LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- THREATCON_________________________________(Threatcon Level of Unit)
LINE 4 -- MOPP_______________________________________(Minimum MOPP Level of Unit)
LINE 5 -- RADIATION STAT ____________________________(Unit Radiation Status)
LINE 6 -- ENEMY______________________________________(Enemy NBC Activity (Use, Nonuse, Any Enemy Chemical Units Detected))
LINE 7 -- NBC UNITS___________________________________(Status of Chemical Units or Elements (Location, Activity, Recon Status, Readiness Status))
a. No. of Smoke systems auth._____No. Opnl_____Projected Opnl in 24 Hrs._____
b. No. of Decon systems auth_____ No. Opnl_____Projected Opnl in 24 Hrs._____
c. No. of Recon systems auth_____ No. Opnl_____Projected Opnl in 24 Hrs._____
LINE 8 -- NBC RECON__________________________________(Reconnaissance Missions Conducted During Reporting Period)
Missions planned_____ DTG of exec._____Location Unit supported_____Mission Purpose____________
LINE 9 -- DECON______________________________________(Decon Missions Conducted)
Missions planned_____ DTG of exec._____Location Unit supported_____Mission Purpose____________
LINE 10 -- SMOKE_____________________________________(Smoke Missions Conducted)
Missions planned_____ DTG of exec._____Location Unit supported_____Mission Purpose____________
LINE 11 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 12 -- AUTHENTICATION___________________________(Report Authentication)