Da Form 2404 - Equipment Inspection And Maintenance Worksheet
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1
2EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET
For use of this form, see DA PAM 750-8; the proponent agency is DCS, G-4.
1. ORGANIZATION
2. NOMENCLATURE AND MODEL
ROUNDS
HOT
3. REGISTRATION/SERIAL/NSN
4 a.
MILES
b.
HOURS
c.
d.
5. DATE
6. TYPE INSPECTION
FIRED
STARTS
7.
APPLICABLE REFERENCE
TM NUMBER
TM DATE
TM NUMBER
TM DATE
COLUMN d
Show corrective action for deficiency or
COLUMN a
Enter TM item number.
shortcoming listed in Column c.
COLUMN b
Enter the applicable condition status symbol.
COLUMN e
Individual ascertaining completed corrective
COLUMN c
Enter deficiencies and shortcomings.
action initial in this column.
STATUS SYMBOLS
"X"
Indicates a deficiency in the equipment that places
DIAGONAL "(/)"
Indicates a material defect other
it in an inoperable status.
than a deficiency which must be corrected to increase
efficiency or to make the item completely serviceable.
CIRCLED "X"
Indicates a deficiency, however, the
equipment may be operated under specific limitations as
LAST NAME INITIAL IN BLACK, BLUE-BLACK INK,
directed by higher authority or as prescribed locally, until
OR PENCIL - Indicates that a completely satisfactory
corrective action can be accomplished.
condition exists.
HORIZONTAL DASH "(-)"
Indicates that a required
FOR AIRCRAFT - Status symbols will be recorded in red.
inspection, component replacement, maintenance operation
check, or test flight is due but has not been accomplished,
or an overdue MWO has not been accomplished.
ALL INSPECTIONS AND EQUIPMENT CONDITIONS RECORDED ON THIS FORM HAVE BEEN DETERMINED
IN ACCORDANCE WITH DIAGNOSTIC PROCEDURES AND STANDARDS IN THE TM CITED HEREON.
MANHOURS
8 a.
SIGNATURE
(Person(s) performing inspection)
8 b.
TIME
9
a.
SIGNATURE
(Maintenance Supervisor)
9 b.
TIME
10.
REQUIRED
TM
INITIAL
ITEM
STATUS
DEFICIENCIES AND SHORTCOMINGS
CORRECTIVE ACTION
WHEN
NO.
CORRECTED
a
b
c
d
e
PREVIOUS EDITIONS ARE OBSOLETE.
APD PE v1.00ES
DA FORM 2404, FEB 2011
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