JOINT AIRLIFT INSPECTION RECORD/CHECKLIST
Page
of
Pages
(Reference DTR Part III Appendix O For Form Completion)
1. DEPLOYING FORCE:
2. DEPARTURE AIRFIELD:
3. DATE:
4. AIRCRAFT TYPE AND MISSION NUMBER:
5. LOAD/CHALK NO.
6. START TIME:
7. COMPLETE TIME:
8. MOBILITY FORCE:
9. CHAPTER 3 MOVEMENT
Yes
No
10. INCREMENT/SERIAL/BUMPER NUMBER AND TYPE/TCN
LEGEND (Mark blocks after each item as follows)
LEGEND (Mark blocks after each item as follows)
√ = Satisfactory
√ = Satisfactory
X = Unsatisfactory
X = Unsatisfactory
Circle the " X " for items that have been corrected
Circle the " X " for items that have been corrected
-
-
If not applicable, Enter "
If not applicable, Enter "
" (Dash)
" (Dash)
11. DOCUMENTATION
a. Pre-Load Plan
b. Manifest/ Load List/Packing List
c. Shippers Declaration for Dangerous Goods (SDDG)
d. DD Form 1387-2
e. Military Shipping Label
f. ATTLA Certification
12. GENERAL REQUIREMENTS (Applicable to Blocks 13, 14, 15)
a. Clean
b. Fluid Leaks
c. Scale Weight
d. Dimensions
e. Center of Balance
f. Keys/Combinations
g. Shoring
h. Hazardous Materials Preparation/Packaging
13. VEHICLES/NON-POWERED EQUIPMENT
a. Mechanical Condition
b. Brakes Operational
c. Battery
d. Fuel Tank(s), Level, Caps
e. Jerricans
(1) DOT 5L
MUST BE EMPTY
(2) UN Specification
f. Tiedown Points/Clevises
g. Pintle Hooks
h. Vehicle Equipment Secured
i. Tire Pressure
j.
Accompanying Load
k. Lox/Nitrogen Cart
14. PALLETS/PALLET TRAINS/ISU'S
a. Serviceable
b. Correctly Built/Items Secured
c. Dunnage
15. HELICOPTERS (Flyaway)
a. Fuel Quantity
b. Configuration
c. Battery
d. Special Loading Equipment
e. Accompanying Load
,
I certify that all items, including hazards, have been declared, properly prepare d
I certify the above declared items have been inspected and properly prepare d
and presented for airlift in accordance with all applicable directives.
for airlift in accordance with all applicable directives.
16. DEPLOYING FORCE REPRESENTATIVE
17. MOBILITY FORCE INSPECTOR
DD FORM 2133, JUN 2013
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional X