LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- SUPPORT UNIT_______________________________(Unit Conducting Decontamination)
LINE 4 -- CONTAMINATED UNIT________________________(Unit Being Decontaminated)
LINE 5 -- PERCENT COMPLETE _________________________(Percentage of Decontamination Complete)
LINE 6 -- TIME COMPLETE______________________________(DTG of Completion/Site Closure)
LINE 7 -- CRITICAL SHORTAGES________________________(Critical Shortages Needed to Complete Decontamination)
LINE 8 -- CASUALTIES _________________________________(Chemical Casualties)
LINE 9 -- STATUS______________________________________(Status of Decontamination Containment (Green, Yellow, Red, Blue))
LINE 10 -- TYPE OF DECON_____________________________(Operational/Thorough)
LINE 11 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 12 -- AUTHENTICATION___________________________(Report Authentication)