An official website of the United States government         Here's how you know         
**Official websites use .mil**
A **.mil** website belongs to an official U.S. Department of Defense organization in the United States.
**Secure .mil websites use HTTPS**
 A **lock (lock )** or **https://** means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

Skip to main content (Press Enter).

Defense Logistics AgencyThe Nation's Combat Logistics Support Agency

Search
Search

Search

-  Home		 
-  What DLA Offers    -  Excess Property Disposal             
  -  Document Services             
  -  Products             
  -  Services             
  -  Programs 
-  Working With DLA    -  Applications             
  -  Small Business             
  -  Federal and International Cataloging             
  -  Defense Data Standards             
  -  Events             
  -  Procurement Policies             
  -  Government Programs             
  -  Forms 
-  Organizations    -  DLA Headquarters             
  -  DLA Aviation             
  -  DLA Disposition Services             
  -  DLA Distribution             
  -  DLA Energy             
  -  DLA Land and Maritime             
  -  DLA Troop Support             
  -  DLA CENTCOM & SOCOM             
  -  DLA Europe & Africa             
  -  DLA Indo-Pacific 
-  Customer Support    -  Self Help Tools             
  -  How to Order             
  -  Find Your Order             
  -  Customer Facing Offices             
  -  Training             
  -  Brochures             
  -  Warfighter Support             
  -  Customer Service Management 
-  Careers		 
-  About DLA    -  Contact Us             
  -  Locations             
  -  Leaders             
  -  News             
  -  History             
  -  Media Gallery             
  -  DLA Campaigns 

HomeWorking With DLAFormsDLFormList

# DLA Official Forms

**If you experience an issue opening or downloading Adobe PDF files, click this banner for more assistance. Once you’ve adjusted your settings: From the form’s details page, click on the file link to either open or save the form to your computer download folder.**

Browse records in  that Search

Form Information
| Form Number:       | DLA5021                                                                                                                                                                                                                                                                    |
|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | High Hazard Facility Risk Management Survey                                                                                                                                                                                                                                |
| Form Version:      | Jan 2021                                                                                                                                                                                                                                                                   |
| Status:            | Active                                                                                                                                                                                                                                                                     |
| Functional Area:   | Aviation                                                                                                                                                                                                                                                                   |
| Opr:               | Aviation                                                                                                                                                                                                                                                                   |
| Safeguards:        | None                                                                                                                                                                                                                                                                       |
| Electronic:        | Yes                                                                                                                                                                                                                                                                        |
| Form Link:         | Documents/FormsSite/forms/DL5021.pdf                                                                                                                                                                                                                                       |
| Type:              | Primary                                                                                                                                                                                                                                                                    |
| Prescribed:        | DLAM 6055.06 Vol. 1                                                                                                                                                                                                                                                        |
| Description:       | This form updates and redesignates DSCR Form 4250-A to a DLA-level form as a result of the 2019 forms survey on MSC-level forms.  The DLA Form 5021 is utilized to conduct inspections on high hazard facilities IAW DLAM 6055.06, Fire Prevention Program, March 12, 2018 |
| Records Retention: | 6055.64 Firemen Logs and Inspections.  Temporary. Cutoff at end of CY. Destroy after 7 years.  Pending Approval.                                                                                                                                                           |
| Form Audience:     | MSC Fire & Emergency Services                                                                                                                                                                                                                                              |

                      - Contact Us
                      - Site Index
                      - Strategic Plan
                      - DLA IG Hotline
                      - FOIA
                      - No FEAR Act
                      - Whistleblower Protection
                      - DLA Careers
                      - Images
                      - Webmaster
                      - EEO
                      - Section 508
                      - Public Affairs
                      - SAPR
                      - External Links Disclaimer
                      - DOD Information Quality Guidelines
                      - Privacy/Security
                      - USA.gov
                      - DOD Web Policy
                      - DOD Open Government
                      - Plain Language

### Stay Connected

Hosted by Defense Media Activity - WEB.mil