DA Form 8014-R: Cockroach Survey (LRA) PDF Download – If you serve in the U.S. Army, work in preventive medicine, or manage pest control on military installations, you already know how critical it is to keep cockroaches out of barracks, dining facilities (DFACs), and quarters. Cockroaches spread disease, damage morale, and create major sanitation headaches. That’s where DA Form 8014-R – Cockroach Survey (LRA) comes in.
This official Department of the Army form is the standardized tool used across U.S. Army installations to document cockroach infestations, assess sanitation and harborage, and support integrated pest management (IPM) programs. Still active and referenced in current Army pest surveillance guidance, it helps commanders and preventive medicine teams take data-driven action to protect troop health.
Download the official fillable DA Form 8014-R PDF here:
https://armypubs.army.mil/pub/eforms/DR_a/pdf/A8014_R.pdf
What Is DA Form 8014-R?
DA Form 8014-R, titled Cockroach Survey (LRA), was released by the Department of the Army on December 1, 1991, with the proponent agency being the Office of The Surgeon General (OTSG). “LRA” stands for Local Reproduction Authorized, meaning units can print and reproduce the form locally as needed.
It is used specifically for use with TB MED 561 (Occupational and Environmental Health: Pest Surveillance, June 1992). This technical bulletin remains the guiding document for Army pest surveillance and IPM programs at installations nationwide.
The one-page form captures critical field data during cockroach surveys in:
- Barracks and living quarters
- Food service facilities (DFACs, commissaries, snack bars)
- Administrative buildings
- Child development centers and other high-traffic structures
Why the U.S. Army Uses the Cockroach Survey Form?
Cockroaches are more than a nuisance—they are known vectors for bacteria (Salmonella, E. coli), allergens, and asthma triggers. In military environments, poor pest control directly impacts readiness, food safety, and Soldier morale.
DA Form 8014-R supports the Army’s Integrated Pest Management (IPM) approach by:
- Identifying the exact location and severity of infestations
- Documenting sanitation deficiencies and harborage sites
- Recording sticky-trap data for population trending
- Providing evidence for targeted (not blanket) pesticide applications
- Helping meet AR 40-5 (Preventive Medicine) and DA PAM 40-11 requirements
Recent installation IPM plans (including those from 2018–2026) continue to reference this form and TB MED 561 for cockroach surveillance in barracks and food-handling areas.
How to Fill Out DA Form 8014-R? – Step-by-Step Instructions
The form is designed for quick, consistent field use. Here’s exactly what to complete (based on the official PDF layout):
Blocks 1–5 (Header Information)
- 1. Organization – Unit or installation name
- 2. Building – Building number or name
- 3. Date – Survey date (DD MMM YYYY format recommended)
- 4. Time – Time of survey
- 5. Person Contacted – Name and title of building POC
PART I – Mission of Structure
- 6. Mission of Structure – Brief description (e.g., “Enlisted Barracks,” “DFAC”)
- 7. Food Handling Facility – Meals served per day and days open per week
- 8. Quarters – Single or multiple-unit housing
PART II – Sanitation
- 9. Sanitary Conditions – Check Very Good / Good / Fair / Poor / Other for both hard-to-reach and easy-to-reach areas
- Note whether food is left exposed at night
- 10. Food Debris – Yes (Y) or No (N)
PART III – Harborage
- 11. Harborage Conditions – Minimal / Moderate / Ample
- Check Yes/No for common entry/hiding spots:
- Space around pipes sealed?
- Holes in walls?
- Serving line, equipment, bar, crawl space, attic, other
PART IV – Cockroach Species
- 20. Kind – Species (German, American, Oriental, etc.)
- 21. Observation – Live insects, dead insects, egg capsules, or fecal material
PART V – Sticky Trap Data
- Record trap number, location, nights deployed, total cockroaches caught, and cockroaches per night
- Add any comments
Block 26 – Overall Comments (optional but recommended for recommendations)
Pro Tip: Always attach photos or a floor plan sketch when submitting to the Preventive Medicine Service or pest control contractor.
Where to Get the Official DA Form 8014-R? (Free & Fillable)
✅ Direct from Army Publishing Directorate (most trusted source):
Download DA Form 8014-R PDF
Many Army websites and fillable-form portals also host clean, editable versions that match the official APD file exactly.
Related Forms in the Army Pest Surveillance Series:
- DA Form 8013-R – Cockroach Collection Sites
- DA Form 8015-R – Filth Fly Survey
- DA Form 8019-R – Rodent Survey
Final Thoughts: Effective Cockroach Control Starts with Good Data
DA Form 8014-R is a simple but powerful tool that turns visual inspections into actionable intelligence. When used consistently with TB MED 561 guidelines, it helps U.S. Army installations reduce pesticide use, improve sanitation scores, and keep facilities cockroach-free.
Whether you’re a Preventive Medicine technician, garrison pest control specialist, or unit commander dealing with a barracks complaint, having the latest official copy of DA Form 8014-R ready to go is essential.
Need the form right now?
Click here to download the official DA Form 8014-R – Cockroach Survey (LRA) PDF
Questions about filling it out or integrating it into your installation IPM plan? Drop them in the comments or contact your local Preventive Medicine Service. Proper surveillance today means fewer roaches tomorrow.