RESTRICTED
LOG
DATED
JOINT SERVICE ADVENTUROUS TRAINING FORM “ALPHA” (JSATFA)
APPLICATION FORM FOR THE MILITARY AND POLITICAL CLEARANCE OF ADVENTUROUS TRAINING EXERCISESFile/Exercise Reference: / Sponsor/Formation: / (RAF only) UIN:
1. Exercise Details
Exercise Name: / Country:Exercise Dates: / From: / To:
Exercise Aim:
2. Contact Details
Exercise Leader: / Unit:Name: / Rank: / Address:
Telephone No: / LFSP,
UK Address:
Fax No:
Mil E-Mail: / Signal Message Address:
Civil E-Mail: / UIN:
3. Service Sponsor
The exercise is being sponsored by: Royal Navy[1] Army Royal Air Force4. Level of Adventurous Training (Army only)
Indicate which Level of AT is to be conducted (see Para 11.008 for definitions):/ Level 2 - Directed Training / (Level 2 and 3 training may also include
Proficiency Courses conducted as Distributed
Training (DT))
Level 2 - In-Theatre Expeditions
Level 3 – Expeditions
5. Activities
The activities to be conducted on the exercise are:Caving / Mountaineering* / Rock Climbing
Gliding / Offshore Sailing / Skiing
Hang Gliding / Parachuting / Sub Aqua Diving
Kayaking/Canoeing / Paragliding / Trekking
Winter Climbing
*For Mountaineering, indicate one or more of the following:
Alpine / High Altitude[2] / Winter / Summer
Other Adventurous/Challenging activities:
Deep Sea Fishing for a Day
6. Personnel
The composition of the Expedition is:RN/RM / ARMY / RAF
Regular: / Regular: / Regular:
Officers / Officers / Officers
SNCOs / OCdts (RMAS) / SNCOs
JRs/ORs / SNCOs / JRs/ORs
JRs/ORs
Reserve: / UOTC/TA: / Reserve:
Officers / Officers / Officers
SNCOs / SNCOs / SNCOs
JRs/ORs / JRs/ORs / JRs/ORs
Ocdts
Cadets: / ACF/CCF: / Cadets:
Officers / Officers / Officers
SNCOs / SNCOs / SNCOs
JRs/ORs / Cadets / JRs/ORs
Civilians / Civilians / Civilians
Foreign Service / Foreign Service / Foreign Service
Personnel / Personnel / Personnel
Supporting Staff / Supporting Staff / Supporting Staff
7. Levels of Ability (all activities except Sub Aqua)
Novice: / Intermediate: / Advanced: / Other (please specify):Sub Aqua Only:
Beginners: / Club/Ocean Divers: / Sports Divers: / Dive Leaders:
Advanced Divers: / SADS: / SADS Name and No:
Others:
8. Instructors[3]
Name / Qualifications / Date Awarded / Relevant Experience, full details required (attach Log Book photocopies, etc, if required)
9. Travel
Countries to be Transited:
Land Clearance Applied For: / Yes / No / (In-Theatre Expeditions Only)
Routes / Routes to and from the expedition area. Date/Time Gp must be entered for each event including, where applicable, border crossing points and precise location, eg 230830 Jun 00; N57 between Garmisch and Innsbruck. Ferry details including arrival and departure times from each country must also be included.
Date and Time Group / Method of Travel (incl Ferry/Air Details) / Destination / Route Details
(incl Border Crossings, for Overseas Expeditions Only)
From / To
10. Vehicle Details
Military Transport: / Civilian Transport:Vehicle Type / Registration (if known) / Vehicle Type / Registration (if known)
11. Vehicle Documentation (Overseas Expeditions only)
Green Card Insurance / Yes / No / Vignette / Yes / No / Bail Bond / Yes / NoCarnet de Passage / Yes / No / Certificate of Registration / Yes / No
12. Expedition Itinerary
A detailed itinerary of the Expedition, including dates, routes and activities, is to be listed. Maps, traces and charts are to be attached as appropriate. Headings should include daily itinerary, date, activity, route and timings. All Expeditions going to France are to provide a French Translation (Bi-Lingual) Form.Dates / Activities / Routes (including all relevant activity information, distance, height, depth, grade of climb/cave or river) / Remarks /
13. Accommodation
Type of Accommodation: / Camp Site / Trg Camp/Lodge / Self-Catering/OtherAddress(es) and telephone numbers in Destination Country:
(Any additional accommodation should be recorded on Itinerary, under Remarks.)
