Navy range fouler reports (mirror)

(b)(1) Range Fouler Debrief Form
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email the complete file manually
(see below)
Please complete this form to the best of your ability. If you do not have the requested information,
please leave the field blank. If there was more than one "group,” please report each on a separate
form for data collection purposes. You should receive a response within 5 business days.
Last Nams, First Nam e Rank
(b) (6) CM (b)(1)
Squadron S IP R E m a k Address
( b ) (6)
Grew Position
Pilot
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Absolutely no identifying information for aircrew or squadron will be recorded for analysis
(b)(1) (b)(1)
Date (mniMd/yy) Tim e o f detection
(h h m un ssZ )
Day
D e y /N ig h t Side No. BU M
(b )(1 j No
Mission Description (CAS, BFM, etc) , M i t)
(b) (1) (b) (1)
Contact Woridng Area
(Ex W -7 2 1A)
Contact Latitute
(DD.M M .SS)
N
NTS
(b)(1)
Contact Longkude
(D D M M 'S S )
w
&w Contact AMtude
(E x :22000)
Altitude
Constant?
P fe u s a e lin tM l to determine a L e t / Long for the contact a t initial defection Mto recommend
W ln d O ra t
Contact Ait
(From)
Wnd
using | o reference the sensor-dew ed bearing and range relative to the bullseye you had
in u s a n t h a ! method is not available. any reasonable derivation o f location w ti work. but please
be as specific as possible and m ake a note In the comments section. These locations m ay be
used to cue other means o f trucking.
Wtts the contact moving? (b)(1)
Direction/Speed
(Ex. 0 9 M 5 )
(b)(1)
(b) (1)
(b)(1)
1(b)(1)
# o f Contacts In "Groups 1 (b)(1)
(Check aH that apply):
Please check all that apply:
Round.
Square
|S’H
(b)(1) assessed that it was a