DA Form 7213-R "Missile Firing Data Report (Dragon and Tow)"

What Is DA Form 7213-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 7213-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 1-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 7213-R down below in PDF format or browse hundreds of other DA Forms stored in our online database.

ADVERTISEMENT
ADVERTISEMENT

Download DA Form 7213-R "Missile Firing Data Report (Dragon and Tow)"

586 times
Rate (4.5 / 5) 124 votes
MISSILE FIRING DATA REPORT (DRAGON AND TOW)
REQUIREMENT CONTROL
For use of this form, see AR 700-19; the proponent agency is ODCSLOG
SYMBOL AMC-224
1.
MISSILE SYSTEM
DRAGON
TOW
2.
MISSILE SERIAL NO.
3.
MISSILE LOT NO.
4.
NATIONAL STOCK NO.
5.
WARHEAD TYPE
HEAT
INERT/PRACTICE
OTHER*
6.
MOUNT
GROUND
JEEP/TRK
APC
ITV (M901A1)
HMMWV
FAV
LAV
BFVS (M2/M3)
BFVS (M2A1/M3A1)
BFVS (M2A2/M3A2)
OTHER*
AH-1
AIRCRAFT TAIL NO
7.
UNIT MAILING ADDRESS
UIC CODE
10.
PURPOSE OF FIRING
8.
FIRING AGENCY
9.
LOCATION (POST) WHERE FIRED
ARMY
ANNUAL SERVICE PRACTICE
NAT'L GUARD
SCHOOL
MARINES
OTHER*
DEMONSTRATION
OTHER*
11.
TIME OF MISSILE FIRING (MIL TIME)
12.
LIGHT CONDITIONS
13.
TEMPERATURE
DAY
NIGHT
TWILIGHT
DAY
MONTH
YEAR
F
C
14.
TRACKER OR NIGHT SIGHT
15.
WEATHER
16.
TARGET ILLUMINATION
SERIAL NO.
CLEAR
RAIN
NONE
NIGHT SIGHT
FOG/MIST
SMOKE/DUST
FLARE
SEARCH LIGHT
SLEET/SNOW
OTHER*
OTHER*
OVERCAST
17.
18.
DRAGON GUNNER POSITION
19.
A/C MANEUVER (TOW/COBRA ONLY)
GUNNER EXPERIENCE
SITTING
STANDING
PREVIOUS MISSILES
HOVER
SIDE SLIP
ST IN
PRONE
KNEELING
NO PREVIOUS MISSILES
TURN
OTHER*
NO GUNNER
Blocks 20 - 23 pertain to TOW/Cobra only--Remainder applies to all platforms and missiles.
20.
A/C ALTITUDE (FT AGL)
21.
A/C SPEED (KT TAS)
22.
COMBINED MODE
23.
OVERRIDE USED
YES
NO
YES
NO
24.
TARGET TYPE
25.
TARGET DIRECTION
STANDARD STATIONARY 7.5 FT HIGH X 7.5 FT LONG
STATIONARY
STANDARD MOVING 7.5 FT HIGH X 15 FT LONG
MOVING LEFT
TANK
APC
TRUCK
BUNKER
MOVING RIGHT
OTHER*
FT HIGH X
FT LONG
26.
TARGET SPEED (MPH)
27.
RANGE OF TARGET (METERS)
28.
TARGET HIT?
YES
NO
29.
IMPACT POINT FROM CENTER OF TARGET (INCHES)
30.
WARHEAD FUNCTIONED?
31.
RANGE TO IMPACT POINT
(MISS ONLY)
YES
UP
RIGHT
NO
NA (INERT/PRACTICE)
(M)
DOWN
UNKNOWN
LEFT
UNDETERMINED
32.
CAUSE OF MISS
MISSILE FAILURE
TRACKER FAILURE
LAUNCHER FAILURE
UNKNOWN EQUIP FAILURE
GUNNER ERROR (DESCRIBE)*
OTHER (SPECIFY)*
REMARKS* IF THE MISSILE FLIGHT WAS UNUSUAL OR
34.
33.
SEQUENCE OF EVENTS (TOW ONLY)
YES
NO
UNKNOWN
TARGET MISS OCCURRED, DESCRIBE THE CIRCUMSTANCES,
ESPECIALLY MISSILE BEHAVIOR. (*Continue on Reverse side if
PASSED SELFTEST BEFORE FIRING
necessary).
PASSED SELFTEST AFTER FIRING
GYRO SPIN UP
LAUNCH MOTOR FIRED
SOURCE ON
FLIPPERS EXTENDED
WINGS EXTENDED
FLIGHT MOTOR FIRED
LEADERS INTACT AFTER FIRING
WIRES ATTACHED AFTER FIRING
37.
