EIB TEST SCORE SHEET

Station D - NBC - Point D-1 M40 FPM

For use of this form, see USAIC Pam 350-6. The proponent is USAIS, DOTD.

Candidate's Name______________Rank________Unit________________


PERFORMANCE MEASURES-----Mark by each measure-------------PASS (P)or FAIL (F)

TASK 1: PROTECT YOURSELF FROM CHEMICAL AND BIOLOGICAL INJURY/CONTAMINATION USING YOUR M40 SERIES FIELD PROTECTIVE MASK WITH HOOD.

1. Remove Kevlarİ PASGT helmet, place on barrel of rifle/carbine

2. Don FP mask within 9 seconds.

3. Don the hood within an additional 6 seconds.

4. Pull the hood draw cord slider snug.

5. Fasten the hood underarm straps and adjust them.

6. Replace your Kevlarİ PASGT helmet over the FP mask and hood.

7. Close your FP mask carrier.

8. Remove your mask after the "all clear" order is given.

9. Store the FP mask in the carrier

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

__________________________________________________

__________________________________________________

__________________________________________________

SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______


FB FORM 20-7-R, 17 JAN 97

RETURN TO EIB HOME PAGE 1