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AMMUNITION MALFUNCTION REPORT REPORT …

AMMUNITION MALFUNCTION REPORT For use of this form, see AR 75-1; the proponent agency is DCSLOG REPORT ControlSymbol - CSGLD 1961 MALFUNCTIONING ITEMITEM COMPONENTSMALFUNCTION DESCRIPTIONSITE OF MALFUNCTIONUNIT CONTROLLING SITEUNIT USING AMMUNITIONDATE MALFUNCTIONOCCURREDTIMECASUALTIES (No. Killed) CASUALTIES (Hospitalized) CASUALTIES (Other Injuries) DESCRIPTION10. DAMAGED?DAMAGE REPAIRABLEAT UNIT LEVEL?YesNoN/AYesNoN/ADESCRIPTION11. DETONATIONa. Noneb. In WeaponM FROM WEAPONM FROM NEAREST PERSON12. Quantity RemainingFIRING SITELOCAL STORAGEc. SUSPENDED? AVAILABLE (Hold Exhibits Pending Disposition Instructionsper AR 75-1, para. 2-1). a. Fragmentsc. Weaponb. Intact Componentsd. None14. Firing Conditions for MALFUNCTION LotWEAPONTARGETRANGEAZIMUTHELEVATIONZONE FUZE HOW MANY ROUNDS PER MINUTEFROM HOW MANY MINUTES FIRED FROM WEAPON ON DAY OFMALFUNCTIONTOTAL MALFUNCTIONEDTOTAL FIREDMALFUNCTION RATE%15.

AMMUNITION MALFUNCTION REPORT For use of this form, see AR 75-1; the proponent agency is DCSLOG REPORT NO. Requirements Control Symbol - …

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  Report, Control, Requirements, Ammunition, Report on, Malfunction, Ammunition malfunction report report, Ammunition malfunction report, Requirements control

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