OFFICER IN CHARGE (TYPE OR PRINT)
35.
DATE
36.
GUNNER'S NAME (TYPE OR PRINT)
38.
DSN/COMMERCIAL NO.
MAIL COMPLETED FORM TO: CDR, U.S. ARMY MISSILE COMMAND, ATTN: AMSMI-RD-QA-RA-CC, REDSTONE ARSENAL, AL, 35898-5290
DA FORM 7213-R, FEB 1993
APD LC v1.01
MISSILE FIRING DATA REPORT (DRAGON AND TOW)
REQUIREMENT CONTROL
For use of this form, see AR 700-19; the proponent agency is ODCSLOG
SYMBOL AMC-224
1.
MISSILE SYSTEM
DRAGON
TOW
2.
MISSILE SERIAL NO.
3.
MISSILE LOT NO.
4.
NATIONAL STOCK NO.
5.
WARHEAD TYPE
HEAT
INERT/PRACTICE
OTHER*
6.
MOUNT
GROUND
JEEP/TRK
APC
ITV (M901A1)
HMMWV
FAV
LAV
BFVS (M2/M3)
BFVS (M2A1/M3A1)
BFVS (M2A2/M3A2)
OTHER*
AH-1
AIRCRAFT TAIL NO
7.
UNIT MAILING ADDRESS
UIC CODE
10.
PURPOSE OF FIRING
8.
FIRING AGENCY
9.
LOCATION (POST) WHERE FIRED
ARMY
ANNUAL SERVICE PRACTICE
NAT'L GUARD
SCHOOL
MARINES
OTHER*
DEMONSTRATION
OTHER*
11.
TIME OF MISSILE FIRING (MIL TIME)
12.
LIGHT CONDITIONS
13.
TEMPERATURE
DAY
NIGHT
TWILIGHT
DAY
MONTH
YEAR
F
C
14.
TRACKER OR NIGHT SIGHT
15.
WEATHER
16.
TARGET ILLUMINATION
SERIAL NO.
CLEAR
RAIN
NONE
NIGHT SIGHT
FOG/MIST
SMOKE/DUST
FLARE
SEARCH LIGHT
SLEET/SNOW
OTHER*
OTHER*
OVERCAST
17.
18.
DRAGON GUNNER POSITION
19.
A/C MANEUVER (TOW/COBRA ONLY)
GUNNER EXPERIENCE
SITTING
STANDING
PREVIOUS MISSILES
HOVER
SIDE SLIP
ST IN
PRONE
KNEELING
NO PREVIOUS MISSILES
TURN
OTHER*
NO GUNNER
Blocks 20 - 23 pertain to TOW/Cobra only--Remainder applies to all platforms and missiles.
20.
A/C ALTITUDE (FT AGL)
21.
A/C SPEED (KT TAS)
22.
COMBINED MODE
23.
OVERRIDE USED
YES
NO
YES
NO
24.
TARGET TYPE
25.
TARGET DIRECTION
STANDARD STATIONARY 7.5 FT HIGH X 7.5 FT LONG
STATIONARY
STANDARD MOVING 7.5 FT HIGH X 15 FT LONG
MOVING LEFT
TANK
APC
TRUCK
BUNKER
MOVING RIGHT
OTHER*
FT HIGH X
FT LONG
26.
TARGET SPEED (MPH)
27.
RANGE OF TARGET (METERS)
28.
TARGET HIT?
YES
NO
29.
IMPACT POINT FROM CENTER OF TARGET (INCHES)
30.
WARHEAD FUNCTIONED?
31.
RANGE TO IMPACT POINT
(MISS ONLY)
YES
UP
RIGHT
NO
NA (INERT/PRACTICE)
(M)
DOWN
UNKNOWN
LEFT
UNDETERMINED
32.
CAUSE OF MISS
MISSILE FAILURE
TRACKER FAILURE
LAUNCHER FAILURE
UNKNOWN EQUIP FAILURE
GUNNER ERROR (DESCRIBE)*
OTHER (SPECIFY)*
REMARKS* IF THE MISSILE FLIGHT WAS UNUSUAL OR
34.
33.
SEQUENCE OF EVENTS (TOW ONLY)
YES
NO
UNKNOWN
TARGET MISS OCCURRED, DESCRIBE THE CIRCUMSTANCES,
ESPECIALLY MISSILE BEHAVIOR. (*Continue on Reverse side if
PASSED SELFTEST BEFORE FIRING
necessary).
PASSED SELFTEST AFTER FIRING
GYRO SPIN UP
LAUNCH MOTOR FIRED
SOURCE ON
FLIPPERS EXTENDED
WINGS EXTENDED
FLIGHT MOTOR FIRED
LEADERS INTACT AFTER FIRING
WIRES ATTACHED AFTER FIRING
37.
OFFICER IN CHARGE (TYPE OR PRINT)
35.
DATE
36.
GUNNER'S NAME (TYPE OR PRINT)
38.
DSN/COMMERCIAL NO.
MAIL COMPLETED FORM TO: CDR, U.S. ARMY MISSILE COMMAND, ATTN: AMSMI-RD-QA-RA-CC, REDSTONE ARSENAL, AL, 35898-5290
DA FORM 7213-R, FEB 1993
APD LC v1.01