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9 LINE IED REPORT

LINE 1: DATE TIME GROUP:


LINE 2: LOCATION:
LINE 3: UNIT AND CONTACT MEANS:
LINE 4: NATURE OF IED/TYPE OF MUNITION/METHOD OF DELIVERY:
LINE 5: NBC CONTAMINATION:
LINE 6: RESOURCES THREATENED:
LINE 7: IMPACT ON MISSION:
LINE 8: FORCE PROTECTION MEASURES:
LINE 9: RECOMMENDED PRIORITY:
LINE 10: CONVOY COMPOSITION:
LINE 11: NO OF WARLOCK BY TYPE:
LINE 12: DIRECTION OF TRAVEL:
LINE13: WHERE IED IS LOCATED:
LINE: 14: BDA:
LINE 15: CASUALTIES: NO OF KIA/WIA

9 LINE IED REPORT

LINE 1: DATE TIME GROUP:


LINE 2: LOCATION:
LINE 3: UNIT AND CONTACT MEANS:
LINE 4: NATURE OF IED/TYPE OF MUNITION/METHOD OF DELIVERY:
LINE 5: NBC CONTAMINATION:
LINE 6: RESOURCES THREATENED:
LINE 7: IMPACT ON MISSION:
LINE 8: FORCE PROTECTION MEASURES:
LINE 9: RECOMMENDED PRIORITY:
LINE 10: CONVOY COMPOSITION:
LINE 11: NO OF WARLOCK BY TYPE:
LINE 12: DIRECTION OF TRAVEL:
LINE13: WHERE IED IS LOCATED:
LINE: 14: BDA:
LINE 15: CASUALTIES: NO OF KIA/WIA

9 LINE IED REPORT

LINE 1: DATE TIME GROUP:


LINE 2: LOCATION:
LINE 3: UNIT AND CONTACT MEANS:
LINE 4: NATURE OF IED/TYPE OF MUNITION/METHOD OF DELIVERY:
LINE 5: NBC CONTAMINATION:
LINE 6: RESOURCES THREATENED:
LINE 7: IMPACT ON MISSION:
LINE 8: FORCE PROTECTION MEASURES:
LINE 9: RECOMMENDED PRIORITY:
9 LINE MEDIVAC REPORT 9 LINE MEDIVAC REPORT

LINE 1: PICK UP SITE: LINE 1: PICK UP SITE:

LINE 2: FREQUENCY/CALL SIGN: LINE 2: FREQUENCY/CALL SIGN:

LINE 3: NUMBER OF PATIENTS BY PRECEDENCE: LINE 3: NUMBER OF PATIENTS BY PRECEDENCE:


a: URGENT b: URGENT SURGICAL c: PRIORITY d: ROUTINE a: URGENT b: URGENT SURGICAL c: PRIORITY d: ROUTINE

LINE 4: SPECIAL EQUIPMENT: LINE 4: SPECIAL EQUIPMENT:


a: NONE b: HOIST c: EXTRACTION EQUIPMENT d: VENTILATOR a: NONE b: HOIST c: EXTRACTION EQUIPMENT d: VENTILATOR

LINE 5: NO OF PATIENTS BY TYPE: LINE 5: NO OF PATIENTS BY TYPE:


L: ___ # PATIENTS LITTER A: ___ PATIENTS AMBULATORY L: ___ # PATIENTS LITTER A: ___ PATIENTS AMBULATORY

LINE 6: SECURITY OF PICK UP SITE: LINE 6: SECURITY OF PICK UP SITE:


n: no enemy e: enemy in the area d: possible enemy x: enemy troops escort required n: no enemy e: enemy in the area d: possible enemy x: enemy troops escort required

LINE 7: METHOD OF MARKING: LINE 7: METHOD OF MARKING:


A: panels B: pyrotechnique signal C: smoke signal D: none E: other A: panels B: pyrotechnique signal C: smoke signal D: none E: other

LINE 8: PATIENT NATIONALITY & STATUS: LINE 8: PATIENT NATIONALITY & STATUS:
a: US military b: US civilian c: Non US military d: Non US civilian e: EPW a: US military b: US civilian c: Non US military d: Non US civilian e: EPW

LINE 9: TERRAIN DESCRIPTION: LINE 9: TERRAIN DESCRIPTION:

9 LINE MEDIVAC REPORT 9 LINE MEDIVAC REPORT

LINE 1: PICK UP SITE: LINE 1: PICK UP SITE:

LINE 2: FREQUENCY/CALL SIGN: LINE 2: FREQUENCY/CALL SIGN:

LINE 3: NUMBER OF PATIENTS BY PRECEDENCE: LINE 3: NUMBER OF PATIENTS BY PRECEDENCE:


a: URGENT b: URGENT SURGICAL c: PRIORITY d: ROUTINE a: URGENT b: URGENT SURGICAL c: PRIORITY d: ROUTINE

LINE 4: SPECIAL EQUIPMENT: LINE 4: SPECIAL EQUIPMENT:


a: NONE b: HOIST c: EXTRACTION EQUIPMENT d: VENTILATOR a: NONE b: HOIST c: EXTRACTION EQUIPMENT d: VENTILATOR

LINE 5: NO OF PATIENTS BY TYPE: LINE 5: NO OF PATIENTS BY TYPE:


L: ___ # PATIENTS LITTER A: ___ PATIENTS AMBULATORY L: ___ # PATIENTS LITTER A: ___ PATIENTS AMBULATORY

LINE 6: SECURITY OF PICK UP SITE: LINE 6: SECURITY OF PICK UP SITE:


n: no enemy e: enemy in the area d: possible enemy x: enemy troops escort required n: no enemy e: enemy in the area d: possible enemy x: enemy troops escort required

LINE 7: METHOD OF MARKING: LINE 7: METHOD OF MARKING:


A: panels B: pyrotechnique signal C: smoke signal D: none E: other A: panels B: pyrotechnique signal C: smoke signal D: none E: other

LINE 8: PATIENT NATIONALITY & STATUS: LINE 8: PATIENT NATIONALITY & STATUS:
a: US military b: US civilian c: Non US military d: Non US civilian e: EPW a: US military b: US civilian c: Non US military d: Non US civilian e: EPW

LINE 9: TERRAIN DESCRIPTION: LINE 9: TERRAIN DESCRIPTION: