AF Form 4392

PREDEPARTURE SAFETY BRIEFING
PART I. INSTRUCTIONS

1. Unit commanders must ensure that military personnel under the age of 26 are reminded, before departure on leave, TDY, or PCS, of the hazards involving recreational activities and travel by private motor vehicles.

2. The unit commander, first sergeant, flight commander, immediate supervisor, or military training manager will conduct this briefing. Group briefing may be given if so desired.

3. Units are responsible for adding to the following guidance by using educational materials tailored to the installation's location, climatic conditions, and recreational activities. Supplemental educational and briefing material can be obtained from the ground safety office.

4. Part III, "Travel Itinerary" will be completed by the departing member and reviewed by the unit commander, first sergeant, flight commander, immediate supervisor, or the military training manager for approval prior to member's departure.

5. Dispose of this IMT in accordance with Air Force Records Disposition Schedule (RDS).
1. Urge the driver to carefully and intelligently plan the trip, allowing time for rest prior to departure and at least every 2 hours while traveling. Travelers should not drive more than 10 hours during any 24-hour period. Strongly encourage travelers to get a good night's sleep (7-8 hours) while traveling.2. Encourage the traveler to be sure sufficient funds are available to cover expenses. A shortage of funds often leads to exhausting, marathon driving.3. Encourage the traveler to check the weather forecast for the intended route of travel.4. Discourage driving during late night hours. Many drivers on the road after dark possibly have been drinking.5. Stress the value of occupant restraint devices, including child and head restraints.6. Stress the importance of vehicle condition; vehicle defects also contribute to mishaps.7. Discuss the main causes of injury and death by vehicle mishaps, which are speeding, fatigue, alcohol, nonuse of occupant restraints, and nonuse of helmets by motorcyclists.8. Remind personnel to extend safety principles and common sense in planned recreational activities while off duty. Sports and recreational injuries are the leading cause of injuries to Airmen. These injuries can be prevented. While there are inherent risks associated with every activity, these risks can be minimized by performing warm-up and stretching exercises prior to physical activities, drinking plenty of fluids during the activity, avoiding-overexertion, and stretching after the activity.9. Encourage personnel to discuss with leadership their plans to engage in high-risk activities such as flying civil aircraft, hang gliding, skydiving, para-sailing, white water rafting, motorcycle and auto-racing, scuba diving, bungee jumping, etc.10. Advise the traveler to contact their unit commander, first sergeant, flight commander, immediate supervisor or command post in the event of involvement in an accident or an emergency situation. Ensure the member is provided the phone numbers of the points of contact.11. Urge the traveler to inform someone (spouse, parent, friend, supervisor, first sergeant, etc.) concerning their travel plans and establish periodic check-in times to verify travel status.
PART III. PROPOSED TRAVEL ITINERARY
PRIVATE MOTOR VEHICLEAIRPLANEBUSTRAINMOTORCYCLEOther
DEPARTURE DATE*

MonthDayYear
Date
FINAL DESTINATION*
If taking leave from and returning to JBSA-RAN, input JBSA-RAN. If you're leaving for your follow-on training, you put the base you will be going to.
PROVIDE INFORMATION BELOW FOR EACH DATE OF TRAVEL
Date*

MonthDayYear
Date
DEPARTURE POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
Date

MonthDayYear
Date
DEPARTURE POINT
Your previous ARRIVAL POINT
ARRIVAL POINT
Your destination from your departure point (i.e. City, State or Airport Code [SAT - San Anotnio airport])
LENGTH OF REST PERIOD (DAYS)
Only applies if you plan to to stay at your arrival point for greater than one night. If it doesn't apply, you can put N/A
APPROXIMATE MILEAGE/FLIGHT NUMBER
Input mileage from departure point to arrival point.
PART IV. OTHER INFORMATION

Local information, group breifings, etc.
Use this space if all of PART III has been filled in.
CELL PHONE NUMBER*
Format: (000) 000-0000.
EMERGENCY CONTACT (SOMEONE NOT TRAVELLING WITH YOU):
NAME*
RELATIONSHIP TO EMERGENCY CONTACT*
PHONE NUMBER*
Format: (000) 000-0000.
I understand that I will communicate any delays that may occur that are beyond my control (i.e. flight delays, car issues, etc) to an MTL immediately.
Reason for Itinerary submission?
I understand that injuries incurred as a result of my driving under the influence of alcohol or failure to utilize required safety devices may result in potential UCMJ action.
NAME*
FIRST MI LAST
PAY GRADE*
DATE BRIEFED*

MonthDayYear
Date
SIGNATURE OF INDIVIDUAL BRIEFED*
Should be Empty:

PREDEPARTURE SAFETY BRIEFING

PART III. PROPOSED TRAVEL ITINERARY

PROVIDE INFORMATION BELOW FOR EACH DATE OF TRAVEL

PART IV. OTHER INFORMATION

EMERGENCY CONTACT (SOMEONE NOT TRAVELLING WITH YOU):