DA Form 3517-r "Hand Grenade Qualification Scorecard"

What Is DA Form 3517-r?

This is a military form that was released by the U.S. Department of the Army (DA) on November 1, 2009. The form, often mistakenly referred to as the DD Form 3517-r, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 2-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 3517-r down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 3517-r "Hand Grenade Qualification Scorecard"

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HAND GRENADE QUALIFICATION SCORECARD
For use of this form, see FM 3-23.30; the proponent agency is TRADOC
NOTE: In addition to the requirements on the scorecard, the Soldier must throw two live fragmentation grenades to qualify.
A. NAME (Last, First, Middle Initial)
B. UNIT
C. DATE (YYYYMMDD)
E. DATE LIVE GRENADES WERE THROWN (YYYYMMDD)
D. EVALUATOR'S NAME
J. EVALUATOR'S
F. STATION
G. TYPE TARGET
H. GO
I. NO-GO
INITIALS
1
Engage Enemy from Fighting Position at 35 Meters (Standing)
2
Engage Bunker (Prone)
Engage Enemy Mortar Position at 25 Meters (Kneeling)
3
4
Engage Enemy Behind Cover at 20 Meters (Prone)
Engage Trench at 25 Meters (Standing)
5
Engage Wheeled Vehicle at 25 Meters (Kneeling)
6
7
Identify Hand Grenades and Pyrotechnic Signals
K. QUALIFICATION STANDARD
CHECK ONE
PASSED 7
EXPERT
PASSED 6
FIRST CLASS
PASSED 5
SECOND CLASS
PASSED 4 OR LESS
UNQUALIFIED
M. SCORER'S INITIALS
L. DATE INITIALED (YYYYMMDD)
O. SCORER'S INITIALS
N. DATE INITIALED (YYYYMMDD)
APD LC v1.00
PREVIOUS EDITION IS OBSOLETE.
DA FORM 3517-R, NOV 2009
HAND GRENADE QUALIFICATION SCORECARD
For use of this form, see FM 3-23.30; the proponent agency is TRADOC
NOTE: In addition to the requirements on the scorecard, the Soldier must throw two live fragmentation grenades to qualify.
A. NAME (Last, First, Middle Initial)
B. UNIT
C. DATE (YYYYMMDD)
E. DATE LIVE GRENADES WERE THROWN (YYYYMMDD)
D. EVALUATOR'S NAME
J. EVALUATOR'S
F. STATION
G. TYPE TARGET
H. GO
I. NO-GO
INITIALS
1
Engage Enemy from Fighting Position at 35 Meters (Standing)
2
Engage Bunker (Prone)
Engage Enemy Mortar Position at 25 Meters (Kneeling)
3
4
Engage Enemy Behind Cover at 20 Meters (Prone)
Engage Trench at 25 Meters (Standing)
5
Engage Wheeled Vehicle at 25 Meters (Kneeling)
6
7
Identify Hand Grenades and Pyrotechnic Signals
K. QUALIFICATION STANDARD
CHECK ONE
PASSED 7
EXPERT
PASSED 6
FIRST CLASS
PASSED 5
SECOND CLASS
PASSED 4 OR LESS
UNQUALIFIED
M. SCORER'S INITIALS
L. DATE INITIALED (YYYYMMDD)
O. SCORER'S INITIALS
N. DATE INITIALED (YYYYMMDD)
APD LC v1.00
PREVIOUS EDITION IS OBSOLETE.
DA FORM 3517-R, NOV 2009
PERFORMANCE MEASURES
GO
NO-GO
PERFORMANCE MEASURES
GO
NO-GO
STATION 1. Engage Enemy From Fighting Position at
STATION 5. Engage Trench at 25 Meters (Standing)
35 Meters (Standing)
A. Detonated at least one grenade within 5 meters
A. Detonated at least one grenade inside
of the center of target.
trench.
B. Kept exposure time under 3 seconds.
B. Kept exposure time under 3 seconds.
C. Returned to covered position after
C. Returned to covered position after each throw.
each throw.
D. Used proper grip.
D. Used proper grip.
E. Used proper throwing techniques.
E. Used proper throwing techniques.
F. Completed performance measures 1A
F. Completed performance measures 5A
through 1E within 15 seconds.
through 5E within 15 seconds.
STATION 2. Engage Bunker (Prone)
STATION 6. Engage Wheeled Vehicle at 25 Meters (Kneeling)
A. Detonated within 1 meter of vehicle
A. Approached from blind side.
or within 5 meters of dismounting
troops.
B. Checked for bunker opening.
B. Kept exposure time under 3 seconds.
C. Detonated grenade in bunker.
C. Returned to covered position after
each throw.
D. Rolled away from bunker.
D. Used proper grip.
E. Used proper grip.
E. Used proper throwing techniques.
F. Used cook-off technique.
F. Completed performance measures 6A
through 6E within 15 seconds.
G. Completed performance measures 2A
through 2F within 15 seconds.
STATION 7. Identify Hand Grenades and Pyrotechnic Signals
STATION 3. Engage Mortar Position at 25 Meters (Kneeling)
A. Selected fragmentation grenade to
engage enemy soldiers.
A.
Detonated at least one grenade inside
mortar position.
B. Identified M83 grenade as "White
Smoke" or "HC Smoke."
B. Kept exposure time under 3 seconds.
C. Identified M18 grenades as "Colored
Smoke" or "Purple (and so forth) Smoke."
C. Returned to covered position after
(If specific color is stated, it must be the
each throw.
same as color on the training aid grenade
used.)
D. Used proper grip.
D. Identified M7A2/A3 grenade as CS or
riot control.
E. Used proper throwing techniques.
E. Identified M14 grenades as incendiary.
F. Completed performance measures 3A
through 3E within 15 seconds.
NOTES:
STATION 4. Engage Enemy Behind Cover at 20 Meters (Prone)
1. FOR PERFORMANCE MEASURES 7A THROUGH 7E, IF THE
EXAMINEE CANNOT CORRECTLY STATE THE NAME OF THE
A. Detonated at least one grenade within 5 meters
GRENADE, BUT CAN CORRECTLY IDENTIFY ITS USE, THEN THE
of the center of target.
EXAMINEE WILL BE SCORED A "GO."
B. Kept exposure time under 3 seconds.
2. EACH PERFORMANCE MEASURE AT EACH SECTION IS
GRADED ON A PASS/FAIL STANDARD. A SOLDIER MUST PASS
C. Returned to covered position after
ALL OF THE STANDARDS TO RECEIVE A "GO" ON THAT STATION.
each throw.
D. Used proper grip.
E. Used proper throwing techniques.
F. Completed performance measures 4A
through 4E within 15 seconds.
Page 2, DA Form 3517-R, NOV 2009
APD LC v1.00
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