Process Ammunition Reports 55B40B06

1.0. Introduction.

In your future assignments, you may be working in the surveillance office. Therefore, you will
be required to have knowledge of various ammunition surveillance forms. Upon completion of
this lesson, you will be able to prepare, post, and maintain these forms.

2.0. Prepare a DA Form 2415 Ammunition Condition Report (ACR).

This section of the lesson will provide you will the details required to correctly complete a DA
Form 2415.

2.1. Purpose.

The DA Form 2415 gives management information on unserviceable, and permanently

suspended munitions.

2.2. Use.

The DA Form 2415 is used to report munitions other than special weapon ammunition. A DA
Form 2415 may be initiated as a result of but not limited to the following actions:

Munitions Inspection: Periodic inspection, receipt inspection, safety-in-storage inspection,

and special inspection.

Permanent suspense assignment by owning service.

As specifically requested by higher headquarters. The DA From 2415 submittal is also

contingent on satisfying conditions as established by Ammunition Condition Report (ACR)
Requirement Flow Chart as found in DA PAM 738-750.

The DA Form 2415 is not necessary to destroy munitions that have been determined by a
qualified ammunition inspector to be hazardous to health, safety, or security.

2.3. Instructions for Preparing an Ammunition Condition Report (ACR).

An original and six copies will be prepared for submittal to IOC. For missile items, one copy is
prepared for submittal to AMCOM. Individual DA Forms 2415 are made for each owner of
assets being reported. Individual Ammunition Condition Reports are made for each line item
reported. More than one lot of items with the same DODIC may be reported on the same ACR
so long as the integrity of the associated NSN and ammunition lot number is maintained. If a
continuation sheet is needed to finish a report, a blank sheet of bond paper may be used. Refer to
Figure 1, as necessary, while reviewing the step-by-step procedures outlined below, for
completing the DA Form 2415.

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AMMUNITION CONDITION REPORT REQUIREMENT CONTROL SYMBOL

For use of this form, see DA PAM 738-750; the proponent agency is DCSLOG CSGLD-1020

1. THRU: (Include ZIP Code) 2. DATE OF 3.

REPORT PAGE ______

OF______PAGES

4. TO: (Include ZIP Code) 5. UNIT IDENTIFICATION CODE

Cdr, U.S. Army Armament Munitions & Chemical Command
ATTN: AMSMS-DSM-MA
Rock Island, IL 61299-6000 W390AA-15-87
6. FROM: (Include ZIP Code) 7. COMMODITY
Cdr, McAlester Army Ammunition Plant CHEM GM
ATTN: SMCMC-QAS X CONV
McAlester, OK 74501-5000
8. NOMEN-MODEL ITEM REPORTED a. PART/NSN NO. b. SN/LOT NO. c. DATE OF MFG d. QTY IN LOT
Projectile, 155mm, HE,
M483A1 1320-00-126-7339-D563 MA-85A003-042 Jan 85 2,251
9. NOMEN-MODEL EQUIP a. PART/NSN NO. b. SN/LOT NO. c. DATE OF MFG d. QTY IN LOT
INSTALLED/USED ON

10. QTY INSPECTED 11. QUANTITY DEFECTIVE 12. PRESENT COND CODE 13. ECON REPAIRABLE

20 20 F X YES NO
14. USE 15. ESTIMATED REPAIR/MAINT/DISPOSAL UNIT COST

X WR TNG DIRECT LABOR $ GAS $ OTHER $

16. DETAILS (Description, cause, action, dispostion)
a. Description:

(1) Reason for ACR Initiation: Defects noted during performance of periodic inspection.

(2) Defects encountered: (SASIP 742-1320-94-250)

(a) outer pack: 10 percent pallet bases damaged (minor)

(b) inner pack: N/A

(c) Item: 100 percent with diamond marking mission (major). 30 percent with corrosion
on fuze well threads (major). 5 percent with loose ogive/body joint (major).

(3) Owner account: Army/B14

b. Cause: Corrosion defectives are deteriorative in nature. Other defectives are manufactured defects.

c. Action: Lot retained in condition Code F. ACR W390AA-02085 previously reported unserviceable
lot identified above in condition code F.

d. Disposition:

(1) Recommend renovation to condition code A.

