Da Form 2404 - Equipment Inspection And Maintenance Worksheet
Download a blank fillable Da Form 2404 - Equipment Inspection And Maintenance Worksheet in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Da Form 2404 - Equipment Inspection And Maintenance Worksheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
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
(Enter UNIT / LOCATION)
(ASSET TYPE)
ROUNDS
HOT
3. REGISTRATION/SERIAL/NSN
4a. MILES
b. HOURS
c.
d.
5. DATE
6. TYPE INSPECTION
FIRED
STARTS
(Enter Container ISO Number)
7.
APPLICABLE REFERENCE
TM NUMBER
TM DATE
TM NUMBER
TM DATE
MIL-HDBK- 138-B
20060101
COLUMN d
Show corrective action for deficiency or
COLUMN a
Enter TM item number.
shortcoming listed in Column c.
Enter the applicable condition status symbol.
COLUMN b
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
8b. TIME
9a. SIGNATURE
(Maintenance Supervisor)
9b. TIME
10.
8a. SIGNATURE (Person(s) performing inspection)
REQUIRED
INITIAL
TM
WHEN
ITEM
STATUS
DEFICIENCIES AND SHORTCOMINGS
CORRECTIVE ACTION
CORRECTED
NO.
a
b
c
d
e
CSC RECERTIFICATION. NO REPAIRS
REQUIRED
Asset Type (i.e. 22G1):
Next Inspection Date (Month/Year):
Manufacturer Serial Number:
Manufacturer Date / Year Built:
SERVICEABLE FOR IMDG / NON IMDG
DD Form 2282 Appiled
(Circle Inspected Type)
Certified Inspectors Signature / Date =====>
Print Certified Inspectors Name ======>
PREVIOUS EDITIONS ARE OBSOLETE.
APD LC v1.00ES
DA FORM 2404, FEB 2011
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business