14. Equipment
Radios: / Yes / No / Weapons: / Yes / No / Ammunition: / Yes / NoSAT Phone: / Yes / No / Other: See Appendix 2
15. Medical
Medical precautions are to be taken into account on all Adventurous Training ExpeditionsFitness Medical Required: / Yes / No / Inoculations Required: / Yes / No
Specialist First Aid Kit Required: / Yes / No
Expedition Leader has read the DCI (JS) on Adventurous Training at Altitude: / Yes / No
16. Dress
Completely Civilianized: / Yes / No / Authority for uniform to be worn is requested because:17. Personal Documentation
Passport: / Yes / No / ID Card: / Yes / NoVisa: / Yes / No / NATO Travel Order: / Yes / No
E111 / Yes / No / Personal Insurance / Yes / No
18. Public Relations
Media attention is expected/requested: / Yes / No / Div/Dist Media Ops has been informed: / Yes / NoArticles will be sent to:
19. Assistance
Assistance will be required from the following overseas agencies (Military and Civilian):20. Supporting Appendices
Are you applying for equipment? / Yes / NoAre you applying for CNFP flights? / Yes / ANNEX F / No
Are you requesting hydrographic charts? / Yes / No
Are there civilians on the Exercise? / Yes / No
Do you wish to use a lodge in Germany? / Yes / No
Are you undertaking a sailing expedition? / Yes / No
21. Supporting Documents
The following supporting documents will be submitted with this application or forwarded to the appropriate authority:UK Expeditions: Application submitted for land or water clearance / Yes / No
Activity Details: Map(s) showing full route plan for the activity / Yes / No
Application for Loan Pool Stores: signed and dated form / Yes / No
Civilian Transport: FMT 1000 / Yes / No
Military Transport: FMT 1000 / Yes / No
Expeditions to France: Bilingual Form 1 and/or 2 (not applicable to RN/RM)[4] / Yes / No
Expeditions to Italy: Customs Declaration Form (not applicable to RN/RM)4 / Yes / No
Offshore Sailing Activity: map/sketch detailing ports of call / Yes / No
Application to JSET / Yes / No
Application to Sports Lottery (RN/RAF only) / Yes / No
Application to Sailors Fund/Fleet Amenities Fund (RN only) / Yes / No
Application to BIBMTF (Army only) / Yes / No
Application to Ulysses Trust (all Reserve Services) / Yes / No
Application to HQ PTC Special Projects Grant (RAF only) / Yes / No
RESTRICTED
RESTRICTED
22. Finance (The following tables are Excel spreadsheets and can be accessed by double-clicking on the table. Fill in the £ columns and any other relevant columns as necessary. Click on Form Field on next page on completion.)
5. Station Budget Manager should note and agree the proposed costs to be debited from Public Funds.
6. RAFAT Grant to be allocated last - once all other income is known.
RESTRICTED
RESTRICTED
23. Risk Assessment7
Unit/Formation: / Assessor:Activity/Exercise: / Date of Assessment:
Relevant Publications/Pamphlets/Procedures: / BSAC Safe Diving, JSSAD Regs / Review Date:
Steps Relate to the Risk Assessment Process / Generic Risk Assessment / Yes / No
Ser / Activity/Element
Step 1 / Hazards Identified
Step 2 / Existing Controls
Step 3 / Residual Risk Acceptable
Step 4 / Additional Controls
Step 5 / Residual Risk Acceptable
Step 6 /
(a) / (b) / (c) / (d) / (e) / (f) / (g) /
Existing and Additional Controls Agreed
Additional Controls Implemented
Note: Use additional sheets if required.
7. Safety in Military Training Exercises - Military Training Risk Assessment Proforma, JSP 375, Vol 2, Leaflet 11, Annex B, Appendix 1.
RESTRICTED
RESTRICTED
24. Expedition Leader Signature
I, the Expedition Leader, have completed the JSATFA in accordance with the relevant single-Service AT instructions and guidelines, including current swimming test policy (where water-based activities are being undertaken), DIs on Heat and Cold Injuries, Guidelines on Altitude Illness, JSP419 Instructor/Student Ratios and JSP 375, Volume 2, Leaflet 11 (Safety in Military Training and Exercises) relating to the activities to be undertaken.Signed:
Name: / Appointment:
Rank/Rate: / Date:
25. ATO/RATO/PEdO Approval
1. I have checked that all the necessary appendices, maps, itineraries and proofs of insurance (if required) havebeen completed and attached to this application.
