RECORD FIRE SCORECARD
For use of this form see FM 3-22.9; the proponent agency is TRADOC.
ID CODE
UNIT
DATE (YYYYMMDD)
EVALUATOR'S ID CODE
TABLE 1
TABLE 2
TABLE 3
PRONE SUPPORTED OR FOXHOLE SUPPORTED FIRING POSITION
PRONE UNSUPPORTED FIRING POSITION
KNEELING UNSUPPORTED FIRING POSITION
RANGE
TIME
NO
RANGE
TIME
NO
RANGE
TIME
NO
RANGE
TIME
NO
RD
HIT
MISS
RD
HIT
MISS
RD
HIT
MISS
RD
HIT
MISS
(m)
(sec)
FIRE
(m)
(sec)
FIRE
(m)
(sec)
FIRE
(m)
(sec)
FIRE
1
50
3
11
100
1
200
6
1
150
8
8
2
200
6
12
200
2
250
8
2
50
4
3
100
4
13
150
3
150
6
3
100
5
10
4
150
5
14
300
4
300
4
150
6
10
5
300
8
15
100
5
200
5
100
5
9
6
250
7
16
250
6
150
6
50
4
12
7
50
3
17
200
6
7
200
7
100
5
8
200
6
18
150
5
8
250
8
150
6
9
9
150
5
19
50
9
150
9
50
4
6
10
250
7
20
100
10
150
6
10
100
5
TOTAL
TOTAL
TOTAL
TOTAL
SCORE
QUALIFICATION SCORE RATINGS (Check One)
Qualified with IBA?
YES
NO
TABLE
HIT
MISS
NO FIRE
1
AIMING DEVICE USED (Check One)
IRON SIGHT
A N/PAS-13 (DAY)
2
36-40 -- EXPERT
23-29 -- MARKSMAN
BACKUP IRON SIGHT
A N/PAS-13 (NIGHT)
3
M68, CCO
A N/PAQ-4B/C
30-35 -- SHARPSHOOTER
22 AND BELOW -- UNQUALIFIED
FIRER'S QUALIFICATION SCORE
ACOG
A N/PEQ-2A/B
REMARKS
NIGHT FIRE EXERCISE
DATE
HIT
MISS
GO
NO GO
(YYYYMMDD)
CBRN FIRE EXERCISE
DATE
HIT
MISS
GO
NO GO
(YYYYMMDD)
SCORER'S INITIALS
DATE INITIALED (YYYYMMDD)
OFFICER'S INITIALS
DATE INITIALED (YYYYMMDD)
Page 1 of 2
DA FORM 3595-R, SEP 2008
DA FORM 3595-R, JUL 2006, IS OBSOLETE.
APD LC v1.01ES