DA Form 7441 PDF: Table VIII Coordinator Checklist

DA Form 7441 PDF: Table VIII Coordinator Checklist – U.S. Army Combat Medic Specialists (68W) and training coordinators rely on DA Form 7441 to ensure consistent, high-quality skills validation during Table VIII evaluations. This essential checklist maintains standardization, quality control, and compliance with current Army training standards under TC 8-800 (Medical Education and Demonstration of Individual Competence – MEDIC).

Whether you’re a Medical Simulation Training Center (MSTC) coordinator, unit trainer, or 68W NCO preparing for annual skills sustainment and NREMT recertification, this guide covers everything you need to know about DA Form 7441 in 2026.

What Is DA Form 7441?

DA Form 7441, titled Coordinator’s Checklist – (Table VIII), is a two-page Department of the Army form published in February 2014 (superseding DA Form 7441-R from May 2009). The proponent agency is the U.S. Army Training and Doctrine Command (TRADOC).

It serves as a quality control tool for the Table VIII skills qualification phase of the Army Combat Medic Sustainment Program. Coordinators (or their designees) use it to personally verify that every aspect of the evaluation meets Army standards before, during, and after testing.

Key facts:

  • Publication date: FEB 2014 (still current as of 2026)
  • For use with: TC 8-800 and DA Form 7442 (68W Skills Proficiency Tracking Sheet / Table VIII – Tracking Sheet)
  • Purpose: Standardize evaluations, reduce variability, and document that all quality control measures were followed

Why DA Form 7441 Matters for 68W Soldiers and Units?

Table VIII is the hands-on, scenario-based skills validation portion of 68W sustainment training. It ensures medics can perform critical combat casualty care tasks under realistic conditions. The Coordinator’s Checklist guarantees:

  • Fair and objective testing
  • Proper setup of medical/trauma scenarios
  • Qualified evaluators
  • Accurate scoring and documentation

Proper use of DA Form 7441 helps units maintain NREMT certification, meet AR 40-68 clinical quality requirements, and ensure medics remain deployment-ready.

Complete Breakdown of DA Form 7441 Checklist Items

The form is divided into six main sections (A–F). The coordinator must check each item or provide an explanation on page 2 if any criterion is not met.

A. Organization of the Evaluation

  • Established medical and trauma simulated casualties
  • Scheduled appropriate number of qualified skill station evaluators
  • Reviewed qualification of skill station evaluators prior to evaluation

B. Facilities

  • Skill stations had adequate space without interference
  • Equipment was in working order
  • Adequate variety of equipment was provided

C. Skill Station Evaluators

  • Read and understood their role
  • Remained objective
  • Did not introduce extraneous elements
  • Read the “Orientation Script” to each candidate
  • Showed no preference or bias

D. Orientation of Candidates and Skill Station Evaluators

  • Read standardized orientation script clearly and completely
  • Allowed time for questions
  • Oriented programmed casualties and EMT assistance as required

E. Candidates

  • Instructed candidates on the practical evaluation retest policy (per local SOP)

F. Scoring the Performance

  • Used proper criteria for determining final grade
  • Recorded pass/fail on DA Form 7442 (Table VIII Tracking Sheet)

The form also includes blocks for:

  • Evaluation Site
  • Evaluation Date (YYYYMMDD)
  • Coordinator’s Signature

Step-by-Step: How to Use and Complete DA Form 7441?

  1. Before the Evaluation — Review the entire checklist and verify all items in Sections A–E.
  2. During the Evaluation — Personally observe or confirm compliance (you or your designee).
  3. After the Evaluation — Ensure scoring is recorded on DA Form 7442. Document any deficiencies on page 2.
  4. Sign and File — The coordinator signs the form. Units typically retain records for at least two years per CMSD SOP.

Pro tip: Complete the checklist before testing begins to catch issues early and maintain standardization across all lanes.

Official DA Form 7441 PDF Download (Free & Fillable)

Direct official link (U.S. Army Publishing Directorate):
Download DA Form 7441 PDF Here

This is the most current version available directly from armypubs.army.mil. Always use the official source to ensure you have the latest form.

  • DA Form 7442 → 68W Skills Proficiency Tracking Sheet (Table VIII)
  • TC 8-800 → Primary regulation (15 December 2021 edition and later updates)
  • AR 40-68 → Clinical Quality Management

Tips for Successful Table VIII Evaluations

  • Rehearse with evaluators using the planning matrix in TC 8-800.
  • Use consistent lanes and scenarios for every candidate.
  • Document everything — it supports both Army readiness and NREMT recertification.
  • Coordinators must be NREMT-certified (or higher) per current CMSD guidance.

Conclusion

DA Form 7441 is more than just paperwork — it’s the backbone of quality control for 68W Table VIII skills validation. By following this Coordinator’s Checklist, Army units ensure every Combat Medic receives fair, standardized, and mission-critical training.

Ready to download?
Click here for the official DA Form 7441 PDF and get your next skills qualification day running smoothly.