UNCLASSIFIED UNITED STATES CENTRAL COMMAND 7115 SOUTH BOUNDARY BOULEVARD MACDILL AIR FORCE BASE, FLORIDA 33621-5101 SUBJECT: Summary of the Airstrike on the MSF Trauma Center in Kunduz, Afghanistan on October 3, 2015; Investigation and Follow-on Actions The U.S. Central Command extends its deepest condolences to those injured and to the families of those killed in this tragic incident. We are fully committed to learning from this tragedy and minimizing the risk of civilian casualties during future combat operations. This document includes a summary of the investigation and key follow-on a actions by senior commanders, and reflects our commitment to transparency and improvement. impro improv THE INVESTIGATION: U.S. Army Gen. John Campbell, then the Commander of USFOR-A, directed an man mande o investigation to determine the cause of this incident. The lead investigating officer was ncident. T Army Maj. Gen. William Hickman. He was assisted by Air Force Brig. Gen. Robert ssi e Armfield and Army Brig. Gen Sean Jenkins. All three generals were brought in from kins. t th outside Afghanistan in order to provide an obje objective perspective. The investigation team de o included over a dozen subject mat e e t er exp rts from several specialty fields. t The investigative team visited the MSF Trauma Center site and several other locations in d the city of Kunduz. The team intervi am interviewed more than 65 witnesses including personnel at m the Trauma Center, members of U.S. and Afghan ground forces, members of the aircrew, mbers f U and representatives at every echelon of command in Afghanistan. The team had full e ec access to classified information, and the investigation includes more than 3,000 pages of d informat informa documentary evidence, much of it classified. Gen. Campbell approved the investigation idence, m dence, on Nov. 21, 2015. 015. GENERAL SUMM L SUMMARY: The investigation concluded that the personnel involved did not know that they were striking a medical facility. The intended target was an insurgent-controlled site which was approximately 400 meters away from the MSF Trauma Center. The investigation found that an AC-130U Gunship aircrew, in support of a U.S. Special Forces element that was supporting a partnered Afghan ground force, misidentified and struck the MSF Trauma Center. The investigation determined that all members of both the ground force and the AC-130U aircrew were unaware the aircrew was firing on a medical facility throughout the engagement. The comprehensive investigation concluded that this tragic incident was caused by a combination of human errors, compounded by process and equipment failures. Fatigue UNCLASSIFIED AP PR O VE D FO R E On Oct. 3, 2015, members of U.S. Forces-Afghanistan (USFOR-A) su OR-A) s supporting a struck partnered Afghan force, conducted a combat operation that struck a Trauma Center in Kunduz operated by Médecins Sans Frontières (MSF), also kno n as "Doctors without a o Borders." EA SE UNCLASSIFIED Force Commander and the JTAC, the aircraft's weapons systems were redirected to the originally viewed structure (MSF Trauma Center). The MSF Trauma Center generally matched the general physical description of the Taliban-controlled target structure which was approximately 400 meters away. The investigation identified several human errors by the aircrew and ground personnel that contributed to this tragic incident, including poor communication, coordination, and situational awareness. The investigation confirmed that MSF officials provided the correct grid coordinates for the MSF Trauma Center to several U.S. government officials and that the location was properly entered on the U.S. military's "No Strike List" database, but that the aircrew did not have ready access to this database during the strike. The investigation also concluded that the MSF Trauma Center did not have an internationallyrecognized symbol to identify it as a medical facility, such as a Red Cr ss or Red Crescent that was readily visible to the aircrew at night. Throughout the cours of the cou se engagement, all members of the ground force and the aircrew were unawar the aircrew e unaware was firing on a medical facility and mistakenly believed that it was firing o the intended on as target, an insurgent-controlled structure approximately 400 meters away from the MSF eters awa aw Trauma Center. At approximately 2:08 a.m. local time on Oct 3, 2015, the aircre began firing on the MSF aircrew , aircre Trauma Center under the mistaken belief that it was the Tal Taliban-controlled target s compound. Starting at approximately 2:19 a.m., MS pe sonnel notified several U.S. p government representatives that the MSF Trauma Ce auma Center was being engaged. Due to the fighting around Kunduz, it was initially unclear w was engaging the MSF Trauma unc ea who nclear Center. Following a series of relayed messages t messages through multiple echelons of command, e the U.S. Special Forces commander on the gro ground eventually realized that the AC-130 was engaging the MSF Trauma Center ­ not the Taliban-controlled structure the crew enter nter o believed it was engaging ­ and halted the strike at approximately 2:38 a.m. The th investigation determined that the steps taken by several U.S. military personnel during he this period were inadequate. The inv investigation found that the airstrike resulted in at least e. . 