 WAS REQUIRED, WHETHER OR NOT IT WAS USED, AND WHETHER OR NOT IT 
 WAS EFFECTIVE.)
 F. ENVIRONMENT: (DESCRIBE WHETHER OR OTHER CONDITIONS THAT 
 MAY HAVE ATTRIBUTED TO MISHAP.) 
 3. CAUSAL FACTORS: (PROVIDE A BRIEF EXPLANATION OF WHAT CAUSED 
 THE MISHAP. IF MORE THAN ONE CAUSE IS IDENTIFIED, LIST IN ORDER 
 OF PRIORITY, 3A, 3B, 3C, ETC. EXAMPLE: INADEQUATE SUPERVISION, 
 ROUTINE RULE BENDING, COMMUNICATION BREAKDOWN, PHYSICAL FATIGUE, 
 MAINTENANCE PERSONNEL NOT TRAINED, MAINTENANCE OR OPERATOR 
 INDUCED FAILURE, MECHANICAL COMPONENT FAILURE, INAPPROPRIATE 
 ITEM USED, ETC.)
 4. CORRECTIVE ACTION: (FOR EACH CAUSAL FACTOR, PROVIDE WHAT 
 CORRECTIVE ACTION IS BEING TAKEN AND BY WHOM, I.E., 3A (CAUSAL) 
 = 4A (ACTION/WHOM), 3B (CAUSAL) = 4B (ACTION/WHOM).)
 5. COMMANDING OFFICER COMMENTS (OPTIONAL): (THE CO CAN PROVIDE 
 AMPLIFYING INFORMATION AS APPROPRIATE.) 
4. POC FOR CHANGE: D.C. WEIGHTMAN, DSN 224-2423 OR COMM 703-614-1202,
EMAIL WEIGHTMANDC@HQMC.USMC.MIL.