Shotgun test form cjt 728




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SHOTGUN TEST FORM CJT 728

PRIVATE SECURITY GUARDS/PRIVATE INVESTIGATORS/ BAIL RECOVERY AGENTS

UPDATED 1/2015


Complete and return with WSCJTC form 726 to the following address:
Washington State Criminal Justice Training Commission

19010 First Avenue South

Burien, WA 98148

INSTRUCTOR AND STUDENT INFORMATION

RANGE/LOCATION



SHOOTERS NAME (PRINT)

INSTRUCTOR NAME (PRINT)



SHOOTERS SIGNATURE

INSTRUCTOR SIGNATURE



INSTRUCTOR PHONE


INSTRUCTOR EMPLOYER



INSTRUCTOR EMAIL





SHOTGUN SKILLS AND SAFETY TEST

INSTRUCTIONS FOR SKILLS AND SAFETY TEST

  • The individual being tested must demonstrate each skill to qualify. This is a pass/fail test that should be conducted in the range, one-on-one, so that the instructor can verify each skill.

  • The individual should report to the firing line with the shotgun unloaded, action open, safety on, with the gun slung on the shoulder or carried with the muzzle high and pointed in a safe direction.

  • The instructor will ask the individual to perform the following activities. As the individual performs the training exercises, the instructor shall mark off each box showing that the exercises have been completed.




1.

 Bring the gun from safe carry to shoulder, low ready position

 Finger off the trigger

 Muzzle pointed in safe direction

 Low ready correctly demonstrated with muzzle about 45%


2.

 Duty loads the shotgun with the gun on the shoulder, chamber closed, and safety on (no round in chamber).

 Finger off the trigger

 Muzzle pointed in safe direction

 Gun stays on shoulder, held by strong hand

 Loads with weak hand



3.

 With gun at low ready, the shooter will move forward about 10 yards

 Finger off the trigger

 Muzzle pointed in a safe direction

 Low ready correctly demonstrated with muzzle pointed down at about 45%

 Gun stays on shoulder



4.

 Unload gun for inspection

 Finger off the trigger

 Muzzle pointed in a safe direction

 Action partially open during unload

 Rounds not chambered during unload

 Leaves action open


5.

 Bring gun to safe carry position: sling, or pocket carry, muzzle high

 Finger off the trigger

 Muzzle pointed in a safe direction

 Action remains open

 Safe sling or carry position



SHOTGUN USED FOR CERTIFICATION

SHOTGUN MAKE ___________________________ MODEL ___________________ CALIBER _________


AMMUNITION CALIBER (IF DIFFERENT THAN FIREARM CALIBER) __________




SHOTGUN QUALIFICATION COURSE

DISTANCE

DESCRIPTION

SHOTS

TIME

REQUIRED

ACTUAL

25 Yards

From ready position, fire 2 rounds (slug).

2

10 sec

100% on silhouette




15 Yards

From ready position, load 2; fire a total of 4 rounds (slug or buck, shooter’s choice).

4

18 sec

100% on silhouette




7 Yards

From ready position, load 2; fire a total of 4 rounds (buckshot).

4

12 sec

100% on silhouette




5 Yards

From ready position, load 2; fire a total of 4 rounds (buckshot).

4

10 sec

100% on silhouette




3 Yards

From ready position, fire 2 rounds.

2

2 sec

100% on silhouette




FINAL RESULTS

TOTAL SCORE:

SKILLS AND SAFETY TEST

 PASSED

 FAILED

QUALIFICATION COURSE

 PASSED

 FAILED

SHOOTER LAST NAME:

INSTRUCTOR INITIALS:

DATE OF TEST:


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