(2) MCAAP has the capability to perform recommended renovation.

e. Originator: J. Henry Blossom, QASAS, AUTOVON 956-6557

17. TYPED/PRINTED NAME, GRADE AND TITLE 18. SIGNATURE

JOSE DeLaGUAPA
GS 1910-12, C, Ammo Surv Div
EDITION OF 1 JAN 64 IS OBSOLETE.
DA 2415
FORM
1 DEC 77

Figure 1. Completed DA Form 2415

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Block 1. Enter the complete address of the headquarters through which the report must be
submitted for review. This information can be obtained from your local SOP. The complete
address must be entered.

Block 2. Date of Report. Enter the calendar date when the report is being made. (Example
5 Jan 1983).

Block 3. Page 1 of 2 pages. In the top blank space, after the word "Page," enter the number
"1," indicating that this is the first page of the report. The bottom blank space (__ pages) will
be filled in after the report is completed with the total number of pages used.

NOTE: The report used as an example in this lesson contains only one page. Enter the
number "1" in both spaces.

Block 4. TO: Enter the complete address of the headquarters to which the report is being
sent. This information is found on page 130, DA Pam 738-750 number (4).

Block 5. Unit Identification Code. Enter the "UNIT IDENTIFICATION CODE" for your
activity. Check local SOP for this information. To the right of the UIC, enter the ACR
Report Number. This number indicates the total number of ACRs that have been submitted
to date for the calendar year.

EXAMPLE: The ACR Report Number is 1-83, which shows that this is the first report
submitted for the calendar year 1983.

Block 6. From: Enter the complete address of your unit or activity, including the APO or
ZIP code numbers.

Block 7. Commodity. Place an "X" in the box which describes the type of munitions you
are reporting: Chemical, Missile, or Conventional.

Block 8. Nomen-Model Item Reported. Enter the complete item name and model number
of the item being reported from the "Nomenclature" block of the DSR Card.

Block 8a. Part/NSN No. Enter the complete National Stock Number (NSN) and
Department of Defense Identification Code (DODIC) from the "NSN/PN" block of the DSR
Card.

Block 8b. SN/Lot No. Enter the lot number of the affected item from the "Lot/Serial No."
block of the DSR Card.

Block 8c. Date of MFG. Enter the date of manufacture for the affected item from the "Date
Mfg." block of the DSR Card.

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Block 8d. Qty In Lot. Enter the quantity on hand of the lot number being reported. The
quantity must be verified by stock control through reference to stock records.

Blocks 9 through 9d. Enter all required information of the end item only when the item
reported in Block 8 is a component. If the end item is already reported in block 8 (as in this
example), no entry is required in Blocks 9 through 9d.

Block 10. Quantity Inspected. Enter the total number of the items inspected from the
"Conditions Encountered" section of the DSR Card.

Block 11. Quantity Defective. Enter the total quantity found defective during the
inspection. Refer to block 10 in the "Conditions Encountered" section of the DSR Card.

Block 12. Enter the present condition code of the munitions item recorded in the "Cond
Code" block of the DSR Card. Condition codes must be in accordance with AR 725-50,
Table C-38, page 326-327.

Block 13. Econ Repairable. In this lesson example, the item is economically repairable.
Enter "X" in the box marked "Yes."

Block 14. Use. This block indicates the classification of the item being reported as "WR"
(war reserve) or "TNG" (training). Check the appropriate box.

Block 15. Estimated Repair/Maint/Disposal Unit Cost. Leave this block blank or as
policy directs.

NOTE: Explain to students that for this lesson, information for Block 16 will be taken
from the DSR Card.

Block 16. Details. When the DA Form 2415 is used to report unserviceable or repairable
munitions, except for guided missiles and large rockets, the following entries will be made:

Enter in narrative form the condition and defects of the item being reported.

Photographs may be used to depict and clarify what can not be put clearly in narrative form.

List part numbers, drawing numbers, and references supporting the narrative.

Indicate action taken and recommendations as to corrective action.

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Enter NSN, nomenclature, and quantities or parts required to restore the item to serviceable
condition.

Enter equipment and gage requirements if they are not available in your command.

Disposal Request.

When the DA Form 2415 is used to request disposal, the following entries will be made in
Block 16:

Enter in narrative the condition and defects of the items reported.

Enter disposition recommendations and supporting endorsements.
Enter existing capability to dispose of items reported.
Approval.

Block 17. Typed/Printed Name, Grade, and Title. Enter the name, grade, and title of the
individual approving submission of the report. This entry must be typed or printed.

Block 18. This block will contain the signature of the individual approving the submission
of the report.

2.4. Disposition.

When the DA Form 2415 is completed, it should be reviewed against DA Pam 738-750 and
the DSR Card for completeness and accuracy.

The completed DA Form 2415 with supporting documentation will be submitted to the
individual approving submission of the report.

3.0. Prepare an SF 368 Quality Deficiency Report.

This section of the lesson will provide you with the details on how to correctly prepare an SF 368
Quality Deficiency Report.

3.1. Purpose.

The Quality Deficiency Report is a multi-use form used for reporting:

Product quality deficiencies in repair parts, components, assemblies, weapon systems,

equipment and software.

Deficiencies due to design, manufacturing, depot level overhaul, or maintenance.

Suggested ideas or recommendations for improvements to equipment.

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The SF Form 368 is used to specifically report:

A condition in or with equipment that is dangerous to people, other equipment, or missions.

An item or equipment that does not work right or last as long as it should because of bad
design or materials.

Items that are not within the size, material, hardness, finish, or performance limits of the
approved equipment specifications.

Low quality workmanship.

Dangerous situations due to incorrect or missing data.

Maintenance problems.

Conditions that keep you from using the equipment.

Repeated problems that take a lot of your time and a solution is not in sight.

Problems asked to be reported by the National Maintenance Point (NMP). When such
requests are made, the SF Form 368 is used to verify the problem and how bad it is.

Corrosion problems in or on parts, components, assemblies, weapon systems, and equipment.

Fill out an SF 368 to:

Get disposition instructions for credit, replacement, or repair of defective items.

Stop repeat shipments of defective items.

Get corrective action.

Improve the performance and maintenance of the equipment.

Identify problems, trends, and recurring deficiencies.

Do not use the SF Form 368 to report:

Items purchased locally. Use local procedures for these items.

Security assistance for items after receipt by the foreign government. (See AR 12-12)

Medical materiel. (See DLAR 4155.28)

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Subsistence materiel. (See AR 30-123 and AR 40-660)

Preservation, packaging, packing, or marking errors. (See AR 735-11-2)

Shipping type errors such as overages, shortages, wrong item received, or expired shelf life.
Report those problems on the SF Form 364. (See AR 735-11-2)

Transportation type errors such as shortage, loss, or damage during transportation. (See AR
55-38)

Materiel that fails due to inadequate user (including operator and DS/GS maintenance)
maintenance, improper operation, and normal wear and tear.

Malfunctions involving munitions and explosives. (See AR 75-1)

Warranty claim actions (WCAs). WCAs are submitted on DA Form 2407.

DA PAM 738-750 prescribes the use of SF Form 368 for aviation equipment: aircraft,
aviation managed ground support equipment, and aviation life support equipment.

3.2. Use.

The person who discovers a defect or has an equipment improvement recommendation is

responsible for reporting it on an SF Form 368. Prepare the SF 368 as completely as possible.
Do not delay sending the form due to missing information or local staffing. Product quality
defects and equipment improvement recommendations fall into the following two categories.

Category I.

Explanation. A defect that may cause death, injury, or severe job illness; would cause
loss of major damage to a weapon system; or critically restricts the combat readiness
capabilities of the unit.

Improvement recommendations. Recommendations that prevent death, injury, or

severe job illness; prevent loss or major damage to a weapon system, or would affect
the combat readiness of the unit are also Category I.

Processing. Prepare and forward a message format SF Form 368 to the proper MSC
within 48 hours after you have found the defect or problem. If needed information
does not apply to the problem being reported, enter N/A in the appropriate section of
the message. The message should be priority and unclassified. Category I reports
may be phoned in or brought in for immediate assistance but must be followed by a
message within the 48 hour time frame. The MSC acknowledges receipt and begins
screening stocks within 24 hours of receipt of your report.

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Category II.

Explanation. A defect or recommendation that does not meet the criteria of a

Category I.

Processing. Prepare and forward the original SF 368 to the proper MSC within 5
working days after you have found the defect or problem. The report or
recommendation may be sent by the SF 368 format, the message format, or by
electronic mail using the SF 368 electronic facsimile.

3.3. Instructions for Completing SF Form 368.

Refer to Figure 2, as necessary, while reviewing the step-by-step procedures for completing the
SF 368 outlined below.

Block 1a. Form. In addition to entering your units location with zip code or APO number,
enter your Department of Defense Activity Address Code (DODAAC).

Block 1b. Name. Type or print your name and duty phone (include DSN or FTS and
commercial numbers).

Block 1c. Date. Type or print current calendar date, for example, 10 OCT 97.

NOTE: Block 1c, above is not applicable on forms dated April 74.

Block 2a. To. Insert the command and address from Figures 11-6 through 11-12, DA PAM
738-750, as appropriate.

Block 2b. Name. Leave Blank.

Block 2c. Date. Leave Blank.

NOTE: Block 2c above is not applicable on forms dated April 74.

Block 3. Report Control Number. Place the DODAAC of your unit (6 places) followed by
the calendar year (2 places). Then give the number of SF Forms 368 you have sent in during
the calendar year (4 places). For example, the first SF Form 368 for 1987 sent in but a unit
with DODAAC WK4FFF would be WK4FFF870001.

Block 4. Date Deficiency Discovered. Calendar date, for example, 10 OCT 86.

Block 5. National Stock Number. Insert the NSN of the bad item.*

Block 6. Nomenclature. Insert the name of the bad component/item.

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Block 7a. Manufacturer/City State. If known insert the name of the manufacturer,
contractor, or government unit that made or repaired the bad item, as well as the city and
state.

Block 7b. Manufacturers Code. Insert the name of the manufacturer, contractor, or
government unit that made or repaired the bad item.

Block 7c. Shipper/City/State. Insert the name of the shipper, as well as the city and state.

NOTE: On forms dated April 74, Block 7 will be filled out as follows:

Block 7. Manufacturer/Manufacturers Code and/or Shipper. Insert the name or

code of the manufacturer, contractor, or government unit that made or repaired the bad
item, if you know it. If the shipper is not the manufacturer, list his or her name, too.

Block 8. Manufacturers Part Number. Insert the manufacturers part number, if

available. (Leave blank if an NSN is in block 5.)

Block 9. Serial/Lot/Batch Number. If known, insert a serial, lot, or batch number of the
bad item(s). Lot numbers are used for munitions since serial numbers do not apply.

Block 10a. Contract Number. Insert the contract number.

Block 10b. Purchase Order Number. Insert the purchase order number.

Block 10c. Requisition Number. Insert the requisition number.

Block 10d. GBL Number. Insert the GBL number.

NOTE: On forms dated April 74, Block 10 will be filled out as follows:

Block 10. Contract/Purchase Number/Document Number. Insert the contract,

purchase order, requisition, or other document number. For GSA shipments, list all
three numbers.

Block 11. Item is New or Overhauled. Check the proper block if the item is new or has
been overhauled.*

Block 12. Date Received, Manufactured, Repaired, or Overhauled. Insert the date
received, manufactured, repaired, or last overhaul date, if known.

Block 13. Operating Time at Failure. Tell how long the equipment had been operating
when the problem was detected. That is, how many miles, cycles, hours, or EFC rounds were

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on the equipment or component. For vehicles bought by GSA, put in the date the vehicle was
first used.

Block 14. Government Furnished Material. Mark the NO box. Only contractors mark the
YES block.

Block 15. Quantity. In the Y blocks under quantity, enter the actual number of each item,
not the unit of issue. Insert the actual number of items being reported, no matter what the
unit of issue is.

Block 15a. Received. Insert the total number of items in the lot or batch in which the defect
was found, if you know it.

Block 15b. Inspected. Insert the number of items looked at.

Block 15c. Deficiency. Insert the number of items found to be bad after the inspection.

Block 15d. In Stock. Insert the number of items in stock, if known.

Block 16. Deficiency Item Works On/With.

Block 16a. End Item. Show type/model/series of the end item or commodity that the bad
item is used with or on (for example M16A1 Rifle or 105mm Howitzer M102). Also list the
NSN. Show the serial number of the end item when the item listed in Block 5 is part of an
end item.

Block 16b. Next Higher Assembly. If the bad item is part of a next higher assembly
(NHA), put in the NHA: NSN, Name, Part Number, and Serial Number. Lot numbers are
used for munitions (serial numbers do not apply).*

Block 17. Unit Cost. Put in the dollar value of the bad item, if you know it. Use the AMDF
price. List the unit price of one item.

Block 18. Estimated Correction Cost. Insert the estimated cost (including overhead) to fix
all of the bad items, if you know it. This cost can be found by multiplying the cost to fix one
bad item by the number of bad items.