30 deaths and 37 injuries at the M MSF Trauma Center. Since the investigation was s completed, MSF has increased the number of reported casualties to 42 deaths and 229 other claims. The U.S. Gove Government has relied primarily upon MSF for casualty estimates, Gov and these numbers have n been independently verified. not ers rs The investigation ide gation identified 16 U.S. servicemembers whose conduct warranted consideration for appropriate administrative or disciplinary action. The Commander of tion n a U.S. Forces-Afghanistan concluded that certain personnel failed to comply with the law of -Afg Af armed conflict and rules of engagement. However, he did not conclude that these failures amounted to a war crime. The label "war crimes" is typically reserved for intentional acts - intentionally targeting civilians or intentionally targeting protected objects. The comprehensive investigation concluded that this tragic incident was caused by a combination of human errors, compounded by process and equipment failures. The investigation found that this combination of factors caused both the Ground Force Commander and the air crew to believe mistakenly that the air crew was firing on the intended target, which was an insurgent-controlled site approximately 400 meters away from the MSF Trauma Center. UNCLASSIFIED AP PR O VE D F R EL EA SE UNCLASSIFIED FOLLOW-ON ACTIONS: Release of the Investigation. Gen. Campbell, then the Commander of U.S. ForcesAfghanistan, approved the investigation on Nov. 21, 2015 and announced the key findings at a press conference on Nov. 25, 2015. The written report contains over 3,000 pages of documentary evidence, much of it classified. The extensive report was subjected to comprehensive reviews before the public release in order to ensure that classified information, protected personally identifying information (including the names of the servicemembers involved), and other non-releasable information remains protected. p The investigation identified sixteen U.S. servicemembers whose conduct s c e disc warranted consideration for appropriate administrative or discip disciplinary action, including a general officer. Gen. Campbell took th action he deemed appropriate n ed t regarding twelve of the sixteen personnel involved in this tragic incident who were in Afghanistan, including the general officer. The action included suspension and actio actions , removal from command, letters of reprimand, formal counseling, and extensive retraining. Five personnel involved were dire ed o of theater. directed out Gen. Campbell also forwarded the investigation to Gen. Joseph Votel, then the nvestiga vestigati Commander of the U.S. Special Operations Command, to consider action Op t o regarding the five personnel who had re returned to the United States. These five personnel included the officer who Gen. Campbell removed from command and cer er G ordered out of Afghanistan. Gen. V an. Gen. Votel took action with respect to four of these five personnel, including four letters of reprimand and admonishment, and boards ng g let to evaluate the flight certification of three aircrew members. Gen. Votel referred t certificat the fifth servicemember to the Commander of the U.S. Army Special Operations ember Command, who issued a written reprimand and directed recertification in the o servicemember's job specialty. mber's These senior military commanders had extensive experience with the Uniform mi m Code of Military Justice and were supported by experienced military lawyers. In de Milita e Mil light of the report's conclusion that the errors were unintentional, and after t considering other mitigating factors, such as equipment failures, that affected the der e combat mission, those senior commanders decided administrative measures were appropriate to address the errors made by the service members. Some actions taken in these cases may have severe repercussions on the individual's career. For example, receipt of a reprimand can limit an officer's potential for career advancement. Also, further action can be taken by the Service that can impact an individual's career ­ including denial of promotion and separation from the Service. Operational Improvements: Gen. Campbell directed a series of actions to improve operations in Afghanistan as a result of this incident: UNCLASSIFIED AP PR O VE D FO R EL EA SE Military Personnel Accountability Actions: