AK Pamphlet 350-20 Eighth Army Range and Training Area

Appendix C
ROIC & RSO Certification Verification
Date:
1. I will be the ROIC/RSO for range/training Area
on date .
2. I have been certified by my headquarters and am qualified on the procedures for conduct of
training and safety procedures required for the weapons systems to be utilized during training.
3. I have successfully completed the Eighth Army Range Certification Examination within the
last twelve (12) months.
4. I have reviewed and understand the contents of AK Reg 350-10, this pamphlet, the surface
danger zone waiver, and the range SOP for
range/TA.
5. I have read and understand the safety requirements for the weapons to be used and training
to be done as outlined in applicable FMs and TMs, AR 385-62/63, range surface danger zone
waiver, and SOP that pertains to the range/TA I will be using.
6. I understand that this completed form will be kept on file at the Range Control Office. I
understand that I must sign below prior to the range/TA occupation dates or the range/TA will
not be opened for training.
Signature, ROIC:
Name, Rank:
Unit:
Cell Phone:
Received By RCC:
RCC Signature:
Signature, RSO:
Name, Rank:
Unit:
Cell Phone:
Date:
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AK Pam 350-20, 10 October 2006