LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- LOCATION___________________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator) of Site/Incident)
LINE 4 -- DESCRIPTION________________________________(Description of Site/Incident)
LINE 5 -- CHANGES ___________________________________(Changes From Last ECR or Environmental Baseline Survey EBS)
LINE 6 -- HAZARDS____________________________________(Hazards to Natural Environment, Friendly Forces and/or Civilian Personnel)
LINE 7 -- ACTIONS____________________________________(Summary of Actions to Minimize Hazards/Remedial Effects)
LINE 8 -- UNIT POC____________________________________(Reporting Unit Point of Contact)
LINE 9 -- ASSISTANCE_________________________________(Assistance Required/ Requested)
LINE 10 -- REFERENCE_________________________________(Site-Specific EBS (if required))
LINE 11 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report
LINE 12 -- AUTHENTICATION___________________________(Report Authentication)