Form Preview Example

SOLDIER’S PRIVACY ACT STATEMENT

The personnel listed below authorized ______________________ to maintain their

SSN and personal information in his/her Leader’s Book with the understanding that

this information will not be disclosed except in the line of his/her official duties.

NAME

SSN

SIGNATURE

DATE

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CHAIN OF CONCERN

Squad Leader Name :

Address

Telephone

Platoon Sergeant Name :

Address

Telephone

Platoon Leader Name :

Address

Telephone

1SG

Name :

Address

Telephone

Commander	Name :

Address

Telephone

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DAILY PERSONNEL STATUS

Date: ___________

	Off	NCO	ENL	Total
Authorized	_____	_____	_____	_____
Assigned	_____	_____	_____	_____
Present for Duty	_____	_____	_____	_____
Absent from Duty	_____	_____	_____	_____

TDY	___________	Other	___________
Unsat	___________	On Duty	___________
PASS	___________	Out Processing	___________
In Processing	___________	Hospital	___________
Profile	___________	Conv Leave	___________
Appt	___________	WIA	___________
KIA	___________	AWOL	___________
MIA	___________	LEAVE	___________

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SQD POSITION

RANK

NAME

SSN

BLOOD

DOR

BASD

ETS

TEAM/SQUAD/SECTION/PLATOON

TRAINING

TASK NUMBER

SHORT TITLE

NAME

DAT	DAT	DAT	DAT	DAT	DAT	DAT	DAT	DAT	DAT
E	E	E	E	E	E	E	E	E	E
TPU	TPU	TPU	TPU	TPU	TPU	TPU	TPU	TPU	TPU

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RANK

NAME

LAST FOUR	WEAPON TYPE

SERIAL NUMBER

OPTICS TYPE

SERIAL NUMBER

NODS

SERIAL NUMBER

CREW/TEAM/SQUAD/PLATOON

TRAINING STATUS

RANK

NAME

SCORE

M60

DATE

ZERO

	M2		MK19

SCORE	DATE	ZERO	SCORE	DATE

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INDIVIDUAL TRAINING STATUS

RANK	NAME		APFT				CTT
RANK	NAME
	PUSH	SIT	2-MILE RUN	SCORE	DATE	GO	DATE
	UP	UP	2-MILE RUN	SCORE	DATE	/NOGO	DATE
	UP	UP				/NOGO

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RANK

NAME

PROFILE

START DATE END DATE

END REC DATE

RANK

COUNSELING

			NEXT
			NEXT
NAME	INITIAL	PERFORMANCE	PERFORMANCE
NAME	COUNSELING DATE	COUNSELING DATE	COUNSELING DATE
	COUNSELING DATE	COUNSELING DATE	COUNSELING DATE
			DUE

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NCOER

RANK

NAME

DEROS

TYPE

LAST

THRU

SUS TO COMPANY

STATUS

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UNRESOLVED SOLDIER ISSUES

RANK

NAME

ISSUE

DATE – STATUS –

FOLLOW-UP

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AWARDS

RANK

NAME

DEROS

MSM

85 DAYS

ARCOM

75 DAYS

AAM

40 DAYS

DATE TO

COMPANY

TYPE

STATUS

REMARKS

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PLATOON EQUIPMENT DENSITY LIST

_________

REMARKS

BUMPER NO.

NOMENCLATURE

MODEL

SERIAL NO.

SVC DATE

ASSIGNED DRIVER

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AFTER ACTION REVIEW

PLAN

•Establish objectives for AAR

•Select qualified observers

•Review the training and evaluation plan

•Identify the participants

•Plan stop points during exercises for AAR's

•Make potential site selections

•Select training aids

•Draft an AAR plan

•Review the unit's training objectives and plan

PREPARATION

•Review the training objectives, orders, and doctrine

•Observe the training

•Organize the selected AAR Site

•Collect information from the observers

•Develop a discussion outline

•Organize and rehearse

CONDUCT

•Restate the unit's mission and event's training objectives

•Generate discussion

•Orient on training objectives

•Seek maximum participation

•Continually summarize to emphasize key learning points

LEADERS TIP: If possible, write down soldier's feedback (sustain/improve) on butcher paper mounted on easel. Soldiers are more active in providing feedback if they see you care enough to write down their comments.

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SAMPLE 5 PARAGRAPH OPERATION ORDER

1.Situation

a)Enemy Forces

1)Situation (enemy, weather and terrain).

2)Capabilities.

3)Probable course of action.

b)Friendly Forces.

1)Mission of Next higher unit.

2)Mission of adjacent units (left, right, front, rear).

3)Mission and location of supporting elements.

c)Attachments and Detachments.

2.Mission, Who, What, When, Why and Where (coordinates).

3.Execution.

a)Concept of Operation.

1)Scheme of maneuver.

2)Formation.

3)Route.

4)Tactical Missions to subordinate Units.

b)Subunit Subparagraphs.

c)Coordinating Instructions.

4.Service Support.

a)Supply.

1)Rations.

2)Uniforms and Equipment.

3)Arms and Ammunition.

4)Captured Materiel.

b)Transportation.

c)Medical Evacuation.

d)Personnel.

e)Prisoners of War.

5.Command and Signal.

a)Signal.

1)Frequencies and Call Signs.

2)Pyrotechnics and Signals.

3)Challenge and Password.

4)Code Words.

b)Command.

1)Command Leader Location.

2)Chain of Command.

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SECTION STRIP MAP TO HOME

NAME : __________________________ SECTION : _______________ DATE : ____________

ADDRESS : _______________________________________ PHONE # : ____________________

•NOTE: If you reside in the barracks then annotate the BLDG/ROOM # you live in.

MAP :

INSTRUCTION :

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			INPROCESSING CHECKLIST
TRAINING ROOM/ SUPPLY
___ COPY OF ORDERS		___COPY OF DD93		___COPY OF SGLI	___COPY OF ERB
___PERSONAL DATA SHEET		___UPDATED ALPHA ROSTER		___UPDATED PERSTAT	___HERO PHOTO
___UPDATED PERSONEL TRACKER/ BR#			___ASSIGN ROOM	___ISOPREP (PHOTO/PROFILE	) ___AASLT QUALIFIED
___RFI	___COLLECT ALL ACU SIZES		___ADD SM TO ADO ROSTER ___MILITARY LISCENSE

PLATOON

___BUILD COUNSELING PACKET

___1ST LINE SUPERVISOR COUNSELING

___PLATOON SERGEANT COUNSELING

___GET SOLDIER SETTLED IN ROOM AND SET UP WITH BATTLE BUDDY

___SUICIDE COUNSELING

ENSURE THE SOLDIER HAS THE FOLLOWING:

___TOURNIQUET FOR LEFT LEG POCKET (PER SOP)

___RFI ITEMS

___7 MAGAZINES

___RHINO MOUNT/J-ARM/BASE PLATE

___WEAPON W/OPTICS AND LASER THAT WORKS

___NVGS ARE OPERATIONAL

___ALL SI IS INVENTORIED BY SERIAL # AND COPY TURNED INTO SFC JONES AND XO

___ISSUE PLATOON EUIPMENT

___TA-50 PUT TOGETHER AND INSPECTED TO BRIGADE STANDARD

___MYPAY/ FINANCE (CONFIRM ALL PAY INTITTLEMENTS AFTER 30 DAYS)

SOLDIER WILL MEET THE FOLLOWING CRITERIA

OSOLDIER WILL CONFIRM ZERO WITH ASSIGNED WEAPON

OSOLDIER WILL KNOW ALL THE POINTS OF ADJUSTMENT FOR HIS ASSIGNED NVGS AND CONFIRM THEY ARE WORKING PROPERLY

OSOLDIER WILL KNOW HOW TO READ A MAP/ BE ORIENTED TO THE TERRAIN BY CARDINAL DIRECTIONS AND KNOW BY NAME THE FOLLOWING MOUNTAINS (INDIANS, METS, BLUE JAYS, MARINERS, ANGELS, JETS, DODGERS, RED SOX, SENATORS, AND GIANTS)

OSOLDIER WILL KNOW HOW TO ASSEMBLE, DISASSEMBLE, PUT INTO ACTION, PERFORM A FUNCTIONS CHECK, AND CORRECT A

MALFUNCTION FOR THE FOLLOWING WEAPONS:

1. M249 / M240B /MK48 / M2-50CAL / MK19 / M320 / AND ASSIGNED WEAPON

2.AT-4 / SMALL-D / LAW / JAVELIN

OSOLDIER HAS A GOOD UNDERSTANDING OF ALL OPTICS IN TOWERS TO INCLUDE BUT NOT LIMITED TO THE FOLLOWING:

1. PVS-14S / PAS-13S / CLUS / ITAS / CROW / VIPERS

OSOLDIER CAN PUT AN ASIP RADIO INTO OPERATION, TROUBLE SHOOT COMS ISSUES AND CAN SPEAK ON/ THROUGH MIC:

1.PUT IN FREQS/ CHANGE CHANNELS

2.INSTALL AND SWAP OUT HAND MIC

3.INSTALL AND SWAP OUT ANTENNAS

4.INSTALL AND SWAP OUT BATTERIS

OSOLDIER HAS CONDUCTED NO LESS THAN 4 HOURS OF MOVEMENT UNDER NVGS DURING HOURS OF LIMITED VISIBILTY (BETWEEN HOURS OF 2100 AND 0300)

OSOLDIER HAS ZEROED HIS NIGHT OPTICS (CO-WITNESS) AND CONFIRMED THROUGH ZEROING DURING LIMITED VISIBILITY

OSOLDIER HAS BEEN TAUGHT ALL PLATOON SOP AND HAND AND ARM SIGNALS

OSOLDIER KNOWS THE PRINCIPLES OF PATROLLING

OSOLDIER HAS CONDUCTED THE FOLLOWING BATTLE DRILLS:

1.REACT TO CONTACT

2.REACT TO AMBUSH

3.WITHDRAW UNDER PRESSURE

OSOLDIER KNOWS HIS ACTIONS AT THE FOLLOWING:

1.DURING MOVEMENTS AND AT HALTS / AT DANGER AREAS / IN THE PATROL BASE / AND ON THE OBJECTIVE

SOLDIER SIGNATURE__________________________ DATE _____________

NCO SIGNATURE _____________________________ DATE _____________

Pre-Combat Inspection (PCI)

Individual PCI Checklist	Leader PCI

ACH Helmet (IAW BDE SOP)

NODs (Mounted, Functional, and Tied down to IBA (IAW BN SOP)

Ballistic Eye Protection

ID Card / ID Tags

Weapon (Zeroed, clean, function test, sling attached properly)

Optics (Tied Down, Zeroed, PMCS, Extra Batteries )

Lasers (Tied Down, Field Expedient Zero, Extra Batteries)

Magazines / 6 ea, 30 rounds per

Weapons cleaning kit

IOTV/IBA Complete, W/Neck Collar, Throat Collar, Groin Protector, DAPS, ESAPI, Plates, Side Plates, Name Tap, Rank

IFAK ( See attached inventory list)

1 Quart Canteen at a minimum.

MREx1

Flame Retardant Gloves. Fingers will not be cut out.

Pen / Paper

Flashlight

Compass

Briefed on current mission

Extra socks

Graphics/ GRG

Communication ( IMBTR, Icom)

Commo Card

Map, protractor, compass

Binoculars

Sensitive Items List

Whistle

Alcohol pens

Report Formats (9-line, IED/UXO, Vehicle Recovery, SALUTE, BOLO, Patrol Debrief, Combat Patrol Manifest, BDE PCI/PCC Checklist Reference CTB CP SOP Version3)

Sector Sketches pre-formated

Pre-Combat Inspection (PCI)

Improved First Aid Kit (IFAK)

	Tourniquet, Combat Application	2ea
	Bandage , Hemorrhage control ( in country)	1ea
	Bandage GA4-1/2” 100s	1ea
	Adhesive Tape Surg 2” 6’s	1ea
	Airway, Nasopharyngeal, 28Fr, 12s	1ea
	Glove, Patient Exam 100’s	4ea

