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Form Information

Category	Details
Form Number:	DLA7015
Form Title:	Mishap and Near Miss Analysis
Form Version:	Oct 2016
Status:	Active
Functional Area:	Chief of Staff
Opr:	CoS
Safeguards:	none
Electronic:	Yes
Form Link:	Documents/FormsSite/forms/DL7015.pdf
Type:	Primary
Prescribed:	DODI 6055.07, DLAI 6055.07
Description:	To document mishap and near miss incident analysis determining causal factors and root causes contributing to or causing the incident to occur and corrective actions to prevent a reoccurence.
Records Retention:	6000.5 Hazard Report File. Destroy after 3 years
Form Audience: