DLA Official Forms

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Form Number: DLA5021

Form Title: High Hazard Facility Risk Management Survey

Form Version: Jan 2021

Status: Active

Functional Area: Aviation

Opr: Aviation

Safeguards: None

Electronic: Yes

Form Link: Documents/FormsSite/forms/DL5021.pdf

Type: Primary

Prescribed: DLAM 6055.06 Vol. 1

Description: This form updates and redesignates DSCR Form 4250-A to a DLA-level form as a result of the 2019 forms survey on MSC-level forms. The DLA Form 5021 is utilized to conduct inspections on high hazard facilities IAW DLAM 6055.06, Fire Prevention Program, March 12, 2018

Records Retention: 6055.64 Firemen Logs and Inspections. Temporary. Cutoff at end of CY. Destroy after 7 years. Pending Approval.

Form Audience: MSC Fire & Emergency Services