Block 19a. Item Under Warranty. Check the proper box.

Block 19b. Expiration Date. Insert the expiration date of the warranty.

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Block 20. Work Unit Code/EIC. Insert the code for the maintenance unit performing the
maintenance.

O. Unit.
F. Direct Support (DS)
H. General Support (GS)
D. Depot
L. Special Repair Activity.

Block 21. Action/Disposition. Check one of the blocks to show the type of action taken or
asked for. If an exhibit is held, show the number of days it will be held (at least 55). If none
of the items show the action taken or asked for, check other. Then show the type of action
taken or asked for in item 22.

Block 22. Details. Describe, to your best ability, what is wrong, circumstances prior to
difficulty, description of difficulty, cause, action taken, including disposition, and
recommendations. Attach copies of supporting documents. Continue on separate sheet if
necessary.

Block 23. Location of Deficient Material. Enter the unit name, location, and zip code or
APO number where the deficient number is located.

NOTE: Sketches and pictures should be attached as needed to help explain the condition of
equipment improvement.

CAUTION: Blocks marked with an asterisk (*) are the essential items needed for a
deficiency report.

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Figure 2. SF 368

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4.0. Instructions for Preparation of SF 364.

Installations receiving shipments with damage due to improper unitization, packaging,

preservation or marking will report the discrepancies according to AR 735-11-2. SF 364 will not
be used for reporting transportation discrepancies, except for material sent parcel post. This
section of the lesson will provide you with the details necessary to correctly fill out an SF 364.

Indicate whether shipping discrepancy or packaging discrepancy by placing an "X" in appropriate

box at top of form. Mailing envelopes will be conspicuously marked "SF 364."

Item 1. Date of Preparation. Report preparation date is in sequence by year, month, and
day. This sequence should also be used in all date entries. For example, March 23, 1986 is
written 86 MAR 23 and June 1, 1986 is written 86 JUN 01.

Item 2. Report Number. The country and record control number must be shown for grant
aid as a part of the report number.

Item 3. To. In-the-clear name, address, ZIP code and activity address code or routing
identifier code, and attention symbol/code of action activity. When both shipping type (item)
discrepancies and packaging discrepancies are reported for the same item, enter "see item 15"
and enter address and/or codes of both action activities in item 15.

Item 4. From. Name, address, and ZIP code of the reporting activity (consignee). The in-
the-clear address will be entered.

Item 5a. Shipper's Name. Enter name and address of shipper (consignor) when different
from item 3.

Item 5b. Number and Date of Invoice. Enter number and date of vendor's invoice or
shipper's bill number. Attach copy of invoice to SF 364. (Not applicable to packaging
discrepancies.)

Item 6. Transportation Document. Enter the type of transportation document, GBL, CBL,
manifest, waybill, insured/certified parcel post number, or transportation control and
movement document (TCMD) and the identifying number assigned to such document. This
is a mandatory entry when shipment received was made via traceable means, e.g., GBL, CBL.
Further, for shipping type (item) discrepancies involving shortages, include the following
statement in item 12--"Shortage has been verified as not being transportation related." (For
grant aid include a copy of the CBL/GBL if available.)

Item 7a. Shipper's Number. Enter shipment number (when more than one shipment is
made under a contract or requisition) and contract/document number (e.g., contract, purchase
order).

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Item 7b. Office Administering Contract. Name, address, and ZIP code of the Contract
Administration Office. (CAO activity which directed/arranged shipment.)

Item 8. Requisitioner's Number. Enter the requisitioning activity's number, e.g.,

requisition, purchase request. Entry of the applicable requisition document number is
mandatory in all instances, even though a contract/purchase order is involved.

Item 9a. NSN/Part Number and Nomenclature. If item received is different from item
shown on shipping documents, or different from item ordered, show each item on a separate
line. For serial numbered principal items, sets, kits and outfits, list the item individual serial
number first, followed by the discrepancies applicable to that serial number. (Note: Sets,
kits, and outfits showing an assembly order number, the assembly order number should be
listed, also.)

Item 9b. Unit of Issue. Enter unit of issue as billed or indicated on shipping document for
each item listed in item 9a. (Not applicable to packaging discrepancies.)

Item 9c. Quantity Shipped/Billed. Enter quantity of item shipped or billed. When code C1
is applicable, enter the quantity and the supply condition code (see DoD 4140.17-M) of the
item when shipped, e.g., 980A as shown on shipping document. (Not applicable to
packaging discrepancies.)