Dressing, Combat Gauze

Needle Decompression Device

Casualty Feeder Cards

Mortuary Affairs Kit

4 Pouch Human Remains

15 Bio Hazard Bags

Latex gloves , 20 (Lrg) 10 (Med)

4 Personnel effects bags

10 Shoe tags

Medical Masks

Witness Statements DA 1156 (1 x Patrol Member)

Sworn Statements DA 2823 (1 x Patrol Member)

EFR Packing List

	Scissors, Bandage .25”	1ea
	CAT (Combat Application Tourniquet)	6 ea
	Trauma/Wound Compression FCP-02	4ea
	Bandage Muslin, Compressed, Camo	3ea
	Adhesive, Tape Surg 3”	1pg
	Pad Isopropyl Alcohol	20pg
	SAM Splint II	3ea
	Atropine Injecti., Syringe with Needle	Medic
	Bag, TC3, Combat Casualty Care V2	1ea
	Bandage Elas 6” x 4.5yds	4ea
	Bandage GA4-1/2” 100s	1ea
	Bandage GA3” x 4yd Quick Clot	2ea
	Bandage Abdominal Wound	1ea

Blanket, Heating 90 x 90cm

	Survival Blanket, Mil. Green	1ea
	Diazepam Inject., Syringe with Needle	Medic
	Chest Seal Dressing, 8”x6”	2ea
	Latex Free Exam Gloves SZ: X-L	6ea
	Black Trauma Shears	2ea

Fine Tip Black Permanent Marker

	Nasal Trumpet 28FR	1ea
	Needle Decompression Device	1ea

Shield Eye Surgical

	Strap Cutter, Combat	1ea
	TC 3 Card (DA 7656- Sep 09)	5ea

Pre-Combat Inspection (PCI)

Warrior Aid and Litter Kit		(WALK) PCI
	Warrior Aid & Litter Bag		 Hypothermia Prevention & Management Kit
	Talon Evac Litter 90c			Blanket Heating 4 panel
	Litter Carrier			Blanket Blizzard Wrap
	Black Talon Trauma Gloves	50ea		Litter Buckle Replacement (1male/1female)
 Nasopharymhral Airway 28 FR W/LUB				Panel Marker, Survival
	Nasopharymhral Airway			Litter Retention Strap Set	2ea

Petrolatum Gauze 3x18 in

	Petrolatum Gauze	2ea
	10-14 Guage 2.5-3 in catheters	2 ea

Needle Decompression Kit

	Combat Application Tourniquet	6ea
	Roller Gauze Vacuumed	8 pack
	Bandage Kit Elastic ( Trauma Dressing)	4 ea

Emergency Bandage –Abdominal

Dressing Elastic Abdominal



SamII Universal Splint 36in

2ea

Large Trauma Shears 7.25”

Surgical Tape Nylon 2 in

	Surgical Tape Nylon 2 in roll	2ea
	Ace Wraps 6in	2ea
	Cravats	6ea
	Kerlix	4ea

Combat Causality Reference Card



Narp T2 Individual Kit

20pack

Pre-Combat Inspection (PCI)

Patrol Standard (Vehicle)

Level I or II Armor (appropriate level)

Crew Served Weapon – Mounted w/Ammo can secured

Laser and Enhanced Sights (M145, PAS 13) if available

Communication Capability (FM, BFT, TACSAT, Cell)

Radio Headset - 3ea per vehicle

Litter

Tow Strap or other Self Recovery Capability ( Tow Bar, Chains)

Report Formats (9-line, IED/UXO, Vehicle Recovery, SALUTE, BOLO, Patrol Debrief; Reference CTB CP SOP Ver 3)

Class III ( Oil, Transmission Fluid)

Class IV ( C Wire)

Class V ( Basic Load based on weapon system)

BII Complete

MREs (two case)

Water cans x 2

Fuel Cans x 2

Claims Card / Tip-Line Card

VS-17 Panel

Chem-light (IR and regular) (3 boxes each)

IR Strobe

Flame Retardant Blanket ( 1 per seat)

Patrol Standard (Cont)

ECM ( Functional, inspected, tested)

Marcbot (Functional, inspected with extra batteries)

Raven ( Functional, inspected with charged batteries)

TCP Kit ( See attached inventory list)

EFR Kit (See attached Inventory list)

TSE Kit (See attached inventory list)

Mortuary Affairs Kit (See attached inventory List)

Pre-Combat Inspection (PCI)

TSE Recovery Kit

3-4 Large Permanent Markers

2 Packs Small Permanent Markers

2 Large Sketch Pads

2 Clip Boards

3 x 5 Cards

5 x 7 Cards

Box of Chalk

20 Evidence / Property Custody Form DA 4137

20 Apprehension Forms

20 Statement Forms DA 2823

20 Evidence Custody Form

50 Capture Tags

30 Zip-Lock Bags

30 Brown Paper Bags

30 Shoe – Tags

30 Stick on Labels

12” Ruler

20 Flex Cuffs

3 Blind Folds

2 Flashlights w/extra Batteries

Small Digital Camera / Recorder w/extra Batteries

Latex Gloves

EXSpray

TCP Kit

Orange Cones x 8

C- Wire (2 rolls per truck)

Binoculars

Bull Horn, Loudspeaker x 1

Search Mirrors

Warning Signs

Metal Detector

Wire Gloves

HLZ Kit

Chem lights (IR and regular)

Stobe light

550 Cord ( Cut attached to chemlight for signaling)

VS 17 Panel

Pre-Combat Inspection (PCI)

AT-4 PCI

M 3-23.25

Front/Rear runner membrane present, serviceable

Transport Safety pin and lanyard present

Front/Rear site posts present/spring loaded

No cracks or damage in tube body

M203 PCI

FM 3-23.31

M203 pouches (Molle)

M203 cleaning kit

Quadrant/leaf site operational

MK 19 PCI

FM 3-22.27

M3 tripod/gun cover

Round extractor/ bore obstruction device

Cleaning kit+T-Handle

T&E pintle/ MK64/93 with pins/ MOD 9

Two acetated range cards

MK-19 ammo tray/ feed throat/ brass catcher bag

LSAT

Ammunition loaded/ stored

Javelin PCI

FM 3-22.37

Command launch unit

Extra battery cooling unit (BCU)

Two acetated range cards

Sling

Rounds

Extra batteries

Lens paper/rag

TOW PCI

FM 3-22.32

TAS operational

Tripod

Traversing unit

Launch Tube

Fire Control System

Command viewer W/cable/5590 BATT

Cables/LBB

Lens Paper/soft brush/equipment cover

TM

Two range cards acetated

Ammunition loaded/stored

Hangfire/misfire procedure card

Pre-Combat Inspection (PCI)

M2 MG PCI

FM 3-22.65

PEQ-2A mounted/secured/bore light zeroed

Tripod complete/serviceable

Spare barrel and bag complete (glove)

T&E/pintle present/serviceable

Head space and timing gauge

Carrying handle

Cartridge extractor

Blank adaptor installed/tight

Weapons cleaning kit

Two range cards acetated

Ammunition

M240B/ M249 PCI

FM 2-22.68

M145/PEQ 2 mounted/secured/bore light zeroed

Tripod complete/serviceable

Spare barrel assembly/case and BII complete

T&E/pintle present/serviceable

Cartridge extractor

Combination tool

Scrapper tool

Weapons cleaning kit

Sling

Three sand bags2X100 RND saw assault pouch/1X100 RND pouch (min)

Ammunition

Two range cards acetated

Pre-Combat Inspection (PCI)

Radio Inspection

Powers up

Takes current fill

Correct NET ID

Correct time

Correct power

Correct CT setting

Radio Check

BFT Inspection

Powers up

Monitor Operational

CPU Operational

Transceiver Operational

PLGR/DAGER Operational

System Status

GPS gum ball G

COMM SAT status G

User ICON populates

Unit ICON populates

Test

User role

Message to TOC

Reply good

Pre-Combat Checklist (PCC)

Before

PRE MISSION COMBAT CHECKS:

A pre combat check is an inspection done prior to the conduct of a mission.

A tentative time schedule is two hours. This may change based on your units ability to perform the measures on this check list and the time parameters placed on your mission.

Leaders must ensure that the personnel assigned these checks are competent and understand their task and purpose.

Special attention must be paid to attachments and their equipment /capabilities they bring for the mission.

Example: DOG TM, HUMINT TM, CA TM, Female Search Team, Ect….

Pre-Combat Checklist (PCC)

DISMOUNTED

Patrol Standard :

IBA , IAW SOP.

Night Vision, serviceable, tied down IAW with SOP, extra set of batteries

Ammunition: inspected for use, ensure load criteria for mission. Stored properly and check magazines for serviceability

Radios: Minimum of 2 forms of communication. Check for serviceability, conduct communications check on all loaded frequencies for mission. Ensure all systems are loaded IAW Commo SOP, for example: CH 1 is BN CMD NET, CH 2 is FIRES, ect.

IFAK IAW SOP.

Weapon: conduct function check, inspect optic and laser tie downs IAW SOP. Inspect sling for function ability. Extra batteries for optics and or laser.

Assault Pack: Markings IAW SOP, Packed according to mission parameters

Ruck Sack: Markings IAW SOP, Packed according to mission parameters

Leader Standards :

Leader equipment:

GPS, functional with correct data,

Map with current GRG. Compass, Strobe with extra batteries, Shift Fire signals, Pyrotechniques, Sensitive Items List, Personnel List, Communications Card.

Comms : two forms, ensure radio check .

All special equipment is inspected and checked for carrying configuration.

EXAMPLES : Breech Kit, Demolition, Mine Detector System, Spotting Scope, PAS-13, Laser Range Finder, Ect…

Pre-Combat Checklist (PCC)

BEFORE (MOUNTED)

Patrol Standard (Vehicle)

Conduct a BEFORE PMCS (-10) on the vehicle itself.

Clean all glass surfaces of dirt and debris including the turn signals

Inspect the C-WIRE to ensure it is serviceable and tied down

Inspect the gun mount. Ensure the proper mounting bracket for your specified weapon system is present. Ensure your weapon system has all T&E components present.

Inspect the weapon , ensure optics are operational and spare batteries are present. If the system uses a spare barrel it is present and serviceable.

Check your ammunition. Basic load and cleanliness. Check that your ammunition tray and box are secure. Additional ammunition secured.

Secondary weapon system. Present and serviceable. Ensure the ammunition for this weapon is accessible since

Gunners are wearing slick IOTVs. Check optics

and a spare set of batteries for lasers and optics.

Check for GUNNER special equipment, EOF laser, PPE, PAS 14 with spare batteries.

Binoculars and compass.

Turn on radios, inspect mounts, hand mikes, and speakers. Post the PACE and GRG for the mission. Conduct communications check IAW with unit SOP.

BFT, ensure start up procedures are done in order. Conduct a BFT check by ensuring your icon and others in your patrol are present. Do a BFT message check.

Turn on your ECM to ensure it works.

Patrol Standard (Cont)

Inspect the LOAD PLAN for your vehicle

All Reports IAW C-T-B SOP are present and readable, IED,

CASEVAC, RECOVERY,CCA, CAS, PATROL DEBRIEF

Inspect the location of equipment . Ensure it is accessible, secured properly and serviceable

Insure AID BAG is present and has all required equipment

Check for Litter or WALK KIT,

Inspect addition ammunition loads for serviceability, accessibility and security.

Inspect your fire extinguisher or HALON systems

Survival Bag: Check MREs for expiration date and tie down

Water, present and secured

Flame resistant Blankets (1 PER VEHICLE OCCUPANT)

SNAP TCP KIT if applicable: cones , spike strip, Chem. Lights, STOP Sign, Flash lights ( turn them on)

Mortuary Kit

BII tool kit: present and secured

BOLT CUTTERS

Chains, Sling Legs and CG1-B strap secured and serviceable

HLZ kit : Inverted “Y”, NATO “T”, VS-17 panels, BUZZ SAW, Smoke

TSE KIT

ECM ( Electronic Control Measure), component inspection

MARCBOT if applicable

POST MISSION CHECKS

Upon your return from a mission or operation, it is important to reset your equipment quickly and methodically.

IAW the C-T-B Command Post Operations SOP, patrol leaders must capture all relative information in their patrol debrief. Data should be entered into TIGR and Honesty Reports need to be accurate and timely. The subordinate leaders utilize the checklists to reset the element.

Pre-Combat Checklist (PCC)

AFTER (MOUNTED)

Patrol Standard (Vehicle)

Clear all weapons at clearing barrel IAW SOP

Patrol Leader will conduct Patrol Debrief IAW C-T-B SOP

Turn off all communications systems, ECM and BFT IAW with specific shut down procedures. NOTE: When you turn off the BFT and ECM is IAW with Unit SOP

Conduct an AFTER PMCS (-10) on the vehicle itself.

Fill up on petrol, remove all trash and debris

All items that were used or damaged are to be replaced.

Clean all glass surfaces of dirt and debris including the turn signals

Inspect the C-WIRE to ensure it is serviceable and tied down

Inspect the gun mount. Ensure the proper mounting bracket for your specified weapon system is present. Ensure your weapon system has all T&E components present. Remove and clean T&E system.

Clean and inspect GUNNER special equipment, EOF laser, PPE, PAS 14 with spare batteries.

Inspect and clean radios, hand mikes, and speakers.

BFT, check for damage and serviceability.

Refill and correct any deficiencies to the LOAD PLAN for your vehicle

BFT, turn on and check outdated graphics or icons, remove old message traffic.

Inspect your ECM to ensure it works, check any information that needs to be given to the EWO (Electronic Warfare Officer).

Patrol Standard (Cont)

All Reports are present and readable, IED, CASEVAC, RECOVERY,CCA, CAS.

Insure AID BAG is restocked

Inspect addition ammunition loads for serviceability, accessibility and security.

Inspect your fire extinguisher or HALON systems

Survival Bag: Check MREs for expiration date and tie down

Water, present and secured restock as necessary

Clean and inspect Binoculars and compass.

Replenish if required: Mortuary Kit

BII tool kit: present and secured

BOLT CUTTERS

Return and Inspect Chains, Sling Legs and CG1-B strap for security and serviceable

Pre-Combat Checklist (PCC)

AFTER (MOUNTED)

Patrol Standard (Vehicle)

WEAPON SYSTEMS

Clean the crew served weapon. Ensure optics are operational and spare batteries are present. If the system uses a spare barrel, clean and inspect it.

Clean assigned weapons, refill if necessary any ammunition usage

Check your ammunition. Basic load and cleanliness. Check that your ammunition tray and box are secure. Check all magazines for serviceability, replenish any spent ammunition.

Restock all ammunition shortages.

Replace batteries for optics and lasers

SPECIAL EQUIPMENT:

SNAP TCP KIT: cones , spike strip, Chem. Lights, STOP Sign, Flash lights ( turn them on)

HLZ kit : Inverted “Y”, NATO “T”, VS-17 panels, BUZZ SAW, Smoke

TSE KIT; replenish if required. Ensure you download camera and return, check to see if picture card is full.

MORTUARY AFFAIRS KIT

MARCBOT

RAVEN

EFR KIT

BREACH KIT

Pre-Combat Checklist (PCC)

DISMOUNTED (AFTER)

Patrol Standard :

Inspect IBA , IAW SOP.

Clean Night Vision, check serviceable, tied down IAW with SOP, check batteries and ensure extra set of batteries

Replace if required your Casualty Feeder Card and Witness Statement Card, check that it is still water proofed

Down load Assault Pack: Inspect Markings IAW SOP, repack according to mission parameters

Download Ruck Sack: Inspect markings IAW SOP, repacked according to mission parameters

Clean your assigned weapon: conduct function check, inspect optic and laser tie downs IAW SOP. Inspect sling for function ability. Extra batteries for optics and or laser.

Ammunition: inspected for use, ensure load criteria for mission. Stored properly and check magazines for serviceability

Replenish IFAK IAW SOP

All special equipment is cleaned and inspected.

Leader equipment: Garmin, functional with correct data, Map, Compass, Strobe with extra batteries, Shift Fire signals, Pyrotechniques, Sensitive Items List, Personnel List, Communications Card.

Pre-Combat Checklist (PCC)

DISMOUNTED (AFTER)

Patrol Standard :

NOTE: The previous inspections are not all inclusive. Some units have additional equipment and alternate configurations. However, use the above guidance to ensure you are not forgetting any important equipment that could be detrimental to your mission success.

Also, leaders must determine who actually conducts these checks. Assigned responsibility and use of time management is key.

The “Screaming Eagle TLPs”:

Operations Orders: The standard is:

•Clear, complete and concise five paragraph order

•Includes tasks and purposes for each subordinate element

•Clearly articulates commander's intent

•Identify subordinate leaders and their responsibilities

•Maximizes available time through the use of WARNOs and FRAGOs

•Clearly understood and easily digested down to the squad leader and

individual soldier level

•Conduct detailed debrief of every member of the patrol

•AARs conducted following all missions; share lessons learned so that

all can benefit from the experience

The “Screaming Eagle TLPs”:

b.Graphics: The standard is clear and accurate graphic control measures that:

•Support the task and purpose

•Reflect the scheme of maneuver, fires, air-ground integration, and CSS

•Are disseminated down to vehicle commander or squad leader level

•Reflect all refinements made after initial issue

•Include a refined Enemy Situational Template that fits enemy capabilities and formations to the terrain.

•Support branch plan execution

The “Screaming Eagle TLPs”:

c.Pre-Combat Checks (PCC) and Pre-Combat Inspections (PCI): Include, but are not limited to IAW PCI/PCC checklist:

•Before operations PMCS performed on all equipment, to include CREW, FBCB2, weapons, and NVGs

•Pre-fire checks completed to include combat systems bore sighted to a known distance during the day and night, test firing conducted

•Tactical load plans inspected and made safe

•Classes of supply uploaded in accordance with unit TACSOP or OPORD specifics

•Communication checks conducted on all nets

•

OPORD and graphics checked and subordinate unit back briefs conducted

•Vehicle commanders will ensure drivers conduct the "two minute drill" on their vehicle whenever the vehicle stops. This includes cleaning all windows, the entire windshield and all lights IOT facilitate seeing IEDs.

The “Screaming Eagle TLPs”:

d. Rehearsals:

•METT-TC will drive the type of rehearsal:

•Fully mounted combined arms rehearsal

•o FM

•o Key leaders only

•o Map board huddle

•Reinforces the commander's intent and confirms his subordinates fully understand the plan and execution.

•Uses an "uncooperative enemy" that makes leaders think through their actions and orders. Rollover and fire drills conducted

•IED strike rehearsals & back briefs for all crews in all combat patrols to include what each Soldier will do, what each vehicle will do, the reporting process, the recovery process, and the CASEVAC plan.

•Battle Drills

•Crew Drills

•Fire commands

The “Screaming Eagle TLPs”:

e.Security/ Force Protection: A continuous responsibility at every unit level. Always:

•Have a security plan during planning, preparation, execution and consolidation, with clearly defined tasks for subordinates.

•Integrate and position ECM systems

•Conduct active and passive security patrols and surveillance

•Assign sectors of fire/observation

•Integrate counter sniper TTPs

•Enforce Soldier dispersion and use of cover

•PPE worn IAW MNF-I policy

•Plan for actions on IED/direct fire ambush/sniper

•Conduct adjacent unit coordination for fire control/security plans/patrol routes

•Plan jumps to alternate locations/rally points

•Designate an internal QRF

•Coordinate with external QRF

The “Screaming Eagle TLPs”:

f.Reconnaissance & Surveillance: Planned, prepared and executed at every level:

•Continuous, aggressive recon of the enemy and/or terrain

•Maintain observation at critical locations

•BTTN SITEMP broken down by Co

•Focused by the commander's PIR

•SOR supporting the Commanders PIR

•Have a detailed collection plan focused on answering the Commanders PIR

•Confirm or deny intelligence

•Understand capabilities of Intel assets at the Company level

•Integrate collection assets available (UAV,HUMIT, SIGINT)

The “Screaming Eagle TLPs”:

g.Time Management: Leaders must effectively analyze time available and balance requirements of higher and subordinate units to ensure the best use of time.

•Adhere to the 1/3 - 2/3 rule.

•Give subordinates sufficient time to prepare for the mission

•Use WARNOs and FRAGOs

•Conduct parallel planning

•Use OPORD / brief back / back brief / rehearse sequence.

•Nested rehearsals (generic squad/section battle drill rehearsals, followed by mission-specific rehearsals at PLT / Troop level) are critical

•Develop timelines that cover the essential planning, preparation and execution tasks

The “Screaming Eagle TLPs”:

h.Composite Risk Management: Leaders will conduct continuous evaluation of operational and tactical risks of all activities.

•Identify risks specific to their METT-TC as well as the methods to mitigate those risks

•Use five step risk management process:

•o Identify hazards

•o Assess hazards

•o Develop control options and make the risk decision

•o Implement controls

•o Supervise and evaluate

•• Risk management will be embedded into all tactical orders

•o Continuous refinement and updated risk levels by FM or face-to-face orders

•o Tracking current risk levels in command posts

•o Identification of types of risks - tactical and accidental - and their mitigating measures

•o Reviewing effectiveness of risk management in all AARs.

Sunday

Monday

Tuesday

Wednesday

Thursday	Friday	Saturday
Thursday	Friday	Saturday

[NOTES]

FAMILY READNIESS SUPPORT ASSISTANT

Division FRSA…………………….…………931-217-5019

1st BCT………………………………….……931-472-5255

2nd BCT………………………………….…..931-472-5365

3rd BCT………………………………………931-249-1373

4th BCT………………………………………931-472-5632

Sustainment Brigade………………………….931-217-9863

101st Combat Aviation Brigade……………...931-472-5856

159th Combat Aviation Brigade.……….…….931-472-5994

HHB, 101st…...………………………..……..931-472-5694

86th CSH……………………………….…….931-249-3354

5th SFG………….……………………….…...931-980-8855

160th SOAR…………………………….……270-889-8494

52nd EOD……….……………………….…...931-494-0723

WTU……………………………………..…...931-249-6251

MEDDAC………………………………..…...270-956-3815

CRISIS HOTLINES

Rape Crisis Hotline…………...…..…...800-656-4673

Fort Campbell Abuse Reporting...…….270-798-8601

After hours….….270-798-8400

Kentucky Child Abuse Hotline…...…...800-752-6200

Tennessee Child Abuse Hotline…...…..887-237-0004

National Child Abuse Hotline…….......800-422-4453

Domestic Violence Hotline……….…..800-799-7233

National AIDS Hotline…………...…...800-342-2437

National Parent Hotline…………...…..800-840-6537

Poison Control……….……………......800-662-9886

National Youth Crisis Hotline….…......800-442-4673

Suicide Hotline………………………..800-784-2433

Missing and Exploited Children……....800-843-5678

National Drug Abuse Hotline….……...800-622-4357

Ombudsman Wounded Warrior Hotline

.……………….…...270-798-8827 or 931-216-3402

Wounded Warrior and Family Hotline

………………………………………..270-798-8045

Crisis Call Hotline…………………….931-648-1000

ADDITIONAL RESOURCES

Ft. Campbell Website: www.campbell.army.mil

FMWR: www.fortcampbellmwr.com BACH: www.campbell.amedd.army.mil Tricare: www.tricare.mil www.militaryonesource.com www.amryonesource.com www.militaryhomefront.dod.mil Enlisted Spouses Club: www.101stesc.net Officers Spouses Club: fortcampbellosc.com Fort Campbell Post Info: 270-798-2151

SPIRITUAL RESILIENCY

Adults

Religious Education Center………………..270-798-3185

Chaplain Services Family Life Center……..270-798-3316

(Marital and Family Services Support)