2. I have evaluated the risk assessment form.
3. The instructor/student ratios are correct and in accordance with JSP 419.
4. An application for CILOR in accordance with Service Instructions will be submitted. / Yes / No
5. I can confirm that the current DCI (JS) on AT Insurance has been read and complied with.
6. I can confirm that a nominal roll with annotated NOK will be submitted prior to the start of the Expedition.
UNIT DATE STAMP / Signed:
Name: / Appointment:
Rank: / Date:
Tel: / Fax:
26. Commanding Officer’s Certificate
1. I approve this Expedition and confirm that it fulfils the criteria laid down in Adventurous Training Policy, and that it will be conducted in accordance with current regulations.2. I have consulted the criteria for High Risk and Remote expeditions and have assessed this exercise as:
HIGH RISK / Yes / No / REMOTE / Yes / No
3. I have agreed to / £ / being allocated from unit Public / / Non-Public / Funds
4. I approve the waiver of food and/or accommodation charges. / Yes / No
5. (RAF ONLY: Sponsoring Unit’s UIN: )
DATE STAMP / Signed:
Name: / Appointment:
Rank: / Date:
Tel: / Fax:
27. (RM only) Approval from IPTRM
DATE STAMP / Signed:
Name: / Appointment:
Rank: / Date:
28. (For DNLM/Army Association/HQ PTC action only) Approval from Relevant Association Technical Advisor (only applicable for High Risk and/or Remote expeditions)
This Exercise is approved / is not approvedDATE STAMP / Signed:
Name: / Appointment:
Rank: / Date:
29. Approval from DNLM/Army Div/Dist/HQ PTC
1. This Expedition is approved / is not approved2. The High Risk and Remote grading has been assessed and has been agreed as/changed to:
HIGH RISK / Yes / No / REMOTE / Yes / No
Funds have been allocated from: / a. / £ / b. / £
3. CILOR is approved / is not approved
5. (RAF ONLY: Sponsoring Unit’s UIN: )
DNPTS
ARMY/DIV/DIST
HQ PTC
DATE STAMP / Signed:
Name: / Appointment:
Rank: / Date:
Appendices:
1. Expedition Nominal Roll
2. Application for Loan Pool Stores
3. Application for CNFP Flights
4. Application for Hydrographic Charts and Publications
5. Application for Civilian Participation
6. Request for Use of a Lodge in Germany
7. Sailing Activity Details
RESTRICTED
RESTRICTED
EXERCISE NAME: DATES:
EXERCISE NOMINAL ROLL
Name / Rank / Service Number / Passport Number / Next of Kin / UIN / Insurance Details (Policy Number and Emergency Contact Details) / Swim Test* /* If undertaking water-based activities (JSP 419 refers).
RESTRICTED
RESTRICTED
APPLICATION FOR CONCESSION NON-FARE PAYING (CNFP) FLIGHTS
1. Contact Details
Exercise Leader: / Unit Address: Commando Logistic Regiment Royal Marines. LFSP. Camp BastionCamp 123. BFPO 792
Tel No:
Fax No:
UIN: N0101A / SMA:
2. Exercise Details
Exercise Name: / Exercise Dates:3. CNFP Requirements - Outward Journey
Flight Details - CNFP flights are requested for the following:From: / To:
No of Seats (max 12): / Date Preferred:
Earliest Date: / Latest Date:
Freight Details:
Approx Size of Load (Cubic Metres): / Approx Weight of Load (Kilograms):
Dangerous Cargo:
CNFP Requirements – Return Journey
Flight Details - CNFP flights are requested for the following:From: / To:
No of Seats (max 12): / Date Preferred:
Earliest Date: / Latest Date:
Freight Details:
Approx Size of Load (Cubic Metres): / Approx Weight of Load (Kilograms):
Dangerous Cargo:
4. Unit Authorisation
It is confirmed that this Exercise is an authorised adventurous training activity.UNIT DATE STAMP / Signed:
Name: / Appointment:
Tel: / Date:
5. DNPTS/Army Div/Dist G3/J3 (AT) Authorisation
Authorisation Reference Number:The application for CNFP passages as shown have been approved subject to seat availability. The requesting unit should now send the completed F/MOV/562 plus nominal roll and RAF Form 1380 (Air Freight), where applicable, to the CNFP Cell, Joint Service Travel Centre, Hampton House, 20 Albert Embankment, LONDON SE1 7TD. Signal traffic for CNFP Cel is to be addressed to MODUK (Air) using QFA as SIC. If your unit address and telephone number are not inserted on the reverse of F/MOV/562, the application will be rejected. All MFA boxes are to be left blank. Quote the Reference above in all future correspondence.
DNPTS
ARMY G3/J3 (PAT) DATE STAMP / Signed:
Name: / Appointment: / Date:
RESTRICTED
[1]. Royal Marines via IPTRM - Fleet DRM to DNPTS.
[2]. Refer to JS DCI Guidelines for the conduct of AT Expeditions at Altitude.
[3]. Instructors must be named prior to ATO/RATO/PEdO approval.
[4]. Refer to Single Service AT Publications.