STP 10-92A34-SM-TG Soldier's Manual and Trainer's ... - AskTOP

STP 10-92A34-SM-TGAppendix BSample DA Form 5165-R (Field Expedient Squad Book)This appendix provides a sample of DA Form 5165-R (see Figure B-1) for the tasks in this STP. TheDA Form 5165-R allows the trainer to keep a record of task proficiency for a group of Soldiers. Trainersshould use the following instructions when completing DA Form 5165-R.Prior to Evaluating the Soldier.• The form also can be downloaded from the Army Publishing Directorate website(www.apd.army.mil/forms).• Enter the SM task number and abbreviated task title for the evaluated tasks in the appropriatecolumn. Use additional sheets as necessary. Locally reproduce the partially completed form if youare evaluating more than nine Soldiers.During the Evaluation.• Enter the names of the Soldiers you are evaluating, one name per column, at the top of the form.You may add the names of newly assigned Soldiers if there are blank columns.• Under STATUS, record (in pencil) the date in the GO block if the Soldier demonstrated taskproficiency to Soldier's manual standards. Keep this information current by always recording themost recent date on which the Soldier demonstrated task proficiency.• Record the date in the NO-GO block if the Soldier failed to demonstrate task proficiency toSoldier's manual standards. Soldiers who failed to perform the task should be retrained andreevaluated until they can meet the standards. When that occurs, enter the date in theappropriate GO block and erase the previous entry from the NO-GO block.After the Evaluation.• Read down each column (GO/NO-GO) to determine the training status of that individual. This willgive you a quick indication on which tasks a Soldier needs training.• Read across the rows for each task to determine the training status of all Soldiers. You canreadily see on which tasks to focus training. Line through the training status column of any Soldierwho departs from the unit.7 May 2008 B-1