Installation Chaplain Service………...…….270-798-6124

Protestant Services………………...270-798-8777

Contemporary……………………...270-798-3327

Memorial Chapel…………………..270-798-2066

Grace Chapel………………………270-798-3446

Community Chapel………………..270-798-0464

Soldiers Chapel……………………270-798-4311

Hope Chapel…………………….....270-798-7551

Peace Chapel……………………....270-798-6124

Catholic Services…………………..270-798-2352

Confessional……………………….270-798-3840

Jewish Services……………………270-798-6124

Pagan Services……………………..931-494-3661

Divine Liturgy……………………..270-798-6124

Great Vespers……………………...270-798-6124

Samoan & Pentecostal……………..270-798-7551

Traditional Protestant……………...270-798-4311

Gospel……………………………...270-798-0464

Jumah……………………………...270-798-3185

Muslim…………………………….270-798-6124

Religious Services Directory

Installation Senior Catholic Priest…....270-798-3840

101st Division Chaplain……………...270-798-6913

5th Special Forces Chaplain………….270-798-3306

160th Chaplain………...…………….270-798-2490

Children

Club Beyond (Youth Ministries)……..……270-798-6124

Catholic Youth Chapel……………….……270-798-2352

AWANA (Ages 4-6th grade)….…………..270-798-3185

Women’s Program

Military Council of Catholic Women..…….270-798-6124

Mothers of Preschoolers (MOPS)……..…...270-798-6124

Protestant Women of the Chapel……..……270-798-6124

Blanchfield Army Community Hospital

Hospital Chaplain……….…………………270-798-8777

SOCIAL RESILIENCY

Adults

Better Opportunities for Single Soldiers..….270-798-7858

ACS Family Resource Center…………...…270-956-2935

Fort Campbell Outdoor Recreation……...…270-798-2175

MWR Special Events…………………...….270-798-7535

MWR Sports & Fitness………………...…..270-956-1006

Army Career & Alumni Program……..…...270-798-5000

ITR Leisure Travel……………………..….270-798-7436

Children

Child, Youth, and School Services………...270-798-0674

CYSS Kids on Site…………………..…….270-956-4381

ASYMCA………………………………….270-798-7422

BACH Child Psychiatry Services………....270-798-8437

CYSS Outreach Services………….……….270-412-0173

Short Term Alternative Childcare……...….270-956-4381

Co-Op Daycare YMCA……………...…….270-798-7422

Family Childcare Home Program……...…..270-798-4959

Child Development Home

(Non-traditional Work Schedules)…….…...270-798-4959

Waters Child Development Center #1….….270-439-7993

Waters Child Development Center #2…..…270-439-7996

Bastogne Child Development Center…..…..270-412-4485

Tennessee Child Development Center…......270-412-4477

Part Day Preschool…………………………270-956-6767

CYSS Respite Care………………………...270-412-4477

SKIES Unlimited (classes & programs)…...270-412-5455

Taylor Youth Services……………………..270-798-3643

Taylor Youth Sports………………………..270-798-6355

Boys Scouts of America…………………...931-561-6515

Girl Scouts of America…………………….931-648-1060

Schools

Fort Campbell School Liaison……..………270-798-9874

Fort Campbell Schools Central Office….....270-439-1927

Administrative Office……………..270-439-3790

Clarksville Montgomery County Schools....931-648-5600

Christian County Public School System…..270-887-1300

SSG Glenn H. English JR Army Education Center

……………………………………………270-798-3201

Teens

Taylor Youth Services & Youth Sports…....270-798-3643

Teen Club 24/7……………………………..270-956-1030

F O R T C A M P B E L L

	R
	E
	S
	I	B
Building	L	R
Building	I
Resilient	I	O
Families	E	C
Through	E	C
Community	N	H
Partnerships	N	H
Partnerships	C	U
and the	C	U
and the
Community	Y	R
Health	Y	R
Promotion		E
Council		E
Council

A quick reference guide to

Fort Campbell’s Resiliency

Agencies & Programs

LEGEND

ACS: Army Community Service

ASAP: Army Substance Abuse Program

ASYMCA: Armed Services YMCA

BACH: Blanchfield Army Community Hospital

CYSS: Child Youth & School Services

EFMP: Exceptional Family Member Program

ITR: Information, Ticketing, & Reservations

MOB/DEP: Mobilization/Deployment

FMWR: Family, Morale, Welfare, & Recreation

Visit www.campbell.army.mil

for the complete

Family Resource Guide

FAMILY RESILIENCY		EMOTIONAL RESILIENCY

PHYSICAL RESILIENCY

Adults

ACS Army Family/Teen Team Building

Program…………………………………...270-798-4800

ACS Army Family Action Plan.…………..270-798-2063

Army Career & Alumni Program….…...…270-798-5000

ACS EFMP……………………….…….....270-798-2727

ACS Family Resource Center…………….270-956-2935

ACS Relocation Readiness Program.……..270-956-2676

ACS Army Emergency Relief…………….270-798-5518

ACS Family Financial Planning…….….....270-798-5518

ACS Consumer Affairs Office…….……...270-798-5528

ACS Lending Closet……………….……...270-798-6313

ACS Family Employment Readiness Program

…………………………………………….270-798-4289

ACS Job Information Center………...……270-798-4412

ACS Volunteer Program…………….….....270-412-6771

BACH Marriage & Family Therapists……270-798-8601

BACH EFMP…………………………...…270-956-0614

BACH Family Advocacy Program….…….270-798-8601

ACS Family Advocacy Program…….……270-412-5500

ACS Victim Advocacy Program…….……270-412-5500

ACS Sexual Assault Prevention & Response

Program……………….…………………..270-412-5500

ACS Soldier Family Assistance Center..….270-412-6000

Chaplain Services Family Life Center…....270-798-3316

Military Family Life Consultants………....270-205-1917

Causality Assistance Center………………270-798-4727

Survivor Outreach Services……….……....270-798-0272

BACH Grieving Parents…………………..270-798-8777

ACS MOB/DEP Program………………....270-798-3849

101st Airborne Division Legal Assistance

…………………………………………….270-798-4432

Youth

ACS Exceptional Family Member Program (EFMP)

…………………………………….……....270-798-2727

BACH EFMP………………………..…….270-956-0614

Fort Campbell Abuse Reporting…………..270-798-8601

ACS New Parent Support Program..……...270-956-3850

CYSS Middle School/Teen Programs…….270-798-6355

CYSS School Age Services…………….....270-412-2315

EDGE (Experience , Develop, Grow, & Excel)………...

