DA Form 5583 Missile Firing Data Report (Hellfire)

DA Form 5583 - also known as the "Missile Firing Data Report (hellfire)" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 5583 - was last revised on January 1, 2007. Download an up-to-date fillable PDF version of the DA 5583 below or request a copy through the chain of command.

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INSTRUCTION: Check the appropriat block and fill in the blanks.
REQUIREMENT CONTROL SYMBOL
MISSILE FIRING DATA REPORT (HELLFIRE)
Record numerical values as shown in the example.
AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is DCS, G-4.
1
2 3
.
2
EXAMPLE: 123.2 is filled in as
MAIL COMPLETED FORM TO:
9. WEATHER
16. REMOTE DESIGNATOR
DESIGNATOR OFFSET (DEG)
COMMANDER
CLEAR
RAIN
SNOW
USA RDECOM
A /C TAIL NO. (IF APPLICABLE)
ATTN: AMSRD-AMR-SE-RA-MS
ICE/SLEET
FOG/MIST
OVERCAST
BLDG 4500
RADIO CALL SIGN
CEILING
REDSTONE ARSENAL, AL 35898
FROM: (INCLUDE ZIP CODE)
10. VISIBLE OBSURANTS AT LAUNCH POINT
DESIGNATOR RANGE TO TGT
(KM)
.
SAND/DUST
HOMOGENEOUS
REMOTE CODE CONFIRMED
INDUCED
OTHER
17. TARGET OFFSET (DEG)
11. FIRING CATEGORY
LEFT
RIGHT
TROOP TRAINING
DEMONSTRATION
1. FIRING LOCATION
ASP
OTHER
18. TYPE OF LAUNCH
CHERRY POINT, NC
FT. IRWIN, CA
12. FIRING AGENCY
SINGLE
RAPID*
RIPPLE*
EGLIN AFB, FL
FT. HOOD, TX
*MFDR REQUIRED FOR EACH MISSILE
ARMY
MARINE CORPS
FT. CAMPBELL, KY
FT. BRAGG, NC
19. FIRING MODE
USAR
NAVY
OTHER
LOBL
LOAL LO
NAT'L GUARD
CONTRACTOR
2. MISSILE S/N
LOAL DIRECT
LOAL HI
OTHER
3. MISSILE LOT NO.
LOAL DEFAULT TO LOBL
4. LAUNCHER S/N
13. GUNNER EXPERIENCE
20. LOAL DELAY TIME (SECONDS AFTER MISSILE
5. LOCAL MIL TIME
PREVIOUS MISSILES
SEPARTION)
6. DATE (YYYYMMDD)
14. LAUNCH PLATFORM
21. CATEGORY OF TARGET
o
7. AMBIENT TEMPERATURE
C
TOWER
GLH
STATIONARY
o
F
AH-64
OH-58
MOVING - SPEED (MPH)
8. WIND VELOCITY & VECTOR
AH-1
UH-60
22. TARGET TYPE
0-5 MPH
15-20 MPH
OTHER
TANK
TRACK VEHICLE
5-10 MPH
20-30 MPH
BILLBOARD
STEEL PLATE
10-15 MPH
OVER 30 MPH
15. DESIGNATOR MODE
OTHER
VECTOR
AUTONOMOUS
REOMOTE
Page 1 of 2
DA FORM 5583, JAN 2007
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.01
INSTRUCTION: Check the appropriat block and fill in the blanks.
REQUIREMENT CONTROL SYMBOL
MISSILE FIRING DATA REPORT (HELLFIRE)
Record numerical values as shown in the example.
AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is DCS, G-4.
1
2 3
.
2
EXAMPLE: 123.2 is filled in as
MAIL COMPLETED FORM TO:
9. WEATHER
16. REMOTE DESIGNATOR
DESIGNATOR OFFSET (DEG)
COMMANDER
CLEAR
RAIN
SNOW
USA RDECOM
A /C TAIL NO. (IF APPLICABLE)
ATTN: AMSRD-AMR-SE-RA-MS
ICE/SLEET
FOG/MIST
OVERCAST
BLDG 4500
RADIO CALL SIGN
CEILING
