Osap After-Action Mission Report Template printable pdf download

Appendix K

After-Action Mission Report Template

Location(s) Visited:

_______________________________

Mission Dates:

____________________

Mission Team Leader:

_____________________________________________________________

Phone:

_________________

Fax:

_________________

Email address:

______________________

Mission Summary. Broadly summarize the overall mission and include information on the composition of the team, spon-

sor(s), significant milestones and events that occurred during planning, preparation, execution and recovery.

______________________________________________________________________________

Team Composition. List all team members including their professional titles, licensure, affiliation, and contact information.

Attach a separate sheet if necessary.

______________________________________________________________________________

Sponsor(s). List all organizations or individuals providing support (financial or in-kind) for the mission.

______________________________________________________________________________

Local Host Interaction(s). Provide name and contact information of individuals that provided assistance during the mission.

Describe any difficulties that may have arisen and provide suggestions as to how these may be avoided in the future. Use an

attachment if necessary.

______________________________________________________________________________

Observations and Recommendations. Adequately describe key problem areas. Be very specific. If problems involved

equipment or materials, provide detailed item descriptions, including brand names, part numbers, and quantities. List problem

areas in order of importance. If making a recommendation for improvement, identify the appropriate administrative level for

corrective action, e.g., team leader, individual team members, sponsor. List a short title for each observation, describe the

problem, and provide a recommendation. Use the following example as a guide:

1. Translator Support Issues

Observation: Translators are mission-essential, and serious problems can arise if they cannot perform their duties.

Our translator asked us to extract a non-emergent carious third molar on the first day of the mission at the remote

site. After having the tooth removed, she developed a post-operative infection with muscle trismus treatment and

could not speak. As a result we were without effective translation services for three days.

Recommendation: Teams should avoid performing non-emergency invasive treatment on translators or other mis-

sion-essential personnel if there is no one else who can perform their duties.

continued on next page

Guide for Safety and Infection Control for Oral Healthcare Missions

Osap After-Action Mission Report Template