Safety Briefing Counseling

An example counseling given when a Soldier will be on pass or leave. This counseling is meant to encourage safety awareness, establish procedures for notifying the chain of command in case of an accident, and to ensure proper planning of travel time.

This sample counseling statement has been taken  from Counsel Quick, U.S. Army Counseling Preparation Software.

MEINC DBA ©2013-2018 MentorMilitary.com. All Rights Reserved. The content below is copyrighted material protected by international copyright law but more importantly by your personal integrity. The individual owner of the product may use/modify this document for personal use only. Duplication/distribution in any manner other than personal use is prohibited. This warning will does not appear on the printed document.

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Purpose of Counseling

Event Oriented: Safety Briefing

To:

• Encourage safety awareness
• Establish procedures for notifying the chain of command in the event of an accident
• Ensure proper planning of travel time

Key Points of Discussion

Are you planning extended travel outside a {INSERT MILES} radius from the local area? ( YES / NO )

Do you have an extended travel pass?  ( N/A / YES / NO )

Note: you are not authorized to leave the local area until the DA Form 31 is completed.

Each Soldier is required to be safety-aware and implement the following procedures as applicable.

Initial each to indicate your understanding:

_____ If you consume alcohol, do so in moderation

_____ Use caution if you are going to mix alcohol and sporting events

_____ Do not operate a motor vehicle or other machinery after you have consumed alcoholic beverages or taken medication

_____ If you need a ride you will use your leader card or contact me at {INSERT PHONE #} for a ride

_____ Only swim in approved areas with a lifeguard present

_____ Do not attempt to travel a long distance or a distance beyond your physical capabilities

_____ Ensure that you plan for adequate rest and eating while traveling

_____ Allow enough time for bad weather, heavy traffic, and other delays

_____ Ensure that you have adequate financial resources to return to your place of duty

_____ Avoid domestic disturbances, if this issue should arise defuse it quickly or leave the area immediately

_____ Avoid establishments that create an environment for trouble

_____ Do not attempt to participate in activities that are clearly outside of your physical/mental capabilities or state of mind if affected by alcohol or medication.

_____ I will not allow other Soldiers to operate vehicles or endanger themselves if I believe them to be impaired. If I am unable to resolve this situation myself I will inform my chain of command immediately.

 

Plan of Action

Soldier will comply with the contents of this counseling and all verbal elements of the safety briefing.

Soldier will ensure they have their leader contact card and my phone number on their person at all times during the pass period.

Soldier agrees to implement the following actions:

• If they encounter any problems they are to contact me immediately
• If I am unavailable they are to contact {ENTER RANK, NAME, & PHONE NUMBER}
• If the secondary POC is not available, immediately contact the unit staff duty office {INSERT PHONE NUMBER}
• Soldier voluntarily

Leader Responsibilities

• Ensure Soldier understands the contents of the counseling
• Ensure Soldier has a unit leader card and/or phone numbers of key leaders in their immediate possession
• File copy of the counseling
• Assist Soldier if required

Assessment

• Soldier returned from pass without incident
• Soldier was delayed returning from pass and promptly informed the Chain of Command.
• Soldier failed to return from pass at the specified time and did not notify the Chain of Command;
• See additional counseling dated {INSERT DATE}.
• Soldier was involved in an accident/incident while on pass that violated the specifications of this counseling and/or the verbal safety briefing which was administered at the time of counseling. See additional counseling dated {INSERT DATE}.
• Soldier was involved in an accident/incident while on pass but did not violate his counseling.

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MEINC DBA ©2013-2018 MentorMilitary.com. All Rights Reserved. The content above is copyrighted material protected by international copyright law but more importantly by your personal integrity. The individual owner of the product may use/modify this document for personal use only. Duplication/distribution in any manner other than personal use is prohibited. This warning will does not appear on the printed document.

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