SCATTERABLE MINEFIELD RECORD [SCATMINREC]
LINE 1 — DATE AND TIME______________________________(DTG)
LINE 2 — UNIT________________________________________(Unit Making Report)
LINE 3 — TGT/OBSTCL NO. _____________________________(Target/Obstacle Number, as per Unit SOPs)
LINE 4 — EMPLACING SYSTEM _________________________(Emplacing System (Volcano (Air or Ground), Artillery (Type), MOPMS, Air Delivered (Air Force), or Gator)
LINE 5 — ANTITANK MINES_____________________________(YES or NO)
LINE 6 — ANTIPERSONNEL MINES_______________________(YES or NO)
LINE 7 — LIFE CYCLE__________________________________(DTG of Life Cycle Planned)
LINE 8 — AIM POINTS__________________________________(Aim Points/Center Point of the Minefield)
a. _____________________________________________(UTM or Six-Digit Grid of One Corner)
b. _____________________________________________(UTM or Six-Digit Grid of One Corner)
c. _____________________________________________(UTM or Six-Digit Grid of One Corner)
d. _____________________________________________(UTM or Six-Digit Grid of One Corner)
LINE 9 — AIM POINTS__________________________________(Aim Points/Center Point of the Minefield)
a. _____________________________________________(UTM or Six-Digit Grid of One Corner)
b. _____________________________________________(UTM or Six-Digit Grid of One Corner)
c. _____________________________________________(UTM or Six-Digit Grid of One Corner)
d. _____________________________________________(UTM or Six-Digit Grid of One Corner)
LINE 10 — AIM POINTS_________________________________(Aim Points/Center Point of the Minefield)
a. _____________________________________________(UTM or Six-Digit Grid of One Corner)
b. _____________________________________________(UTM or Six-Digit Grid of One Corner)
c. _____________________________________________(UTM or Six-Digit Grid of One Corner)
d. _____________________________________________(UTM or Six-Digit Grid of One Corner)
LINE 11 — AIM POINTS_________________________________(Aim Points/Center Point of the Minefield)
a. _____________________________________________(UTM or Six-Digit Grid of One Corner)
b. _____________________________________________(UTM or Six-Digit Grid of One Corner)
c. _____________________________________________(UTM or Six-Digit Grid of One Corner)
d. _____________________________________________(UTM or Six-Digit Grid of One Corner)
LINE 12 — AIM POINTS_________________________________(Aim Points/Center Point of the Minefield)
LINE 13 — AIM POINTS_________________________________(Aim Points/Center Point of the Minefield)
LINE 14 — EMPLACING_________________________________(Unit Emplacing Mines and Report Number)
LINE 15 — SAFETY ZONE_______________________________(Size of Safety Zone)
LINE 16 — MINEFIELD MARKING________________________(Type of Marking, if Applicable)
LINE 17 — APPROVING AUTHORITY_____________________(Approving Authority Commander)
LINE 18 — POC THIS REPORT___________________________(Person Completing This Report)
LINE 19 — ACTIONS___________________________________(Actions Taken by Personnel Involved)
LINE 20 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report
LINE 21 — AUTHENTICATION___________________________(Report Authentication)