UXO_IED 9-Line Report by malj

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									                        UXO/IED 9-Line Report
Radio Operator – Fill in all blanks on this form for UXO/IED reports from Battalion. If a line is missed ask for
clarification from reporting unit.


Line 1: Date-Time Group: _04 1255U JUN 06__________
Line 2: Reporting Activity (Unit) and location (grid of UXO).
                Unit: _MAP 1__________ & Grid: _9090 9041_________________


Line 3: Contact Method:
                Freq: ____________ & Call sign: _________________

Line 4: Type of Ordnance: Possible IED


Line 5: NBC Contamination: _NONE_______________________
Line 6: Resources Threatened: ASR TEXAS

Line 7: Impact on Mission:                            Unable to continue patrol to B Co VCP

Line 8: Protective Measures: Cordon set

Line 9: Recommended Priority: (Circle One)

                     Immediate                Indirect             Minor            No Threat


                For Mojave Viper Exercise Use Only.
                Link up point for EOD? ______________________
                                                                     (Street Intersection or Grid)
                               SPOT Report
Radio Operator – Fill in all blanks on this form for SPOT Report from Battalion. If a line is
                      missed ask for clarification from reporting unit.

Line 1:      Date-Time Group: __04 1331U JUN 06__________________
Line 2:      Unit: _C Co., 2nd Plt___________________ (Unit Making Report)
Line 3:      Size: _2 Military Age Males______________ (Size of Enemy Unit)
Line 4:      Activity: (Enemy Activity at DTG of Report)

             Firing AK-47s towards patrol on Isabel

Line 5:      Location: _Bldg 706K_______________________
             (Grid of Enemy Activity or Event Observed)
Line 6:      Unit: _Unknown______________________________ (Enemy Unit)
Line 7:      Time: _04 1331U JUN 06_____________ (DTG of Observation)
Line 8:      Equipment: (Equipment of Unit Observed)

             AK-47s


Line 9:      Sender’s Assessment: (Specific Sender Information)
             None


Line 10: Narrative: (Free Text for Additional Information)

             MAMs shot and ran away. Going to search the building.


Line 11: Authentication: (Report Authentication)
                                       CASREP # 1
 Radio Operator – Fill in all blanks on this form for CASREP from Battalion. If a line is
                   missed ask for clarification from reporting unit.

Line 1:      Name, Grade, SSN, Unit:




Line 2:      Time of Incident: _04 1331U JUN 06_________
Line 3:      Location of Incident: _Bldg. 706K_______________
Line 4:      Type of Wound: (Circle all that apply)
                A – Gunshot             B – Shrapnel            C – Concussion             D – Burn          E – Other

Line 5:      Part of Body Affected:

             5 – Right Arm & 7 – Right Leg

             (1 – Head, 2 – Face, 3 – Chest, 4 – Abdomen, 5 – Rt Arm, 6 – Lt Arm, 7 – Rt Leg, 8 – Lt Leg, 9 – Rt Shoulder, 10 –
             Left Shoulder, 11 – Rt Foot, 12 – Lt Foot, 13 – Back, 14 – Buttocks)


Line 6:      Status: (Circle One)
                A – KIA             B – MIA              C – WIA (evac)                  D – WIA (non-evac)

Line 7:      MEDEVAC:                   Y /N

Line 8:      Activity that Marine was Engaged In:

             Patrol in WaS
                                       CASREP # 2
 Radio Operator – Fill in all blanks on this form for CASREP from Battalion. If a line is
                   missed ask for clarification from reporting unit.

Line 1:      Name, Grade, SSN, Unit:




Line 2:      Time of Incident: _ 04 1331U JUN 06_________
Line 3:      Location of Incident: _Bldg. 706K_______________
Line 4:      Type of Wound: (Circle all that apply)
                A – Gunshot             B – Shrapnel            C – Concussion             D – Burn          E – Other

Line 5:      Part of Body Affected:

             6 – Left Arm & 10 – Left Shoulder

             (1 – Head, 2 – Face, 3 – Chest, 4 – Abdomen, 5 – Rt Arm, 6 – Lt Arm, 7 – Rt Leg, 8 – Lt Leg, 9 – Rt Shoulder, 10 –
             Left Shoulder, 11 – Rt Foot, 12 – Lt Foot, 13 – Back, 14 – Buttocks)


Line 6:      Status: (Circle One)
                A – KIA             B – MIA              C – WIA (evac)                  D – WIA (non-evac)

Line 7:      MEDEVAC:                   Y /N

Line 8:      Activity that Marine was Engaged In:

             Patrol in WaS
CASEVAC REQUEST / MEDEVAC INFO #1
(FROM FAC TO DASC/DASC(A)/TACC(A) HIGHER)

VHF (S/C/PT) (PRI) ______________ (ALT) ______________
UHF (PRI) ______________ (ALT) ______________
SAT PH______________

CASEVAC REQUEST/NATO 10-LINE
1. Pick up site: GRID Coordinates ______________________
2. Pick up site: Freq and C/S _____ ____
3. Number of patients by precedence:
   # of A – Urgent (1 hour)             1
   # of B – Urgent Surgery (1hr)
   # of C – Priority (4-6 hrs)
   # of D – Routine
   # of E – Convenience
4. Special equipment needed by Patients:
   A - None      C - Extractor equipment
   B - Hoist     D - Ventilator
5. Number of patients by Type:
   # of L – Litter                      1
   # of A – Ambulatory
6. Security at Pick up site (tactical)
   N – No enemy
   P – possible enemy troops
   E – Enemy troops (caution recommended)
   X – Enemy troops (armed escort recommended)
7. Marking at P/U site: Day/Night
   A – Panels (color)
   B – Pyrotechnics (color)
   C – Smoke (color)                    White
   D – None
   E – Other
8. Patient Nationality and Status:
   A – US Military
   B – US Civilian
   C – Non US Military
   D – Non US Citizen
   E – EPW
9. NBC Contamination: N – Nuclear B – Bio
                          C – Chem       D – None
10. Patient information: First Intial, Middle Initial, Last Name, Last 4 SSN, Blood type
                              RAPID REQUEST #1


A Requesting Unit                       C Co.
B Location (6-8 digit grid)             NT 908 900
C Support Required                      Resupply
H Class V (W) (ground ammunition)       5,000 rds A080
V Clarifying instructions               Less than half DOS O/H
W Mission precedence                    Urgent
Y Contact instructions                  Insert Callsign and NetID for link-up

								
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