Department of the Air Force Mishap Prevention Program
This file outlines the Department of the Air Force Mishap Prevention Program, detailing policies and responsibilities for safety measures. It is crucial for all Air Force personnel to comply with these guidelines to prevent mishaps. The document also provides information for effective implementation and management of safety programs.
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To fill out this document, begin by carefully reviewing each section to understand the required information. Ensure you have all necessary data before proceeding. Follow the prompts to complete the relevant sections clearly and accurately.

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Gather all necessary information before beginning.
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Complete each section in order as instructed.
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Who needs the Department of the Air Force Mishap Prevention Program?
1
Air Force personnel for compliance with safety regulations.
2
Safety officers to implement necessary safety protocols.
3
Administrative staff to assist with documentation.
4
Regulatory bodies for oversight and adherence checks.
5
Training coordinators to ensure proper safety training is conducted.
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What are the instructions for submitting this form?
To submit this form, ensure all fields are completed accurately and review your entries. Send the completed document via email to AFSEC/SEG at usaf.pentagon.saf-ig.mbx.saf-igi-workflow@mail.mil or fax it to their designated number. Alternatively, you can submit the form physically to the Air Force Chief of Safety, Org Box, 9700 G Avenue, Kirtland AFB NM 87117-5670.
What are the important dates for this form in 2024 and 2025?
The key dates for this form include: 20 March 2020 for initial issuance and 10 April 2024 for the latest change certification. It’s imperative to stay updated with these dates for compliance.

What is the purpose of this form?
The purpose of this form is to implement effective safety measures within the Department of the Air Force. By outlining the necessary protocols and responsibilities, it aims to prevent mishaps and ensure a safe working environment. This form serves as a critical tool for personnel at all levels to align with safety regulations and guidelines.

Tell me about this form and its components and fields line-by-line.

- 1. Purpose: Describes the intent of the form and its application.
- 2. Responsibilities: Outlines the duties of individuals regarding safety measures.
- 3. Guideline Compliance: Ensures that users adhere to established safety standards.
- 4. Program Management: Details the management structure for safety programs.
- 5. Safety Evaluation: Provides criteria for assessing safety within the Air Force.
What happens if I fail to submit this form?
Failure to submit this form can lead to non-compliance with safety regulations, resulting in potential hazards and mishaps. It's essential for all personnel to understand the implications of not adhering to these guidelines.
- Non-Compliance: Risk of disciplinary actions for failing to meet safety standards.
- Increased Risk: Potential for accidents and injuries without proper safety measures.
- Operational Setbacks: Delays in operations due to unresolved safety concerns.
- Legal Liabilities: Possible legal repercussions from accidents due to negligence.
How do I know when to use this form?

- 1. Safety Compliance Evaluation: To assess adherence to safety guidelines.
- 2. Program Implementation: When initiating new safety programs.
- 3. Incident Reporting: To document and report safety incidents.
- 4. Training Sessions: During safety training to ensure understanding.
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