DA Form 3120 Missile Firing Data Report (Hawk & Patriot)

DA Form 3120 or the "Missile Firing Data Report (hawk & Patriot)" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 3120 - was last revised on January 1, 2007. Download an up-to-date fillable DA Form 3120 down below in PDF-format or look it up on the Army Publishing Directorate website.

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CONFIDENTIAL (When Filled In)
MISSILE FIRING DATA REPORT (HAWK & PATRIOT)
REQUIREMENT CONTROL SYMBOL
AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is DCS, G-4.
2.
FROM (Include ZIP Code)
1. TO:
Commander
U.S. Army Missile Command
ATTN: AMSM-RD-QA-RA
Redstone Arsenal, AL 35898-5290
5. a. MSL SERIAL NO.
3.
UNIT
4.
MISSILE TYPE
PLATOON
PATRIOT
HAWK
b. SYSTEM/MISSION NO.
BATTERY
MSL BN
OTHER
ARTILLERY
7.
TIME &
6.
METHOD OF FIRING
8.
TYPE OF FIRING
DATE
ROUND
SECTION OR SQUAD
AFU
R&D FIRING
SPECIAL
SALVO
SINGLE MSL SHOOT
TROOP FIRING
BTRY
STD BTRY
TARGET
DELIBERATE
LOCATION OF FIRING
9.
10.
MISSILE SCORED AS
11.
MULTICHANNEL DATA RECORDER
TELEMETRY MISS DISTANCE (meters)
SUCCESSFUL
R
UNSUCCESSFUL (Explain in item 34)
12.
ECM ENCOUNTERED
13.
ALL PHASES OF MISSILE FLIGHT NORMAL
YES (Explain in item 34)
NO
YES
NO (Explain in item 34)
15.
MISSILE TIME OF FLIGHT (sec)
16.
WARHEAD TYPE
14.
BURST OBSERVED ON PI OR BY DOPPLER
YES
NO
17.
TYPE OF BURST
NORMAL
SELF-DESTRUCT
GROUND IMPACT
PREMATURE DESTRUCT
COMMAND DESTRUCT
SPECIAL
NONE (Explain in item 34)
20.
HORIZONTAL RANGE TO
18.
MISSILE SPEED
19.
ALTITUDE OF INTERCEPT
INTERCEPT (kilometers)
AT INTERCEPT
MAX SPEED
(meter/sec)
(meters/sec)
(kilometers)
21.
TYPE OF TARGET
22. TARGET COURSE
23. TARGET CONDITION
FLYABLE
NONFLYABLE
CROSSING
INCOMING
DESTROYED
SIMULATOR
OUTGOING
MANEUVERING (Explain in item 34)
OFFSET
24.
25.
26.
TARGET RANGE
TARGET SPEED
TARGET ALTITUDE
(kilometers)
(kilometers)
(meters/sec)
27. LAST KNOWN MISSILE DATA
28. REASON FOR FIRING
29.
TELEMENTRY
SYSTEM
ALTITUDE
SPEED
(meters/sec)
(kilometers)
RANGE
(kilometers)
31.
WEATHER CONDITIONS: TEMPERATURE
30. MISSILE ROCKET MOTOR
SERIAL NO.
LOT NO.
DATE LOADED
32. CLASSIFIED BY
33. DECLASSIFY ON: OADR
Page 1 of 2
DA FORM 3120, JAN 2007
PREVIOUS EDITIONS ARE OBSOLETE.
CONFIDENTIAL (When Filled In)
APD LC v1.01ES
CONFIDENTIAL (When Filled In)
MISSILE FIRING DATA REPORT (HAWK & PATRIOT)
REQUIREMENT CONTROL SYMBOL
AMC-224
For use of this form, see DA PAM 700-19; the proponent agency is DCS, G-4.
2.
FROM (Include ZIP Code)
1. TO:
Commander
U.S. Army Missile Command
ATTN: AMSM-RD-QA-RA
Redstone Arsenal, AL 35898-5290
5. a. MSL SERIAL NO.
3.
UNIT
4.
MISSILE TYPE
PLATOON
PATRIOT
HAWK
b. SYSTEM/MISSION NO.
BATTERY
MSL BN
OTHER
ARTILLERY
7.
TIME &
6.
METHOD OF FIRING
8.
TYPE OF FIRING
DATE
ROUND
SECTION OR SQUAD
AFU
R&D FIRING
SPECIAL
SALVO
SINGLE MSL SHOOT
TROOP FIRING
BTRY
STD BTRY
TARGET
DELIBERATE
LOCATION OF FIRING
9.
10.
MISSILE SCORED AS
11.
MULTICHANNEL DATA RECORDER
TELEMETRY MISS DISTANCE (meters)
SUCCESSFUL
R
UNSUCCESSFUL (Explain in item 34)
12.
ECM ENCOUNTERED
13.
ALL PHASES OF MISSILE FLIGHT NORMAL
YES (Explain in item 34)
NO
YES
NO (Explain in item 34)
15.
MISSILE TIME OF FLIGHT (sec)
16.
WARHEAD TYPE
14.
BURST OBSERVED ON PI OR BY DOPPLER
YES
NO
17.
TYPE OF BURST
NORMAL
SELF-DESTRUCT
GROUND IMPACT
PREMATURE DESTRUCT
COMMAND DESTRUCT
SPECIAL
NONE (Explain in item 34)
20.
HORIZONTAL RANGE TO
18.
MISSILE SPEED
19.
ALTITUDE OF INTERCEPT
INTERCEPT (kilometers)
AT INTERCEPT
MAX SPEED
(meter/sec)
(meters/sec)
(kilometers)
21.
TYPE OF TARGET
22. TARGET COURSE
23. TARGET CONDITION
FLYABLE
NONFLYABLE
CROSSING
INCOMING
DESTROYED
SIMULATOR
OUTGOING
MANEUVERING (Explain in item 34)
OFFSET
24.
25.
26.
TARGET RANGE
TARGET SPEED
TARGET ALTITUDE
(kilometers)
(kilometers)
(meters/sec)
27. LAST KNOWN MISSILE DATA
28. REASON FOR FIRING
29.
TELEMENTRY
SYSTEM
ALTITUDE
SPEED
(meters/sec)
(kilometers)
RANGE
(kilometers)
31.
WEATHER CONDITIONS: TEMPERATURE
30. MISSILE ROCKET MOTOR
SERIAL NO.
LOT NO.
DATE LOADED
32. CLASSIFIED BY
33. DECLASSIFY ON: OADR
Page 1 of 2
DA FORM 3120, JAN 2007
PREVIOUS EDITIONS ARE OBSOLETE.
CONFIDENTIAL (When Filled In)
APD LC v1.01ES
CONFIDENTIAL (When Filled In)
34. REMARKS/NARRATIVE ANALYSIS OF UNSUCCESSFUL FIRING
35. EVALUATOR'S REMARKS
36. TYPED NAME, GRADE OF EVALUATION TEAM AND DSN NUMBER
37. SIGNATURE
Page 2of 2
DA FORM 3120, JAN 2007
CONFIDENTIAL (When Filled In)
APD LC v1.01ES

Download DA Form 3120 Missile Firing Data Report (Hawk & Patriot)

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