EIB TEST SCORE SHEET

Station C - First Aid - Point C-1

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

Candidate's Name______________Rank________Unit_________________

TASK 1: PERFORM MOUTH-TO-MOUTH RESUSCITATION.


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

EIB TEST SCORE SHEET

Station P - M249 Machine Gun - Point P-i

For use Qf_this form, see USAIC Pam 350-6, the proponent is USAIS, DOTD.

CANDIDATE'S NAME RANK UNIT

 

 

TASK 1: PERFORM OPERATOR MAINTENANCE ON AN M249 MACHINE GUN. TASK 2: PERFORM A FUNCTION CHECK ON AN M249 MACHINE GUN.

PERFORMANCE MEASURES PASS FAIL

1. Correctly disassembled the M249 machine gun into its eight major groups and components.

NOTE: Sequence is not graded

a. Ensure the weapon is cleared.

b. Operating rod assembly.

c. Barrel.

d. Gas regulator.

e. - Handguard.

f. Buttstock and shoulder assembly.

g. Trigger mechanism.

h. Gas cylinder.

Bipod.

2. Accomplished performance measure 1 within 4 minutes.

3. Correctly assembled the M249 machine gun.

4. Performed function check.

(1) Pulled the cocking handle to the rear. Returned it forward to the locked position.

(2) Moved the weapon to the SAFE position.

(3) Pulled the trigger. The weapon should not have fired.

(4) Placed the weapon on FIRE. Pulled and held the cocking handle to the rear.

(5) Pulled the trigger and allowed the bolt to ease forward.

NOTE: Sequence is not graded

5. Accomplished performance measure 3 and 4 within 5 minutes.

CHECK: PASS______ FAIL______

REASON(S) FOR FAILURE

__________________________________________________

__________________________________________________

__________________________________________________

SCORER'S SIGNATURE________________DATE________________

Is this a retest? YES______NO______


FB FORM 20-5-R, 17 JAN 97

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