Dd Form 3020, Breaching Reconnaissance Record
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2BREACHING RECONNAISSANCE RECORD
SECTION I - GENERAL
1. FILE NUMBER
2. DEMOLITION RECON REPORT NUMBER
3. DATE (YYYYMMDD)
4. TIME
5. RECON ORDERED BY
6. PARTY LEADER
a. NAME AND RANK
a. NAME AND RANK
b. ORGANIZATION
b. ORGANIZATION
7. MAP INFORMATION
8. TARGET DATA
a. NAME
a. COMPOUND NUMBER
b. BUILDING NUMBER
b. SCALE
c. SHEET
d. SERIES
c. TARGET NUMBER
d. BLUEPRINTS ON FILE (X one)
Yes
No
(If yes, attach)
9. ENTRY LOCATIONS
11. GENERAL STRUCTURE DESCRIPTION
10. UTILITIES
(Use Block 14 for sketches)
(X all that apply)
a. DOOR TYPE
b. WINDOW TYPE
a. BUILDING FUNCTION
c. CONDITION
(X all that apply)
(X all that apply)
(X all that apply)
(X one)
Wood
Residential
Gas
Residential
Commercial
Damaged
Metal
Casement
Water
Public and Civic
Mixed Use
Undamaged
b. CONSTRUCTION METHOD
Security
Store Front
Electric
(X all that apply)
Barriers/Obstructions
Barriers/Obstructions
Unknown
Framed
Mass (Frameless)
12. CONSTRUCTION COMPOSITION
a. TYPE OF STRUCTURE
b. EXTERIOR WALLS
c. INTERIOR WALLS/PARTITIONS
(X all that apply)
(X all that apply)
(X all that apply)
Unit Masonry Unknown
Metal Curtain Wall
Metal Partitions
Concrete Unknown
Infill Brick (Stucco, painted, etc.)
Concrete Block
Stone
Infill Concrete Block (Stucco, painted, etc.)
Brick
Mud Brick
Precast Concrete Panel
Load Bearing Masonry (Brick or Block)
Brick
Insitu Concrete
Concrete
CMU
Stone
Wood
Tilt Up
Concrete Block
Gypsum Wallboard/Steel Studs
Insitu
Brick
Gypsum Block
Box Wall
Wood
Gypsum Panels
Framed Unknown
Sandwich Panel
Gypsum Wallboard/Wood Studs
Steel or Concrete Framed Unknown
Metal Panels
Hollow Clay Tile (Plastered)
Half Timbered
Decorative Light Weight Concrete Panel
Gypsum Chipboard
Light Wood Framed
Veneer Marble, Granite, etc.
Closet System
Light Cladding
Window Wall
Other
(Specify)
Heavy Cladding
Hollow Clay Tile
Infill CMU, Terra Cotta
Other
(Specify)
Other
(Specify)
d. FLOORS
e. ROOF
(X all that apply)
(X all that apply)
Precast Concrete
Other
Wood Trusses with Clay/Concrete Tile
Other
(Specify)
(Specify)
Concrete
Steel Deck
Insitu Concrete
Timber
Precast Concrete
Asbestos Cement
Small Floor Components
Pseudo Concrete
SECTION II - BREACHING REQUIREMENTS
13. ADDITIONAL BREACHING CONSIDERATIONS
a. EQUIPMENT REQUIREMENTS
b. EXPLOSIVE REQUIREMENTS
c. OTHER REQUIRED ASSETS
(1) (X if applicable)
(2) Quantity
(1) (X if applicable)
(2) Quantity
Ram
M456 (Det cord)
Pry/Lever
M023 (M112)
Break and Rake Tool
MN86 (M19)
Assault Ladder
ML47 (M11)
Thermal Breach Asset
MN08 (M81)
Saw
MN88 (M21)
Bolt Cutter
MN90 (M23)
Blast Blanket
Other
(Specify)
Other
(Specify)
DD FORM 3020, FEB 2016
REPLACES DA FORM 2203, WHICH IS OBSOLETE.
Adobe Designer 11
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