Quick Form Download

DA Form 4379-1 — MISSILE AND ROCKET MALFUNCTION REPORT

missile and rocket malfunction report

A newer edition of this form has been issued (06/01/2023). Download the current edition.

Download the form

DA Form 4379-1 exists to missile and rocket malfunction report — that is the short version. Title of record: MISSILE AND ROCKET MALFUNCTION REPORT. The page covers the download, the entries and the disposition, nothing else. Current here: edition 06/01/2023, status ACTIVE, 1 page(s), near 169 fields. Superseded edition. A newer one is out; stay here only for files already executed on this version.

Two references decide everything about your use of it: G-4 maintains the content, PAM 75-1 sets the trigger and the routing. Consult the directive when your case is not routine; otherwise the printed blocks tell you enough. The person named in the entries fills it, or the administrative office holding the file does it for them.

PDF are available and the decision takes one second. Type your entries: fillable pdf. Write them: printable pdf. The published layout is common to both, so the format governs your method and nothing more.

Use a full pdf reader, not the browser viewer. Browser viewers display fields they cannot always save, and the loss shows up only when you reopen the file — type one entry, save, reopen, verify, then fill the rest.

No charge, no account, no email address. The file is the published document, distributed unaltered.

What the form asks for

  • ALLTITUDE
  • AZIMUTH
  • BATTALION
  • COR_ACTION
  • ContentArea1
  • DAMAGE
  • DATE
  • DATE_MALF
  • DATE_REPT
  • DESCRIP_A
  • DESCRIP_B
  • DIVISION
  • EMAIL_ADDRESS
  • EMAIL_ADDRESS1
  • FROM
  • LAUNCH_MOD
  • LIQ_FUEL
  • LIQ_OXID
  • LOCATION
  • LOCAT_FIR
  • LOT_NO
  • LOT_NO_1
  • LOT_NO_2
  • LOT_NO_3

Start at the top and get the header exactly right. Official spelling of the name, identification number, unit, date. Everything downstream finds the record through those entries; nothing else on the page has that consequence.

Move between fields with tab; the build-time order follows the page and misses nothing. Click check boxes and option buttons, and expect an exclusive group to release the old choice when you set a new one. The trap is field width. Single-line fields do not wrap, so an overlong entry displays complete on screen and prints cut at the margin — put it in remarks or on a continuation instead. Mark inapplicable fields rather than leaving them blank, since an empty box carries no information about whether the question was read.

Sign last. An unsigned form is a draft whatever else is on it, and additional signatures — reviewer, approver, witness — follow printed block order with each signer dating the day they sign, not the day of preparation. Four faults account for most returns: a blank mandatory field, transposed digits in an identification number, day and month reversed in a date, and leftover entries in a working copy reused instead of a fresh blank. Read the form once from the top before releasing it.

Privacy Act statement first, personal entries second. The notice covers who is authorised to collect, why, who else routinely sees it, and whether you must answer. After completion the file carries personal data and is stored and sent under the corresponding safeguards.

Routing follows PAM 75-1 and nothing else — a named office, the unit administrative channel, or the individual's file, according to why the form was raised. Copy it before it leaves. Retention is fixed by the records schedule for the series, which local practice does not shorten or extend.

Related forms are found by series and number. DA series documents under the same proponent or the same prescribing directive are commonly required as a set, and any form named on the face of this one goes forward with it. Assemble continuations, covers and transmittals before submitting, not after the query comes back.

A stored file goes stale silently. The proponent revises, a new edition date is published, and your copy says nothing about it — so compare the printed date against the edition in force before typing into it again. Completed submissions on an earlier edition are not reopened.

The files are copies of published Department of the Army forms. This site has no official connection, no authority to issue anything, and no basis for saying whether an office will accept a given submission. None of the text is legal advice. Real questions — entry, requirement, eligibility — belong with G-4 or the administrative office servicing your unit.

Questions and answers

What is DA Form 4379-1?
MISSILE AND ROCKET MALFUNCTION REPORT
Which edition is current?
06/01/2023
Who is responsible for this form?
G-4
In which formats can it be downloaded?
PDF, PDF

Other forms in the series