DA Form 5582-r "Atacms Missile/Mlrs Practice Rocket Firing Data Report"

What Is DA Form 5582-r?

This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 1993. The form, often mistakenly referred to as the DD Form 5582-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.

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Download DA Form 5582-r "Atacms Missile/Mlrs Practice Rocket Firing Data Report"

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ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATA REPORT (REPORT
OF
FOR THIS MISSION)
REQUIREMENT CONTROL
SYMBOL AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is ODCSLOG
SECTION I - GENERAL DATA
CC 1
CC 3
CC 25
CC 35
CC 15
CC 41 MLRS
CC 42
CC 44 MLRS
UIC
FIRE LOCATION
RANGE TO TARGET
LAUNCH
RIPPLE FIRE
NO. RKTS IN
RIPPLE
FIRE TIME:
MLRS
CONDITIONS
MISSION
INTERVAL
YEAR 19
1 YES
2 NO
METERS
F
TEMP +/-
ATACMS
MONTH
.
DAY
RKT POD (RP) S/Ns:
RP LOT NOs
CC 9
CC 12
CC 30 (MLRS ONLY)
CC 39
TIME
CC 47
CC53
(CIRCLE UP TO 2)
LAUNCHER S/N
FIRE UNIT
FUZE SET TIME (SEC)
LEFT (L)
VGT
4 SNOW
1 CLEAR
4AA00
CC 63
CC 69
2 WINDY
5 FOG
BTRY
BN
FA
RIGHT (R)
VGT
.
3 RAIN
SECTION II - MISSILE/ROCKET FIRING ATTEMPTS DATA
DUP COL
LAUNCHERS
ROCKET
SMOKE
MISSILE/ROCKET PHASE FIRING RESULT
RIPPLE
ROCKET*
1-24 OF
FAILED
FIRE
SEEN
CARD 1
CC 26
SEQUENCE
POSITION
CC 34
CC 36
RKT SENT
CC 25
(MLRS ONLY)
TO ASP
POSITION
IN RP
CC 50
PREFLIGHT
FLIGHT
FUZE
WARHEAD
CC 28
CC 31
CC 38
CC 41
CC 44
CC 47
(MLRS ONLY)
YES
NO
YES
NO
YES
NO
YES
NO
ATTEMPTS
1
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
2
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
3
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
4
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
5
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
6
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
7
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
8
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
9
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
SECTION III - DETAILS OF FAILED ATTEMPTS (USE ATTEMPTS NO. IN ABOVE TABLE TO CORRELATE FAILURE DATA) - Continue on page 2.
CC 25 ATTEMPT NO.
CC 27
MAIL COMPLETED REPORTS TO: COMMANDER, U.S. ARMY MISSILE COMMAND, ATTN: AMSMI-RD-QA-RA-FS, REDSTONE ARSENAL, AL 35898-5290
DA FORM 5582-R, FEB 1993
APD LC v1.01ES
ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATA REPORT (REPORT
OF
FOR THIS MISSION)
REQUIREMENT CONTROL
SYMBOL AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is ODCSLOG
SECTION I - GENERAL DATA
CC 1
CC 3
CC 25
CC 35
CC 15
CC 41 MLRS
CC 42
CC 44 MLRS
UIC
FIRE LOCATION
RANGE TO TARGET
LAUNCH
RIPPLE FIRE
NO. RKTS IN
RIPPLE
FIRE TIME:
MLRS
CONDITIONS
MISSION
INTERVAL
YEAR 19
1 YES
2 NO
METERS
F
TEMP +/-
ATACMS
MONTH
.
DAY
RKT POD (RP) S/Ns:
RP LOT NOs
CC 9
CC 12
CC 30 (MLRS ONLY)
CC 39
TIME
CC 47
CC53
(CIRCLE UP TO 2)
LAUNCHER S/N
FIRE UNIT
FUZE SET TIME (SEC)
LEFT (L)
VGT
4 SNOW
1 CLEAR
4AA00
CC 63
CC 69
2 WINDY
5 FOG
BTRY
BN
FA
RIGHT (R)
VGT
.
3 RAIN
SECTION II - MISSILE/ROCKET FIRING ATTEMPTS DATA
DUP COL
LAUNCHERS
ROCKET
SMOKE
MISSILE/ROCKET PHASE FIRING RESULT
RIPPLE
ROCKET*
1-24 OF
FAILED
FIRE
SEEN
CARD 1
CC 26
SEQUENCE
POSITION
CC 34
CC 36
RKT SENT
CC 25
(MLRS ONLY)
TO ASP
POSITION
IN RP
CC 50
PREFLIGHT
FLIGHT
FUZE
WARHEAD
CC 28
CC 31
CC 38
CC 41
CC 44
CC 47
(MLRS ONLY)
YES
NO
YES
NO
YES
NO
YES
NO
ATTEMPTS
1
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
2
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
3
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
4
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
5
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
6
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
7
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
8
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
9
Y
N
L
R
Y
N
Y
N
S
F
NT
S
F
NT
S
F
NT
S
F
NT
Y
N
SECTION III - DETAILS OF FAILED ATTEMPTS (USE ATTEMPTS NO. IN ABOVE TABLE TO CORRELATE FAILURE DATA) - Continue on page 2.
CC 25 ATTEMPT NO.
CC 27
MAIL COMPLETED REPORTS TO: COMMANDER, U.S. ARMY MISSILE COMMAND, ATTN: AMSMI-RD-QA-RA-FS, REDSTONE ARSENAL, AL 35898-5290
DA FORM 5582-R, FEB 1993
APD LC v1.01ES
ATACMS MISSILE/MLRS PRACTICE ROCKET FIRING DATA REPORT (REPORT
OF
FOR THIS MISSION)
SECTION IV REPORT PROCESSING DATA
DATE REPORT COMPLETED
ABBREVIATIONS
*
ROCKET
NAME OF OFFICER IN CHARGE
S = SUCCESS
POSITIONS IN
ROCKET POD
PRINT
F = FAILURE
MLRS ONLY
SIGNATURE
NT = NO TEST
ATACMS
LEFT (L)
RIGHT (R)
DSN NO.
REMARKS
1.
USE ONE OR MORE REPORTS PER MISSION (MSN) AS ROCKET FIRE ATTEMPTS REQUIRE.
2.
IGNORE CC DATA.
3.
FOR UNUSUAL FAILURES OR REPORT ASSISTANCE NOTIFY DSN 746-7383.
4.
REPORT IS UNCLASSIFIED WHEN COMPLETED (MLRS AND ATACMS SCG).
APD LC v1.01ES
PAGE 2, DA FORM 5582-R, FEB 1993
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