Transcription of CARGO/PASSENGER ENVELOPE AND CHECKLIST
1 CARGO/PASSENGER ENVELOPE AND CHECKLISTBRIEFING TO AIRCRAFT COMMANDER/DESIGNATED REPRESENTATIVE"X"CONTENTS( name )1. I am. I'm here to brief you on theLOAD PLAN hazardous material being shipped on your aircraft according toAFJMAN 24-204. The following items are being shippedCARGO MANIFEST: (FOR EACH HAZARD)SHIPPER'S DECLARATION FORMHAVEASAFEFLIGHTA. Proper shipping nameB. Hazard FORM (DD 2133)C. Load storage groupPASSENGER MANIFESTD. Quantity of hazardOTHER CONTENTS (Specify)E. Special information in case of emergencyF. Net explosive weight (NEW) ( , , explosives)2. The item is located(exact location).3. Escorts/couriers are/are not Protective clothing is/is not Passengers are/are not permitted on Has aircraft commander/designated representative sign cargomanifest that he or she has been briefed (using hazardous cargo stamp).
2 MISSION NUMBER / CHALK / TAIL NUMBERREMARKSTOTAL PAX AND CARGO WEIGHT (Pounds)TOTAL PAXTROOP COMMANDERCARGO COURIERS (Printed name /Grade)PREVIOUS EDITION IS FORM 302, JAN 98(IMT-V1) HQ AMC/DOZX (Maj Michael R Wilson), DSN 576-3684, Prescribing Directive: AMCI 24-101, Volume 18