Item 9d. Quantity Received. Enter quantity of item received.

Item 10a. Discrepancy Quantity. Enter the discrepant quantity. If code C1 is applicable,
enter the quantity and the supply condition code (see DoD 4140.17- M) of the item received.
If total quantity received is classified under more than one condition code, enter separately
each partial quantity so classified, followed by the applicable condition code, e.g., 960A, 20F.

NOTE: Where product quality deficiencies in grant aid shipments are involved or when
overage materiel (expired shelf life) is received, and code Q1 or C2 is applicable, enter the
following information under item 12, remarks:

Manufacturer's name.
Contract/purchase order number if not shown in item 7a.
Date of manufacturer, pack, or expiration.
Lot/batch number.
Location of materiel.
Name, address, and telephone number of contact.
Nature of complaint stating in detail why materiel is unsatisfactory.

Item 10b. Discrepancy Unit Price. Enter the unit price as billed or shown on shipping
document. (Not applicable to packaging discrepancies.)

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Item 10c. Discrepancy Total Cost. For shipping type (item) discrepancies, enter the total
value of materiel (10a x 10b). For packaging deficiencies, enter cost of corrective action.

Item 10d. Discrepancy Code. Nature of the discrepancy using the discrepancy codes listed
on the face of the form. If a condition exists that is not listed, use code Z1 and describe
discrepancy in item 12, remarks.

Item 11. Action Code. Enter requested action from codes listed on the face of the form. If
action is other than that covered by listed action codes, use code 1Z and explain action
requested in item 12, remarks. Action code 1D or 1F will not be used on reports prepared to
cover shipments of DoD stock funded items and shipments from GSA. Materiel still required
must be re-requisitioned. Action code 1E applies only to local purchase items.

Item 12. Remarks.

General conditions. Use for any supplemental information when the combination of
discrepancy codes and action codes needs clarification; when discrepancies need
explanation; and when a breakdown of cost to report, in terms of time and materials,
is required. Specific data such as appearance, lot/batch number, manufacture/
packaging date, inspector number and inspection date, probable cause of improper
packaging, and suggested corrective action should be entered here. Include DSN and
commercial telephone numbers of the person to be contacted for additional
information if different from that entered in item 14a, preceded by an asterisk for
follow-ups. Provide photos where it would assist the shipping activity in determining
the cause of the discrepancy/deficiency.

Special conditions. For MAP/Grant Aid cite the specific violation of specification,
regulation, packaging instruction or contact. For shortages or non-receipt of GSA
items shipped parcel post, cite whether all packages shown as shipped in item 5 of
GSA or DD Form 1348-1 were received. For medical materiel requiring refrigeration
or frozen storage cite the information requested on the special instruction sheet which
is included with shipments of such material. For classified material cite whether
indications of container tampering were or were not evident; indicate whether a
security deviation inquiry may be necessary at the origin.

Item 13. Funding and Accounting Data. For packaging discrepancies, enter the
accounting/appropriation data needed by the action activity to credit the account of the
reporting activity for costs involved in correcting the reported discrepancies. This item does
not apply to shipping-type (item) discrepancies.

Item 14a. Typed or Printed Name, Title and Phone Number of Preparing Official. Self
explanatory. When non-DoD action activities are involved include both commercial and
DSN numbers.

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Item 14b. Signature. Self-explanatory.

Item 15. Distribution Addresses for Copies. Enter other addresses receiving copies of the
report.

NOTE: The reverse of SF 364 is to be completed by the action activity as required by

paragraph VI D5 by AR 735-11-2.

Item 16. From. The address of the activity preparing the reply.

Item 17. Distribution Addresses for Copies. Enter addresses receiving copies of the reply in
addition to addressee listed in item 18.

Item 18. To. Enter address of the activity indicated in item 4 on face of the form.

Item 19. Enter advice of action taken by responsible action office by placing an X in appropriate
box(s). Do NOT check box 19f(2) for U.S. RODs; the regulation(s) citation(s) applies only for
shipments to Foreign Military Sales customers.

Item 20. Enter disposition instructions by placing an X in appropriate box(es).

Item 21. Enter an X to indicate to the reporting activity that a new requisition is required if the
materiel is still needed.

Item 22. Enter an X to indicate a replacement shipment will be made and the approximate date
of the shipment.

