Range Type (Partially Contained, Fully Contained, etc.):

Target Distance(s):

Calibers/Types of Rounds Approved for Use:

B. Range construction/design must ensure projectiles do not leave the range and must ensure rounds do

Section B. Category I: Catastrophic Hazard Severity (Projectile Containment).

C. Range construction/design must ensure projectiles do not leave the range and must ensure rounds do

Section C. Category II: Critical Hazard Severity (Projectile Containment).

D. Range construction/design must ensure personnel exterior to the range are as safe as possible. Ans

Section D. Category II: Critical Hazard Severity (Exterior Range Safety).

E. Range construction/design must eliminate, reduce or mitigate environmental hazards such as lead, h

Section E. Category III: Moderate Hazard Severity (Environmental).

F. Range construction/design must eliminate, reduce or mitigate occupational lead contamination and e

Section F. Category III: Moderate Hazard Severity (Occupational Health).

G. Ranges should be located where environmental nuisance noise is as low as possible and constructed

G. Category III: Moderate Hazard Severity (Sound/Noise Exposure).

H. Range construction/design should eliminate, reduce or mitigate potential for injuries to range per

H. Category III: Moderate Hazard Severity (Ground/Range Safety).

Report Routing

CATM Signature:

Notification

Squadron Commander:

Group Commander Signature:

Environmental Officer Signature:

Bio-Environmental Signature:

Safety Office Signature:

Wing Commander Signature: