DA Form 5775. Army Accident Prevention Award of Accomplishment in Safety

DA Form 5775 is the Army Accident Prevention Award of Accomplishment in Safety. It serves as a recognition and award document within the Department of the Army to acknowledge individuals or units that have achieved notable accomplishments in accident prevention and safety practices.

The form consists of sections where details about the recipient's accomplishments and safety initiatives are recorded. It requires a description of the accomplishments, supporting evidence, and the signatures of authorized officials. The form may also include sections for additional comments and recommendations.

Key fields in this form encompass the description of accomplishments, evidence of safety initiatives, and the signatures of relevant officials. Accurate completion of the form is vital for recognizing and honoring individuals or units that prioritize safety and accident prevention.

Application Example: A military unit successfully implements a comprehensive safety program that significantly reduces accidents and injuries. The unit commander completes DA Form 5775 to nominate the unit for an Army Accident Prevention Award, providing details about the safety accomplishments and attaching supporting evidence.

No additional documents are typically needed when completing this form.

Related Form: DA Form 4856 - Developmental Counseling Form. While not directly related, this form may be used to provide guidance and feedback to individuals regarding safety practices and performance.