Item 23. Remarks. Enter any clarification or information necessary for a complete reply. Enter
corrective action taken to preclude future packaging discrepancies.

Item 24a. Typed or Printed Name and Phone Number of Preparing Official. Self-
explanatory. When item 18 is a non-DoD activity include both DSN and commercial (including
area code) telephone numbers.

Item 24b. Signature. Self-explanatory.

Item 24c. Date. Self-explanatory.

5.0. Summary.

In this lesson we have discussed the purpose, use, and completed a practical exercise on how to
complete the DA Form 2415 (Ammunition Condition Report), the SF From 368 (Quality
Deficiency Report), and the SF Form 364 (Report of Deficiency).

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PRACTICAL EXERCISE
REVIEW AND PROCESS REPORTS

Completely answer each question to include the appropriate paragraph as the reference.

1. What form will be used to report munitions other than special weapons?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

2. How many copies of the DA Form 2415 must be prepared?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

3. Where would you find the information needed for Block 12 of DA Form 2415 ?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

4. What documents should a completed DA Form 2415 be reviewed against for accuracy and
completeness?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

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5. What information goes in Block 2a on SF Form 368?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

6. During a receipt inspection, you found deficiencies in marking. How should you annotate
this in Block 22 on SF 368?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

7. When completing block 17 of SF 368, where would you look to find the unit cost for a
listed item?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

8. In Block 20 on SF 368, what code would you enter for general support (GS)?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

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9. What Report Number would you enter in Block 3 of SF Form 368 if the DODAAC of your
unit is WK4AAA and it is the 63rd SF 358 form that is being sent in for the year 1996?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

10. When assigning a report preparation date on the SF 364, what is the correct sequence for
March 23, 1998?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

11. What information should be entered in item 5b on SF 364?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

12. How many category reports are there for SF 368?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

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Process Ammunition Reports 55B40B06

13. Who is responsible for reporting a defect on SF 368?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

14. What number goes with the UIC code in block five of DA Form 2415?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

15. What is the use of SF 368?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

16. How many working days do you have to submit an SF 368 with a category II defect?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

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Process Ammunition Reports 55B40B06

17. When is a category I deficiency report submitted?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

18. What are the types of conditions used in the Remarks section of SF 364?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

19. Who completes the reverse side of SF 364?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

20. What should be listed as the final entry on DA Form 2415?

ANSWER:
_____________________________________________________________________________
_____________________________________________________________________________

REFERENCE: ________________________________________________________________

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Process Ammunition Reports 55B40B06

SOLUTION
PRACTICAL EXERCISE
REVIEW AND PROCESS REPORTS

1. Answer: DA Form 2415

Reference: Paragraph 2.2.

2. Answer: One original and six copies.

Reference: Paragraph 2.3.

3. Answer: AR 725-750, Table C-38, pages 326-327.

Reference: Paragraph 2.3.

4. Answer: DA PAM 738-750 and DSR card.

Reference: Paragraph 2.4.

5. Answer: Command and address.

Reference: Paragraph 3.3.

6. Answer: Describe what is wrong, and how and why, circumstances prior to difficulty,
description of difficulty, cause, action taken, including disposition, and
recommendations.
Reference: Paragraph 3.3.

7. Answer: The prices found in the AMDF.

Reference: Paragraph 3.3.

8. Answer: H.
Reference: Paragraph 3.3.

9. Answer: WK4AAA960063.
Reference: Paragraph 3.3.

10. Answer: 98, MAR, 23.

Reference: Paragraph 4.0.

11. Answer: The number and date of the vendors invoice or shippers bill number.
Reference: Paragraph 4.0.

12. Answer: Two.

Reference: Paragraph 3.2.

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Process Ammunition Reports 55B40B06

13. Answer: The person who discovers it.

Reference: Paragraph 3.2.

14. Answer: The ACR report.

Reference: Paragraph 2.3.

15. Answer: Multi-use form.

Reference: Paragraph 3.1.

16. Answer: 5 days.

Reference: Paragraph 3.2, (category II).

17. Answer: When a defect is detected that may cause death, injury, or severe job illness; would
cause loss of major damage to a weapon system; or critically restricts the combat
readiness of the unit.
Reference: Paragraph 3.2.

18. Answer: General and special conditions.

Reference: Paragraph 4.0.

19. Answer: The action activity.

Reference: Paragraph 4.0, note.

20. Answer: The signature of the individual approving the report.

Reference: Paragraph 2.3.

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