MEMORANDUM FOR A1 - Air Force E-Publishing

148 AFI91-202 5 AUGUST 2011
A16.2.4.5.1. Applicant will assign a Risk Assessment Code to a hazard (actual or
simulated) based on an assessment of the mishap potential and its severity. Applicant
will also process AF Forms 457, USAF Hazard Report, and 1118, Notice of Hazard.
A16.2.5. Provide the servicing FSS with a memorandum summarizing the following areas
based on research and structured activities:
A16.2.5.1. Approval/Disapproval of applicant’s request for retraining.
A16.2.5.2. Assessment of applicant’s structured activities.
A16.2.5.3. Assessment of applicant’s communication skills, both written and verbal.
A16.2.5.4. Overall assessment of the appearance, moral standards, military conduct and
bearing.
Figure A16.1. 1S0 Safety Retraining Memorandum (Example).
MEMORANDUM FOR
FROM:
SUBJECT: 1S0 Safety Retraining Memorandum
1. I approve/disapprove ________________ (applicant’s Rank and name) request for retraining.
2. Applicant:
a. (Did/did not) complete the 10 duty-day assessment period.
b. (Has/does not have) ability to communicate: write, and speak clearly and distinctly.
c. (Has/does not have) ability to meet the needs of the Safety career field.
d. (Has/does not have) appearance, moral standards, military conduct and bearing to meet the
needs of the Safety career field.
Explain:
________________________________________________________________________
3. I interviewed applicant’s immediate supervisor and foresee no problems OR have reason for
concern.
Explain:
________________________________________________________________________
4. Applicant received a briefing on Safety programs and responsibilities and has/has no problems
which would preclude working nights, holidays, standby, TDY, overseas assignments or
deployments.
Explain:
________________________________________________________________________
5. If you have questions please contact me at DSN: xxx-xxxx.