REDSTONE ARSENAL, AL 35898
FROM: (INCLUDE ZIP CODE)
10. VISIBLE OBSURANTS AT LAUNCH POINT
DESIGNATOR RANGE TO TGT
(KM)
.
SAND/DUST
HOMOGENEOUS
REMOTE CODE CONFIRMED
INDUCED
OTHER
17. TARGET OFFSET (DEG)
11. FIRING CATEGORY
LEFT
RIGHT
TROOP TRAINING
DEMONSTRATION
1. FIRING LOCATION
ASP
OTHER
18. TYPE OF LAUNCH
CHERRY POINT, NC
FT. IRWIN, CA
12. FIRING AGENCY
SINGLE
RAPID*
RIPPLE*
EGLIN AFB, FL
FT. HOOD, TX
*MFDR REQUIRED FOR EACH MISSILE
ARMY
MARINE CORPS
FT. CAMPBELL, KY
FT. BRAGG, NC
19. FIRING MODE
USAR
NAVY
OTHER
LOBL
LOAL LO
NAT'L GUARD
CONTRACTOR
2. MISSILE S/N
LOAL DIRECT
LOAL HI
OTHER
3. MISSILE LOT NO.
LOAL DEFAULT TO LOBL
4. LAUNCHER S/N
13. GUNNER EXPERIENCE
20. LOAL DELAY TIME (SECONDS AFTER MISSILE
5. LOCAL MIL TIME
PREVIOUS MISSILES
SEPARTION)
6. DATE (YYYYMMDD)
14. LAUNCH PLATFORM
21. CATEGORY OF TARGET
o
7. AMBIENT TEMPERATURE
C
TOWER
GLH
STATIONARY
o
F
AH-64
OH-58
MOVING - SPEED (MPH)
8. WIND VELOCITY & VECTOR
AH-1
UH-60
22. TARGET TYPE
0-5 MPH
15-20 MPH
OTHER
TANK
TRACK VEHICLE
5-10 MPH
20-30 MPH
BILLBOARD
STEEL PLATE
10-15 MPH
OVER 30 MPH
15. DESIGNATOR MODE
OTHER
VECTOR
AUTONOMOUS
REOMOTE
Page 1 of 2
DA FORM 5583, JAN 2007
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.01
23. TARGETSIZE
31. MISSILE CCM SWITCH
UP
DOWN
42. WARHEAD DETONATILON?
8' X 8'
8' X 16'
32. LRF/D CCM SWITCH
UP
DOWN
YES
NO
8' X 12'
OTHER
43. PROBLE CAUSE IF MISSED
AIRCRAFT DATA:
DESIGNATOR EQUIPMENT MALFUNCTION
24. TARGET CONDITION
33. ALT (FT. AGL)
LAUNCHER
SOLID
PERFORATED
34. TAIL NUMBER
REMOTE HELLFIRE ELECTRONICS
35. CALL SIGN
25. RANGE FROM LAUNCHG PLATFORM TO TARGET
DESIGNATOR PERSONNEL ERROR
36. SPEED (KNOTS)
(KM)
.
GUNNER PERSONNEL ERROR
37. MISSILE LOCATION
(LEFT)
(RIGHT)
26. DESIGNATOR TYPE
BACKSCATTER
15
13
7
5
6
8
14 16
TADS
MISSILE
MMS
CODE MISMATCH
11
9
3
1
2
4
10 12
G/VLLD-MANNED
UNKNOWN
(LOOKING DOWNRANGE)
G/VLLD-UNMANNED
OTHER (EXPLAIN BELOW)
38. COCKPIT VIDEO AVAILABLE?
YES
NO
LTD
44. DESCRIBE FLIGHT BELOW, ESPECIALLY
39. PRELAUNCH BIT
MISSILE BEHAVIOR. (USE REVERSE SIDE IF
MULE
NECESSARY).
PASS
FAIL
OTHER
NOT PERFORMED
TARGET
27. TRACKING METHOD
40. MISSILE LAUCNCHED?
MANUAL
AUTO
YES
NO
28. BORESIGHT
41. MISSILE IMPACT
INTERNAL BORESIGHT COMPLETED
HIT TARGET
OUTFRONT BORESIGHT COMPLETED AND VERIFIED
MISSED TARGET
29. ACQUISITION SENSOR
SHORT
RIGHT
TV
FLIR
DVO
LONG
LEFT
EST. RANGE FROM
30. BACKSCATTER AVOIDANCE TECHNIQUES EMPLOYED?
LAUNCHER TO IMPACT POINT
LAUNCH POINT
YES
NO
N/A
NAME AND GRADE OF GUNNER (TYPE OR PRINT)
NAME AND GRADE OF PILOT (TYPE OR PRINT)
DSN TELEPHONE NUMBER
DATE (YYYYMMDD)
Page 2 of 2
DA FORM 5583, JAN 2007
APD LC v1.01

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