…………………………………………….270-498-8002

Adults

BACH Marriage & Family Therapists....…..270-798-8601

Chaplain Services Family Life Center...…...270-798-3316

Military Family Life Consultants…..............270-205-1917

BACH Adult Behavior Health….................270-798-4097

BACH Department of Social Work…..........270-798-8601

Warrior Resiliency Recovery Center……….270-412-5114

Traumatic Brain Injury Clinic……….……..270-412-5114

BACH Rape Crisis Counseling……….……931-647-3632

BACH Family Advocacy Program…...……270-798-8601

ACS Family Advocacy Program……….…..270-412-5500

ACS Victim Advocacy Program……….…..270-412-5500

ACS Sexual Assault Prevention & Response

Program…………………………………….270-412-5500

ACS Soldier Family Assistance Center….…270-412-6000

BACH High Interest Program (Suicide)…...270-956-0620

Chaplain Services…………………………..270-798-6124

Suicide Prevention Program………………..270-412-6825

Wounded Warrior Hotline………………….270-798-8827

Warrior Transition Unit…………………….270-956-0693

Safe House (Montgomery County)……...…931-558-6900

Sanctuary House (Christian County)……….270-886-8174

Children

BACH Child & Adolescent Psychiatry….....270-798-8437

(School Based Mental Health Program)

BACH Department of Social Work…...……270-798-8601

Child, Youth, and School Services…...…….270-798-0674

Educational Support

Army Family Team Building…...……...…..270-798-4800

School Age Services………………..…..…..270-798-3643

ACS Exceptional Family Member Program..270-798-2727

Support Groups

Wounded Warrior Support Group……….....270-798-8330

Grieving Parents…………………………....270-798-8777

Grief Support Group………………………..270-798-3316

Traumatic Brain Injury Support Group…….270-798-8330

Alcoholics Anonymous……………………..270-798-7551

Mothers of Preschoolers…………………....270-640-3660

Door of Hope……….……………………....931-217-8294

Autism Support Group……………………...931-503-2315

Waiting Families Support Group………..….270-956-2676

International Spouse Support Group…….....270-956-2676

Cancer Survivor, Caregiver Support Group..931-249-6250

Adults

Tricare………………………………...…….877-874-2273

Blanchfield Army Community Hospital

Appointments (Health Advice Nurse)…...270-798-4677

Hospital Operator………….……..270-798-8400

Admissions……………….……....270-798-8287

Allergies………………….……….270-798-8255

Dermatology………....….…….….270-798-8345

ENT Clinic…………….….……...270-798-8131

Emergency Center…….….………270-798-8000

General surgery……….….………270-798-8407

Immunizations……….….270-798-8400 ex.5388

Infection Prevention….….……….270-798-8309

Urgent Care……………..………...270-798-8511

Laboratory….………………..…...270-798-8114

Medical Records…….………..…..270-798-8290

Patient Representative.………..….270-798-8091

Main Outpatient Pharmacy.…...….270-798-8075

LaPointe Pharmacy (Soldiers)…....270-956-0313

Town Center Pharmacy (refills)….270-956-0191

Pain Clinic………………………..270-798-8166

Primary Clinics……………...……270-798-4677

BACH Blue Clinic…...…270-798-8706

BACH Gold Clinic...……270-798-8227

Refill Call-In Number…270-7998-3784

Self Care Classes.….…………….270-956-0100

Podiatry Clinic….……………….270-798-8375

Radiology…….….…...………….270-798-8333

Same Day Surgery….…….……...270-798-8143

Urology…………….….…………270-798-8403

Soldier Health Services

LaPointe Clinic……….….……....270-412-8700

AShau Valley Clinic……..……...270-412-3535 Bastogne Clinic……….………....270-412-0091 Carentan Clinic….….…………....270-412-3745 Aviation Health Clinic…..……….270-412-8387 Audiology Clinic…………..…….270-956-0305 Hearing Conservation Clinic….....270-956-0305 Chiropractic Clinic…..…………..270-956-0250 Optometry Clinic……..………….270-956-0304 Nutrition…………..……………..270-956-0134 Physical Therapy…..…………….270-956-0306 Radiology…….………………….270-956-0308

Dental Headquarters…………………….….270-798-8751

Epperly Dental Clinic……….…...270-798-3544

BACH Dental Clinic…….……....270-798-8240

Kuhn Dental Clinic……….……..270-956-0350

Taylor Dental Clinic………..…....270-798-6362

Children

Tricare………………………...…………....877-874-2273

Primary Clinics…………......……………...270-798-4677

BACH Young Eagle Clinic.………270-798-8258

BACH Blue Clinic………....……..270-798-8706

School/Sports Physicals……..………..…...270-798-4677

WIC (Ft. Campbell)..……………...……….270-798-4935

WIC (Montgomery County)……...………..931-551-8777

WIC (Christian County)…………..……….270-887-4160

Women

Blanchfield Army Community Hospital

Women's Health Clinic.………270-798-8151

Labor & Delivery………….....270-798-8219

Mother Baby Unit…………....270-798-8090

Health Classes………………..270-798-8750

Childbirth…………………….270-798-8750

Infant Care & Parenting……...270-798-8750

Breastfeeding………………...270-798-8750

Obstetrician..……….………...270-798-8892

Gynecology..…………………270-431-3644

Fitness Centers/Recreation

ESTEP Fitness Center…………..………….270-798-4023

Fratellenico Physical Fitness Center…….....270-798-9418

Freedom Fighters……………….…………..270-798-7355

Gretsch Physical Fitness Center….………...270-798-2753

Lozada Physical Fitness Center………….....270-798-4306

Olive Physical Fitness Center………………270-798-4101

MWR Riding Stables………………....…….270-798-2629

MWR Hunting and Fishing Office………....270-798-2175

MWR Paintball Field……………….……....270-956-3118

Baldanado Pool……………………………..270-798-5207

Dolan Pool………………………………….270-798-5350

Single Pool………………………………....270-798-4247

Gardener Indoor Pool……………………....270-798-6310

Cole Park Golf Club………………………..270-798-1822



Question	Answer
Form Name	Soldiers Privacy Act Statement Form
Form Length	50 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	12 min 30 sec
Other names	Kentucky, army privacy act statement pdf, Tennessee, ACS

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